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Predictors of positive growth after traumatic brain injury : a longitudinal study

By Carol Hawley and Stephen Joseph

Abstract

Primary objective: To investigate long-term positive psychological growth in individuals with traumatic brain injury (TBI) and to relate growth to injury characteristics and early outcomes.\ud Research design: Longitudinal study.\ud Method and Procedure: Long-term follow-up of a group of TBI survivors recruited between 1991-1995. In 2004, 240 of the 563 original participants were invited to take\ud part in a follow-up study. At follow-up, survivors completed the Positive Changes in\ud Outlook Questionnaire (CiOP) along with a structured interview/questionnaire which\ud permitted a Glasgow Outcome Scale (GOSE) score to be assigned.\ud Results: 165 TBI survivors completed both questionnaire and CiOP.\ud 103(62%) participants had suffered severe TBI, 24(15%) moderate and 38(23%)\ud mild. Mean length of follow-up was 11.5 years post-injury (range 9-25 years). On\ud the GOSE at follow-up, 43(26%) had severe disability; 72(44%) moderate disability;\ud and 50(30%) good recovery. Scores on the CiOP indicated positive psychological\ud growth in over half of the sample, as evidenced by agreement with items such as “I\ud don’t take life for granted anymore” and “I value my relationships much more now”.\ud CiOP total scores did not correlate with any injury or early outcome variables.\ud However, at long-term follow-up there was a negative correlation between positive\ud growth and anxiety and depression.\ud Conclusion: Survivors of mild, moderate and severe TBI showed evidence of long-term positive\ud changes in outlook

Topics: RC0321
Publisher: Taylor and Francis
Year: 2008
OAI identifier: oai:wrap.warwick.ac.uk:74

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  1. A National Multicentre Study of Post-Acute Rehabilitation for Adults After Traumatic Brain Injury. doi
  2. Assessing positive and negative changes in the aftermath of adversity: Psychometric evaluation of the Changes in Outlook Questionnaire. doi
  3. Assessment of coma and impaired consciousness: a practical scale. doi
  4. Assessment of outcome after severe brain damage. A practical scale. doi
  5. Beyond restoration to transformation: Positive outcomes in the rehabilitation of acquired brain injury. doi
  6. (1993). Changes in outlook following disaster: Preliminary development of a measure to assess positive and negative responses. doi
  7. (1993). Characteristics and comparison of functional assessment indices: Disability Rating Scale, Functional Independence Measure and Functional Assessment Measure. doi
  8. Cognitive dysfunction and psychosocial adjustment after brain injury. In: Prigatano GP,
  9. Disability after severe head injury: observations on the use of the Glasgow Outcome Scale. doi
  10. (2006). Disability in young people and adults after head injury: 5-7 year follow up of a prospective cohort study. doi
  11. Late outcome of very severe blunt head trauma: a 10-15 year second follow-up. doi
  12. Late psychosocial outcome in severe traumatic brain injury. doi
  13. Long term outcome after severe head injury. doi
  14. (1992). Long-term neuropsychological outcome after severe head injury with good recovery. Brain Injury. doi
  15. Outcome following traumatic brain injury: a comparison between 2 and 5 years after injury. doi
  16. Positive change following trauma and adversity: A review. doi
  17. (1996). Positive outcomes in families following traumatic brain injury. Australian and New Zealand Family Therapy doi
  18. Post-traumatic growth after head injury: a long-term follow-up. doi
  19. Post-traumatic growth in acquired brain injury. A preliminary small scale study. doi
  20. (1996). Prevalence of impairments 5 years after a head injury, and their relationship with disabilities and outcome. doi
  21. Psychosocial adjustment 17 years after severe brain injury. doi
  22. (2008). Recovery from brain injury and positive rehabilitation practice. doi
  23. Snaith RP: The Hospital Anxiety and Depression Scale, doi
  24. (1985). Social adjustment after closed head injury: a further follow-up seven years after injury. doi
  25. (1988). Society. The Management of Traumatic Brain Injury. London: Royal College of Physicians,
  26. (1987). The effects of severe head injury on patients and relatives within 7 years of injury. doi
  27. The five-year outcome of severe blunt head injury: A relative's view. doi
  28. The national traumatic brain injury study: Assessing outcomes across settings. Neuropsychological Rehabilitation doi
  29. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. doi
  30. Understanding the search for meaning in life: Personality, cognitive style, and the dynamic between seeking and experiencing meaning. doi
  31. (1980). World Health Organisation doi

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