OBJECTIVE: To examine the incidence and intercorrelation of early impaired self-awareness (ISA) and depression after traumatic brain injury (TBI), as well as their contributions to prediction of patients' subjective well-being at discharge from inpatient rehabilitation. DESIGN: Inception cohort. SETTING: Inpatient rehabilitation. PATIENTS: Subjects were 96 patients with TBI seen for inpatient rehabilitation at the Methodist Rehabilitation Center. All subjects had emerged from posttraumatic amnesia prior to assessment for this study. INTERVENTION: None. MAIN OUTCOME MEASURE: Subjective well-being as measured by the Satisfaction With Life Scale taken at discharge from inpatient rehabilitation. RESULTS: Multivariable linear regression analysis revealed that ISA and functional status (Disability Rating Scale total score) at rehabilitation admission made independent contributions to prediction of subjective well-being. Bivariable correlational analyses demonstrated that frequency of depressive symptoms was inversely correlated with Satisfaction With Life Scale scores. Impaired self-awareness and depression were not correlated in this sample. CONCLUSIONS: Results support the idea that ISA is an important factor in determining subjective well-being in patients with TBI at acute rehabilitation discharge. Early interventions to decrease ISA may improve patients' functional status at rehabilitation discharge.
OBJECTIVE: To examine the incidence and intercorrelation of early impaired self-awareness (ISA) and depression after traumatic brain injury (TBI), as well as their contributions to prediction of patients' subjective well-being at discharge from inpatient rehabilitation. DESIGN: Inception cohort. SETTING: Inpatient rehabilitation. PATIENTS: Subjects were 96 patients with TBI seen for inpatient rehabilitation at the Methodist Rehabilitation Center. All subjects had emerged from posttraumatic amnesia prior to assessment for this study. INTERVENTION: None. MAIN OUTCOME MEASURE: Subjective well-being as measured by the Satisfaction With Life Scale taken at discharge from inpatient rehabilitation. RESULTS: Multivariable linear regression analysis revealed that ISA and functional status (Disability Rating Scale total score) at rehabilitation admission made independent contributions to prediction of subjective well-being. Bivariable correlational analyses demonstrated that frequency of depressive symptoms was inversely correlated with Satisfaction With Life Scale scores. Impaired self-awareness and depression were not correlated in this sample. CONCLUSIONS: Results support the idea that ISA is an important factor in determining subjective well-being in patients with TBI at acute rehabilitation discharge. Early interventions to decrease ISA may improve patients' functional status at rehabilitation discharge.
Authors: Emily C Grossner; Rachel A Bernier; Einat K Brenner; Kathy S Chiou; Frank G Hillary Journal: Neuropsychology Date: 2018-05 Impact factor: 3.295
Authors: Matthew R Powell; Allen W Brown; Danielle Klunk; Jennifer R Geske; Kamini Krishnan; Cassie Green; Thomas F Bergquist Journal: J Clin Psychol Med Settings Date: 2019-12
Authors: Wendel D Abel; Paul A Bourne; Hayden K Hamil; Eulalee M Thompson; Jacqueline S Martin; Roger C Gibson; Frederick W Hickling Journal: N Am J Med Sci Date: 2009-08
Authors: Helene Lundgaard Soberg; Cecilie Roe; Cathrine Brunborg; Nicole von Steinbüchel; Nada Andelic Journal: Health Qual Life Outcomes Date: 2017-01-19 Impact factor: 3.186