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Title: Psychological resilience is associated with participation outcomes following mild to severe traumatic brain Injury.
Epworth Authors: Ponsford, Jennie
Hicks, Amelia
Other Authors: Wardlaw, C. I.
Sherer, M.
Keywords: Traumatic Brain Injury
Cognitive-Behavioural Impairments
Demographic Factors
Injury-Related Factors
Cognitive Factors
Emotional Factors
Family Factors
Participation Outcomes
Participation Assessment with Recombined Tools-Objective
Traumatic Brain Injury Quality of Life Resilience Scale
Family Assessment Device General Functioning Scale
Rey Auditory Verbal Learning Test
National Adult Reading Test
Hospital Anxiety and Depression Scale
Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australia
Issue Date: Jun-2018
Conference Name: Epworth HealthCare Research Week 2018
Conference Location: Epworth Research Institute, Victoria, Australia
Abstract: Introduction: Traumatic brain injury (TBI) causes physical and cognitive-behavioural impairments that reduce participation in employment, leisure and social relationships. Demographic and injury-related factors account for a small proportion of variance in participation post-injury. Personal factors such as resilience may also impact outcomes. This study aimed to examine the association of resilience alongside demographic, injury-related, cognitive, emotional and family factors with participation following TBI. It was hypothesized that resilience would make an independent contribution to participation outcomes after TBI. Method: Participants included 245 individuals with mild-severe TBI (Mage=44.41, SDage=16.09; PTA M 24.95 days, SD 45.99) recruited from Epworth Hospital. Participants completed the Participation Assessment with Recombined Tools-Objective (PART-O-17), Traumatic Brain Injury Quality of Life Resilience scale ), Family Assessment Device General Functioning Scale, Rey Auditory Verbal Learning Test, National Adult Reading Test, and Hospital Anxiety and Depression Scale an average 4.63 years post-injury (SD 3.02, R 0.5-13). Multiple regression analyses were used to examine predictors of PART-O scores as the participation measure. Results: Variables in the model accounted for a significant 38% of the variability in participation outcomes, F (13, 211) = 9.93, p < .05, R2 =.38, adjusted R2 =.34. Resilience was a significant predictor of higher participation, along with shorter PTA duration, more years since injury, higher education and IQ, and younger age. Mediation analyses revealed HADs depression mediated the relationship between resilience and participation. Conclusions: As greater resilience may protect against depression and enhance participation this may be a focus of intervention.
Type: Conference Poster
Affiliated Organisations: Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Melbourne, VIC, Australia
Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas, USA
Type of Clinical Study or Trial: Descriptive Study
Appears in Collections:Rehabilitation
Research Month

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