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Resilience Following Traumatic Brain Injury: A Traumatic Brain Injury Model Systems Study

Published:December 18, 2015DOI:https://doi.org/10.1016/j.apmr.2015.12.003

      Abstract

      Objective

      To examine resilience at 3 months after traumatic brain injury (TBI).

      Design

      Cross-sectional analysis of an ongoing observational cohort.

      Setting

      Five inpatient rehabilitation centers, with 3-month follow-up conducted primarily by telephone.

      Participants

      Persons with TBI (N=160) enrolled in the resilience module of the TBI Model System study with 3-month follow-up completed.

      Interventions

      Not applicable.

      Main Outcome Measure

      Connor-Davidson Resilience Scale.

      Results

      Resilience scores were lower than those of the general population. A multivariable regression model, adjusting for other predictors, showed that higher education, absence of preinjury substance abuse, and less anxiety at follow-up were significantly related to greater resilience.

      Conclusions

      Analysis suggests that lack of resilience may be an issue for some individuals after moderate to severe TBI. Identifying persons most likely at risk for low resilience may be useful in planning clinical interventions.

      Keywords

      List of abbreviations:

      CD-RISC (Connor-Davidson Resilience Scale), DRS (Disability Rating Scale), mTBI (mild traumatic brain injury), PART-O (Participation Assessment with Recombined Tools–Objective), PROMIS (Patient-Reported Outcomes Measurement Information System), SWLS (Satisfaction With Life Scale), TBI (traumatic brain injury), TBIMS (Traumatic Brain Injury Model System), TBI-QOL (Traumatic Brain Injury Quality of Life)
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