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Keywords

impaired self-awareness, rehabilitation, traumatic brain injury

 

Authors

  1. Evans, Clea C. PhD
  2. Sherer, Mark PhD
  3. Nick, Todd G. PhD
  4. Nakase-Richardson, Risa PhD
  5. Yablon, Stuart A. MD

Abstract

Objective: To examine the incidence and intercorrelation of early impaired self-awareness (ISA) and depression after traumatic brain injury (TBI), as well as their contributions to prediction of patients' subjective well-being at discharge from inpatient rehabilitation.

 

Design: Inception cohort.

 

Setting: Inpatient rehabilitation.

 

Patients: Subjects were 96 patients with TBI seen for inpatient rehabilitation at the Methodist Rehabilitation Center. All subjects had emerged from posttraumatic amnesia prior to assessment for this study.

 

Intervention: None.

 

Main Outcome Measure: Subjective well-being as measured by the Satisfaction With Life Scale taken at discharge from inpatient rehabilitation.

 

Results: Multivariable linear regression analysis revealed that ISA and functional status (Disability Rating Scale total score) at rehabilitation admission made independent contributions to prediction of subjective well-being. Bivariable correlational analyses demonstrated that frequency of depressive symptoms was inversely correlated with Satisfaction With Life Scale scores. Impaired self-awareness and depression were not correlated in this sample.

 

Conclusions: Results support the idea that ISA is an important factor in determining subjective well-being in patients with TBI at acute rehabilitation discharge. Early interventions to decrease ISA may improve patients' functional status at rehabilitation discharge.