eCite Digital Repository

A comparison of acute and postdischarge predictors of employment 2 years after traumatic brain injury


Felmingham, KL and Baguley, IJ and Crooks, J, A comparison of acute and postdischarge predictors of employment 2 years after traumatic brain injury, Archives of Physical Medicine and Rehabilitation, 82, (4) pp. 435-439. ISSN 0003-9993 (2001) [Refereed Article]

Restricted - Request a copy

Copyright Statement

Copyright 2001 Elsevier

DOI: doi:10.1053/apmr.2001.21985


Objective: To examine whether adding postdischarge psychosocial predictors to premorbid and injury-related variables improved the capacity to predict employment 2 years after rehabilitation for traumatic brain injury (TBI). Design: Data were collected prospectively at 6 and 24 months after discharge from rehabilitation. Logistic regression analyses examined predictors of employment status. Setting: Inpatient and community TBI rehabilitation service attached to a major Australian teaching hospital. Participants: Fifty-five patients with TB1, aged 16 or older, who were consecutively admitted to a brain injury unit with complete longitudinal data and who agreed to participate in the study, Intervention: Measured injury severity (Glasgow Coma Scale scores, posttraumatic amnesia); functional independence (Functional Assessment Measure cognitive subscale) at admission and discharge from rehabilitation: self-report of employment (premorbid, postdischarge); postdischarge psychosocial status at 6 months and 2 years (Community Integration Questionnaire, General Health Questionnaire, Trauma Complaints List, Overt Aggression Scale, Alcohol Use Disorders Inventory Test, Satisfaction with Life Scale). Main Outcome Measures: Employment status (employed, unemployed) was used to reflect vocational outcome. Predictor variables comprised premorbid work status, injury-related variables (age, injury severity), and postdischarge variables (employment, community integration, psychologic, cognitive status). Results: Adding postdischarge predictors to premorbid and acute variables significantly improved the ability to predict work status 2 years after rehabilitation. Age at the time of injury, premorbid employment status, work status, and psychologic distress 6 months postdischarge were significant predictors of employment. Conclusions: It is important to consider postdischarge psychologic well-being, in conjunction with premorbid and acute factors, in vocational interventions after TBI.

Item Details

Item Type:Refereed Article
Keywords:Brain injuries; Employment; Forecasting: Rehabilitation.
Research Division:Psychology
Research Group:Biological psychology
Research Field:Behavioural neuroscience
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Felmingham, KL (Professor Kim Felmingham)
ID Code:72168
Year Published:2001
Web of Science® Times Cited:85
Deposited By:Psychology
Deposited On:2011-08-23
Last Modified:2012-08-06
Downloads:5 View Download Statistics

Repository Staff Only: item control page