A - 28 Let’s Get the Conversation Going! Group Intervention with Brain Injury Survivors to Promote Communication with Family and Friends about their Recovery

Abstract Objective This study explored changes in the self-conscious emotions of shame, guilt, and pride in adults with brain injuries after experiencing an intervention encouraging them to communicate with their loved ones about their recovery experiences. Method Adults with acquired brain injuries (mean age 49.5; 70% female; 3 yrs post) attended a presentation regarding the importance of communication during their recovery and were asked to discuss their experiences. Seven participants completed the State Shame & Guilt Scale pre- and post-intervention, and 8 participants completed ratings regarding comfort discussing their injuries and post-injury experiences with loved ones. Shame and guilt scores were aggregated (negativity variable) and subtracted from pride to produce a positivity variable. Paired samples t-tests and Pearson correlations (p < 0.05) results are reported. Results Negativity decreased (t[6] = 1.760) while positivity increased (t[6] = 2.411) from pre- to post-intervention. There was no pre/post change in participants’ rated comfort in speaking with loved ones. However, the lowest levels of comfort rated pre-intervention were associated with greatest declines in negativity (r = −0.777) and gains in positivity (r = 0.807) post-intervention. When asked about feedback they would like to share with loved ones, 2 participants mentioned cognitive challenges and 6 referred to existential struggles about which their loved ones were likely unaware. Conclusion Results suggest that the communication intervention particularly diminished levels of negative self-conscious emotions in adults with brain injury. Individuals experiencing discomfort speaking with their loved ones about their injury/recovery may benefit from psychoeducation about the importance of communication and should be encouraged to share their experiences with their family and friends.