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Traumatic brain injuries can leave patients with reduced ability to care for themselves, reducing their self-efficacy. This can subsequently lead to feelings of worthlessness if they come to perceive themselves as a burden, especially for those patients that had taken pride in their ability to provide for others. These changes represent a decrease in:

1) self-esteem
2) self-awareness
3) self-identity
4) self-concept

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Final answer:

The changes described in the question represent a decrease in self-esteem.

Step-by-step explanation:

The changes described in the question represent a decrease in self-esteem. Traumatic brain injuries can affect a person's self-perception, leading to reduced self-confidence and feelings of worthlessness. This is especially true for individuals who take pride in their ability to care for others and now perceive themselves as a burden. These changes in self-esteem can have a significant impact on a person's overall well-being and ability to care for themselves.

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