Article

OBJECTIVE: To investigate the predictive value of preinjury factors for
satisfaction with life (SWL) at 1-year posttraumatic brain injury (TBI). DESIGN:
Secondary analysis of prospective, longitudinal registry using data collected
during inpatient rehabilitation and at 1-year post-TBI.
SETTING: Fifteen
specialized brain injury units providing acute rehabilitation care as part of the
Traumatic Brain Injury Model Systems (TBIMS) program. PARTICIPANTS:
Community-dwelling persons (N=444) with moderate to severe TBI aged 16 to 64
years enrolled in the TBIMS program between October 2007 and October 2008 with
1-year follow-up data. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE:
Satisfaction With Life Scale (SWLS). RESULTS: Hierarchical stepwise linear
regression revealed that injury-related and demographic variables did not
contribute significantly to the explained variance in SWLS scores. In contrast,
the preinjury functioning (education, productivity/employment) and preinjury
condition (psychiatric and substance use problems, severe sensory dysfunction,
learning problems, prior TBI) blocks each contributed significantly to the
explained variance in SWLS scores. Preinjury functioning accounted for 2.9% of
the variance and preinjury conditions for 3.8%. CONCLUSIONS: Although their
contributions are small, preinjury functioning and preinjury conditions are
important to consider in the prediction of SWL post-TBI. Educational level and
history of psychiatric and other premorbid difficulties are particularly
important for clinicians to consider when implementing or developing
interventions for persons with moderate to severe TBI.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS