Relational dimension of irritability following traumatic brain injury: A qualitative analysis

Flora Hammond, Christine S. Davis, James R. Cook, Peggy Philbrick, Mark A. Hirsch

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Irritability is a common long-term sequelae of traumatic brain injury (TBI). In a prior study on TBI irritability, relational interactions were one of four dimensions of irritability occurrence and precipitation. This present analysis examines these same data in greater detail. Methods: Fifty focus group transcripts from a study on irritability were re-analysed to examine: (1) irritability in spousal relationships following TBI, (2) retrospective accounts of spousal interactions contributing to irritability and (3) impact of irritability on marital relationships. Grounded Theory was used to develop themes, metacodes and theories. Results: Several theories emerged regarding irritability with respect to spousal relations, all based on the overarching theory that irritability in people with TBI has a strong relational component involved in triggering, experiencing and preventing irritability. Sub-theories supporting this include: (1) irritability breeds further irritability, (2) spousal responses can trigger irritability among persons with TBI and vice versa, (3) difficulties making emotional connections may incite negative interactions, (4) expectations of others may contribute to irritable behaviour, and (5) communication breakdowns may provoke irritability. Conclusions: Irritability associated with TBI resides in the family system as well as the individual. In treating irritability one should include comprehensive assessment and assistance to improve interpersonal interactions.

Original languageEnglish
Pages (from-to)1287-1296
Number of pages10
JournalBrain Injury
Volume26
Issue number11
DOIs
StatePublished - Oct 2012

Fingerprint

Focus Groups
Marriage
Traumatic Brain Injury
Qualitative Analysis
Communication
Interaction
Grounded Theory
Emotion
Person
Interpersonal Interaction
Communication Breakdown
Trigger

Keywords

  • Aggression
  • Behaviour
  • Brain injury
  • Family
  • Irritability
  • Marriage
  • Relationship

ASJC Scopus subject areas

  • Clinical Neurology
  • Arts and Humanities (miscellaneous)
  • Developmental and Educational Psychology

Cite this

Relational dimension of irritability following traumatic brain injury : A qualitative analysis. / Hammond, Flora; Davis, Christine S.; Cook, James R.; Philbrick, Peggy; Hirsch, Mark A.

In: Brain Injury, Vol. 26, No. 11, 10.2012, p. 1287-1296.

Research output: Contribution to journalArticle

Hammond, Flora ; Davis, Christine S. ; Cook, James R. ; Philbrick, Peggy ; Hirsch, Mark A. / Relational dimension of irritability following traumatic brain injury : A qualitative analysis. In: Brain Injury. 2012 ; Vol. 26, No. 11. pp. 1287-1296.
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