The relationship between cognitive reserve, cognitive performance, and outcomes of return to work and life satisfaction after brain injury: a retrospective cohort study.

IF 2.1 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2025-06-16 DOI:10.1080/09638288.2025.2517240

Natascha Ekdahl, Marianne Lannsjö, Britt-Marie Stålnacke, Marika C Möller

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引用次数: 0

Abstract

Purpose: Cognitive reserve and neuropsychological test results are linked to outcomes after acquired brain injury (ABI), but their interaction and their impact on different types of outcomes remains to be explored. This study aimed to explore how cognitive reserve, measured by education, is related to neuropsychological outcomes, return-to-work and life satisfaction after ABI.

Methods: Long term follow-up of 83 patients with ABI, 5-15 years after specialized brain injury rehabilitation. Logistic regression was used to analyze the relationship between independent variables and outcomes (return-to-work and life satisfaction).

Results: Return-to-work was associated with cognitive reserve (OR = 1.31, p = 0.024), age (OR = 0.95, p = 0.042), general fatigue (OR = 0.77, p = 0.034), and Cognitive Profiency Index (measures of working memory and processing speed, OR = 1.06, p = 0.037). Verbal and spatial abilities were related to education, but not to return-to-work. General fatigue was related to satisfaction with mental health in both univariate (OR = 0.78, p = 0.008) and multivariate analyses (OR = 0.8, p = 0.037), but no other variables were significantly associated with life satisfaction in multivariate analyses.

Conclusion: Patients with lower cognitive reserve paired with slower processing speed and poor working memory may need additional support for successful return-to-work, while life satisfaction appears to depend more on other factors.

查看原文本刊更多论文

脑损伤后认知储备、认知表现与重返工作和生活满意度之间的关系：一项回顾性队列研究。

目的：认知储备和神经心理测试结果与获得性脑损伤（ABI）后的预后有关，但它们之间的相互作用及其对不同类型预后的影响仍有待探讨。本研究旨在探讨认知储备如何与ABI后的神经心理结果、重返工作岗位和生活满意度相关。方法：对83例ABI患者进行5 ~ 15年的长期随访。采用Logistic回归分析自变量与结果（重返工作岗位和生活满意度）之间的关系。结果：重返工作与认知储备（OR = 1.31, p = 0.024）、年龄（OR = 0.95, p = 0.042）、一般疲劳（OR = 0.77, p = 0.034）和认知能力指数（工作记忆和处理速度测量，OR = 1.06, p = 0.037）有关。语言和空间能力与教育有关，但与重返工作岗位无关。在单变量分析（OR = 0.78, p = 0.008）和多变量分析（OR = 0.8, p = 0.037）中，一般疲劳与心理健康满意度相关，但在多变量分析中，其他变量与生活满意度均无显著相关。结论：认知储备较低、加工速度较慢、工作记忆较差的患者可能需要额外的支持才能成功重返工作岗位，而生活满意度似乎更多地取决于其他因素。

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

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.