Psychological well-being in individuals living in the community with traumatic brain injury

Brain Inj. 2018;32(8):980-985. doi: 10.1080/02699052.2018.1468573. Epub 2018 Apr 30.

Abstract

Background: Well-being and quality of life issues remain a long-term problem for many individuals with traumatic brain injury (TBI). Meaningful activity is key to developing life satisfaction and a sense of contribution to society, yet individuals with TBI are often unable to return to competitive employment.

Objective: To describe the self-reported psychological well-being of a cohort of unemployed individuals living in the community at least 1 year post TBI with low life satisfaction.

Methods: Seventy-four unemployed individuals with low life satisfaction at least 1 year post TBI were administered measures of psychological well-being and cognitive functioning.

Results: This cohort of 74 participants demonstrated cognitive impairment and elevated levels of emotional distress. Significant bivariate relationships were noted among nearly all measures of well-being, and associations were in the directions as expected. Individuals reported low life satisfaction and well-being. Two newer measures of well-being correlated with established measures used with this population.

Conclusions: Individuals with TBI living in the community who are not employed but who seek to be productive reported low life satisfaction and well-being. This study highlights the need for interventions aimed at increasing productivity and meaning in life for individuals with TBI, and a broader understanding of psychological health after TBI.

Keywords: TBI; productivity; psychological well-being.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Brain Injuries, Traumatic / complications
  • Brain Injuries, Traumatic / psychology*
  • Brain Injuries, Traumatic / rehabilitation
  • Cognition Disorders / etiology
  • Cohort Studies
  • Emotions / physiology*
  • Employment*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Personal Satisfaction*
  • Randomized Controlled Trials as Topic
  • Residence Characteristics*
  • Self Report
  • Spinal Cord Injuries / psychology
  • Spinal Cord Injuries / rehabilitation
  • Surveys and Questionnaires