Longitudinal Examination of Resilience After Traumatic Brain Injury

A Traumatic Brain Injury Model Systems Study

Jennifer H. Marwitz, Adam P. Sima, Jeffrey S. Kreutzer, Laura E. Dreer, Thomas Bergquist, Ross Zafonte, Douglas Johnson-Greene, Elizabeth R. Felix

Research output: Contribution to journalArticle

5 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)264-271
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume99
Issue number2
DOIs
StatePublished - Feb 1 2018

Fingerprint

Rehabilitation Centers
Status Epilepticus
Brain Injuries
Substance-Related Disorders
Inpatients
Cohort Studies
Anxiety
Demography
Outcome Assessment (Health Care)
Wounds and Injuries
Growth
Traumatic Brain Injury

Keywords

  • Brain injuries
  • Psychological
  • Rehabilitation
  • Resilience, psychological

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Longitudinal Examination of Resilience After Traumatic Brain Injury : A Traumatic Brain Injury Model Systems Study. / Marwitz, Jennifer H.; Sima, Adam P.; Kreutzer, Jeffrey S.; Dreer, Laura E.; Bergquist, Thomas; Zafonte, Ross; Johnson-Greene, Douglas; Felix, Elizabeth R.

In: Archives of Physical Medicine and Rehabilitation, Vol. 99, No. 2, 01.02.2018, p. 264-271.

Research output: Contribution to journalArticle

Marwitz, Jennifer H. ; Sima, Adam P. ; Kreutzer, Jeffrey S. ; Dreer, Laura E. ; Bergquist, Thomas ; Zafonte, Ross ; Johnson-Greene, Douglas ; Felix, Elizabeth R. / Longitudinal Examination of Resilience After Traumatic Brain Injury : A Traumatic Brain Injury Model Systems Study. In: Archives of Physical Medicine and Rehabilitation. 2018 ; Vol. 99, No. 2. pp. 264-271.
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