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Rehabil Psychol. 2015 Nov;60(4):353-364. doi: 10.1037/rep0000056.

Trajectories of life satisfaction after traumatic brain injury: Influence of life roles, age, cognitive disability, and depressive symptoms.

Author information

1
Department of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center.
2
Department of Rehabilitation Medicine, University of Washington School of Medicine.
3
Department of Physical Medicine and Rehabilitation, Ohio State University.
4
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School.
5
Department of Opthalmology, University of Alabama at Birmingham.
6
Moss Rehabilitation Research Institute.
7
Mayo Clinical College of Medicine.
8
Department of Rehabilitation Medicine, Mount Sinai School of Medicine.

Abstract

OBJECTIVES:

(a) Identify life satisfaction trajectories after moderate to severe traumatic brain injury (TBI); (b) establish a predictive model for these trajectories across the first 5 years postinjury; and (c) describe differences in these life satisfaction trajectory groups, focusing on age, depressive symptoms, disability, and participation in specific life roles.

RESEARCH METHOD:

Analysis of the longitudinal TBI Model Systems National Database was performed on data collected prospectively at 1-, 2-, and 5-years post-TBI. Participants (n = 3,012) had a moderate to severe TBI and were 16 years old and older.

RESULTS:

Four life satisfaction trajectories were identified across the first 5 years postinjury, including: stable satisfaction, initial satisfaction declining, initial dissatisfaction improving, and stable dissatisfaction. Age, depressive symptoms, cognitive disability, and life role participation as a worker, leisure participant, and/ or religious participant at 1-year postinjury significantly predicted trajectory group membership. Life role participation and depressive symptoms were strong predictors of life satisfaction trajectories across the first 5 years post-TBI.

CONCLUSIONS:

The previously documented loss of life roles and prevalence of depression after a moderate to severe TBI make this a vulnerable population for whom low or declining life satisfaction is a particularly high risk. Examining individual life role participation may help to identify relevant foci for community-based rehabilitation interventions or supports.

PMID:
26618215
PMCID:
PMC4667543
DOI:
10.1037/rep0000056
[Indexed for MEDLINE]
Free PMC Article

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