Longitudinal associations of time-varying homeboundness and life satisfaction after traumatic brain injury.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL

Rehabilitation Psychology Pub Date : 2024-06-24 DOI:10.1037/rep0000567

Nicola L de Souza, Katherine A Ornstein, Emily Evans, Shannon B Juengst, Kristen Dams-O'Connor, Raj G Kumar

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引用次数: 0

Abstract

Purpose/objective: To examine the association of changes in homebound status (i.e., never/rarely leaving the home) with life satisfaction in the first 10 years after traumatic brain injury (TBI).

Research method/design: We analyzed data from 2,294 individuals with moderate-to-severe TBI from the TBI Model Systems National Database using a longitudinal multilevel model with time-varying predictors to account for within-person changes over time as well as between-person differences. We measured homebound status (defined as leaving the home ≤ 2 days/week) and life satisfaction (defined as the total score on the Satisfaction With Life Scale) at 1, 2, 5, and 10 years post-TBI. We adjusted the models for demographic and injury-related covariates and used inverse probability weighting to account for selection bias.

Results: Forty-five (2%) individuals were homebound at all follow-up visits, 523 (22.8%) were homebound at least one follow-up visit, and 1,726 (75.2%) were never homebound. Individuals with TBI who were consistently homebound had > 1 SD lower life satisfaction compared to those who were never homebound, β = -8.07, 95% confidence interval (CI) = [-9.39, -6.76], p < .001. Individuals who became homebound experienced a significant, but modest, decline in life satisfaction (β = -2.13, 95% CI = [-2.66, -1.61], p < .001).

Conclusions/implications: Our results indicate that being homebound and becoming homebound are associated with decreased life satisfaction. Homeboundness is a potentially modifiable target to improve life satisfaction, and elucidation of contributing factors to homebound status will help develop interventions to ameliorate post-TBI homeboundness. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

查看原文本刊更多论文

脑外伤后随时间变化的居家状况与生活满意度的纵向关联。

目的/目标：研究方法/设计：我们分析了来自全国创伤性脑损伤模型系统数据库（TBI Model Systems National Database）的 2,294 名中度至重度创伤性脑损伤患者的数据，采用了一个纵向多层次模型，其中包含随时间变化的预测因子，以考虑到人体内随时间的变化以及人与人之间的差异。我们测量了创伤后 1 年、2 年、5 年和 10 年的居家状态（定义为离开家 ≤ 2 天/周）和生活满意度（定义为生活满意度量表的总分）。我们根据人口统计学和受伤相关协变量对模型进行了调整，并使用反概率加权法来考虑选择偏差：有 45 人（2%）在所有随访中都居家休养，523 人（22.8%）至少在一次随访中居家休养，1,726 人（75.2%）从未居家休养。持续居家的 TBI 患者的生活满意度比从不居家的患者低 1 SD 以上，β = -8.07，95% 置信区间 (CI) = [-9.39, -6.76]，P < .001。居家者的生活满意度显著下降，但幅度不大（β = -2.13，95% 置信区间 = [-2.66, -1.61], p < .001）：我们的研究结果表明，居家和变得居家与生活满意度下降有关。居家状态是改善生活满意度的潜在目标，阐明导致居家状态的因素将有助于制定干预措施，改善创伤后应激障碍患者的居家状态。(PsycInfo Database Record (c) 2024 APA, 版权所有）。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.