title: Examining the contribution of social communication abilities and affective/behavioral functioning to social integration outcomes for adults with traumatic brain injury.
abstract: OBJECTIVE
  To evaluate the contribution of social communication abilities and affective/behavioral functioning to social integration outcomes for persons with traumatic brain injury (TBI).
  
  
  METHODS
  Prospective cohort study.
  
  
  METHODS
  A total of 184 adults with TBI (72.8% men) evaluated at least 6 months postdischarge from acute care or inpatient rehabilitation hospitals and after living at least 3 months in the community postdischarge (Mean = 7.84 months postinjury).
  
  
  METHODS
  La Trobe Communication Questionnaire (LCQ), Assessment of Interpersonal Problem-Solving Skills(AIPSS), Affective Behavioral subscale From the Problem Checklist of the Head Injury Family Interview (AB-HIFI), Craig Handicap Assessment and Reporting Technique-Short Form Social Integration subscale (CHART-SF-SI), Community Integration Questionnaire Social Integration subscale (CIQ-SI).
  
  
  RESULTS
  Social communication measures (LCQ, AIPSS) and self-reported behavioral functioning (AB-HIFI) contributed significantly to concurrently measured social integration outcomes after controlling for demographic and injury-related variables. Separate hierarchical multiple regression analyses revealed that social communication and behavioral variables accounted for 11.3% of variance in CIQ-SI and 16.3% of variance in CHART-SF-SI.
  
  
  CONCLUSIONS
  Social communication abilities and affective/behavioral functioning make a substantial contribution to social integration outcomes after TBI. The implications of such evidence for clinical assessment and intervention are discussed.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX 77030, USA. struchen@bcm.edu
authors.forename: Margaret A
authors.initials: MA
authors.lastname: Struchen
authors.forename: Monique R
authors.initials: MR
authors.lastname: Pappadis
authors.forename: Angelle M
authors.initials: AM
authors.lastname: Sander
authors.forename: Christina S
authors.initials: CS
authors.lastname: Burrows
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Myszka
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000523:psychology*; D003142:Communication; D005260:Female; D006801:Humans; D008297:Male; D008606:Mental Processes / Q000502:physiology*; D020127:Recovery of Function / Q000502:physiology*; D012919:Social Behavior