Abstract
Objective
To examine the validity of factor analytically based summary scores that were developed
using the National Institutes of Health Toolbox Emotion Battery (NIHTB-EB); (ie, psychological
well-being, social satisfaction, negative affect) normative sample in individuals
with neurologic conditions.
Design
Cross-sectional, observational cohort.
Setting
Community.
Participants
A total of 1036 English-speaking adults from the National Institutes of Health Toolbox
(NIHTB) normative project and 604 community-dwelling adults with neurologic conditions
including spinal cord injury (SCI n=209), traumatic brain injury (TBI n=184), and
stroke (cerebrovascular accident [CVA] n=211) (N=1640).
Intervention
Not applicable.
Main Outcome Measures
The NIHTB-EB.
Results
A series of univariate analyses comparing summary scores across the 4 groups (SCI,
TBI, CVA, normative group) were conducted to identify group differences. Base rates
(defined as >1 SD toward the problematic direction) were also identified. The normative
group demonstrated better emotional functioning characterized by greater social satisfaction
and psychological well-being (normative group > SCI, TBI, CVA; P’s <.0001), and less negative affect (normative group < SCI, P=.016; normative group < TBI, P<.001; normative group < CVA; P=.034) compared with each neurologic group. Using base rates to identify problematic
emotions for the 3 summary scores, there were higher rates of problematic emotions
on all 3 summary scores for the neurologic groups compared with the normative group.
Conclusions
The NIHTB-EB summary scores demonstrate an increased prevalence of problematic emotions
among individuals with 3 neurologic conditions, and might be useful for identifying
individuals with similar conditions and potentially in need of psychological support.
Keywords
List of abbreviations:
CVA (cerebrovascular accident), NIHTB (National Institutes of Health Toolbox), NIHTB-EB (National Institutes of Health Toolbox Emotion Battery), SCI (spinal cord injury), TBI (traumatic brain injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: May 30, 2019
Footnotes
Current affiliation for Babakhanyan, Defense and Veteran’s Brain Injury Center, Camp Pendleton, CA.
Disclosures: none.
Supported by the National Institute on Disability, Independent Living, and Rehabilitation Research, Rehabilitation Research and Training Center on Improving Measurement of Medical Rehabilitation Outcomes (award no. H133B090024, PI: Heinemann). This project was also supported in part with federal funds from the Blueprint for Neuroscience Research, National Institutes of Health (contract no. HHS-N-260-2006-00007-C, PI: Gershon). Kaitlin Casaletto was supported in part by NIDA F31-DA035708 and the Foundation for Rehabilitation Psychology Dissertation Award.
Identification
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© 2019 by the American Congress of Rehabilitation Medicine
