Model System:

TBI

Reference Type:

Journal

Accession No.:

J71979

Journal:


Rehabilitation Psychology

Year, Volume, Issue, Page(s):

, 60, 2, 138-146

Publication Website:

Abstract:

Study identified key dimensions relevant to recovery in the postacute period for people with traumatic brain injury (TBI) and determined the ability of scores on these dimensions to predict participation outcomes for people with TBI. A total of 504 participants with TBI completed a comprehensive battery of measures including cognitive tests; questionnaires assessing self-report of physical, cognitive, and emotional symptoms and strengths; environmental supports; and a measure of participation outcome. Participants were a predominantly male, ethnically/racially diverse sample of persons with complicated mild, moderate, and severe TBI. Variable cluster analysis identified 12 key dimensions of cognitive function, neurobehavioral complaints, personal strengths, physical symptoms and function, environmental supports, and performance validity. In unadjusted analyses, all 12 dimensions were predictive of participation outcome. In multivariable regression analysis with adjustment of all predictors for all other predictors, dimensions measuring memory, independence and self-esteem, resilience, emotional distress, physical functioning, and economic and family support made unique contributions to predicting participation outcome. Knowledge of the profile of an individual patient on these 12 dimensions may assist with development of a treatment approach for the person with TBI.

Author(s):


Sherer, Mark, Sander, Angelle M., Nick, Todd G., Melguizo, Maria S., Tulsky, David S., Kisala, Pamela, Hanks, Robin, Novack, Thomas A.

Participating Centers: