Resilience is associated with fatigue after mild traumatic brain injury.
OBJECTIVE
To examine resilience as a predictor of change in self-reported fatigue after mild traumatic brain injury (MTBI).


METHODS
A consecutive series of 67 patients with MTBI and 34 orthopedic controls.


METHODS
Prospective longitudinal study.


METHODS
Resilience Scale, Beck Depression Inventory-Second Edition, and Pain subscale from Ruff Neurobehavioral Inventory 1 month after injury and Barrow Neurological Institute Fatigue Scale 1 and 6 months after injury.


RESULTS
Insomnia, pain, and depressive symptoms were significantly correlated with fatigue, but even when these variables were controlled for, resilience significantly predicted the change in fatigue from 1 to 6 months after MTBI. In patients with MTBI, the correlation between resilience and fatigue strengthened during follow-up. In controls, significant associations between resilience and fatigue were not found.


CONCLUSIONS
Resilience is a significant predictor of decrease in self-reported fatigue following MTBI. Resilience seems to be a relevant factor to consider in the management of fatigue after MTBI along with the previously established associated factors (insomnia, pain, and depressive symptoms).
Department of Neurosciences and Rehabilitation (Mss Losoi, Wäljas, and Turunen and Drs Luoto, Rosti-Otajärvi, and Öhman), and Medical Imaging Center, Department of Radiology (Dr Brander), Tampere University Hospital, Tampere, Finland; University of Helsinki, Institute of Behavioural Sciences, Helsinki, Finland (Ms Losoi and Dr Julkunen); School of Health Sciences, University of Tampere, Tampere, Finland (Mr Helminen); and Science Center, Pirkanmaa Hospital District, Tampere, Finland (Mr Helminen).
Heidi
H
Losoi
Minna
M
Wäljas
Senni
S
Turunen
Antti
A
Brander
Mika
M
Helminen
Teemu M
TM
Luoto
Eija
E
Rosti-Otajärvi
Juhani
J
Julkunen
Juha
J
Öhman
D000328:Adult; D001930:Brain Injuries / Q000523:psychology*; D016022:Case-Control Studies; D005221:Fatigue / Q000209:etiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D055500:Resilience, Psychological; D057566:Self Report; D013997:Time Factors