- Traumatic Brain Injury Research
- Stroke Rehabilitation and Recovery
- Educational and Psychological Assessments
- Resilience and Mental Health
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Dementia and Cognitive Impairment Research
- Acute Ischemic Stroke Management
- Family and Disability Support Research
- Psychosomatic Disorders and Their Treatments
- Child and Adolescent Psychosocial and Emotional Development
- Cardiac Arrest and Resuscitation
- Infant Development and Preterm Care
- Counseling, Therapy, and Family Dynamics
- Posttraumatic Stress Disorder Research
- Musculoskeletal pain and rehabilitation
- Cerebral Palsy and Movement Disorders
- Mind wandering and attention
- Cognitive Functions and Memory
- Mental Health and Patient Involvement
- Cardiac Health and Mental Health
- Neuroscience, Education and Cognitive Function
- Health Policy Implementation Science
- Suicide and Self-Harm Studies
- Intergenerational Family Dynamics and Caregiving
- Neurobiology of Language and Bilingualism
University of East Anglia
2015-2025
Norwich Research Park
2016-2025
Cambridgeshire and Peterborough NHS Foundation Trust
2014-2023
National Institute for Health Research
2014-2020
Cambridgeshire Community Services NHS Trust
2014-2019
Princess of Wales Hospital
2006-2017
Digital Catapult
2001-2017
NIHR Applied Research Collaboration Greater Manchester
2014-2017
Norwich University
2016
Ida Darwin hospital
2014
A complex and dynamic set of biological, psychological social factors interact to determine the consequences acquired brain injury (ABI). This has led recognition need for an integrated biopsychosocial approach assessment, formulation rehabilitation after ABI, drawing on multiple methods models. presents a significant challenge development evaluation programmes that may involve interventions. In psychotherapy research, such problems are addressed through which emphasises theoretical...
There is a growing body of literature on the nature subjective changes experienced following brain injury. This study employs personal construct and qualitative research methods to address question how people make sense of, or construe, themselves after Thirty-two individuals who had acquired injury engaged in small group exercises based approach. Bipolar constructs were elicited through systematic comparison pre-injury, current ideal selves. The this way subjected thematic analysis. Nine...
Abstract Acquired brain injury (ABI) commonly results in a range of interacting difficulties including regulating emotion, managing social interactions and cognitive changes. Emotional adjustment to ABI can be difficult requires adaptation standard psychological therapies. This article outlines case where cognitive– behavioural therapy (CBT) was limited effectiveness but significantly enhanced with compassion focused (CFT). describes Jenny, 23-year-old woman who suffered traumatic 3 years...
Executive dysfunction affects most stroke survivors, limiting their ability to adapt post-stroke. Despite clinical guidelines recommending executive functioning rehabilitation, robust evidence for interventions is lacking. This study assessed the feasibility and acceptability of an telerehabilitation intervention survivors. It examined recruitment retention rates, adherence, completion outcome measures, usability, participant experience. Preliminary changes in functioning, self-efficacy,...
Research indicates that Acquired Brain Injury (ABI) is associated with significant and chronic impairment across multiple areas of functioning including physical, cognitive, emotional behavioural domains. Whilst impairments ABI can be ameliorated, cure seldom possible. The emergence positive psychology reflects a paradigm shift in health wellbeing research, highlighting the role character strengths, emotions, meaning, resilience. Positive interventions have been demonstrated to improve...
This study reports on the case of a young woman who, at age 26, developed severe encephalomyelopathy and was in vegetative state or minimally conscious for 6 months. She showed sleep-wake cycle, but no evidence cognitive functioning. Six months after her illness, she began to respond environment eventually returned home care parents, with regular periods respite people physical disabilities. remains wheelchair dysarthria communicates via letter board. Two years staff requested an assessment...
Primary objective: To evaluate the factor structure of Hospital Anxiety and Depression Scale (HADS) as a mood assessment in sample individuals with acquired brain injury (ABI).Research design: Cohort study.Methods procedures: HADS data from 140 people ABI was subjected to principle components analysis (PCA).Experimental interventions: None.Main outcomes results: A three-factor solution emerged. Items loading on first two factors map anxiety depression scales. However, items sub-scale did not...
Previously, the cognitive recovery of a 26 year old woman, Kate, who developed severe encephalomyelopathy and was in 'minimally conscious/persistent vegetative state' for 6 months reported. After months, Kate began to respond her environment and, at 2 years post-illness, neuropsychological assessment indicated that functioning within normal range on tests general intellectual functioning, executive most memory functions (with exception visual recognition memory). Although has dysarthria...
The dimension of family context for awareness disability following acquired brain injury (ABI) is examined through a qualitative discourse analysis. Three participants with ABI, who were identified by clinicians and relatives as demonstrating difficulties disability, three interviewed. findings highlight important contextual parameters influencing the emergence families' accounts after ABI: (1) availability sense-making resources use pre-injury meanings, (2) incongruity within resultant...
Delivering effective psychotherapy to address the significant emotional consequences of acquired brain injury (ABI) is challenged by presence cognitive impairments, especially retrieval detailed autobiographical memories trigger events. Initial studies using a wearable camera (SenseCam) suggest long-term improvements in recorded In this study single-case experimental design was implemented explore use SenseCam as memory aid for man with specific anxiety disorder and executive difficulties...
Acquired brain injury (ABI) can impair executive function, impeding planning and attainment of intentions. Research shows promise for some goal-management rehabilitation interventions. However, evidence that alerts assist monitoring completion day-to-day intentions is limited.To examine the efficacy brief goal-directed paired with periodic SMS text messages designed to enhance (assisted intention [AIM]).A randomized, double-blind, controlled trial was conducted. Following a baseline phase,...
The cognitive sequelae of encephalitis are well documented, and it is increasingly recognised that disorders mood anxiety can accompany these sequelae. Loss identity emerging as a key theme in psychotherapeutic interventions adjustment following acquired brain injury (ABI). Cognitive-behavioural therapy be applied to construct new model the self context behavioural, social ABI, with consideration pre-illness identity. Behavioural experiments, particular, may an effective means redefining...
Introduction People often experience distress following stroke due to fundamental challenges their identity. Objectives To evaluate (1) the acceptability of ‘HeART Stroke’ (HoS), a community-based arts and health group intervention, increase psychological well-being; (2) feasibility definitive randomised controlled trial (RCT). Design Two-centre, 24-month, parallel-arm RCT with qualitative economic components. Randomisation was stratified by centre severity. Participant blinding not...
Background Depression and anxiety are common complications following stroke. Symptoms could be treatable with psychological therapy, but there is little research on its efficacy. Objectives The aim of this study was to investigate (1) the acceptability feasibility computerized cognitive behavioral therapy (cCBT) treat symptoms depression (2) a trial design for comparing efficacy cCBT compared an active comparator. Methods Of total 134 people screened stroke, 28 were cluster randomized in...
Acquired brain injury (ABI) has a negative impact on self-esteem, which is in turn associated with mood disorders, maladaptive coping and reduced community participation. The aim of the current research was to explore self-esteem as multi-dimensional construct identify factors are symptoms anxiety or depression. Eighty adults ABI aged 17-56 years completed Robson Self-Esteem Scale (RSES), whom 65 also Hospital Anxiety Depression Scale; 57.5% sample had clinically low self-esteem. RSES good...
The objective of the study was to identify potential target and effect size goal management training (GMT) enhanced with life-logging technology compared standard GMT on a range possible primary outcomes reflecting cognitive ecological aspects executive functioning quality life. Sixteen patients acquired brain injury involving dysfunction were randomly allocated one two interventions: seven weeks (n = 8), or GMT+Lifelog 8). Outcome measures included battery function tests, Dysexecutive...
To increase understanding of the community neuropsychological rehabilitation goals young people with acquired brain injuries (ABIs).Three hundred twenty-six were extracted from clinical records 98 ABIs. The participants 59% male, 2-19 years old, and 64% had a traumatic injury. Goals coded using International Classification Functioning, Disability Health: Children Youth Version (ICF-CY). Descriptive statistical analysis was performed to assess distribution across ICF-CY. Chi-squared Cramer's...