Research Reports - Resilience Is Associated with Outcome from Mild Traumatic Brain Injury

J Neurotrauma. 2015 May 8

Losoi H(1), Silverberg ND, Wäljas M, Turunen S, Rosti-Otajärvi E, Helminen M,
Luoto TM, Julkunen J, Öhman J, Iverson GL

Resilient individuals manifest adaptive behavior and are better able to recover
from adversity. The association between resilience and outcome from mild
traumatic brain injury (mTBI) is examined, and the reliability and validity of
the Resilience Scale and its short form in mTBI research is evaluated. Patients
with mTBI (n=74) and orthopedic controls (n=39) completed the Resilience Scale at
one, six, and 12 months after injury. Additionally, self-reported post-concussion
symptoms, fatigue, insomnia, pain, post-traumatic stress, and depression, as well
as quality of life, were evaluated. The internal consistency of the Resilience
Scale and the short form ranged from 0.91 to 0.93 for the mTBI group and from
0.86 to 0.95 for controls. The test-retest reliability ranged from 0.70 to 0.82.
Patients with mTBI and moderate-to-high resilience reported significantly fewer
post-concussion symptoms, less fatigue, insomnia, traumatic stress, and
depressive symptoms, and better quality of life, than the patients with low
resilience. No association between resilience and time to return to work was
found. Resilience was associated with self-reported outcome from mTBI, and based
on this preliminary study, can be reliably evaluated with Resilience Scale and
its short form in those with mTBIs.

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