TY - JOUR
T1 - Longitudinal Examination of Resilience After Traumatic Brain Injury
T2 - A Traumatic Brain Injury Model Systems Study
AU - Marwitz, Jennifer H.
AU - Sima, Adam P.
AU - Kreutzer, Jeffrey S.
AU - Dreer, Laura E.
AU - Bergquist, Thomas F.
AU - Zafonte, Ross
AU - Johnson-Greene, Douglas
AU - Felix, Elizabeth R.
N1 - Publisher Copyright:
© 2017 American Congress of Rehabilitation Medicine
PY - 2018/2
Y1 - 2018/2
N2 - 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.
AB - 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.
KW - Brain injuries
KW - Psychological
KW - Rehabilitation
KW - Resilience, psychological
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U2 - 10.1016/j.apmr.2017.06.013
DO - 10.1016/j.apmr.2017.06.013
M3 - Article
C2 - 28734937
AN - SCOPUS:85041291608
SN - 0003-9993
VL - 99
SP - 264
EP - 271
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 2
ER -