Research Reports - Resilience after traumatic brain injury

Arch Phys Med Rehabil. 2017 Jul 19. pii: S0003-9993(17)30469-0. doi:
10.1016/j.apmr.2017.06.013. [Epub ahead of print]

Marwitz JH(1), Sima AP(2), Kreutzer JS(3), Dreer LE(4), Bergquist TF(5), Zafonte
R(6), Johnson-Greene D(7), Felix ER(7).

OBJECTIVE: To evaluate the trajectory of resilience during the first year
following a moderate-severe TBI, factors associated with resilience at 3, 6 and
12-months post-injury, and changing relationships over time between resilience
and other factors.
DESIGN: Longitudinal analysis of an observational cohort.
SETTING: Five inpatient rehabilitation centers.
PARTICIPANTS: Patients with TBI (N = 195) enrolled in the resilience module of
the TBI Model Systems study with data collected at 3, 6, and 12-month follow-up.
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURE: Connor-Davidson Resilience Scale.
RESULTS: Initially, resilience levels appeared to be stable during the first year
post-injury. Individual growth curve models were used to examine resilience over
time in relation to demographic, psychosocial, and injury characteristics. After
adjusting for these characteristics, resilience actually declined over time.
Higher levels of resilience were related to non-minority status, absence of
pre-injury substance abuse, lower anxiety and disability level, and greater life
CONCLUSIONS: Resilience is a construct that is relevant to understanding brain
injury outcomes and has potential value in planning clinical interventions.

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