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Predictors of long term psychsocial outcome following traumatic brain injury. / Neil A Rutterford

Swansea University Author: Neil A Rutterford

Abstract

Outcome after brain injury has, until recently, been assessed using few dimensions, and little attention has been paid to outcome at very late stages of recovery'. A broad range of variables have been found to be predictive of outcome after brain injury, but the nature of the relationship betwe...

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Published: 2005
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
URI: https://cronfa.swan.ac.uk/Record/cronfa42388
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last_indexed 2019-10-21T16:47:43Z
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spelling 2018-08-22T16:04:35.5902893 v2 42388 2018-08-02 Predictors of long term psychsocial outcome following traumatic brain injury. eaec2134030f4e5921f8e45f8cdcfaa5 NULL Neil A Rutterford Neil A Rutterford true true 2018-08-02 Outcome after brain injury has, until recently, been assessed using few dimensions, and little attention has been paid to outcome at very late stages of recovery'. A broad range of variables have been found to be predictive of outcome after brain injury, but the nature of the relationship between predictors and outcome is unclear. This study aimed to include the majority of variables that have been reported as predictors, and used a model by Kendall and Terry (1996), based on a theory of stress and adjustment, as a framework to identify significant variables when predicting and explaining multidimensional long term outcome. 131 brain injured participants that were over 10 years post injury, were interviewed and neuropsychologically assessed. They also completed a set of questionnaires providing information about psychosocial variables. Results suggested that long term outcome can be good in this population, specifically in terms of quality of life and emotional adjustment. However, other outcomes, such as employment and community integration, were more severely compromised. Cognitive abilities showed no evidence of deterioration over time, but were still impaired in comparison to pre-injury estimates. Statistical analyses did not generally support the model depicting that appraisal and coping would act as mediators between predictors and outcome. Further analyses also rejected the notion that appraisal and coping were moderators. Predictors varied between dimensions, however, good self- concept, low neuroticism and high self-efficacy were found to be the most consistent significant variables when predicting all outcomes, and they also contributed the most to predictive models. When identifying predictors that directly influence outcome at late stages after brain injury, the findings indicated that the specific dimension of outcome being considered is all important. Furthermore, Kendall and Terry's model did not provide a useful framework to explain psychosocial adjustment. E-Thesis Physiological psychology.;Neurosciences.;Social psychology. 31 12 2005 2005-12-31 COLLEGE NANME Psychology COLLEGE CODE Swansea University Doctoral Ph.D 2018-08-22T16:04:35.5902893 2018-08-02T16:24:29.0569807 Faculty of Medicine, Health and Life Sciences School of Psychology Neil A Rutterford NULL 1 0042388-02082018162450.pdf 10798096.pdf 2018-08-02T16:24:50.4930000 Output 7337052 application/pdf E-Thesis true 2018-08-02T16:24:50.4930000 false
title Predictors of long term psychsocial outcome following traumatic brain injury.
spellingShingle Predictors of long term psychsocial outcome following traumatic brain injury.
Neil A Rutterford
title_short Predictors of long term psychsocial outcome following traumatic brain injury.
title_full Predictors of long term psychsocial outcome following traumatic brain injury.
title_fullStr Predictors of long term psychsocial outcome following traumatic brain injury.
title_full_unstemmed Predictors of long term psychsocial outcome following traumatic brain injury.
title_sort Predictors of long term psychsocial outcome following traumatic brain injury.
author_id_str_mv eaec2134030f4e5921f8e45f8cdcfaa5
author_id_fullname_str_mv eaec2134030f4e5921f8e45f8cdcfaa5_***_Neil A Rutterford
author Neil A Rutterford
author2 Neil A Rutterford
format E-Thesis
publishDate 2005
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 1
active_str 0
description Outcome after brain injury has, until recently, been assessed using few dimensions, and little attention has been paid to outcome at very late stages of recovery'. A broad range of variables have been found to be predictive of outcome after brain injury, but the nature of the relationship between predictors and outcome is unclear. This study aimed to include the majority of variables that have been reported as predictors, and used a model by Kendall and Terry (1996), based on a theory of stress and adjustment, as a framework to identify significant variables when predicting and explaining multidimensional long term outcome. 131 brain injured participants that were over 10 years post injury, were interviewed and neuropsychologically assessed. They also completed a set of questionnaires providing information about psychosocial variables. Results suggested that long term outcome can be good in this population, specifically in terms of quality of life and emotional adjustment. However, other outcomes, such as employment and community integration, were more severely compromised. Cognitive abilities showed no evidence of deterioration over time, but were still impaired in comparison to pre-injury estimates. Statistical analyses did not generally support the model depicting that appraisal and coping would act as mediators between predictors and outcome. Further analyses also rejected the notion that appraisal and coping were moderators. Predictors varied between dimensions, however, good self- concept, low neuroticism and high self-efficacy were found to be the most consistent significant variables when predicting all outcomes, and they also contributed the most to predictive models. When identifying predictors that directly influence outcome at late stages after brain injury, the findings indicated that the specific dimension of outcome being considered is all important. Furthermore, Kendall and Terry's model did not provide a useful framework to explain psychosocial adjustment.
published_date 2005-12-31T03:52:52Z
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score 11.012678

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