Outcome Prediction From Post-Injury Resilience in Patients With TBI

Adam P. Sima, Hao Yu, Jennifer H. Marwitz, Stephanie A. Kolakowsky-Hayner, Elizabeth Felix, Thomas F. Bergquist, Gale Whiteneck, Jeffrey S. Kreutzer, Douglas E Johnson-Greene

Research output: Contribution to journalArticle

Abstract

Purpose/Objective: The objective of the study was to evaluate the extent to which 1- and 2-year outcomes after traumatic brain injury (TBI) are predicted by resilience. Research Method/Design: This was an observational, longitudinal study of persons (n = 158) with moderate or severe TBI who completed both 1- and 2-year outcome assessments. Outcomes included anxiety (Generalized Anxiety Disorder-7), depression (Patient Health Questionnaire-9), life satisfaction (Satisfaction with Life Scale), substance misuse, and return-to-work measures. The Connor-Davidson Resilience Scale was used to assess resilience at 3 or 6 months after injury. Results: Greater resilience predicted less anxiety, depression, and substance use and better satisfaction with life and return to work at 1 year after injury for both adjusted and unadjusted models. Standardized regression coefficients were all greater than 0.38 for continuous outcomes, whereas odds ratios were 1.34 and 0.81 for the return to work and substance misuse outcomes, respectively (p < .05). Similar but weaker trends were found at 2 years after injury, with statistical significance no longer met for all outcomes. Conclusions/Implications: Resilience was shown to have predictive ability for outcomes at 1 and 2 years after TBI. Resilience appears to be a salient and important variable for long-term outcomes in person with TBI after adjusting for injury and demographic characteristics.

Original languageEnglish (US)
JournalRehabilitation Psychology
DOIs
StatePublished - Jan 1 2019

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Return to Work
Wounds and Injuries
Anxiety
Depression
Aptitude
Anxiety Disorders
Observational Studies
Longitudinal Studies
Research Design
Odds Ratio
Demography
Outcome Assessment (Health Care)
Traumatic Brain Injury
Health

Keywords

  • Anxiety
  • Depressive symptoms
  • Resilience traumatic brain injury
  • Return to work

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Outcome Prediction From Post-Injury Resilience in Patients With TBI. / Sima, Adam P.; Yu, Hao; Marwitz, Jennifer H.; Kolakowsky-Hayner, Stephanie A.; Felix, Elizabeth; Bergquist, Thomas F.; Whiteneck, Gale; Kreutzer, Jeffrey S.; Johnson-Greene, Douglas E.

In: Rehabilitation Psychology, 01.01.2019.

Research output: Contribution to journalArticle

Sima, AP, Yu, H, Marwitz, JH, Kolakowsky-Hayner, SA, Felix, E, Bergquist, TF, Whiteneck, G, Kreutzer, JS & Johnson-Greene, DE 2019, 'Outcome Prediction From Post-Injury Resilience in Patients With TBI', Rehabilitation Psychology. https://doi.org/10.1037/rep0000263
Sima, Adam P. ; Yu, Hao ; Marwitz, Jennifer H. ; Kolakowsky-Hayner, Stephanie A. ; Felix, Elizabeth ; Bergquist, Thomas F. ; Whiteneck, Gale ; Kreutzer, Jeffrey S. ; Johnson-Greene, Douglas E. / Outcome Prediction From Post-Injury Resilience in Patients With TBI. In: Rehabilitation Psychology. 2019.
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