“It feels like a loss of one’s own identity” - Work identity in persons suffering persisting post-concussion symptoms: A qualitative study

Purpose: To examine the impact of persisting post-concussion symptoms (PPCS) on work identity, and to explore how work identity relates to the acceptance and coping mechanisms in individuals experiencing PPCS. Methods: Twenty-three in-depth semi-structured interviews with persons suffering from PPCS for > 6 months, who attempted to return to work within the last 6 months. The data were analyzed using thematic analysis combined with hermeneutical phenomenological approach. Results: We identified one global theme “Me and my work identity”. Participants expressed a profound connection between work and self-understanding, leading to impact on personal identity when unable to perform at work. The global theme was unfolded in four themes: 1. Confronting a changed self: Participants described a discrepancy between their pre- and post-injury self-perception, leading to a sense of loss and lower self-worth. 2. Negotiating new realities: Some struggled to accept changes in capabilities and feared being perceived as inadequate. 3. Living with emotional turbulence: Coping with PPCS was characterized by emotional fluctuations, including frustration, sadness, guilt, and anxiety. 4. Navigating between worlds: Participants employed various coping strategies to manage symptoms and navigate challenges. Conclusion: The results highlight the profound impact of PPCS on individuals’ work identity and emotional well-being during work resumption.