Article

OBJECTIVE: To examine the unique contribution of fatigue to self-reported
disability in community-dwelling adults with traumatic brain injury (TBI).
DESIGN: A cross-sectional cohort design. SETTING: Community dwellings.
PARTICIPANTS: Adults (N=50) with a history of mild to severe TBI were assessed.
INTERVENTION: Not applicable. MAIN OUTCOME MEASURES: This study assessed the
contribution of fatigue (Modified Fatigue Impact Scale) to disability
(Mayo-Portland Adaptability Inventory), controlling for executive functions
(Frontal Systems Behavior Scale), depression status (major depression in partial
remission/current major depression/depressive symptoms or no history of
depression), and initial injury severity (uncomplicated mild, complicated mild,
moderate, or severe). RESULTS: Fatigue was found to contribute uniquely to the
variance in self-reported disability (beta=.47, P<.001) after controlling for
injury severity, executive functions, and depression status. The overall model
was significant (F(4,45)=17.32, P<.001) and explained 61% of the variance in
self-reported disability, with fatigue alone accounting for 12% of the variance
in self-reported disability (F(1,45)=13.97, P<.001). CONCLUSIONS: Fatigue
contributes uniquely to disability status among community-dwelling adults with
chronic TBI, independent of injury severity, executive functions, and depression.
Addressing fatigue through targeted interventions may help to improve
self-perceived disability in this population.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS