INS NYC 2024 Program

Poster	Poster Session 05 Program Schedule 02/15/2024 02:30 pm - 03:45 pm Room: Shubert Complex (Posters 1-60) Poster Session 05: Neuropsychiatry \| Addiction/Dependence \| Stress/Coping \| Emotional/Social Processes Final Abstract #15 The Relationship Between "Hold" Index and Personality Measures to Community-Based Neuropsychological Rehabilitation Programs Outcomes Ayala Bloch, Ariel University, Ariel, Israel Irena Korotchenko, Ariel University, Ariel, Israel Dan Hoofien, The Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel Limor Sharoni, The National Institute of Neuropsychological Rehabiitation, Tel Aviv, Israel Narkis Bar-Lev, The National Institute of Neuropsychological Rehabilitation, Tel-Aviv, Israel Category: Acquired Brain Injury (TBI/Cerebrovascular Injury and Disease - Adult) Keyword 1: personality Keyword 2: cognitive rehabilitation Keyword 3: brain injury Objective: A vast body of research is dedicated to significant factors that influence long-term rehabilitative prognosis in a population with acquired brain injury (ABI) who have undergone a community-based neuropsychological rehabilitation process. The current study aims to examine the relationship between personality traits, as presented on the clinical scales of the PAI (Personality Inventory Assessment) questionnaire, estimates of pre-morbid function that are assessed before the start of the rehabilitation program, demographical traits, and the long-term rehabilitation outcomes. Participants and Methods: In the first phase, we constructed a comprehensive database based on retrospective data from a complete neuropsychological and personal assessment of 103 patients at the Israeli National Institute of Neuropsychological Rehabilitation between 2012 and 2015. Over the years after the rehabilitation program, 62 of these patients have completed the institute's full five timelines of follow-up assessments, and their data were coded as a part of the current study. The age range of the participants was 20-61 (M = 34.46, SD = 11), and most were men (75.8%). Brain injuries were due to trauma (44.7%), tumor/tumor removal (15.5%), - vascular/ neurological disease (10.7%), epilepsy/epileptic seizures (5.8%), stroke (3.9%), and other (4.9%). The second phase included an oral questionnaire to the patients that assessed their current vocational and academic status, demographics, and life satisfaction. Correlations and regression analysis were conducted. Results: In the first phase, we found significant differences in quality of life, vocational stability, and social and community integration between the starting point of the rehabilitation program and each of the time points after completing the program, respectively, with no significant differences between the scores of follow-up time points. The employment rate was significantly higher post-rehabilitation program and was stable throughout the long-term measurements. Furthermore, demographic and personality measures and two variables representing pre-morbid potential ("Hold" index and education and employment index 'SES') affected rehabilitation outcomes. The "Hold" index was connected to improvements in outcome variables at different assessment points. In the second phase, the degree of the "Hold" index score, as an estimate of pre-morbid intelligence, was related to better mood and higher satisfaction with the rehabilitation program in the present timeline follow-up. Conclusions: This study confirms the general claim that community rehabilitation programs actively help individuals with ABI to achieve stable improvements in various areas of functioning. Beyond the measured effect of the programs, the prevalence and the stability of rehabilitation outcomes in the long term are primarily affected by different personality patterns post-injury, intellectual and socioeconomic presumed abilities pre-injury and demographic characteristics. Some personal tendencies affect the perception of quality of life, employment stability, and the ability to successfully reintegrate into the community in the years after the program completion. Scores that represent pre-morbid estimates have significant relationships with the perceptions of quality of life, satisfaction with life, and rehabilitation outcomes in the long term. The unique contribution of the 'Hold' index to the explained variance of the rehabilitation outcome variable in the current study emphasizes the need for future studies focusing on this factor in the context of rehabilitation and its outcomes.

Poster

02/15/2024
02:30 pm - 03:45 pm
Room: Shubert Complex (Posters 1-60)

Poster Session 05: Neuropsychiatry | Addiction/Dependence | Stress/Coping | Emotional/Social Processes

Final Abstract #15

The Relationship Between "Hold" Index and Personality Measures to Community-Based Neuropsychological Rehabilitation Programs Outcomes

Ayala Bloch, Ariel University, Ariel, Israel
Irena Korotchenko, Ariel University, Ariel, Israel
Dan Hoofien, The Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel
Limor Sharoni, The National Institute of Neuropsychological Rehabiitation, Tel Aviv, Israel
Narkis Bar-Lev, The National Institute of Neuropsychological Rehabilitation, Tel-Aviv, Israel

Category: Acquired Brain Injury (TBI/Cerebrovascular Injury and Disease - Adult)

Keyword 1: personality
Keyword 2: cognitive rehabilitation
Keyword 3: brain injury

Objective:

A vast body of research is dedicated to significant factors that influence long-term rehabilitative prognosis in a population with acquired brain injury (ABI) who have undergone a community-based neuropsychological rehabilitation process. The current study aims to examine the relationship between personality traits, as presented on the clinical scales of the PAI (Personality Inventory Assessment) questionnaire, estimates of pre-morbid function that are assessed before the start of the rehabilitation program, demographical traits, and the long-term rehabilitation outcomes.

Participants and Methods:

In the first phase, we constructed a comprehensive database based on retrospective data from a complete neuropsychological and personal assessment of 103 patients at the Israeli National Institute of Neuropsychological Rehabilitation between 2012 and 2015. Over the years after the rehabilitation program, 62 of these patients have completed the institute's full five timelines of follow-up assessments, and their data were coded as a part of the current study. The age range of the participants was 20-61 (M = 34.46, SD = 11), and most were men (75.8%). Brain injuries were due to trauma (44.7%), tumor/tumor removal (15.5%), - vascular/ neurological disease (10.7%), epilepsy/epileptic seizures (5.8%), stroke (3.9%), and other (4.9%). The second phase included an oral questionnaire to the patients that assessed their current vocational and academic status, demographics, and life satisfaction. Correlations and regression analysis were conducted.

Results:

In the first phase, we found significant differences in quality of life, vocational stability, and social and community integration between the starting point of the rehabilitation program and each of the time points after completing the program, respectively, with no significant differences between the scores of follow-up time points. The employment rate was significantly higher post-rehabilitation program and was stable throughout the long-term measurements. Furthermore, demographic and personality measures and two variables representing pre-morbid potential ("Hold" index and education and employment index 'SES') affected rehabilitation outcomes. The "Hold" index was connected to improvements in outcome variables at different assessment points. In the second phase, the degree of the "Hold" index score, as an estimate of pre-morbid intelligence, was related to better mood and higher satisfaction with the rehabilitation program in the present timeline follow-up.

Conclusions:

This study confirms the general claim that community rehabilitation programs actively help individuals with ABI to achieve stable improvements in various areas of functioning. Beyond the measured effect of the programs, the prevalence and the stability of rehabilitation outcomes in the long term are primarily affected by different personality patterns post-injury, intellectual and socioeconomic presumed abilities pre-injury and demographic characteristics. Some personal tendencies affect the perception of quality of life, employment stability, and the ability to successfully reintegrate into the community in the years after the program completion. Scores that represent pre-morbid estimates have significant relationships with the perceptions of quality of life, satisfaction with life, and rehabilitation outcomes in the long term. The unique contribution of the 'Hold' index to the explained variance of the rehabilitation outcome variable in the current study emphasizes the need for future studies focusing on this factor in the context of rehabilitation and its outcomes.