Unique Contribution of Fatigue to Disability in Community-Dwelling Adults With Traumatic Brain Injury
Abstract 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 asses...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2013-01, Vol.94 (1), p.74-79 |
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| creator | Juengst, Shannon, MS Skidmore, Elizabeth, PhD Arenth, Patricia M., PhD Niyonkuru, Christian, MS Raina, Ketki D., PhD |
| description | Abstract 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 (β=.47, P |
| doi_str_mv | 10.1016/j.apmr.2012.07.025 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3963171</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0003999312005953</els_id><sourcerecordid>1273465560</sourcerecordid><originalsourceid>FETCH-LOGICAL-c510t-2c40f8bad63a9ab6314563f7c4139c669136302f1b553d77efdbe03fa8cb76b3</originalsourceid><addsrcrecordid>eNp9Uk1v1DAUtBCIbgt_gAPKkUuCP9ZOIqFKZUuhUiUOLIKb5TjO9oXEXvxRtP--jrZUwIGT9eyZeX4zD6FXBFcEE_F2rNR-9hXFhFa4rjDlT9CKcEbLhpLvT9EKY8zKtm3ZCToNYcyl4Iw8RyeUNg2njVgh89XCz2SKjbPRQ5ciOFu4obhSEXb5PrriEoLqYIJ4KMBm4Dwnm4vy8peZJrC74qJPUwzFN4i3xdarNGeuLt57leHXdkz-8AI9G9QUzMuH8wxtrz5sN5_Km88frzcXN6XmBMeS6jUemk71gqlWdYKRNRdsqPWasFYL0RImGKYD6ThnfV2boe8MZoNqdFeLjp2h86PsPnWz6bXJM6lJ7j3Myh-kUyD_frFwK3fuTrI296pJFnjzIOBddiVEOUPQeUxljUtBElqzteBc4AylR6j2LgRvhsc2BMslHjnKJR65xCNxLXM8mfT6zw8-Un7nkQHvjgCTXboD42XQYKw2PXijo-wd_F___B-6zgmBVtMPczBhdMnb7L8kMmSO_LIsyLIfhGLMW87YPWm0uF4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1273465560</pqid></control><display><type>article</type><title>Unique Contribution of Fatigue to Disability in Community-Dwelling Adults With Traumatic Brain Injury</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Juengst, Shannon, MS ; Skidmore, Elizabeth, PhD ; Arenth, Patricia M., PhD ; Niyonkuru, Christian, MS ; Raina, Ketki D., PhD</creator><creatorcontrib>Juengst, Shannon, MS ; Skidmore, Elizabeth, PhD ; Arenth, Patricia M., PhD ; Niyonkuru, Christian, MS ; Raina, Ketki D., PhD</creatorcontrib><description>Abstract 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 (β=.47, P <.001) after controlling for injury severity, executive functions, and depression status. The overall model was significant (F4,45 =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 (F1,45 =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.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2012.07.025</identifier><identifier>PMID: 22885286</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Brain injuries ; Brain Injuries - complications ; Brain Injuries - physiopathology ; Brain Injuries - psychology ; Cross-Sectional Studies ; Depression - etiology ; Depression - physiopathology ; Depression - psychology ; Disability Evaluation ; Disabled Persons - psychology ; Executive Function ; Fatigue ; Fatigue - complications ; Fatigue - physiopathology ; Fatigue - psychology ; Female ; Humans ; Injury Severity Score ; Male ; Middle Aged ; Physical Medicine and Rehabilitation ; Rehabilitation</subject><ispartof>Archives of physical medicine and rehabilitation, 2013-01, Vol.94 (1), p.74-79</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2013 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c510t-2c40f8bad63a9ab6314563f7c4139c669136302f1b553d77efdbe03fa8cb76b3</citedby><cites>FETCH-LOGICAL-c510t-2c40f8bad63a9ab6314563f7c4139c669136302f1b553d77efdbe03fa8cb76b3</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.2012.07.025$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22885286$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Juengst, Shannon, MS</creatorcontrib><creatorcontrib>Skidmore, Elizabeth, PhD</creatorcontrib><creatorcontrib>Arenth, Patricia M., PhD</creatorcontrib><creatorcontrib>Niyonkuru, Christian, MS</creatorcontrib><creatorcontrib>Raina, Ketki D., PhD</creatorcontrib><title>Unique Contribution of Fatigue to Disability in Community-Dwelling Adults With Traumatic Brain Injury</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract 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 (β=.47, P <.001) after controlling for injury severity, executive functions, and depression status. The overall model was significant (F4,45 =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 (F1,45 =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.</description><subject>Brain injuries</subject><subject>Brain Injuries - complications</subject><subject>Brain Injuries - physiopathology</subject><subject>Brain Injuries - psychology</subject><subject>Cross-Sectional Studies</subject><subject>Depression - etiology</subject><subject>Depression - physiopathology</subject><subject>Depression - psychology</subject><subject>Disability Evaluation</subject><subject>Disabled Persons - psychology</subject><subject>Executive Function</subject><subject>Fatigue</subject><subject>Fatigue - complications</subject><subject>Fatigue - physiopathology</subject><subject>Fatigue - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Rehabilitation</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uk1v1DAUtBCIbgt_gAPKkUuCP9ZOIqFKZUuhUiUOLIKb5TjO9oXEXvxRtP--jrZUwIGT9eyZeX4zD6FXBFcEE_F2rNR-9hXFhFa4rjDlT9CKcEbLhpLvT9EKY8zKtm3ZCToNYcyl4Iw8RyeUNg2njVgh89XCz2SKjbPRQ5ciOFu4obhSEXb5PrriEoLqYIJ4KMBm4Dwnm4vy8peZJrC74qJPUwzFN4i3xdarNGeuLt57leHXdkz-8AI9G9QUzMuH8wxtrz5sN5_Km88frzcXN6XmBMeS6jUemk71gqlWdYKRNRdsqPWasFYL0RImGKYD6ThnfV2boe8MZoNqdFeLjp2h86PsPnWz6bXJM6lJ7j3Myh-kUyD_frFwK3fuTrI296pJFnjzIOBddiVEOUPQeUxljUtBElqzteBc4AylR6j2LgRvhsc2BMslHjnKJR65xCNxLXM8mfT6zw8-Un7nkQHvjgCTXboD42XQYKw2PXijo-wd_F___B-6zgmBVtMPczBhdMnb7L8kMmSO_LIsyLIfhGLMW87YPWm0uF4</recordid><startdate>20130101</startdate><enddate>20130101</enddate><creator>Juengst, Shannon, MS</creator><creator>Skidmore, Elizabeth, PhD</creator><creator>Arenth, Patricia M., PhD</creator><creator>Niyonkuru, Christian, MS</creator><creator>Raina, Ketki D., PhD</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><scope>5PM</scope></search><sort><creationdate>20130101</creationdate><title>Unique Contribution of Fatigue to Disability in Community-Dwelling Adults With Traumatic Brain Injury</title><author>Juengst, Shannon, MS ; Skidmore, Elizabeth, PhD ; Arenth, Patricia M., PhD ; Niyonkuru, Christian, MS ; Raina, Ketki D., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c510t-2c40f8bad63a9ab6314563f7c4139c669136302f1b553d77efdbe03fa8cb76b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Brain injuries</topic><topic>Brain Injuries - complications</topic><topic>Brain Injuries - physiopathology</topic><topic>Brain Injuries - psychology</topic><topic>Cross-Sectional Studies</topic><topic>Depression - etiology</topic><topic>Depression - physiopathology</topic><topic>Depression - psychology</topic><topic>Disability Evaluation</topic><topic>Disabled Persons - psychology</topic><topic>Executive Function</topic><topic>Fatigue</topic><topic>Fatigue - complications</topic><topic>Fatigue - physiopathology</topic><topic>Fatigue - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Rehabilitation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Juengst, Shannon, MS</creatorcontrib><creatorcontrib>Skidmore, Elizabeth, PhD</creatorcontrib><creatorcontrib>Arenth, Patricia M., PhD</creatorcontrib><creatorcontrib>Niyonkuru, Christian, MS</creatorcontrib><creatorcontrib>Raina, Ketki D., PhD</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Juengst, Shannon, MS</au><au>Skidmore, Elizabeth, PhD</au><au>Arenth, Patricia M., PhD</au><au>Niyonkuru, Christian, MS</au><au>Raina, Ketki D., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unique Contribution of Fatigue to Disability in Community-Dwelling Adults With Traumatic Brain Injury</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2013-01-01</date><risdate>2013</risdate><volume>94</volume><issue>1</issue><spage>74</spage><epage>79</epage><pages>74-79</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>Abstract 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 (β=.47, P <.001) after controlling for injury severity, executive functions, and depression status. The overall model was significant (F4,45 =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 (F1,45 =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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22885286</pmid><doi>10.1016/j.apmr.2012.07.025</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Brain injuries Brain Injuries - complications Brain Injuries - physiopathology Brain Injuries - psychology Cross-Sectional Studies Depression - etiology Depression - physiopathology Depression - psychology Disability Evaluation Disabled Persons - psychology Executive Function Fatigue Fatigue - complications Fatigue - physiopathology Fatigue - psychology Female Humans Injury Severity Score Male Middle Aged Physical Medicine and Rehabilitation Rehabilitation |
| title | Unique Contribution of Fatigue to Disability in Community-Dwelling Adults With Traumatic Brain Injury |
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