Victoria C Merritt1, Rael T Lange2,3,4,5, Louis M French2,3,5,6. 1. a The Pennsylvania State University, University Park , PA , USA . 2. b Defense and Veterans Brain Injury Center , Bethesda , MD , USA . 3. c Walter Reed National Military Medical Center , Bethesda , MD , USA . 4. d University of British Columbia , Vancouver , BC , Canada . 5. e Center for Neuroscience and Regenerative Medicine , Bethesda , MD , USA , and. 6. f Uniformed Services University of the Health Sciences , Bethesda , MD , USA.
Abstract
PRIMARY OBJECTIVE: The purpose of this study was to examine the relationship between resilience and symptom reporting following mild traumatic brain injury (mTBI). It was hypothesized that, as resilience increases, self-reported symptoms would decrease. RESEARCH DESIGN: Cross-sectional design. METHODS AND PROCEDURES: Participants were 142 US military service members who sustained a mTBI, divided into three resilience groups based on participants' responses on the Response to Stressful Experiences Scale: Moderate (n = 42); High (n = 51); and Very High (n = 49). Participants completed the Neurobehavioral Symptom Inventory (NSI) and PTSD Checklist-Civilian Version (PCL-C) within 12 months following injury. MAIN OUTCOMES AND RESULTS: There were significant main effects for the NSI total score, cognitive cluster and affective cluster, as well as for the PCL-C total score, avoidance cluster and hyperarousal cluster. Pairwise comparisons revealed that there was a negative relationship between resilience and self-reported symptoms overall. Specifically, participants with higher resilience reported fewer post-concussion and PTSD-related symptoms than participants with lower levels of resilience. CONCLUSIONS: These findings underscore the important role that resilience plays in symptom expression in military service members with mTBI and suggest that research on targeted interventions to increase resilience in the acute phase following injury is indicated.
PRIMARY OBJECTIVE: The purpose of this study was to examine the relationship between resilience and symptom reporting following mild traumatic brain injury (mTBI). It was hypothesized that, as resilience increases, self-reported symptoms would decrease. RESEARCH DESIGN: Cross-sectional design. METHODS AND PROCEDURES: Participants were 142 US military service members who sustained a mTBI, divided into three resilience groups based on participants' responses on the Response to Stressful Experiences Scale: Moderate (n = 42); High (n = 51); and Very High (n = 49). Participants completed the Neurobehavioral Symptom Inventory (NSI) and PTSD Checklist-Civilian Version (PCL-C) within 12 months following injury. MAIN OUTCOMES AND RESULTS: There were significant main effects for the NSI total score, cognitive cluster and affective cluster, as well as for the PCL-C total score, avoidance cluster and hyperarousal cluster. Pairwise comparisons revealed that there was a negative relationship between resilience and self-reported symptoms overall. Specifically, participants with higher resilience reported fewer post-concussion and PTSD-related symptoms than participants with lower levels of resilience. CONCLUSIONS: These findings underscore the important role that resilience plays in symptom expression in military service members with mTBI and suggest that research on targeted interventions to increase resilience in the acute phase following injury is indicated.
Entities:
Keywords:
Mild traumatic brain injury; military service members; post-concussion symptoms; post-traumatic stress disorder; resilience
Authors: Victoria C Merritt; Alexandra L Clark; Scott F Sorg; Nicole D Evangelista; Madeleine Werhane; Mark W Bondi; Dawn M Schiehser; Lisa Delano-Wood Journal: J Neurotrauma Date: 2018-06-07 Impact factor: 5.269
Authors: Hillary A Parker; Jana Ranson; Michael A McCrea; James Hoelzle; Terri deRoon-Cassini; Lindsay D Nelson Journal: J Int Neuropsychol Soc Date: 2021-01-29 Impact factor: 2.892
Authors: Rael T Lange; Louis M French; Jason M Bailie; Victoria C Merritt; Cassandra L Pattinson; Lars D Hungerford; Sara M Lippa; Tracey A Brickell Journal: Qual Life Res Date: 2022-01-25 Impact factor: 4.147
Authors: Victoria C Merritt; Alexandra L Clark; Nicole D Evangelista; Scott F Sorg; Dawn M Schiehser; Lisa Delano-Wood Journal: Clin Neuropsychol Date: 2020-03-24 Impact factor: 3.535
Authors: Erin D Ozturk; Catherine Chanfreau-Coffinier; McKenna S Sakamoto; Lisa Delano-Wood; Victoria C Merritt Journal: J Psychiatr Res Date: 2021-12-14 Impact factor: 5.250
Authors: Christian Oldenburg; Anders Lundin; Gunnar Edman; Catharina Nygren Deboussard; Aniko Bartfai Journal: BMJ Open Date: 2018-07-06 Impact factor: 2.692