@article{ref1,
title="Trajectories of life satisfaction after traumatic brain injury: Influence of life roles, age, cognitive disability, and depressive symptoms",
journal="Rehabilitation psychology",
year="2015",
author="Juengst, Shannon B. and Adams, Leah M. and Bogner, Jennifer A. and Arenth, Patricia M. and O'Neil-Pirozzi, Therese M. and Dreer, Laura E. and Hart, Tessa and Bergquist, Thomas F. and Bombardier, Charles H. and Dijkers, Marcel P. and Wagner, Amy K.",
volume="60",
number="4",
pages="353-364",
abstract="OBJECTIVES: (a) Identify life satisfaction trajectories after moderate to severe traumatic brain injury (TBI); (b) establish a predictive model for these trajectories across the first 5 years postinjury; and (c) describe differences in these life satisfaction trajectory groups, focusing on age, depressive symptoms, disability, and participation in specific life roles. RESEARCH METHOD: Analysis of the longitudinal TBI Model Systems National Database was performed on data collected prospectively at 1-, 2-, and 5-years post-TBI. Participants (n = 3,012) had a moderate to severe TBI and were 16 years old and older. <br><br>RESULTS: Four life satisfaction trajectories were identified across the first 5 years postinjury, including: stable satisfaction, initial satisfaction declining, initial dissatisfaction improving, and stable dissatisfaction. Age, depressive symptoms, cognitive disability, and life role participation as a worker, leisure participant, and/ or religious participant at 1-year postinjury significantly predicted trajectory group membership. Life role participation and depressive symptoms were strong predictors of life satisfaction trajectories across the first 5 years post-TBI. <br><br>CONCLUSIONS: The previously documented loss of life roles and prevalence of depression after a moderate to severe TBI make this a vulnerable population for whom low or declining life satisfaction is a particularly high risk. Examining individual life role participation may help to identify relevant foci for community-based rehabilitation interventions or supports. (PsycINFO Database Record<p /><p>Language: en</p>",
language="en",
issn="0090-5550",
doi="10.1037/rep0000056",
url="http://dx.doi.org/10.1037/rep0000056"
}