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

Citation

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]


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Copyright Statement

Copyright 2001 Elsevier

DOI: doi:10.1053/apmr.2001.21985

Abstract

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 and Cognitive Sciences
Research Group:Psychology
Research Field:Biological Psychology (Neuropsychology, Psychopharmacology, Physiological Psychology)
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classified
Author:Felmingham, KL (Professor Kim Felmingham)
ID Code:72168
Year Published:2001
Web of Science® Times Cited:74
Deposited By:Psychology
Deposited On:2011-08-23
Last Modified:2012-08-06
Downloads:5 View Download Statistics

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