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Titre : | Unmet Rehabilitation Needs Indirectly Influence Life Satisfaction 5 Years After Traumatic Brain Injury: A Veterans Affairs TBI Model Systems Study (2021) |
Auteurs : | Marc A. Silva ; Alicia B. Vanden Bussche Jantz ; Farina Klocksieben ; Kimberley R. Monden ; Amanda R. Rabinowitz ; Bridget A. Cotner ; Christina Dillahunt-Aspillaga ; Risa Nakase-Richardson |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 1, 2021) |
Article en page(s) : | p. 58-67 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.08.012 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anciens combattants ; Lésions encéphaliques ; Lésions traumatiques de l'encéphale ; Participation sociale ; Réadaptation ; Satisfaction personnelle |
Résumé : |
Objective
To describe the association between unmet rehabilitation needs and life satisfaction 5 years after traumatic brain injury (TBI). Design Prospective observational cohort. Setting Five Veterans Affairs (VA) Polytrauma Rehabilitation Centers. Participants VA TBI Model Systems participants (N=301); 95% male; 77% white; average age, 39±14y). Interventions Not applicable. Main Outcome Measures Satisfaction With Life Scale (SWLS). Results 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 unmet rehabilitation needs total was indirectly related to ranged from correlational showed of the> Conclusions 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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320309254#! |