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Resilience Predicts Quality of Life at One Year Follow-up after Mild Traumatic Brain Injury

Resilience Predicts Quality of Life at One Year Follow-up after Mild Traumatic Brain Injury. Results. Objectives. To study the association between post-injury resilience and long-term quality of life ( QoL ) after mild traumatic brain injury (MTBI).

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Resilience Predicts Quality of Life at One Year Follow-up after Mild Traumatic Brain Injury

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  1. Resilience Predicts Quality of Life at One Year Follow-up after Mild Traumatic Brain Injury Results Objectives • To study the association between post-injury resilience and long-term quality of life (QoL) after mild traumatic brain injury (MTBI). • The mean age of the patients was 37.5 years (SD = 12.4). • The study group consisted of 34 men (59.6%) and 23 women (40.4%). • The mean QoL score one year after MTBI was 159.1 (SD = 19.4). • Age, gender, education, physical injuries or traumatic lesions on MRI did not predict QoL one year after MTBI (adjusted R2 = -0.012, significance of R2 change = 0.509). • Adding post-traumatic stress-, depressive-, fatigue-, insomnia, pain- and post-concussion symptoms simultaneously to the model produced a significant change (p= 0.002) and together these variables were significant predictors of QoL (explaining 25.9% of the variance; p= 0.008). • After controlling for the aforementioned variables, resilience contributed significantly (p ≤ 0.005) to the regression model. • The final step of the regression model explained 51.8% of the variance and predicted significantly the QoL one year after MTBI (p ≤ 0.005). Methods • In a prospective one year follow-up study, patients with MTBI (n=57) between the ages of 18 and 60 years were enrolled from an emergency department. • At 1-month post-injury, the patients were assessed for: • resilience [Resilience Scale (RS)], • post-traumatic stress- [PTSD-Checklist-Civilian Version (PCL-C)], • depressive- [Beck Depression Inventory (BDI-II)], • fatigue- [Barrow Neurological Institute Fatigue Scale (BNI-FS)], • insomnia- [Insomnia Severity Index (ISI)], • pain- [Pain Scale of the Ruff Neurobehavioral Inventory (RNBI)] and • post-concussion symptoms [Rivermead Post Concussion Symptoms Questionnaire (RPCSQ)]. • To predict the QoL [Quality of Life after Brain Injury (QOLIBRI)] at one year follow-up with the factors assessed 1-month post-injury, a multiple stepwise linear regression analysis was conducted. • The model was adjusted for demographic variables, the severity of physical injuries (Injury Severity Score) and head MRI findings. Conclusion • In a multivariable model, resilience was a significant independent predictor of QoL one year after MTBI. • Resilience seems to be a relevant factor to consider in the long-term management of MTBI. Teemu M. Luoto1 Juhani Julkunen2 Juha Öhman1 Heidi Losoi1,2 Eija Rosti-Otajärvi1 Minna Wäljas1 Senni Turunen1 Mika Helminen3 Antti Brander4 1 Tampere University Hospital, Department of Neurosciences and Rehabilitation, Tampere, Finland 2 University of Helsinki, Institute of Behavioural Sciences, Helsinki, Finland 3 Pirkanmaa Hospital District, Science Center & University of Tampere, School of Health Sciences, Tampere Finland 4 Tampere University Hospital, Medical Imaging Center, Department of Radiology, Tampere, Finland For more info and contacts:

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