10-year variability in high and low life satisfaction trajectories post-traumatic brain injury: a TBI model systems study.
Autor: | O'Neil-Pirozzi TM; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, Massachusetts, USA.; Department of Communication Sciences and Disorders, Northeastern University, Boston, Massachusetts, USA., Sevigny M; Research Department, Craig Hospital, Denver, Colorado., Pinto SM; Department of Physical Medicine and Rehabilitation; O'Donnell Brain Institute Clinical Neuroscience Scholar, University of Texas Southwestern Medical Center, Dallas, Texas., Hammond FM; Department of Physical Medicine & Rehabilitation, Indiana University School of Medicine; Rehabilitation Hospital of Indiana, Indianapolis, Indiana., Juengst SB; Brain Injury Research Center, TIRR Memorial Hermann; Department of Physical Medicine & Rehabilitation, UT Health Sciences Center at Houston, Houston, Texas. |
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Jazyk: | angličtina |
Zdroj: | Brain injury [Brain Inj] 2024 Aug 23; Vol. 38 (10), pp. 796-806. Date of Electronic Publication: 2024 Apr 29. |
DOI: | 10.1080/02699052.2024.2347567 |
Abstrakt: | Purpose: To determine how life satisfaction changes across the first 10 years following traumatic brain injury (TBI). Methods: Participants included 1,941 individuals from the TBI Model Systems database with life satisfaction data at 1-, 5-, and 10-years post-TBI. Based on Satisfaction With Life Scale scores, individuals were characterized as having one of the five 10-year life satisfaction trajectories: 'Stable High,' 'Stable Low,' 'Increased to High,' 'Decreased to Low,' and 'Unstable.' These were analyzed for group differences in demographics and psychosocial and functional outcomes. Results: Sixty percent participants had 'Stable High' or 'Increasing to High' trajectories. Approximately 25% had "Stable Low' or 'Decreasing to Low' trajectories, and approximately 15% had unstable trajectories. Higher life satisfaction trajectories were associated with the best psychosocial and functional outcomes whereas lower trajectories were associated with the worst psychosocial and functional outcomes. Trajectories were indistinguishable based on demographics. Conclusion: Life satisfaction over the first 10 years following TBI is dynamic, with most individuals reporting high life satisfaction by 10 years post-TBI. Examination of psychosocial and functional factors related to life satisfaction trajectories may inform community-based intervention recommendations, resources, and supports to maximize long-term satisfaction with life. |
Databáze: | MEDLINE |
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