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Lonely But Not Alone: Neuroticism Mediates the Relationship Between Social Network Size and Loneliness in Individuals With Traumatic Brain Injury

Published online by Cambridge University Press:  20 December 2018

Arianna Rigon ,
Melissa C. Duff  and
Janelle Beadle
Arianna Rigon*
Affiliation:
Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, Tennessee
Melissa C. Duff
Affiliation:
Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, Tennessee
Janelle Beadle
Affiliation:
Department of Gerontology, University of Nebraska at Omaha, Omaha, Nebraska
*
Correspondence and reprint requests to: Arianna Rigon, Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN. E-mail: [email protected]
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Abstract

Objectives: Although individuals with traumatic brain injury (TBI) often report higher levels of social isolation, little is known about the factors influencing their self-perception of loneliness. The aim of the current study was to investigate the relationship between loneliness, social network size, and personality variables (neuroticism and extraversion) after TBI, and in particular whether specific personality variables mediate the relationship between social network size and perception of loneliness. Methods: Here, we assessed self-reported loneliness, personality variables, and social network size of 24 individuals with moderate-to-severe TBI and 41 healthy comparison participants. We then carried out a mediation analysis to examine whether personality variables mediated the relationship between loneliness and social network size. Results: Our results indicate that individuals with TBI reported higher levels of loneliness and neuroticism, but there was no group difference in social network size or extraversion. The mediation analysis revealed that the association between social network size and loneliness was mediated by neuroticism, but not by extraversion. Conclusions: Our findings show that neuroticism is an intervening variable in the relationship between social network size and self-perception of loneliness in individuals with moderate-to-severe TBI, and presents a new possible target for clinicians and rehabilitators seeking to address reports of loneliness and social isolation in TBI. (JINS 2019, 25, 266–274)

Keywords

TBIPersonalitySocial isolationAlonenessMediatorSocial network
Type
Special Section: Traumatic Brain Injury
Information
Journal of the International Neuropsychological Society , Volume 25 , Issue 3 , March 2019 , pp. 285 - 292
Copyright
Copyright © The International Neuropsychological Society 2018 

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References

REFERENCES

Andrews, T. K., Rose, F. D., & Johnson, D. A. (1998). Social and behavioural effects of traumatic brain injury in children. Brain Injury, 12(2), 133–138.Google Scholar
Armstrong, L., & Rimes, K. A. (2016). Mindfulness-based cognitive therapy for neuroticism (stress vulnerability): A pilot randomized study. Behavior Therapy, 47(3), 287–298. doi:10.1016/j.beth.2015.12.005Google Scholar
Bach, L. J., & David, A. S. (2006). Self-awareness after acquired and traumatic brain injury. Neuropsychological Rehabilitation, 16(4), 397–414. doi:10.1080/09602010500412830Google Scholar
Bibby, H., & McDonald, S. (2005). Theory of mind after traumatic brain injury. Neuropsychologia, 43(1), 99–114. doi:10.1016/j.neuropsychologia.2004.04.027Google Scholar
Bier, N., Dutil, E., & Couture, M. (2009). Factors affecting leisure participation after a traumatic brain injury: An exploratory study. The Journal of Head Trauma Rehabilitation, 24(3), 187–194. doi:10.1097/HTR.0b013e3181a0b15aGoogle Scholar
Cacioppo, J. T., Fowler, J. H., & Christakis, N. A. (2009). Alone in the crowd: The structure and spread of loneliness in a large social network. Journal of Personality and Social Psychology, 97(6), 977–991. doi:10.1037/a0016076Google Scholar
Cornwell, B., Schumm, L. P., Laumann, E. O., & Graber, J. (2009). Social Networks in the NSHAP Study: Rationale, measurement, and preliminary findings. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 64(Suppl. 1), i47–i55. doi:10.1093/geronb/gbp042Google Scholar
Cornwell, B., Schumm, L. P., Laumann, E. O., Kim, J., & Kim, Y. J. (2014). Assessment of social network change in a national longitudinal survey. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 69(Suppl. 2), S75–S82. doi:10.1093/geronb/gbu037Google Scholar
Davidson, P. S., Drouin, H., Kwan, D., Moscovitch, M., & Rosenbaum, R. S. (2012). Memory as social glue: Close interpersonal relationships in amnesic patients. Frontiers in Psychology, 3, 531. doi:10.3389/fpsyg.2012.00531Google Scholar
de Sousa, A., McDonald, S., Rushby, J., Li, S., Dimoska, A., & James, C. (2011). Understanding deficits in empathy after traumatic brain injury: The role of affective responsivity. Cortex, 47(5), 526–535. doi:10.1016/j.cortex.2010.02.004Google Scholar
Douglas, J. M., Bracy, C. A., & Snow, P. C. (2016). Return to work and social communication ability following severe traumatic brain injury. Journal of Speech, Language, and Hearing Research, 59(3), 511–520. doi:10.1044/2015_JSLHR-L-15-0025Google Scholar
Douglas, J. M., & Spellacy, F. J. (2000). Correlates of depression in adults with severe traumatic brain injury and their carers. Brain Injury, 14(1), 71–88.Google Scholar
Duff, M. C., Mutlu, B., Byom, L., & Turkstra, L. S. (2012). Beyond utterances: Distributed cognition as a framework for studying discourse in adults with acquired brain injury. Seminars in Speech and Language, 33(1), 44–54. doi:10.1055/s-0031-1301162Google Scholar
Dumont, C., Gervais, M., Fougeyrollas, P., & Bertrand, R. (2004). Toward an explanatory model of social participation for adults with traumatic brain injury. The Journal of Head Trauma Rehabilitation, 19(6), 431–444.Google Scholar
Finset, A., Dyrnes, S., Krogstad, J. M., & Berstad, J. (1995). Self-reported social networks and interpersonal support 2 years after severe traumatic brain injury. Brain Injury, 9(2), 141–150.Google Scholar
Gomez-Hernandez, R., Max, J. E., Kosier, T., Paradiso, S., & Robinson, R. G. (1997). Social impairment and depression after traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 78(12), 1321–1326.Google Scholar
Hagger, B. F., & Riley, G. A. (2017). The social consequences of stigma-related self-concealment after acquired brain injury. Neuropsychological Rehabilitation, 1–20. doi:10.1080/09602011.2017.1375416Google Scholar
Hawkley, L. C., & Cacioppo, J. T. (2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40(2), 218–227. doi:10.1007/s12160-010-9210-8Google Scholar
Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. Retrieved from http://www.afhayes.com/public/process2012.pdfGoogle Scholar
Hedman, E., Andersson, G., Lindefors, N., Gustavsson, P., Lekander, M., Ruck, C., … Ljotsson, B. (2014). Personality change following internet-based cognitive behavior therapy for severe health anxiety. PLoS One, 9(12), e113871. doi:10.1371/journal.pone.0113871Google Scholar
Heinrich, L. M., & Gullone, E. (2006). The clinical significance of loneliness: A literature review. Clinical Psychology Review, 26(6), 695–718. doi:10.1016/j.cpr.2006.04.002Google Scholar
Klonoff, P. S., Snow, W. G., & Costa, L. D. (1986). Quality of life in patients 2 to 4 years after closed head injury. Neurosurgery, 19(5), 735–743.Google Scholar
Knox, L., & Douglas, J. (2009). Long-term ability to interpret facial expression after traumatic brain injury and its relation to social integration. Brain and Cognition, 69(2), 442–449. doi:10.1016/j.bandc.2008.09.009Google Scholar
Kotwal, A. A., Kim, J., Waite, L., & Dale, W. (2016). Social function and cognitive status: Results from a US nationally representative survey of older adults. Journal of General Internal Medicine, 31(8), 854–862. doi:10.1007/s11606-016-3696-0Google Scholar
Levin, I., & Stokes, J. P. (1986). An examination of the relation of individual difference variables to loneliness. Journal of Personality, 54(4), 717–733.Google Scholar
Malec, J. F., Brown, A. W., Leibson, C. L., Flaada, J. T., Mandrekar, J. N., Diehl, N. N., & Perkins, P. K. (2007). The mayo classification system for traumatic brain injury severity. Journal of Neurotrauma, 24(9), 1417–1424. doi:10.1089/neu.2006.0245Google Scholar
Masi, C. M., Chen, H. Y., Hawkley, L. C., & Cacioppo, J. T. (2011). A meta-analysis of interventions to reduce loneliness. Personality and Social Psychology Review, 15(3), 219–266. doi:10.1177/1088868310377394Google Scholar
McCrae, R. R., & Costa, P. T. (2010). NEO inventories for the NEO Personality Inventory-3 (NEO-PI-3), NEO Five-Factor Inventory-3 (NEO-FFI-3), NEO Personality Inventory-Revised (NEO PI-R): professional manual. Lutz, FL: PAR.Google Scholar
McDonald, S., & Flanagan, S. (2004). Social perception deficits after traumatic brain injury: Interaction between emotion recognition, mentalizing ability, and social communication. Neuropsychology, 18(3), 572–579. doi:10.1037/0894-4105.18.3.572Google Scholar
Milders, M., Fuchs, S., & Crawford, J. R. (2003). Neuropsychological impairments and changes in emotional and social behaviour following severe traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 25(2), 157–172. doi:10.1076/jcen.25.2.157.13642Google Scholar
Morton, M. V., & Wehman, P. (1995). Psychosocial and emotional sequelae of individuals with traumatic brain injury: A literature review and recommendations. Brain Injury, 9(1), 81–92.Google Scholar
Norup, A., & Mortensen, E. L. (2015). Prevalence and predictors of personality change after severe brain injury. Archives of Physical Medicine and Rehabilitation, 96(1), 56–62. doi:10.1016/j.apmr.2014.08.009Google Scholar
Oddy, M., & Humphrey, M. (1980). Social recovery during the year following severe head injury. Journal of Neurology, Neurosurgery, and Psychiatry, 43(9), 798–802.Google Scholar
Pettersen, L. (1991). Sensitivity to emotional cues and social behavior in children and adolescents after head injury. Perceptual and Motor Skills, 73(3 Pt 2), 1139–1150. doi:10.2466/pms.1991.73.3f.1139Google Scholar
Pressman, S. D., Cohen, S., Miller, G. E., Barkin, A., Rabin, B. S., & Treanor, J. J. (2005). Loneliness, social network size, and immune response to influenza vaccination in college freshmen. Health Psychology, 24(3), 297–306. doi:10.1037/0278-6133.24.3.297Google Scholar
Rauch, R. J., & Ferry, S. M. (2001). Social networks as support interventions following traumatic brain injury. NeuroRehabilitation, 16(1), 11–16.Google Scholar
Rigon, A., Voss, M. W., Turkstra, L. S., Mutlu, B., & Duff, M. C. (2018). Different aspects of facial affect recognition impairment following traumatic brain injury: The role of perceptual and interpretative abilities. Journal of Clinical and Experimental Neuropsychology, 1–15. doi:10.1080/13803395.2018.1437120Google Scholar
Rousseaux, M., Verigneaux, C., & Kozlowski, O. (2010). An analysis of communication in conversation after severe traumatic brain injury. European Journal of Neurology, 17(7), 922–929. doi:10.1111/j.1468-1331.2009.02945.xGoogle Scholar
Russell, D. W. (1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20–40. doi:10.1207/s15327752jpa6601_2Google Scholar
Saklofske, D. H., & Yackulic, R. A. (1989). Personality predictors of loneliness. Personality and Individual Differences, 10(4), 467–472.Google Scholar
Shewan, C. M., & Kertesz, A. (1980). Reliability and validity characteristics of the Western Aphasia Battery (WAB). Journal of Speech and Hearing Disorders, 45(3), 308–324.Google Scholar
Stokes, J. P. (1985). The relation of social network and individual difference variables to loneliness. Journal of Personality and Social Psychology, 48(4), 981–990.Google Scholar
Struchen, M. A., Davis, L. C., Bogaards, J. A., Hudler-Hull, T., Clark, A. N., Mazzei, D. M., … Caroselli, J. S. (2011). Making connections after brain injury: Development and evaluation of a social peer-mentoring program for persons with traumatic brain injury. The Journal of Head Trauma Rehabilitation, 26(1), 4–19. doi:10.1097/HTR.0b013e3182048e98Google Scholar
Tate, R. L., Lulham, J. M., Broe, G. A., Strettles, B., & Pfaff, A. (1989). Psychosocial outcome for the survivors of severe blunt head injury: The results from a consecutive series of 100 patients. Journal of Neurology, Neurosurgery, and Psychiatry, 52(10), 1128–1134.Google Scholar
Temkin, N. R., Corrigan, J. D., Dikmen, S. S., & Machamer, J. (2009). Social functioning after traumatic brain injury. The Journal of Head Trauma Rehabilitation, 24(6), 460–467. doi:10.1097/HTR.0b013e3181c13413Google Scholar
Turkstra, L. S., Norman, R. S., Mutlu, B., & Duff, M. C. (2018). Impaired theory of mind in adults with traumatic brain injury: A replication and extension of findings. Neuropsychologia, 111, 117–122. doi:10.1016/j.neuropsychologia.2018.01.016Google Scholar
Weddell, R., Oddy, M., & Jenkins, D. (1980). Social adjustment after rehabilitation: A two year follow-up of patients with severe head injury. Psychological Medicine, 10(2), 257–263.Google Scholar
Ylvisaker, M., Turkstra, L. S., & Coelho, C. (2005). Behavioral and social interventions for individuals with traumatic brain injury: A summary of the research with clinical implications. Seminars in Speech and Language, 26(4), 256–267. doi:10.1055/s-2005-922104Google Scholar