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Titre : | Problem-Solving After Traumatic Brain Injury in Adolescence: Associations With Functional Outcomes (2017) |
Auteurs : | Shari L. Wade ; Amy E. Cassedy ; Lauren E. Fulks |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/8, 2017) |
Article en page(s) : | pp. 16141621 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation ; Résolution de problème |
Mots-clés: | Brain injuries ; Lésions encéphaliques ; Problem solving |
Résumé : |
Objective To examine the association of problem-solving with functioning in youth with traumatic brain injury (TBI). Design Cross-sectional evaluation of pretreatment data from a randomized controlled trial. Setting Four children's hospitals and 1 general hospital, with level 1 trauma units. Participants Youth, ages 11 to 18 years, who sustained moderate or severe TBI in the last 18 months (N=153). Main Outcome Measures Problem-solving skills were assessed using the Social Problem-Solving Inventory (SPSI) and the Dodge Social Information Processing Short Stories. Everyday functioning was assessed based on a structured clinical interview using the Child and Adolescent Functional Assessment Scale (CAFAS) and via adolescent ratings on the Youth Self Report (YSR). Correlations and multiple regression analyses were used to examine associations among measures. Results The TBI group endorsed lower levels of maladaptive problem-solving (negative problem orientation, careless/impulsive responding, and avoidant style) and lower levels of rational problem-solving, resulting in higher total problem-solving scores for the TBI group compared with a normative sample (P<.001 dodge social information processing short stories dimensions were correlated with spsi subscales in the anticipated direction. although both maladaptive and adaptive problem-solving composites associated overall functioning on cafas only was related to ysr total when outcomes continuous. for logistic models style significantly greater risk of impairment> Conclusions Problem-solving after TBI differs from normative samples and is associated with functional impairments. The relation of problem-solving deficits after TBI with global functioning merits further investigation, with consideration of the potential effects of problem-solving interventions on functional outcomes. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317302198 |