Correlates of self-rated resilience following traumatic brain injury.

IF 1.8 4区心理学 Q3 CLINICAL NEUROLOGY

Journal of clinical and experimental neuropsychology Pub Date : 2025-02-01 Epub Date: 2025-02-08 DOI:10.1080/13803395.2025.2464638

Jacobus Donders, Acacia Redman, Ashley Trainor

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Abstract

Introduction: Resilience reflects the capacity of persons to continue to function in a positive way in the context of adverse conditions. Prior research has suggested that resilience may affect emotional adjustment and quality of life after traumatic brain injury (TBI). The purpose of this investigation was to determine to what extent self-rated resilience influences cognitive test performance after TBI.

Method: We conducted a retrospective analysis of data collected during routine clinical care over a period of about 3 years at a regional rehabilitation facility. Participants included 100 adult persons with TBI (46% uncomplicated mild injury, 32% complicated mild injury and 22% severe injury). They had been clinically referred and seen for an outpatient neuropsychological evaluation within 1-36 months post injury. Main measures included the Connor-Davidson Resilience Scale-10 (CD - RISC-10), Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 (GAD-7), and Trail MakingTest (TMT).

Results: Self-rated resilience, as reflected in CD - RISC-10 ratings, had strong negative correlations with symptoms of depression (PHQ-9) and anxiety (GAD-7). As expected, worse injury severity, older age and lower education level were associated with worse performance on both parts of the TMT (all p's< .03). Importantly, beyond those influences, self-rated resilience was also positively associated with TMT performance. However, this was the case only in those who had threshold levels of normal resilience.

Conclusions: Across the range of TBI severity, resilience as self-rated on the CD - RISC-10 is strongly related to subjective symptoms of anxiety and depression. It does not have a linear relationship with objective cognitive test performance. Instead, a minimum level of normal resilience is needed in order for it to support cognition after TBI. Findings of sub-threshold levels of resilience would support interventions to boost it and thereby potentially improve outcomes.

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创伤性脑损伤后自评弹性的相关关系。

引言：复原力反映了人们在不利条件下继续以积极方式发挥作用的能力。先前的研究表明，恢复力可能影响创伤性脑损伤（TBI）后的情绪调节和生活质量。本研究的目的是确定自评弹性在多大程度上影响脑外伤后的认知测试表现。方法：我们对一个地区康复机构在常规临床护理期间收集的数据进行了回顾性分析。参与者包括100名成年TBI患者（46%为单纯轻度损伤，32%为复杂轻度损伤，22%为重度损伤）。他们在受伤后1-36个月内进行了临床转诊和门诊神经心理学评估。主要测量方法包括康诺-戴维森弹性量表-10 （CD - RISC-10）、患者健康问卷-9 （PHQ-9）、一般焦虑障碍量表-7 （GAD-7）和Trail MakingTest （TMT）。结果：自评弹性，如CD - RISC-10评分所反映的，与抑郁症状（PHQ-9）和焦虑症状（GAD-7）有很强的负相关。正如预期的那样，更严重的损伤程度、更大的年龄和更低的教育水平与TMT两部分的较差表现相关（p < 0.03）。重要的是，除了这些影响外，自评弹性也与TMT绩效呈正相关。然而，这种情况只发生在那些具有正常适应力阈值水平的人身上。结论：在创伤性脑损伤严重程度的范围内，CD - RISC-10自评的恢复力与焦虑和抑郁的主观症状密切相关。它与客观认知测试成绩不存在线性关系。相反，为了支持脑外伤后的认知，需要最低水平的正常恢复力。韧性低于阈值水平的发现将支持提高韧性的干预措施，从而有可能改善结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of clinical and experimental neuropsychology 医学-临床神经学

CiteScore

3.20

自引率

4.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Clinical and Experimental Neuropsychology ( JCEN) publishes research on the neuropsychological consequences of brain disease, disorders, and dysfunction, and aims to promote the integration of theories, methods, and research findings in clinical and experimental neuropsychology. The primary emphasis of JCEN is to publish original empirical research pertaining to brain-behavior relationships and neuropsychological manifestations of brain disease. Theoretical and methodological papers, critical reviews of content areas, and theoretically-relevant case studies are also welcome.