title: Changes in activity participation following traumatic brain injury.
abstract: Traumatic brain injury (TBI) often results in impairments in cognitive skills as well as depression. As a result of these changes in cognition and mood, individuals with TBI may reduce their levels of participation and often report reduced health-related quality of life (HrQOL). The current study compares levels of past and present activity participation between healthy participants and persons with TBI using a client-centred approach in measurement. We additionally examine the relationship between activity participation, emotional functioning and HrQOL in persons with TBI. Fifty-two individuals with TBI who live in the community and 30 healthy age-matched controls performed a battery of cognitive tests and rated their affective symptomatology and activity participation (using the Activity Card Sort Test). Participants with TBI reported significantly lower current activity participation compared to controls. Current levels of activity and participation in the TBI sample were significantly related to age, time since injury, and HrQOL. Additionally, depressive symptomatology was significantly associated with HrQOL, but not with activity participation. Following TBI, levels of activity participation are reduced in most aspects of life, but more profoundly in social activities, high demand leisure activities and household activities. Additionally, high levels of depressive symptoms are associated with negative reports of HrQOL, regardless of current levels of activity participation.
authors.affiliation: a Department of Occupational Therapy , New York University , New York , NY , USA.|b Kessler Foundation , West Orange , NJ , USA.
authors.forename: Yael
authors.initials: Y
authors.lastname: Goverover
authors.affiliation: b Kessler Foundation , West Orange , NJ , USA.|c Department of Physical Medicine and Rehabilitation , New Jersey Medical School, Rutgers University , Newark , NJ , USA.
authors.forename: Helen
authors.initials: H
authors.lastname: Genova
authors.affiliation: b Kessler Foundation , West Orange , NJ , USA.
authors.forename: Angela
authors.initials: A
authors.lastname: Smith
authors.affiliation: b Kessler Foundation , West Orange , NJ , USA.|c Department of Physical Medicine and Rehabilitation , New Jersey Medical School, Rutgers University , Newark , NJ , USA.
authors.forename: Nancy
authors.initials: N
authors.lastname: Chiaravalloti
authors.affiliation: b Kessler Foundation , West Orange , NJ , USA.|c Department of Physical Medicine and Rehabilitation , New Jersey Medical School, Rutgers University , Newark , NJ , USA.
authors.forename: Jeanie
authors.initials: J
authors.lastname: Lengenfelder
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D000070642:Brain Injuries, Traumatic / Q000523:psychology / Q000534:rehabilitation; D003071:Cognition; D003863:Depression; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology; D012044:Regression Analysis; D012720:Severity of Illness Index; D012923:Social Class; D013997:Time Factors; D055815:Young Adult
keywords: Activities of daily living; quality of life; rehabilitation