Role of resilience in the rehabilitation of adults with acquired brain injury

Neils-Strunjaš, Jean; Paul, Diane R.; Clark, Angela P.; Mudar, Raksha A.; Duff, Melissa C.; Waldron-Perrine, Brigid; Bechtold, Kathleen T.

doi:10.1080/02699052.2016.1229032

Cited by 46 publications

(17 citation statements)

References 72 publications

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“…The association between psychosocial robustness and fatigue supports earlier findings linking resilience with less fatigue after TBI [ 77 ]. Trait extraversion, conscientiousness and optimism seemed to align with resilience factors in this protective dimension, while trait neuroticism, loneliness, behavioral inhibition and psychological distress were placed on the opposite side of this dimension, confirming that absence of negative emotionality is a prominent feature of psychosocial robustness.…”

Section: Discussionsupporting

confidence: 88%

Impact of Somatic Vulnerability, Psychosocial Robustness and Injury-Related Factors on Fatigue following Traumatic Brain Injury—A Cross-Sectional Study

Løke

Anđelić

Helseth

et al. 2022

JCM

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Fatigue is a common symptom after traumatic brain injuries (TBI) and a crucial target of rehabilitation. The subjective and multifactorial nature of fatigue necessitates a biopsychosocial approach in understanding the mechanisms involved in its development. The aim of this study is to provide a comprehensive exploration of factors relevant to identification and rehabilitation of fatigue following TBI. Ninety-six patients with TBI and confirmed intracranial injuries were assessed on average 200 days post-injury with regard to injury-related factors, several patient-reported outcome measures (PROMS) of fatigue, neuropsychological measures, and PROMS of implicated biopsychosocial mechanisms. Factor analytic approaches yielded three underlying factors, termed Psychosocial Robustness, Somatic Vulnerability and Injury Severity. All three dimensions were significantly associated with fatigue in multiple regression analyses and explained 44.2% of variance in fatigue. Post hoc analyses examined univariate contributions of the associations between the factors and fatigue to illuminate the relative contributions of each biopsychosocial variable. Implications for clinical practice and future research are discussed.

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Section: Discussionsupporting

confidence: 88%

Impact of Somatic Vulnerability, Psychosocial Robustness and Injury-Related Factors on Fatigue following Traumatic Brain Injury—A Cross-Sectional Study

Løke

Anđelić

Helseth

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…People with TBI have lower levels of resilience compared with the general population (Kreutzer et al 2016, Lukow et al 2015. Where risk factors increase a person's vulnerability to negative events, resilience factors such as self-determination, self-efficacy, and dynamism can increase a person with TBI's ability to adapt and thrive after their injury (Dumont et al 2004, Neils-Strunjas et al 2017, Lukow et al 2015. All but one of the adults with TBI had returned to using their usual social media platforms post-injury, and most had also taken up use of newer platforms.…”

Section: Discussionmentioning

confidence: 99%

‘I kind of figured it out’: the views and experiences of people with traumatic brain injury (TBI) in using social media—self‐determination for participation and inclusion online

Brunner

Palmer

Togher

et al. 2018

Intl J Lang & Comm Disor

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Social media offers adults with TBI several opportunities to communicate and for some to develop and strengthen social relationships. However, some adults with TBI also reported the need for more information about how to use social media. Their stories suggested a need to develop a sense of purpose in relation to using social media, and ultimately more routine and purposeful use to develop a sense of social media mastery. Further research is needed to examine the social media data and networks of people with TBI, to verify and expand upon the reported findings, and to inform roles that family, friends and health professionals may play in supporting rehabilitation goals for people with TBI.

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“…There has been limited analysis of the psychometrics of this scale, however, in a sample of military service members with mild TBI, the internal consistency was high [Cronbach's α = 0.91; ( 76 )]. It has been suggested that the psychometric properties for the scale are likely to be strong due to the method of validation of the measure ( 77 ), which included focus groups, interviews, and patient consultation from individuals with TBI, clinicians, and caregivers of individuals with TBI. Additionally, item pools were tested in a large sample ( n = 675) and calibrated using item response theory methods.…”

Section: Methodsmentioning

confidence: 99%

Psychological Resilience Is Associated With Participation Outcomes Following Mild to Severe Traumatic Brain Injury

et al. 2018

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Traumatic brain injury (TBI) causes physical and cognitive-behavioral 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. Participants included 245 individuals with mild-severe TBI [Mage = 44.41, SDage = 16.09; post traumatic amnesia (PTA) duration M 24.95 days, SD 45.99] who completed the Participation Assessment with Recombined Tools-Objective (PART-O), TBI 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. Variables in the model accounted for a significant 38% of the variability in participation outcomes, F(13, 211) = 9.93, p < 0.05, R2 = 0.38, adjusted R2 = 0.34. 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 depression mediated the relationship between resilience and participation. As greater resilience may protect against depression and enhance participation this may be a focus of intervention.

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Role of resilience in the rehabilitation of adults with acquired brain injury

Abstract: While rehabilitation typically focuses on the identification and reduction of impairments for improving functioning, a focus on resilience may allow for recovery in a broader sense that exceeds expected outcomes.

Cited by 46 publications

References 72 publications

Impact of Somatic Vulnerability, Psychosocial Robustness and Injury-Related Factors on Fatigue following Traumatic Brain Injury—A Cross-Sectional Study

Impact of Somatic Vulnerability, Psychosocial Robustness and Injury-Related Factors on Fatigue following Traumatic Brain Injury—A Cross-Sectional Study

‘I kind of figured it out’: the views and experiences of people with traumatic brain injury (TBI) in using social media—self‐determination for participation and inclusion online

Psychological Resilience Is Associated With Participation Outcomes Following Mild to Severe Traumatic Brain Injury

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