Identifying longitudinal trajectories of emotional distress symptoms 5 years after traumatic brain injury

Sigurðardóttir, Sólrún; Anđelić, Nada; Røe, Cecilie; Schanke, Anne‐Kristine

doi:10.3109/02699052.2014.934285

Cited by 28 publications

(23 citation statements)

References 61 publications

(93 reference statements)

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“…Higher scores are indicative of higher depression and/or anxiety symptoms. The HADS has good internal consistency [Cronbach's α = 0.83 anxiety; α = 0.82 depression; ( 66 )], and has been found to be a reliable and valid measure of emotional distress in TBI populations ( 67 , 68 ).…”

Section: Methodsmentioning

confidence: 99%

Psychological Resilience Is Associated With Participation Outcomes Following Mild to Severe Traumatic Brain Injury

et al. 2018

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Traumatic brain injury (TBI) causes physical and cognitive-behavioral impairments that reduce participation in employment, leisure, and social relationships. Demographic and injury-related factors account for a small proportion of variance in participation post-injury. Personal factors such as resilience may also impact outcomes. This study aimed to examine the association of resilience alongside demographic, injury-related, cognitive, emotional, and family factors with participation following TBI. It was hypothesized that resilience would make an independent contribution to participation outcomes after TBI. Participants included 245 individuals with mild-severe TBI [Mage = 44.41, SDage = 16.09; post traumatic amnesia (PTA) duration M 24.95 days, SD 45.99] who completed the Participation Assessment with Recombined Tools-Objective (PART-O), TBI Quality of Life Resilience scale, Family Assessment Device General Functioning Scale, Rey Auditory Verbal Learning Test, National Adult Reading Test, and Hospital Anxiety and Depression Scale an average 4.63 years post-injury (SD 3.02, R 0.5–13). Multiple regression analyses were used to examine predictors of PART-O scores as the participation measure. Variables in the model accounted for a significant 38% of the variability in participation outcomes, F(13, 211) = 9.93, p < 0.05, R2 = 0.38, adjusted R2 = 0.34. Resilience was a significant predictor of higher participation, along with shorter PTA duration, more years since injury, higher education and IQ, and younger age. Mediation analyses revealed depression mediated the relationship between resilience and participation. As greater resilience may protect against depression and enhance participation this may be a focus of intervention.

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Section: Methodsmentioning

confidence: 99%

Psychological Resilience Is Associated With Participation Outcomes Following Mild to Severe Traumatic Brain Injury

et al. 2018

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“…The independent variables used in this study were: sex (male vs. female), age at time of injury (in years), relationship status at hospital admission (partnered [married/cohabitant] vs. single), education (0-9 years, 10-12 years, 13-16 years, 17 + years), employment status prior to admission (employed vs. unemployed), occupation prior to admission (blue collar [physical work] vs. white collar [nonphysical work]), acute Glasgow Coma Scale (GCS) score (3)(4)(5)(6)(7)(8)(9)(10)(11)(12), cause of injury (traffic accident vs. other), length of PTA (number of days), computed tomography (CT) head Marshall scores (less severe [no visible injury or small intracranial injury, scores 1-2] and more severe [significant intracranial abnormalities, scores 3-5]) 39 on the ''worst'' CT scan within the first 24 h, and Injury Severity Score (range from 1-75 [best to worst]).…”

Section: Instrumentsmentioning

confidence: 99%

“…4 A large body of literature has documented adverse cognitive, behavioral, emotional, and physical outcomes in individuals with TBI, as well as reduced family and social functioning. [5][6][7][8][9][10][11][12][13] Unfortunately, individuals with TBI often find that these symptoms persist long after injury and ultimately give rise to a host of limitations in activities of daily living. 14 Taken together, the wide range and pervasive nature of TBI sequelae can severely restrict community integration.…”

Section: Introductionmentioning

confidence: 99%

Modeling of Community Integration Trajectories in the First Five Years after Traumatic Brain Injury

Anđelić

Arango-Lasprilla

Perrin

et al. 2016

Journal of Neurotrauma

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The aims of this study were to assess the trajectories of community integration in individuals with traumatic brain injury (TBI) through one, two, and five years post-injury and to examine whether those trajectories could be predicted by demographic and injury characteristics. A longitudinal cohort study was conducted with 105 individuals with moderate-to-severe TBI admitted to a trauma referral center in 2005-2007. Demographics and injury-related factors were extracted from medical records. At the one-, two- and five-year follow-ups, community integration was measured by the Community Integration Questionnaire (CIQ). A hierarchical linear model (HLM) examined whether longitudinal trajectories of community integration could be predicted by: time, sex, age, relationship status, education, employment status, occupation, acute Glasgow Coma Scale score, cause of injury, days in post-traumatic amnesia (PTA), computed tomography Marshall Score, and Injury Severity Score. CIQ scores improved across the three time-points (p<0.001). Additionally, higher trajectories of community integration were predicted by being single at the time of injury (p<.001), higher level of education (p=0.006), employment (p<0.001), and a shorter length of PTA (p<0.001). In a follow-up HLM with interaction terms, time*PTA was statistically significant (p<0.001), suggesting that participants with longer PTA increased in community integration more rapidly than those with shorter PTA. The longitudinal course of community integration described in this study may help rehabilitation professionals to plan more extensive follow-ups and targeted rehabilitation programs in the early stage of recovery for patients with specific demographic and injury characteristics.

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“…1,9 A rich body of literature on long-term outcomes post-TBI has shown that a significant number of TBI survivors carry functional disability long after the initial injury and such disability varies sig-nificantly among individuals. [9][10][11][12][13][14][15][16][17][18] Moreover, studies have suggested that patients with moderate-to-severe TBI could experience a slow or plateaued recovery in the functional measures of the Extended Glasgow Outcome Scale (GOS-E) 18 or the Functional Independence Measures (FIM TM ), 19,20 approximately 1 year or even earlier postinjury. 21,22 These findings point to the chronic effects of TBI that can affect a person's health and social environment long after acute medical treatment and rehabilitation, 23 raising an important question as to whether patients with disability receive the support and rehabilitation they need over time.…”

Section: Introductionmentioning

confidence: 99%

Trajectory of Functional Independent Measurements during First Five Years after Moderate and Severe Traumatic Brain Injury

Lü

Røe

Sigurðardóttir

et al. 2018

Journal of Neurotrauma

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A better understanding of long-term functional recovery process for patients with traumatic brain injury (TBI) facilitates effective rehabilitations. The aim of this study was to classify and characterize patients with moderate-to-severe TBI based on their functional trajectories up to 5 years post-injury. The study included 121 patients with moderate-to-severe TBIs (International Classification of Diseases, Tenth Revision [ICD-10], S06.0-S06.9), 16-55 years of age, and admitted at Trauma Referral Hospital within 24 h of injury between 2005 and 2007. Demographics and injury characteristics were documented at the admission, and functional status was recorded at 3 months and 1 and 5 years post-injury using Functional Independence Measure motor (FIM-M) and cognitive (FIM-C) subscales. We used group-based trajectory models to classify patients' functional trajectories over a 5-year period. For FIM-M, three trajectories were identified: 8.2% of patients showed stable low recovery (13.6 ± 1.5, 17.9 ± 8.8, and 21.0 ± 17.9), 9.2% elevated good recovery (35.8 ± 14.5, 75.5 ± 12.4, and 85.5 ± 8.1), and 82.6% stable good recovery (89.0 ± 3.6, 90.3 ± 1.9, and 90.8 ± 1.0) at the three follow-up points, respectively. For FIM-C, four trajectories were revealed: 4.1% of patients showed stable low recovery (5.0 ± 0, 5.0 ± 0, and 5.0 ± 0), 12.6% delayed moderate recovery (8.9 ± 3.5, 20.6 ± 4.6, and 28.3 ± 3.8), 28.7% elevated good recovery (27.0 ± 3.8, 30.4 ± 7.3, and 31.1 ± 2.3), and 54.6% stable good recovery (32.8 ± 2.3, 34.6 ± 1.0, and 34.7 ± 1.0). The results suggest that three FIM-M and four FIM-C trajectories described various patterns of functional recovery 5 years after moderate-to-severe TBI, with stable good recovery being the most common trajectory. Identifying and characterizing the trajectory memberships should enable targeted rehabilitation programs, inform patient-centered care, and improve long-term outcomes.

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Identifying longitudinal trajectories of emotional distress symptoms 5 years after traumatic brain injury

Cited by 28 publications

References 61 publications

Psychological Resilience Is Associated With Participation Outcomes Following Mild to Severe Traumatic Brain Injury

Psychological Resilience Is Associated With Participation Outcomes Following Mild to Severe Traumatic Brain Injury

Modeling of Community Integration Trajectories in the First Five Years after Traumatic Brain Injury

Trajectory of Functional Independent Measurements during First Five Years after Moderate and Severe Traumatic Brain Injury

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