Changes in activity participation following traumatic brain injury

Yael Goverover, Helen Genova, Angela Smith, Nancy Chiaravalloti, Jeanie Lengenfelder

Research output: Contribution to journalArticle

Abstract

Traumatic brain injury (TBI) often results in impairments in cognitive skills as well as depression. As a result of these changes in cognition and mood, individuals with TBI may reduce their levels of participation and often report reduced health-related quality of life (HrQOL). The current study compares levels of past and present activity participation between healthy participants and persons with TBI using a client-centred approach in measurement. We additionally examine the relationship between activity participation, emotional functioning and HrQOL in persons with TBI. Fifty-two individuals with TBI who live in the community and 30 healthy age-matched controls performed a battery of cognitive tests and rated their affective symptomatology and activity participation (using the Activity Card Sort Test). Participants with TBI reported significantly lower current activity participation compared to controls. Current levels of activity and participation in the TBI sample were significantly related to age, time since injury, and HrQOL. Additionally, depressive symptomatology was significantly associated with HrQOL, but not with activity participation. Following TBI, levels of activity participation are reduced in most aspects of life, but more profoundly in social activities, high demand leisure activities and household activities. Additionally, high levels of depressive symptoms are associated with negative reports of HrQOL, regardless of current levels of activity participation.

Original languageEnglish (US)
Pages (from-to)1-14
Number of pages14
JournalNeuropsychological Rehabilitation
DOIs
StateAccepted/In press - Apr 5 2016

Fingerprint

Quality of Life
Depression
Traumatic Brain Injury
Participation
Leisure Activities
Cognition
Healthy Volunteers
Wounds and Injuries
Health
Person

Keywords

  • Activities of daily living
  • quality of life
  • rehabilitation
  • traumatic brain injury
  • activity participation

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Rehabilitation
  • Arts and Humanities (miscellaneous)
  • Applied Psychology

Cite this

Changes in activity participation following traumatic brain injury. / Goverover, Yael; Genova, Helen; Smith, Angela; Chiaravalloti, Nancy; Lengenfelder, Jeanie.

In: Neuropsychological Rehabilitation, 05.04.2016, p. 1-14.

Research output: Contribution to journalArticle

Goverover, Yael ; Genova, Helen ; Smith, Angela ; Chiaravalloti, Nancy ; Lengenfelder, Jeanie. / Changes in activity participation following traumatic brain injury. In: Neuropsychological Rehabilitation. 2016 ; pp. 1-14.
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