Abstract
Objectives
To evaluate (1) the trajectory of resilience during the first year after a moderate-severe
traumatic brain injury (TBI); (2) factors associated with resilience at 3, 6, and
12 months postinjury; and (3) changing relationships over time between resilience
and other factors.
Design
Longitudinal analysis of an observational cohort.
Setting
Five inpatient rehabilitation centers.
Participants
Patients with TBI (N=195) enrolled in the resilience module of the TBI Model Systems
study with data collected at 3-, 6-, and 12-month follow-up.
Interventions
Not applicable.
Main Outcome Measure
Connor-Davidson Resilience Scale.
Results
Initially, resilience levels appeared to be stable during the first year postinjury.
Individual growth curve models were used to examine resilience over time in relation
to demographic, psychosocial, and injury characteristics. After adjusting for these
characteristics, resilience actually declined over time. Higher levels of resilience
were related to nonminority status, absence of preinjury substance abuse, lower anxiety
and disability level, and greater life satisfaction.
Conclusions
Resilience is a construct that is relevant to understanding brain injury outcomes
and has potential value in planning clinical interventions.
Keywords
List of abbreviations:
CD-RISC (Connor-Davidson Resilience Scale), DRS (Disability Rating Scale), GED (General Equivalency Diploma), HS (high school), mTBI (mild traumatic brain injury), PART-O (Participation Assessment with Recombined Tools–Objective), SWLS (Satisfaction With Life Scale), TBI (traumatic brain injury), TBIMS (Traumatic Brain Injury Model System)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: July 19, 2017
Footnotes
The contents of this manuscript were developed under grants from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant nos. 90DP0030, 90DP0033, 90DP0034, 90DP0039, 90DP0044, 90DP0046). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.
Disclosures: none.
Identification
Copyright
© 2017 by the American Congress of Rehabilitation Medicine
