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Unmet Rehabilitation Needs Indirectly Influence Life Satisfaction 5 Years After Traumatic Brain Injury: A Veterans Affairs TBI Model Systems Study.
- Source :
-
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2021 Jan; Vol. 102 (1), pp. 58-67. Date of Electronic Publication: 2020 Sep 16. - Publication Year :
- 2021
-
Abstract
- Objective: To describe the association between unmet rehabilitation needs and life satisfaction 5 years after traumatic brain injury (TBI).<br />Design: Prospective observational cohort.<br />Setting: Five Veterans Affairs (VA) Polytrauma Rehabilitation Centers.<br />Participants: VA TBI Model Systems participants (N=301); 95% male; 77% white; average age, 39±14y).<br />Interventions: Not applicable.<br />Main Outcome Measures: Satisfaction With Life Scale (SWLS).<br />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 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.<br />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.<br /> (Copyright © 2020 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Age Factors
Brain Injuries, Traumatic epidemiology
Depression epidemiology
Disability Evaluation
Female
Health Status
Humans
Male
Mental Health
Middle Aged
Prospective Studies
Sex Factors
Social Participation psychology
Socioeconomic Factors
Time Factors
Trauma Severity Indices
United States
United States Department of Veterans Affairs
Brain Injuries, Traumatic psychology
Brain Injuries, Traumatic rehabilitation
Personal Satisfaction
Veterans psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1532-821X
- Volume :
- 102
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Archives of physical medicine and rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 32949552
- Full Text :
- https://doi.org/10.1016/j.apmr.2020.08.012