Back to Search
Start Over
Psychosocial Outcomes of Severe Traumatic Brain Injury in Relation to Discourse Recovery: A Longitudinal Study up to 1 Year Post-Injury.
- Source :
- American Journal of Speech-Language Pathology; Nov2019, Vol. 28 Issue 4, p1463-1478, 16p, 1 Diagram, 8 Charts
- Publication Year :
- 2019
-
Abstract
- Purpose: The interrelationship between psychosocial outcomes and discourse after severe traumatic brain injury remains largely unknown. This study examines outcomes relating to work, relationships, and independence within the context of discourse recovery across the 1st year post-injury. Method: An inception cohort comprising 57 participants with severe traumatic brain injury was assessed at 3, 6, 9, and 12 months post-injury. Outcomes were measured with the Sydney Psychosocial Reintegration Scale–2 (Tate et al., 2012; Tate, Simpson, Loo, & Lane-Brown, 2011), and discourse was evaluated with Main Concept Analysis of a narrative retell. Correlation and linear regression analyses were utilized. Results: Significant correlations were found between psychosocial outcomes reported by relatives and discourse performance across the 1st year. The 6-month discourse scores significantly predicted the 12-month psychosocial outcomes reported by relatives. Initial discourse severity and recovery pattern also informed outcomes. Conclusions: Discourse disorders have a strong relationship with everyday outcomes relating to work, relationships, and independence as reported by relatives. Six months post-injury is a beneficial time for assessment, education, and service planning. Age, years of education, and aphasia may mediate recovery and outcomes. A clinical decision tree is offered to support goal setting. [ABSTRACT FROM AUTHOR]
- Subjects :
- BRAIN injuries
COMMUNICATION
CONCEPTS
CONVALESCENCE
STATISTICAL correlation
DECISION trees
DISCOURSE analysis
EMERGENCY medical services
LONGITUDINAL method
PATIENTS
QUESTIONNAIRES
REGRESSION analysis
RESEARCH funding
DECISION making in clinical medicine
SAMPLE size (Statistics)
TREATMENT effectiveness
SEVERITY of illness index
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 10580360
- Volume :
- 28
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- American Journal of Speech-Language Pathology
- Publication Type :
- Academic Journal
- Accession number :
- 139775773
- Full Text :
- https://doi.org/10.1044/2019_AJSLP-18-0204