关键词:
Individual Differences
Injury Severity
Traumatic Brain Injury
摘要:
Research Objectives: This study describes differences in demographics, emotional functioning, life satisfaction, functional status, and symptom complaint in a sample of adults with traumatic brain injury (TBI) upon admission to a brain rehabilitation clinic, based upon injury severity classified using the Mayo Classification System for TBI severity (MCS). Design: Measures were administered to assess individual differences in mood, life satisfaction, participation, and level of symptom complaint between groups differing in injury severity. Setting: Patients were referred to an outpatient brain treatment program with a diagnosis of TBI associated with symptom complaints and change in functioning. Participants: Thirty-three patients were presenting for treatment to an interdisciplinary outpatient treatment clinic with TBI (Definite=13, Probable=7, Possible=13) (Mean age of patient=42.76 years, Range: 23-76 years; females=16, males=17; Mean time since injury = 24.45 months, Range: 1-282 months). Due to the small sample size of Probable TBI patients, Probable and Possible TBI patients were combined into one group. Interventions: N/A. Main Outcome Measure(s): All patients were classified for injury severity using the Mayo Classification System. Participants also completed the Mayo Portland Participation Index (M2PI), the Satisfaction with Life Scale (SWLS), the Patient Health Questionnaire (PHQ-9), and the Neurobehavioral Symptom Inventory (NSI-22). Results: Using an analysis of variance (ANOVA), between the Definite TBI group and the Probable/Possible TBI, there was a significant difference on the PHQ-9 scale (F=7.504, p=0.010) with the Definite TBI group (M=6.62, SD=5.30) reporting lower symptoms of depression than the Probable/Possible TBI group (M=12.45, SD=6.37). No significant difference was found between groups in life satisfaction (SWLS), neurobehavioral symptoms (NSI-22), or participation (M2PI). There is a difference in gender between Definite TBI and Probable/P