Abstract:
: Objective: To examine the relationship between medical comorbidities and psychological health outcomes at 2 and 5 years following traumatic brain injury (TBI). Method: Veterans Affairs (VA) TBI Model System participants who completed a 2-year (n = 225) and/or 5-year (n = 283) follow-up with a comorbidities interview were included in the current study. Psychological health outcomes were assessed using the Patient Global Impression of Change (PGIC), Patient Health Questionnaire-9 (PHQ-9), and Satisfaction with Life Scale (SWLS). While controlling for known predictors of outcome, the relationship of overall comorbidity burden to psychological outcomes was examined cross-sectionally using generalized linear regression at 2 and 5 years post-TBI. Lasso regularization was used to examine relationships of specific comorbid conditions to outcome. Results: Greater comorbidity burden was significantly associated with lower satisfaction with life at 2 and 5 years post-TBI and was associated with greater depressive symptomatology at 5 years post-TBI. Chronic pain was associated with lower satisfaction with life and greater depressive symptoms at both 2- and 5-year follow-up. Sleep apnea was associated with lower satisfaction with life and greater depressive symptoms at 5-year follow-up. Rheumatoid arthritis was associated with lower satisfaction with life and lower levels of perceived improvement in health and well-being at the 5-year follow-up. Implications: Results suggest that medical comorbidities may have a cumulative impact on adverse psychological health outcomes in chronic stages of TBI. This study further highlights the complexity of patients with TBI and the importance of identifying medical comorbidities as they provide potential targets for intervention. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
journal_name
Rehabil Psycholjournal_title
Rehabilitation psychologyauthors
Noyes ET,Tang X,Sander AM,Silva MA,Walker WC,Finn JA,Cooper DB,Nakase-Richardson Rdoi
10.1037/rep0000366subject
Has Abstractpub_date
2020-10-29 00:00:00eissn
0090-5550issn
1939-1544pii
2020-81355-001pub_type
杂志文章abstract:OBJECTIVE:This study developed a comprehensive framework for understanding the process of sibling adjustment to pediatric acquired brain injury (ABI). PARTICIPANTS:Grounded theory methodology was employed to inductively explore the issues siblings perceived to be their main concerns and how they managed these concerns...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000225
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To examine the association among body composition, defined as the percentage of body fat mass (BF) and lean mass (LM), bone mineral content (BMC) and bone mineral density (BMD) in the human body and the presentation of symptoms (i.e., fatigue, pain, depression, anxiety, and poor sleep quality) in persons with...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000292
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:Despite the popularity of the concept of resilience, little research has been conducted on populations in physical rehabilitation settings. Our purpose was to identify three trajectories of psychological adjustment to an acquired severe physical injury characterized by resilience, recovery, or distress in a l...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/a0018415
更新日期:2010-02-01 00:00:00
abstract::Although the relationship between negative affect and psychiatric symptoms has been well-demonstrated in research, less is known about positive affect relative to negative affect, and its relationship to psychiatric symptoms, especially among veterans. This study examined how levels of positive and negative affect are...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000017
更新日期:2015-02-01 00:00:00
abstract:PURPOSE:Existing research suggests that the decision to grant or deny workplace accommodations for people with disabilities is influenced by a range of legal and nonlegal factors. However, less is known about how these factors operate at the within-person level. Thus, we proposed and tested a multilevel model of the ac...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000120
更新日期:2017-02-01 00:00:00
abstract:PURPOSE/OBJECTIVE:According to Social Identity Theory, minority group members, like people with disabilities, manage stigma by either "passing" as majority group members or identifying with their minority group. Approximately 15% of the world's population has a disability, but only a fraction of those individuals ident...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000132
更新日期:2017-11-01 00:00:00
abstract:PURPOSE/OBJECTIVE:Intensive care unit (ICU) survivors frequently experience long-lasting mental health, cognitive, and physiologic challenges. Psychologists have a role in providing interventions to reduce patient distress during critical illness and improve outcomes. There is limited data regarding psychology consulta...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000264
更新日期:2019-08-01 00:00:00
abstract:OBJECTIVE:Unintentional injuries such as road traffic injuries constitute a major facet of health and disability in low- and middle-income countries. Survivors of moderate or severe unintentional injuries are at risk of psychological distress, although many people show resilience during recovery. This article describes...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000289
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:To apply the constructs of the transtheoretical model (TTM) of change to understand physical activity among individuals with severe mental illness. METHOD:Predictions of stages of change of physical activity and self-reported physical activity were investigated among 92 adults with severe mental illness, usi...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/a0024207
更新日期:2011-08-01 00:00:00
abstract:PURPOSE/OBJECTIVE:Metrics to estimate premorbid cognitive ability, such as word reading tests, are important for clinical determination of cognitive changes following brain injury. In the present study, reading adjusted scores for the National Institutes of Health Toolbox Cognition Battery (NIHTB-CB) fluid tests were d...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000198
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:The objective of this study is to identify changes in the prevalence of cigarette smoking approximately 1 year after discharge from inpatient rehabilitation for spinal cord injury (SCI). METHOD:Self-report assessments were completed by 129 participants with SCI during initial inpatient rehabilitation and at ...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000046
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:Describe the development and preliminary evaluation of a safety awareness program for women with disabilities. DESIGN:Baseline and postintervention questionnaires administered to a sample of women who completed a safety awareness program. PARTICIPANTS:Seven women with diverse disabilities. INTERVENTION:Eig...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/a0019916
更新日期:2010-08-01 00:00:00
abstract:PURPOSE/OBJECTIVE:To understand how traumatic brain injury (TBI) affects maternal warm responsiveness and negativity over the first 12 months following injury. METHOD/DESIGN:We used a concurrent cohort research design to examine dyadic interactions in young children with a TBI (n = 78) and a comparison group of young ...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/a0033119
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to explore the psychometric properties of the Patient Health Questionnaire-9 (PHQ-9; R. L. Spitzer, K. Kroenke, & J. B. W. Williams, 1999). METHOD:Factor analysis and Rasch rating scale analysis were used to examine the psychometric properties of the PHQ-9. The sample consisted of ...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/a0015529
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVES:To increase understanding regarding precipitating and preventative factors of suicidal behavior and to highlight past experiences and recommendations regarding services aimed at suicide prevention among Veterans with a history of traumatic brain injury (TBI). STUDY DESIGN:Qualitative. PARTICIPANTS:Sample o...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/a0017802
更新日期:2009-11-01 00:00:00
abstract:PURPOSE:The purposes of this study were to examine the relationship between the poststroke depressive symptoms, older adult stroke survivors' perceptions of the depressive symptoms, and the congruence with an informal caregiver about the presence of depressive symptoms, and comfort talking to the health care provider w...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/a0033005
更新日期:2013-08-01 00:00:00
abstract::This paper examines the utility of evidentiary pluralism, a research strategy that selects methods in service of content questions, in the context of rehabilitation psychology. Hierarchical views that favor randomized controlled clinical trials (RCTs) over other evidence are discussed, and RCTs are considered as they ...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/a0012963
更新日期:2008-08-01 00:00:00
abstract:PURPOSE/OBJECTIVE:The intensive care unit (ICU) has been identified as a possible contributor to emotional distress. This study seeks to identify whether families of traumatic brain injury (TBI) patients in the ICU experience psychological differences as compared with non-TBI patients' family members. METHOD:Eighty-tw...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000080
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To examine how positive affect influences ability to benefit from heart rate variability (HRV) biofeedback treatment for individuals with severe brain injury. METHOD:Secondary data analysis of a nonrandomized experimental study that assessed the efficacy of biofeedback treatment for executive dysfunction in ...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000197
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:To describe a coordinated interdisciplinary approach to the treatment of functional neurological symptom (conversion) disorder (FNSD), mixed symptoms, including motor dysfunction, in a rehabilitation setting. DESIGN:Adult patient was admitted with worsening neurological symptoms in the absence of contributor...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000063
更新日期:2016-02-01 00:00:00
abstract:PURPOSE/OBJECTIVE:A recent study by Trost et al. (2015) investigated the influence of perceived injustice-reflecting appraisals of the severity and irreparability of loss following injury, blame, and unfairness-on physical and psychological outcomes in a sample of patients 12 months after sustaining a traumatic injury....
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000097
更新日期:2016-08-01 00:00:00
abstract::Weight gain and inactivity are common problems for individuals living with a traumatic brain injury (TBI). Yet, interventions to support a healthy lifestyle specific to individuals with TBI are lacking. The purpose of this study was to complete a program evaluation of a 12-month evidence-based healthy lifestyle interv...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000253
更新日期:2019-02-01 00:00:00
abstract:PURPOSE:This study is an examination of the efficacy of a virtual walking protocol to treat spinal cord injury (SCI)-related pain. METHOD:A total of 59 individuals with SCI and neuropathic pain (NP) were randomly assigned to receive 20 min of virtual walking, the treatment condition, or virtual wheeling, the control c...
journal_title:Rehabilitation psychology
pub_type: 杂志文章,随机对照试验
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更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:While reintegration of concussed youth back into sports has been increasingly studied over the past decade, a noticeably lacking yet growing body of research has begun to focus on issues surrounding return to academics or "return-to-learn" (RTL). The objective of this article was to conduct a comprehensive li...
journal_title:Rehabilitation psychology
pub_type: 杂志文章,评审
doi:10.1037/rep0000155
更新日期:2017-08-01 00:00:00
abstract:PURPOSE/OBJECTIVE:To examine resilience in the context of adjustment to traumatic brain injury (TBI), including the relative roles of demographic and theoretically related constructs such as coping, social support, and positive affectivity on resilience within the first 5 years postinjury. RESEARCH METHOD/DESIGN:This ...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000069
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVE:Resilience is 1 of several factors that are thought to contribute to outcome following mild traumatic brain injury (mTBI). This study explored the predictors of the postconcussional syndrome (PCS) symptoms that can occur following mTBI. We hypothesized that a reported recent mTBI and lower psychological resil...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000037
更新日期:2015-05-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To determine key dimensions relevant to recovery in the postacute period for persons with traumatic brain injury (TBI) and to determine the ability of scores on these dimensions to predict participation outcomes for persons with TBI. RESEARCH METHOD/DESIGN:This was a prospective cohort, observationa...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000030
更新日期:2015-05-01 00:00:00
abstract:PURPOSE:This study presented the construct of Work-Health Balance (WHB) and the design and validation of the Work-Health Balance Questionnaire (WHBq). More and more workers have a long-standing health problem or disability (LSHPD). The management of health needs and work demands is crucial for the quality of working li...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000121
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVE:To assess the parenting sense of competence in mothers and fathers with MS compared to a matched group of healthy parents and to evaluate whether illness features, mood, coping and social support influence parenting sense of competence in mothers and fathers with MS. METHOD/DESIGN:Participants in both groups...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000211
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:Pulmonary rehabilitation (PR) improves functional exercise capacity and health status in people with chronic obstructive pulmonary disease (COPD), although these outcomes are often not maintained following PR. Self-efficacy is a precursor to outcomes achievement, yet few studies have examined the importance o...
journal_title:Rehabilitation psychology
pub_type: 杂志文章
doi:10.1037/rep0000106
更新日期:2016-11-01 00:00:00