Abstract
The aims of this longitudinal study were: (1) to assess associations between neuropsychological factors and health-related quality of life (HRQoL) and participation three months after discharge from inpatient acquired brain injury (ABI) rehabilitation; and (2) to determine the best neuropsychological predictor of HRQoL and participation after controlling for demographic and injury-related factors. Patients with ABI (n=100) were assessed within approximately two weeks of enrolment in inpatient rehabilitation. Predictor variables included demographic and injury-related characteristics and the following neuropsychological factors: active and passive coping, attention, executive functioning, verbal memory, learning potential, depressive symptoms, motivation, extraversion, neuroticism and self-awareness. Bivariate analyses revealed that passive coping, executive functioning, depressive symptoms, extraversion, and neuroticism were significantly associated with HRQoL and/or participation. Neuropsychological factors significantly explained additional variance in HRQoL (18.1-21.6%) and participation (6.9-20.3%) after controlling for demographic and injury-related factors. However, a higher tendency towards passive coping was the only significant neuropsychological predictor (=-0.305 to -0.464) of lower HRQoL and participation. This study shows that neuropsychological functioning, and in particular passive coping, plays a role in predicting HRQoL and participation after inpatient ABI rehabilitation and emphasises the importance of addressing patients' coping styles in an early phase of ABI rehabilitation.
Original language | English |
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Pages (from-to) | 581-598 |
Number of pages | 18 |
Journal | Neuropsychological Rehabilitation |
Volume | 27 |
Issue number | 4 |
DOIs | |
Publication status | Published - 2017 |
Keywords
- Adult
- Stroke
- Prognosis
- Treatment outcome
- Neuropsychology
- IMPAIRED SELF-AWARENESS
- EAST MELBOURNE STROKE
- DEPRESSION SCALE
- HOSPITAL ANXIETY
- SATISFACTION
- VALIDITY
- QUESTIONNAIRE
- INSTRUMENTS
- MOTIVATION
- SYMPTOMS