Predictors of positive growth after traumatic brain injury : a longitudinal study
Hawley, Carol and Joseph, Stephen. (2008) Predictors of positive growth after traumatic brain injury : a longitudinal study. Brain Injury, Vol.22 (No.5). pp. 427-435. ISSN 0269-9052
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Official URL: http://dx.doi.org/10.1080/02699050802064607
Primary objective: To investigate long-term positive psychological growth in individuals with traumatic brain injury (TBI) and to relate growth to injury characteristics and early outcomes.
Research design: Longitudinal study.
Method and Procedure: Long-term follow-up of a group of TBI survivors recruited between 1991-1995. In 2004, 240 of the 563 original participants were invited to take
part in a follow-up study. At follow-up, survivors completed the Positive Changes in
Outlook Questionnaire (CiOP) along with a structured interview/questionnaire which
permitted a Glasgow Outcome Scale (GOSE) score to be assigned.
Results: 165 TBI survivors completed both questionnaire and CiOP.
103(62%) participants had suffered severe TBI, 24(15%) moderate and 38(23%)
mild. Mean length of follow-up was 11.5 years post-injury (range 9-25 years). On
the GOSE at follow-up, 43(26%) had severe disability; 72(44%) moderate disability;
and 50(30%) good recovery. Scores on the CiOP indicated positive psychological
growth in over half of the sample, as evidenced by agreement with items such as “I
don’t take life for granted anymore” and “I value my relationships much more now”.
CiOP total scores did not correlate with any injury or early outcome variables.
However, at long-term follow-up there was a negative correlation between positive
growth and anxiety and depression.
Conclusion: Survivors of mild, moderate and severe TBI showed evidence of long-term positive
changes in outlook.
|Item Type:||Journal Article|
|Subjects:||R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry|
|Divisions:||Faculty of Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Medicine > Warwick Medical School
|Library of Congress Subject Headings (LCSH):||Brain -- Wounds and injuries, Head -- Wounds and injuries, Outcome assessment (Medical care)|
|Journal or Publication Title:||Brain Injury|
|Publisher:||Taylor and Francis|
|Page Range:||pp. 427-435|
|Access rights to Published version:||Open Access|
Version accepted by publisher (post-print, after peer review, before copy-editing)
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