Research Reports - Relationship between resilience, adjustment, and psychological functioning after traumatic brain injury

J Head Trauma Rehabil. 2015 Apr 29

Lukow HR(1), Godwin EE, Marwitz JH, Mills A, Hsu NH, Kreutzer JS

OBJECTIVE: To examine the relationship between resilience, psychological
distress, adjustment, and community participation after traumatic brain injury
SETTING: Large university health system.
PARTICIPANTS: Adult survivors of mild to severe TBI (N = 96).
DESIGN: Descriptive, preliminary.
MAIN MEASURES: The Connor-Davidson Resilience Scale (10-item version) was used to
assess resilience, the Brief Symptom Inventory (BSI-18) was used to characterize
psychological distress, and the Mayo-Portland Adaptability Index (MPAI-4) was
used to measure ability, adjustment, and participation.
RESULTS: Resilience scores were substantially lower than those of the general
population. Significant relationships were found between resilience,
psychological distress, and adjustment. Partial correlations (adjusting for the
other MPAI-4 indices) showed significant correlation (P < .05) between MPAI-4
Adjustment and resilience. Partial correlations (adjusting for the other BSI-18
scales) also showed significance for Depression (P < .01) and resilience.
Resilience scores differed significantly (P < .001) between individuals meeting
BSI-18 caseness criteria for psychological distress (n = 55) and those not
meeting criteria (n = 41).
CONCLUSIONS: Individuals with TBI are at risk for low resilience, which was found
to correlate with psychological distress and psychosocial maladjustment.
Developing interventions to strengthen resilience skills has the potential to
improve postinjury psychosocial adjustment, an important area for future

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