title: Affective state and community integration after traumatic brain injury.
abstract: Previous studies investigating the relationship between affective state and community integration have focused primarily on the influence of depression and anxiety. In addition, they have focused on frequency of participation in various activities, failing to address an individual's subjective satisfaction with participation. The purpose of this study was to examine how affective state contributes to frequency of participation and satisfaction with participation after traumatic brain injury among participants with and without a current major depressive episode. Sixty-four community-dwelling participants with a history of complicated mild-to-severe traumatic brain injury participated in this cross-sectional cohort study. High positive affect contributed significantly to frequency of participation (β = 0.401, P = 0.001), and both high positive affect and low negative affect significantly contributed to better satisfaction with participation (F2,61 = 13.63, P < 0.001). Further investigation to assess the direction of these relationships may better inform effective targets for intervention. These findings highlight the importance of assessing affective state after traumatic brain injury and incorporating a subjective measure of participation when considering community integration outcomes.
authors.affiliation: From the Department of Occupational Therapy, School of Health and Rehabilitation Science, University of Pittsburgh (SBJ, KDR, ERS); Department of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center (SBJ, PMA, ERS); and Rehabilitation Science and Technology, School of Health and Rehabilitation Science, University of Pittsburgh, Pittsburgh, Pennsylvania (MM).
authors.forename: Shannon B
authors.initials: SB
authors.lastname: Juengst
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Arenth
authors.forename: Ketki D
authors.initials: KD
authors.lastname: Raina
authors.forename: Michael
authors.initials: M
authors.lastname: McCue
authors.forename: Elizabeth R
authors.initials: ER
authors.lastname: Skidmore
mesh_terms: D000328:Adult; D000339:Affect; D001930:Brain Injuries / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation*; D015984:Causality; D015331:Cohort Studies; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011788:Quality of Life / Q000523:psychology; D012720:Severity of Illness Index; D012917:Social Adjustment; D012944:Social Support; D055815:Young Adult