Psychosocial adjustment after traumatic brain injury: what are the important variables?

  title={Psychosocial adjustment after traumatic brain injury: what are the important variables?},
  author={Robyn L Tate and G. Anthony Broe},
  journal={Psychological Medicine},
  pages={713 - 725}
  • R. Tate, G. Broe
  • Published 1 May 1999
  • Psychology, Medicine
  • Psychological Medicine
Background. The common legacy of severe degrees of traumatic brain injury is varying degrees and types of impairments, which impact significantly upon the individual's resumption of pre-morbid psychosocial roles. Yet there are few data to indicate the relative contribution of these and other non-injury related variables. Methods. Seventy individuals with varying levels of disability after severe traumatic brain injury were examined neurologically and neuropsychologically, on average at 6 years… 
Factors contributing to outcome following traumatic brain injury.
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Social anxiety following traumatic brain injury: an exploration of associated factors
The findings suggest that psychological variables are important in the development of SA following TBI and must be considered alongside clinical factors and the significant role of stigma highlights the need for intervention at both an individualised and societal level.
Neuropsychiatric sequelae in TBI: a comparison across different age groups
Different psychological problems were found across the three groups; more frequently younger patients show internalizing problems such as withdrawal and closure, while, with age, behaviour problems become more frequent, characterized by hyperactivity and aggressiveness.
Longitudinal follow-up of patients with traumatic brain injury: outcome at two, five, and ten years post-injury.
Examination of aspects of function, previously shown to be affected following TBI, over a span of 10 years found levels of independence in activities of daily living were high, and as many as 70% of subjects returned to driving, and approximately 40% of patients required more support than before their injury.
Predicting long-term outcome following traumatic brain injury (TBI)
Findings offer further support for the cognitive reserve construct in explaining significant variance in TBI outcome, over and above the variance explained by injury severity.
Impact of pre-injury factors on outcome after severe traumatic brain injury: Does post-traumatic personality change represent an exacerbation of premorbid traits?
  • R. Tate
  • Psychology
    Neuropsychological rehabilitation
  • 2003
Findings suggest that although personality changes occur as a result of traumatic brain injury, they are largely independent of the premorbid personality structure.
Enhanced Appreciation of Life Following Acquired Brain Injury: Posttraumatic Growth at 6 Months Postdischarge
Findings indicate that individuals who perceive greater functional consequences of their ABI are more likely to experience posttraumatic growth (PTG), and the process of reevaluating priorities and values in life after ABI may be associated with emotional distress during the early stages of community reintegration.
Cognitive appraisal accuracy moderates the relationship between injury severity and psychosocial outcomes in traumatic brain injury
Cognitive appraisal accuracy moderated the relationship between injury severity and aspects of psychosocial function and suggest that brain injury outcomes may be improved when an individual is able to accurately assess limitations.
Relatives' criticism influences adjustment and outcome after traumatic brain injury.
  • R. Weddell
  • Psychology
    Archives of physical medicine and rehabilitation
  • 2010
Health-related quality of life in patients with multiple injuries and traumatic brain injury 10+ years postinjury.
Prospective studies are needed with a broader range of measures that may be sensitive to the consequences of TBI, and evidence-based interventions to facilitate physical and psychological rehabilitation, designed to target at risk patients, are warranted.


Assessment of the psychosocial outcome after severe head injury.
  • M. Bond
  • Psychology, Medicine
    Ciba Foundation symposium
  • 1975
It is revealed that the duration of post-traumatic amnesia correlates highly with the degree of social, mental and physical disability incurred and the relation of cognitive impairment to social and physical handicap will be demonstrated.
Psychosocial recovery after head injury.
Cognitive moderators in adjustment to chronic illness: Locus of control beliefs following traumatic brain injury
Abstract Locus of control (LOC) beliefs and quality of life outcomes were assessed in 54 male patients with moderate (n = 32) or severe (n = 22) traumatic brain injuries (TBI). There were no
Traumatic brain injury: Factors predicting return to work or school
Prediction of outcome for brain-injured individuals will facilitate effective rehabilitation programme planning which will ultimately improve the patient's quality of life. A sample of traumatic
Predictors and indicators of quality of life in patients with closed-head injury.
It is suggested that quality of life is adversely affected by increased severity of head injury and greater residual motor deficits, and implications for treatment and recovery are discussed.
Coping strategies and adjustment after closed-head injury: a cluster analytical approach.
As with other chronic illnesses, it appears that the use of cognitive mechanisms that act as reality 'buffers' may be an important component of improved adjustment to closed-head injury.
Psychosocial outcome for the survivors of severe blunt head injury: the results from a consecutive series of 100 patients.
Specific aspects of the subjects' psychosocial reintegration in employment, interpersonal relationships, functional independence, social contacts and leisure interests are described, and the implications of the findings for the provision of extended care services to meet the long term needs are discussed.
Impairment after severe blunt head injury: the results from a consecutive series of 100 patients
ABSTRACT— Three scales, assessing the degree of brain impairment after severe blunt head injury in neurophysical and neuropsychological functions as well as overall organic functioning, are
Predicting functional independence from neuropsychological tests following traumatic brain injury.
The WAIS-R Comprehension subtest was the single best predictor of cognitive disability, accounting for 20% of variance, and suggesting that the FIM Cognitive subscale is measuring social-cognitive ability, as intended by its authors.