Explaining quality of life for persons with traumatic brain injuries 2 years after injury

Webb, Carole R.; Wrigley, Michael; Yoels, William C.; Fine, Philip R.

doi:10.1016/s0003-9993(95)80118-9

Cited by 140 publications

(68 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Work has always been a primary outcome variable after TBI because resumption of gainful employment is generally regarded as an important criterion of recovery in Western society (Stambrook, Moore, Peters Deviaene, & Hawryluk, 1990;Ponsford, Olver, Curran & Ng, 1995;Webb, Wrigley, Yoel & Fine, 1995). 'Employment, in reality, is one of the most telling of outcome variables after TBI as it relies upon the multi-dimensional integration of all functional areas' (Zasler, 1989, p. 332), as does all occupation.…”

Section: Introductionmentioning

confidence: 99%

A survey of vocational status 10 years after traumatic head injury

Kim¹,

Colantonio²

1997

Occupation Therapy Intl

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

A survey of vocational status 10 years after traumatic head injury

Kim¹,

Colantonio²

1997

Occupation Therapy Intl

View full text Add to dashboard Cite

“…In the former population, environmental and contextual variables have been reported to take on increased salience in determining the behavioral, psychosocial, emotional, and vocational outcomes of individuals recovering from a traumatic brain injury (Kaplan, 1990;Prigatano et al, 1996;Tomberg et al, 2005;Webb et al, 1995;Winkler et al, 2006;Ylvisaker et al, 2003). This observation may be of particular importance for individuals with substance-use disorders and cognitive impairment.…”

mentioning

confidence: 99%

Social Support and Cognitive Impairment in Clients Receiving Treatment for Alcohol- and Drug-Use Disorders: A Replication Study

Buckman

Bates

Morgenstern

2008

J. Stud. Alcohol Drugs

View full text Add to dashboard Cite

ABSTRACT. Objective:The infl uence that social network members exert on the drinking behaviors of alcohol-dependent individuals may represent a behavioral change process that is sensitive to co-occurring cognitive impairment and operates outside treatment to promote or impede outcomes. This study was aimed at extending earlier research support for this hypothesis by assessing impairment in memory as well as executive functions in a more heterogeneous population with alcohol-and/or drug-use disorders. Method: Latent class analysis was used as a person-centered approach to characterize the nature and extent of social support for abstinence from alcohol and drug use in 122 men and women entering treatment for substance-use disorders. Substance use, executive dysfunction, and memory impairments were compared across latent classes at four points during the fi rst year after treatment entry. The interrelationship of impairment and social support on treatment outcomes was also examined. Results: Three independent social support classes-(1) Frequent Positive Support, (2) Limited Positive Support, and (3) Negative Support-were identifi ed. The Frequent Positive Support class demonstrated the most frequent substance use and greatest executive impairment at treatment entry but-by the end of treatment-showed pronounced improvements in both. In addition, less recovery of executive function by the end of treatment predicted better 12-month substance-use outcomes in the Frequent Positive Support class, whereas it predicted poorer outcomes in the Negative Support class. Conclusions:The results offer further evidence for the heightened importance of informal social network processes in the treatment outcomes of persons with severe and ongoing defi cits in executive functioning. (J. Stud. Alcohol Drugs 69: [738][739][740][741][742][743][744][745][746] 2008)

show abstract

“…Moreover, environmental and contextual variables take on increased salience in determining the behavioral outcomes of TBI patients within the context of diminished cognitive control (Dombovy, 1998;Prigatano et al, 1996;Ylvisaker and Feeney, 1998) and affect the extent to which cognitive deficits interfere with psychosocial adaptation (Tomberg et al, 2005;Winkler et al, 2006). TBI patients often place amplified importance on their social network to support positive emotional and vocational outcomes (Kaplan, 1990;Webb et al, 1995; also see Ylvisaker et al, 2003), yet the social disruptions they experience can culminate in their inability to assimilate into normal social situations, thereby decreasing the availability of generalized social support (Spence et al, 1993;Tate et al, 1989;Zencius and Wesolowski, 1999) and increasing reliance on a smaller, denser, and more family-centered social network (Finset et al, 1995;Kozloff, 1987;Prigatano and Gupta, 2006). Clients affected with both an AUD and cognitive deficits may similarly demonstrate social impairments that limit their social network, yet little research attention has been dedicated to understanding the impact of helping agents outside the context of treatment in these persons.…”

mentioning

confidence: 99%

Social Networks and Their Influence on Drinking Behaviors: Differences Related to Cognitive Impairment in Clients Receiving Alcoholism Treatment

Buckman

Bates

Cisler

2007

J. Stud. Alcohol Drugs

View full text Add to dashboard Cite

Objective-Mechanisms of behavioral change that support positive addiction treatment outcomes in individuals with co-occurring alcohol-use disorders and cognitive impairment remain largely unknown. This article combines person-and variable-centered approaches to examine the interrelated influence of cognitive impairment and social support on stability of and changes in drinking behaviors of Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity) outpatients and aftercare clients (N= 1, 726) during the first year after their entry into treatment.Method-Latent class analysis identified homogeneous groups of clients based on the nature and extent of social support for abstinence or drinking at treatment entry. Cognitive impairment and drinking outcomes were compared across latent classes, and the interaction between impairment and social support on drinking outcomes was examined using mixture probit regression.

show abstract

Explaining quality of life for persons with traumatic brain injuries 2 years after injury

Cited by 140 publications

References 33 publications

A survey of vocational status 10 years after traumatic head injury

A survey of vocational status 10 years after traumatic head injury

Social Support and Cognitive Impairment in Clients Receiving Treatment for Alcohol- and Drug-Use Disorders: A Replication Study

Social Networks and Their Influence on Drinking Behaviors: Differences Related to Cognitive Impairment in Clients Receiving Alcoholism Treatment

Contact Info

Product

Resources

About