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 #46
Pre-Injury Personal, Social and Vocational Predictors of Late Rehabilitation Out-Comes Among Persons with Traumatic Brain Injuries.
Dan Hoofien, Tel Aviv - Jaffa Academic College, Tel Aviv, Israel
Inbar Eyal, Tel Aviv - Jaffa Academic College, Tel Aviv, Israel
Reut Goigold, Tel Aviv - Jaffa Academic College, Tel Aviv, Israel
Baruch Galin, Tel Aviv - Jaffa Academic College, Tel Aviv, Israel
Shelly Sher, The Hebrew University of Jerusalem, Jerusalem, Israel
Ayala Bloch, Ariel University, Ariel, Israel
Category: Acquired Brain Injury (TBI/Cerebrovascular Injury and Disease - Adult)
Keyword 1: premorbid functioning
Keyword 2: personality
Keyword 3: vocation
Objective:
Previous studies have reported significant associations between pre-injury negative characteristics (e.g. crime, drug abuse, personality disorders) and post injury functional outcomes. In the present study we aimed at examining the same associations regarding more ‘normal’ and less extreme pre-injury personal traits and socio-demographic variables.
Participants and Methods:
We analyzed the pre-injury detailed personal biographies of 92 patients with TBI (ages 16-60 years, 29% females), and extracted from them qualitative and quantitative information on five thematic categories: Mood & temperament; Psychopathology; Family; Social; Vocational. The categorized data was then quantified by two psychologists on 19 Likert-scale parameters pertaining to the quality of pre-injury functioning in each of the five categories. We then analyzed the associations between these parameters as independent variables and patients’ post injury community integration, vocation and perceived quality of life and mood as dependent variables.
Results:
In contrast to clinical intuition, we found no simple main effects of pre-injury characteristics on post-injury functioning. We did find though that post injury community integration is significantly predicted by interactions between pre-injury achievement-need and post-injury mood (with time since injury as covariate); pre-injury adaptation difficulties and age at injury; and by pre-injury vocational stability and post-injury mood. Post injury perceived quality of life was predicted by an interaction between pre-injury mood and post injury mood with age at injury as covariate. As could be expected, post-injury mood had a significant mediating effect on the associations between pre-injury characteristics and post-injury functioning.
Conclusions:
Pre-injury personal, social, and vocational variables predict post-injury functioning in complex interaction associations rather than simple linear effects.
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