Changes in coping strategies, social support, optimism and health-related quality of life following traumatic brain injury: A longitudinal study

Tomberg, Tiiu; Toomela, Aaro; Ennok, Margus; Tikk, Arvo

doi:10.1080/02699050701311737

Cited by 77 publications

(59 citation statements)

References 42 publications

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“…The course of recovery may vary due to a number of factors, such as severity of the injury, time since the injury and the domain of functioning that is being assessed (5). However, some longterm follow-up studies found little improvement in HRQL over time, and factors related to HRQL in the long term remain similar to those found in more acute studies (7).…”

Section: Introductionmentioning

confidence: 91%

Predicting health-related quality of life 2 years after moderate-to-severe traumatic brain injury

et al. 2013

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Aims -To describe health-related quality of life (HRQL) 2 years after moderate-to-severe traumatic brain injury (TBI) and to assess predictors of HRQL. Materials and methods -A prospective cohort study of 91 patients, aged 16-55 years, admitted with moderate-tosevere TBI to a trauma referral centre between 2005 and 2007, with follow-up at 1 and 2 years. Mean age was 31.1 (SD = 11.3) years, and 77% were men. Injury severity was evaluated by the Glasgow Coma Scale (GCS), head CT scan (using a modified Marshall Classification), Injury Severity Score (ISS) and post-traumatic amnesia (PTA). The Functional Independence Measure (FIM), Community Integration Questionnaire (CIQ), Beck Depression Inventory (BDI) and Medical Outcomes 36-item Short Form Health Survey (SF-36) were administered at follow-up visits. The main outcome measures were the Physical Component Summary (PCS) and Mental Component Summary (MCS) of the SF-36. Results -HRQL appears to be relatively stable between 1 and 2 years after injury. In the multivariate linear regression, younger age (b = À0.20, P = 0.032), more severe TBI (b = 0.28, P = 0.016), more severe overall trauma (b = 0.22, P = 0.026), higher levels of community integration (b = 0.36, P = 0.019) and higher positive change in PCS scores from 1 to 2 years (b = 0.41, P < 0.001) predicted better self-reported physical health 2 years post-TBI. Lower scores for depression (b = À0.70, P < 0.001) and a higher positive change in MCS scores (b = 0.62, P < 0.001) predicted better self-reported mental health. Conclusions -Future interventions should focus on aspects related to HRQL that are more easily modified, such as physical functioning, home and social integration, productivity, and mental and emotional status.

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Section: Introductionmentioning

confidence: 91%

Predicting health-related quality of life 2 years after moderate-to-severe traumatic brain injury

et al. 2013

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“…20 Furthermore, the availability of cognitive and psychosocial resources and social support is critical to a patient's ability to cope with stressful life events, including brain injuries. 21 Participants in this study may have perceived the necessary resources as available and adequate in helping them cope with their concussions. One aspect of our participants' postconcussion pattern of depressive symptoms that warrants further attention is the relationship to length of recovery.…”

Section: Discussionmentioning

confidence: 99%

“…[13][14][15] These effects appear to be long term, with increased depressive symptoms being reported in some patients from 3 months to 9 years postconcussion. 7,13,[16][17][18][19] Researchers 20,21 have also linked perceived stress with depressive symptoms after TBI, noting that the unsuccessful use of coping strategies or a lack of coping resources can exacerbate depressive symptoms. This can lead to additional psychological stress, which may negatively affect the individual's perception of his or her healthrelated quality of life (HRQOL).…”

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confidence: 99%

A Longitudinal Pilot Study of Depressive Symptoms in Concussed and Injured/Nonconcussed National Collegiate Athletic Association Division I Student-Athletes

Roiger

Weidauer

Kern

2015

Journal of Athletic Training

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Context: Depression, which affects millions of Americans each year, among them collegiate student-athletes, can be caused by a wide range of circumstances, including sportrelated injuries.Objective: To longitudinally examine the extent to which National Collegiate Athletic Association Division I studentathletes demonstrated postinjury depressive symptoms.Design: Descriptive epidemiologic study. Setting: National Collegiate Athletic Association Division I collegiate athletics.Patients or Other Participants: Concussed, injured/nonconcussed, and healthy Division I collegiate student-athletes (aged 18-22 years) competing in men's basketball, football, and wrestling and women's basketball, soccer, and volleyball.Main Outcome Measure(s): Participants completed the Center for Epidemiologic Studies Depression Scale at baseline and at 1 week, 1 month, and 3 months postinjury. We measured differences in depressive scores among concussed, injured/ nonconcussed, and healthy participants. Longitudinal changes in postconcussion depressive symptoms were also examined.Results: No differences in baseline depressive symptoms among subgroups were noted. After an increase between baseline and 1 week (4.3, 95% confidence interval [CI] ¼ 0.41, 8.16, P ¼ .02), depressive symptoms in the concussion group decreased between 1 week and 1 month (À2.7, 95% CI ¼À4.96, À0.47, P ¼ .01) and between 1 week and 3 months (À4.0, 95% CI ¼ À6.50, À1.49, P ¼ .004). The injured/nonconcussed group showed differences between baseline and 1 week (4.6, 95% CI ¼ 1.08, 8.17, P ¼ .009) and between baseline and 1 month (3.2, 95% CI ¼ À0.05, 6.30, P ¼ .03). No significant differences were present in depressive symptoms between concussed participants and injured/nonconcussed participants at any of the postinjury time points.Conclusions: Depression may present as a postinjury sequela in Division I collegiate athletes. Athletes who sustain a concussion or other injury resulting in time lost from practice or competition need to be observed carefully for signs and symptoms that may indicate depression. Tools such as the Center for Epidemiologic Studies Depression Scale can be valuable in helping clinicians to recognize and manage depressive symptoms in these individuals.Key Words: psychology, Center for Epidemiologic Studies Depression Scale, athletic injuries Key PointsPostinjury depressive symptoms in concussed and injured/nonconcussed patients were higher than at baseline. No differences in depressive symptoms between concussed and injured/nonconcussed participants were noted at any of the assessment points.

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“…Vários estudos têm revelado que as pessoas com LCA reportam níveis de QdV mais baixos do que a população em geral (Gordon et al, 2006;Jacobsson, Westerberg, & Lexell, 2010;Man et al, 2004;Nestvold & Stavem, 2009;Teasdale & Engberg, 2005), sendo evidente a necessidade de a reabilitação neuropsicológica promover a reintegração social e vocacional, de forma a aumentar a QdV dos indivíduos (Tomberg, Toomela, Pulver, & Tikk, 2005). O bem-estar após LCA parece ser determinado por uma grande variedade de fatores como o grau de autonomia , o estado emocional (Corrigan, Smith, & Granger, 1998;Koskinen, 1998), a capacidade física (Chandrashekar & Benshoff, 2007;Mailhan et al, 2005), o nível de participação social na comunidade (Pierce & Hanks, 2006) e o regresso ao emprego (Tomberg, Toomela, Ennok, & Tikk, 2007). Vários autores tentaram estudar de forma mais aprofundada a relação entre as características da lesão cerebral (Azouvi, Dufossé, Mailhan, & Dazord, 2005;Mailhan et al, 2005;Man et al, 2004;Nestvold & Stavem, 2009;Teasdale & Engberg, 2005), variáveis sociodemográficas Teasdale & Engberg, 2005) e psicossociais (Man et al, 2004;Tomberg et al, 2007;Tsaousides et al, 2009) e a avaliação da QdV, por parte dos indiví-duos.…”

Section: Impactos Da Reabilitação Neuropsicológica Na Qdvunclassified

“…O bem-estar após LCA parece ser determinado por uma grande variedade de fatores como o grau de autonomia , o estado emocional (Corrigan, Smith, & Granger, 1998;Koskinen, 1998), a capacidade física (Chandrashekar & Benshoff, 2007;Mailhan et al, 2005), o nível de participação social na comunidade (Pierce & Hanks, 2006) e o regresso ao emprego (Tomberg, Toomela, Ennok, & Tikk, 2007). Vários autores tentaram estudar de forma mais aprofundada a relação entre as características da lesão cerebral (Azouvi, Dufossé, Mailhan, & Dazord, 2005;Mailhan et al, 2005;Man et al, 2004;Nestvold & Stavem, 2009;Teasdale & Engberg, 2005), variáveis sociodemográficas Teasdale & Engberg, 2005) e psicossociais (Man et al, 2004;Tomberg et al, 2007;Tsaousides et al, 2009) e a avaliação da QdV, por parte dos indiví-duos. Os resultados dos diversos estudos não são consensuais, não permitindo a identificação das variáveis preditoras de melhor avaliação subjetiva da QdV após LCA.…”

Section: Impactos Da Reabilitação Neuropsicológica Na Qdvunclassified

Impacto de um programa holístico de reabilitação neuropsicológica na qualidade de vida de pessoas com lesão cerebral adquirida

et al. 2016

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A navegação consulta e descarregamento dos títulos inseridos nas Bibliotecas Digitais UC Digitalis, UC Pombalina e UC Impactum, pressupõem a aceitação plena e sem reservas dos Termos e Condições de Uso destas Bibliotecas Digitais, disponíveis em https://digitalis.uc.pt/pt-pt/termos.Conforme exposto nos referidos Termos e Condições de Uso, o descarregamento de títulos de acesso restrito requer uma licença válida de autorização devendo o utilizador aceder ao(s) documento(s) a partir de um endereço de IP da instituição detentora da supramencionada licença.Ao utilizador é apenas permitido o descarregamento para uso pessoal, pelo que o emprego do(s) título(s) descarregado(s) para outro fim, designadamente comercial, carece de autorização do respetivo autor ou editor da obra.Na medida em que todas as obras da UC Digitalis se encontram protegidas pelo Código do Direito de Autor e Direitos Conexos e demais legislação aplicável, toda a cópia, parcial ou total, deste documento, nos casos em que é legalmente admitida, deverá conter ou fazer-se acompanhar por este aviso. The impact of a holistic neuropsychological rehabilitation program on quality of life of patients with acquired brain injury AbstractAfter acquired brain injury (ABI) rehabilitation aims to increase the individual's functionality promoting their Quality of Life (QoL). The main goal of this study was to evaluate the impact of a holistic neuropsychological rehabilitation program (HNRP) on quality of life dimensions. Twenty subjects with ABI participated, mean age 30 years (SD=7.62). Participants were assessed pre and post intervention, with a six months interval, using

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Changes in coping strategies, social support, optimism and health-related quality of life following traumatic brain injury: A longitudinal study

Cited by 77 publications

References 42 publications

Predicting health-related quality of life 2 years after moderate-to-severe traumatic brain injury

Predicting health-related quality of life 2 years after moderate-to-severe traumatic brain injury

A Longitudinal Pilot Study of Depressive Symptoms in Concussed and Injured/Nonconcussed National Collegiate Athletic Association Division I Student-Athletes

Impacto de um programa holístico de reabilitação neuropsicológica na qualidade de vida de pessoas com lesão cerebral adquirida

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