Model System:

TBI

Reference Type:

Journal

Accession No.:

J73802

Journal:


Archives of Physical Medicine and Rehabilitation

Year, Volume, Issue, Page(s):

, 97, 5, 708-713

Publication Website:

Abstract:

Study examined resilience, defined as the ability to “bounce back” after a trauma or tragedy, at 3 months after traumatic brain injury (TBI). Participants were community-dwelling adults with moderate-to-severe TBI enrolled in the resilience module of the TBI Model System study. Of the 223 participants recruited from 5 inpatient rehabilitation centers, data were obtained from 160 at 3 months postinjury. The Connor-Davidson Resilience Scale was used to measure characteristics of resilience. Secondary measures included the TBI Quality of Life anxiety and depression scales, the Participation Assessment with Recombined Tools-Objective social relations score, the Satisfaction With Life Scale, and the Disability Rating Scale. Analysis revealed that 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. Findings suggest that lack of resilience may be an issue for some individuals after moderate-to-severe TBI. Identifying individuals most likely at risk for low resilience may be useful in planning clinical interventions.

Author(s):


Kreutzer, Jeffrey S., Marwitz, Jennifer H., Sima, Adam P., Bergquist, Thomas F., Johnson-Greene, Douglas, Felix, Elizabeth R., Whiteneck, Gale G., Dreer, Laura E.

Participating Centers: