Unmet Rehabilitation Needs Indirectly Influence Life Satisfaction 5 Years After Traumatic Brain Injury: A Veterans Affairs TBI Model Systems Study
To describe the association between unmet rehabilitation needs and life satisfaction 5 years after traumatic brain injury (TBI). Prospective observational cohort. Five Veterans Affairs (VA) Polytrauma Rehabilitation Centers. VA TBI Model Systems participants (N=301); 95% male; 77% white; average age...
Gespeichert in:
| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2021-01, Vol.102 (1), p.58-67 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 67 |
|---|---|
| container_issue | 1 |
| container_start_page | 58 |
| container_title | Archives of physical medicine and rehabilitation |
| container_volume | 102 |
| creator | Silva, Marc A. VandenBussche Jantz, Alicia B. Klocksieben, Farina Monden, Kimberley R. Rabinowitz, Amanda R. Cotner, Bridget A. Dillahunt-Aspillaga, Christina Nakase-Richardson, Risa |
| description | To describe the association between unmet rehabilitation needs and life satisfaction 5 years after traumatic brain injury (TBI).
Prospective observational cohort.
Five Veterans Affairs (VA) Polytrauma Rehabilitation Centers.
VA TBI Model Systems participants (N=301); 95% male; 77% white; average age, 39±14y).
Not applicable.
Satisfaction With Life Scale (SWLS).
Average SWLS score was 22±8. Univariable analyses demonstrated several statistically significant predictors of life satisfaction, including employment status, participation, psychiatric symptom severity, past year mental health treatment, and total number of unmet rehabilitation needs (all P |
| doi_str_mv | 10.1016/j.apmr.2020.08.012 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2444384525</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003999320309254</els_id><sourcerecordid>2444384525</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-a246f9b1625dd2a499636798f712f12778361fc527c18ddab592aedf4a0cdd473</originalsourceid><addsrcrecordid>eNp9kc2O0zAUhS0EYjoDL8ACeckmwT9xEiM2nREDlQpItINgZbn2tXCVn47tIOU1eGIcOrBkdX11v3Mkn4PQC0pKSmj9-ljqUx9KRhgpSVsSyh6hFRWcFS2j3x6jFSGEF1JKfoEuYzzmtRacPkUXnMlKCsFW6Nfd0EPCX-CHPvjOJ538OOBPADbizWB9AJO6OT9dN8FgAG-9A7zLWHTa_IEF_g46RLx2CQLeBz31-WzwddB-yMrjFOY3eI2_Qr7rYQGd9lmwv97gj6OFDu_mmKCPeJcmOz9DT5zuIjx_mFfo7vbd_uZDsf38fnOz3haGizoVmlW1kwdaM2Et05WUNa8b2bqGMkdZ07S8ps4I1hjaWqsPQjIN1lWaGGurhl-hV2ffUxjvJ4hJ9T4a6Do9wDhFxaqq4m0lmMgoO6MmjDEGcOoUfK_DrChRSxfqqJYu1NKFIq3KXWTRywf_6dCD_Sf5G34G3p4ByL_86SGoaPwS8jl2ZUf_P__fwBCbww</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2444384525</pqid></control><display><type>article</type><title>Unmet Rehabilitation Needs Indirectly Influence Life Satisfaction 5 Years After Traumatic Brain Injury: A Veterans Affairs TBI Model Systems Study</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Silva, Marc A. ; VandenBussche Jantz, Alicia B. ; Klocksieben, Farina ; Monden, Kimberley R. ; Rabinowitz, Amanda R. ; Cotner, Bridget A. ; Dillahunt-Aspillaga, Christina ; Nakase-Richardson, Risa</creator><creatorcontrib>Silva, Marc A. ; VandenBussche Jantz, Alicia B. ; Klocksieben, Farina ; Monden, Kimberley R. ; Rabinowitz, Amanda R. ; Cotner, Bridget A. ; Dillahunt-Aspillaga, Christina ; Nakase-Richardson, Risa</creatorcontrib><description>To describe the association between unmet rehabilitation needs and life satisfaction 5 years after traumatic brain injury (TBI).
Prospective observational cohort.
Five Veterans Affairs (VA) Polytrauma Rehabilitation Centers.
VA TBI Model Systems participants (N=301); 95% male; 77% white; average age, 39±14y).
Not applicable.
Satisfaction With Life Scale (SWLS).
Average SWLS score was 22±8. Univariable analyses demonstrated several statistically significant predictors of life satisfaction, including employment status, participation, psychiatric symptom severity, past year mental health treatment, and total number of unmet rehabilitation needs (all P<.05). Multivariable analyses revealed that depression and participation were each associated with life satisfaction. An ad hoc mediation model suggested that unmet rehabilitation needs total was indirectly related to life satisfaction. Total unmet rehabilitation needs ranged from 0-21 (mean, 2.0±3.4). Correlational analyses showed that 14 of the 21 unmet rehabilitation needs were associated with life satisfaction.
Findings support the need for rehabilitation engagement in later stages of TBI recovery. Ongoing assessment of and intervention for unmet rehabilitation needs in the chronic phase of recovery have the potential to mitigate decline in life satisfaction.
•Survivors of traumatic brain injury report many unmet rehabilitation needs.•Unmet rehabilitation needs indirectly influences chronic-stage life satisfaction.•Depression and social/community participation are mediators of life satisfaction.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2020.08.012</identifier><identifier>PMID: 32949552</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age Factors ; Brain injuries ; Brain Injuries, Traumatic - epidemiology ; Brain Injuries, Traumatic - psychology ; Brain Injuries, Traumatic - rehabilitation ; Depression - epidemiology ; Disability Evaluation ; Female ; Health Status ; Humans ; Male ; Mental Health ; Middle Aged ; Personal Satisfaction ; Personnel ; Prospective Studies ; Rehabilitation ; Sex Factors ; Social participation ; Social Participation - psychology ; Socioeconomic Factors ; Time Factors ; Trauma Severity Indices ; Traumatic ; United States ; United States Department of Veterans Affairs ; Veterans ; Veterans - psychology</subject><ispartof>Archives of physical medicine and rehabilitation, 2021-01, Vol.102 (1), p.58-67</ispartof><rights>2020 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2020 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-a246f9b1625dd2a499636798f712f12778361fc527c18ddab592aedf4a0cdd473</citedby><cites>FETCH-LOGICAL-c356t-a246f9b1625dd2a499636798f712f12778361fc527c18ddab592aedf4a0cdd473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2020.08.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32949552$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Silva, Marc A.</creatorcontrib><creatorcontrib>VandenBussche Jantz, Alicia B.</creatorcontrib><creatorcontrib>Klocksieben, Farina</creatorcontrib><creatorcontrib>Monden, Kimberley R.</creatorcontrib><creatorcontrib>Rabinowitz, Amanda R.</creatorcontrib><creatorcontrib>Cotner, Bridget A.</creatorcontrib><creatorcontrib>Dillahunt-Aspillaga, Christina</creatorcontrib><creatorcontrib>Nakase-Richardson, Risa</creatorcontrib><title>Unmet Rehabilitation Needs Indirectly Influence Life Satisfaction 5 Years After Traumatic Brain Injury: A Veterans Affairs TBI Model Systems Study</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>To describe the association between unmet rehabilitation needs and life satisfaction 5 years after traumatic brain injury (TBI).
Prospective observational cohort.
Five Veterans Affairs (VA) Polytrauma Rehabilitation Centers.
VA TBI Model Systems participants (N=301); 95% male; 77% white; average age, 39±14y).
Not applicable.
Satisfaction With Life Scale (SWLS).
Average SWLS score was 22±8. Univariable analyses demonstrated several statistically significant predictors of life satisfaction, including employment status, participation, psychiatric symptom severity, past year mental health treatment, and total number of unmet rehabilitation needs (all P<.05). Multivariable analyses revealed that depression and participation were each associated with life satisfaction. An ad hoc mediation model suggested that unmet rehabilitation needs total was indirectly related to life satisfaction. Total unmet rehabilitation needs ranged from 0-21 (mean, 2.0±3.4). Correlational analyses showed that 14 of the 21 unmet rehabilitation needs were associated with life satisfaction.
Findings support the need for rehabilitation engagement in later stages of TBI recovery. Ongoing assessment of and intervention for unmet rehabilitation needs in the chronic phase of recovery have the potential to mitigate decline in life satisfaction.
•Survivors of traumatic brain injury report many unmet rehabilitation needs.•Unmet rehabilitation needs indirectly influences chronic-stage life satisfaction.•Depression and social/community participation are mediators of life satisfaction.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Brain injuries</subject><subject>Brain Injuries, Traumatic - epidemiology</subject><subject>Brain Injuries, Traumatic - psychology</subject><subject>Brain Injuries, Traumatic - rehabilitation</subject><subject>Depression - epidemiology</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Health Status</subject><subject>Humans</subject><subject>Male</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Personal Satisfaction</subject><subject>Personnel</subject><subject>Prospective Studies</subject><subject>Rehabilitation</subject><subject>Sex Factors</subject><subject>Social participation</subject><subject>Social Participation - psychology</subject><subject>Socioeconomic Factors</subject><subject>Time Factors</subject><subject>Trauma Severity Indices</subject><subject>Traumatic</subject><subject>United States</subject><subject>United States Department of Veterans Affairs</subject><subject>Veterans</subject><subject>Veterans - psychology</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2O0zAUhS0EYjoDL8ACeckmwT9xEiM2nREDlQpItINgZbn2tXCVn47tIOU1eGIcOrBkdX11v3Mkn4PQC0pKSmj9-ljqUx9KRhgpSVsSyh6hFRWcFS2j3x6jFSGEF1JKfoEuYzzmtRacPkUXnMlKCsFW6Nfd0EPCX-CHPvjOJ538OOBPADbizWB9AJO6OT9dN8FgAG-9A7zLWHTa_IEF_g46RLx2CQLeBz31-WzwddB-yMrjFOY3eI2_Qr7rYQGd9lmwv97gj6OFDu_mmKCPeJcmOz9DT5zuIjx_mFfo7vbd_uZDsf38fnOz3haGizoVmlW1kwdaM2Et05WUNa8b2bqGMkdZ07S8ps4I1hjaWqsPQjIN1lWaGGurhl-hV2ffUxjvJ4hJ9T4a6Do9wDhFxaqq4m0lmMgoO6MmjDEGcOoUfK_DrChRSxfqqJYu1NKFIq3KXWTRywf_6dCD_Sf5G34G3p4ByL_86SGoaPwS8jl2ZUf_P__fwBCbww</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Silva, Marc A.</creator><creator>VandenBussche Jantz, Alicia B.</creator><creator>Klocksieben, Farina</creator><creator>Monden, Kimberley R.</creator><creator>Rabinowitz, Amanda R.</creator><creator>Cotner, Bridget A.</creator><creator>Dillahunt-Aspillaga, Christina</creator><creator>Nakase-Richardson, Risa</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202101</creationdate><title>Unmet Rehabilitation Needs Indirectly Influence Life Satisfaction 5 Years After Traumatic Brain Injury: A Veterans Affairs TBI Model Systems Study</title><author>Silva, Marc A. ; VandenBussche Jantz, Alicia B. ; Klocksieben, Farina ; Monden, Kimberley R. ; Rabinowitz, Amanda R. ; Cotner, Bridget A. ; Dillahunt-Aspillaga, Christina ; Nakase-Richardson, Risa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-a246f9b1625dd2a499636798f712f12778361fc527c18ddab592aedf4a0cdd473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Brain injuries</topic><topic>Brain Injuries, Traumatic - epidemiology</topic><topic>Brain Injuries, Traumatic - psychology</topic><topic>Brain Injuries, Traumatic - rehabilitation</topic><topic>Depression - epidemiology</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Health Status</topic><topic>Humans</topic><topic>Male</topic><topic>Mental Health</topic><topic>Middle Aged</topic><topic>Personal Satisfaction</topic><topic>Personnel</topic><topic>Prospective Studies</topic><topic>Rehabilitation</topic><topic>Sex Factors</topic><topic>Social participation</topic><topic>Social Participation - psychology</topic><topic>Socioeconomic Factors</topic><topic>Time Factors</topic><topic>Trauma Severity Indices</topic><topic>Traumatic</topic><topic>United States</topic><topic>United States Department of Veterans Affairs</topic><topic>Veterans</topic><topic>Veterans - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silva, Marc A.</creatorcontrib><creatorcontrib>VandenBussche Jantz, Alicia B.</creatorcontrib><creatorcontrib>Klocksieben, Farina</creatorcontrib><creatorcontrib>Monden, Kimberley R.</creatorcontrib><creatorcontrib>Rabinowitz, Amanda R.</creatorcontrib><creatorcontrib>Cotner, Bridget A.</creatorcontrib><creatorcontrib>Dillahunt-Aspillaga, Christina</creatorcontrib><creatorcontrib>Nakase-Richardson, Risa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silva, Marc A.</au><au>VandenBussche Jantz, Alicia B.</au><au>Klocksieben, Farina</au><au>Monden, Kimberley R.</au><au>Rabinowitz, Amanda R.</au><au>Cotner, Bridget A.</au><au>Dillahunt-Aspillaga, Christina</au><au>Nakase-Richardson, Risa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unmet Rehabilitation Needs Indirectly Influence Life Satisfaction 5 Years After Traumatic Brain Injury: A Veterans Affairs TBI Model Systems Study</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2021-01</date><risdate>2021</risdate><volume>102</volume><issue>1</issue><spage>58</spage><epage>67</epage><pages>58-67</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>To describe the association between unmet rehabilitation needs and life satisfaction 5 years after traumatic brain injury (TBI).
Prospective observational cohort.
Five Veterans Affairs (VA) Polytrauma Rehabilitation Centers.
VA TBI Model Systems participants (N=301); 95% male; 77% white; average age, 39±14y).
Not applicable.
Satisfaction With Life Scale (SWLS).
Average SWLS score was 22±8. Univariable analyses demonstrated several statistically significant predictors of life satisfaction, including employment status, participation, psychiatric symptom severity, past year mental health treatment, and total number of unmet rehabilitation needs (all P<.05). Multivariable analyses revealed that depression and participation were each associated with life satisfaction. An ad hoc mediation model suggested that unmet rehabilitation needs total was indirectly related to life satisfaction. Total unmet rehabilitation needs ranged from 0-21 (mean, 2.0±3.4). Correlational analyses showed that 14 of the 21 unmet rehabilitation needs were associated with life satisfaction.
Findings support the need for rehabilitation engagement in later stages of TBI recovery. Ongoing assessment of and intervention for unmet rehabilitation needs in the chronic phase of recovery have the potential to mitigate decline in life satisfaction.
•Survivors of traumatic brain injury report many unmet rehabilitation needs.•Unmet rehabilitation needs indirectly influences chronic-stage life satisfaction.•Depression and social/community participation are mediators of life satisfaction.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32949552</pmid><doi>10.1016/j.apmr.2020.08.012</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-9993 |
| ispartof | Archives of physical medicine and rehabilitation, 2021-01, Vol.102 (1), p.58-67 |
| issn | 0003-9993 1532-821X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2444384525 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Age Factors Brain injuries Brain Injuries, Traumatic - epidemiology Brain Injuries, Traumatic - psychology Brain Injuries, Traumatic - rehabilitation Depression - epidemiology Disability Evaluation Female Health Status Humans Male Mental Health Middle Aged Personal Satisfaction Personnel Prospective Studies Rehabilitation Sex Factors Social participation Social Participation - psychology Socioeconomic Factors Time Factors Trauma Severity Indices Traumatic United States United States Department of Veterans Affairs Veterans Veterans - psychology |
| title | Unmet Rehabilitation Needs Indirectly Influence Life Satisfaction 5 Years After Traumatic Brain Injury: A Veterans Affairs TBI Model Systems Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T17%3A37%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Unmet%20Rehabilitation%20Needs%20Indirectly%20Influence%20Life%20Satisfaction%205%20Years%20After%20Traumatic%20Brain%20Injury:%20A%20Veterans%20Affairs%20TBI%20Model%20Systems%20Study&rft.jtitle=Archives%20of%20physical%20medicine%20and%20rehabilitation&rft.au=Silva,%20Marc%20A.&rft.date=2021-01&rft.volume=102&rft.issue=1&rft.spage=58&rft.epage=67&rft.pages=58-67&rft.issn=0003-9993&rft.eissn=1532-821X&rft_id=info:doi/10.1016/j.apmr.2020.08.012&rft_dat=%3Cproquest_cross%3E2444384525%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2444384525&rft_id=info:pmid/32949552&rft_els_id=S0003999320309254&rfr_iscdi=true |