Does age matter? A mixed methods study examining determinants of good recovery and resilience in young and middle-aged adults following moderate-to-severe traumatic brain injury
dc.contributor.author | Arbour, Caroline | |
dc.contributor.author | Gosselin, Nadia | |
dc.contributor.author | Levert, Marie‐Josée | |
dc.contributor.author | Gauvin-Lepage, Jérôme | |
dc.contributor.author | Michallet, Bernard | |
dc.contributor.author | Lefebvre, Hélène | |
dc.date.accessioned | 2019-04-26T17:23:11Z | |
dc.date.available | NO_RESTRICTION | fr |
dc.date.available | 2019-04-26T17:23:11Z | |
dc.date.issued | 2017-07-05 | |
dc.identifier.uri | http://hdl.handle.net/1866/21625 | |
dc.publisher | Wiley | fr |
dc.subject | Traumatic brain injury | fr |
dc.subject | Recovery | fr |
dc.subject | Resilience | fr |
dc.subject | Age | fr |
dc.subject | Young adults | fr |
dc.subject | Middle-aged | fr |
dc.title | Does age matter? A mixed methods study examining determinants of good recovery and resilience in young and middle-aged adults following moderate-to-severe traumatic brain injury | fr |
dc.type | Article | fr |
dc.contributor.affiliation | Université de Montréal. Faculté des arts et des sciences. Département de psychologie | fr |
dc.identifier.doi | 10.1111/jan.13376 | |
dcterms.abstract | Aim: To examine whether age contributes to functional recovery and resilience after moderate-to-severe traumatic brain injury (TBI). Background: The ability to recover from TBI may change across the lifespan, but the influence of age on TBI outcome is understudied. Design: Mixed methods study. Methods: All adults of working-age (18-64 years), discharged alive from a Level 1 trauma center between 2010-2013 after sustaining a moderate-to-severe TBI were considered. Functional recovery was assessed during a telephone interview with the Glasgow Outcome Scale-Extended (GOS-E) 12-36 months post-injury. A subgroup completed the Connor-Davidson Resilience Scale (CD-RISC) and a face-to-face interview about resilience. Results: Ninety-seven young (27±9 years; 75% male) and 47 middle-aged TBI survivors (53±6 years; 75% male) completed the GOS-E. Eight young and 5 middle-aged adults were also assessed for resilience. Overall, young participants experienced more severe head injuries. Yet, they achieved slightly higher levels of functional recovery (as per GOS-E) compared to middle-aged ones (6±2 vs. 5±2). Controlling for CT scan findings and post-traumatic amnesia duration, age was not found to predict functional recovery in adults of working age. Although both groups showed similar levels of resilience (as per CD-RISC), young participants discussed the challenges related to “having more time on their hands” and “being a changed person”, two elements that were perceived positively by middle-aged ones. Conclusion: While age does not appear to affect the potential for functional recovery in adults of working-age, younger TBI could benefit from nursing interventions to strengthen their resilience process related to re-employment orientation and identity. | fr |
dcterms.alternative | Recovery and resilience after TBI | fr |
dcterms.isPartOf | urn:ISSN:0309-2402 | fr |
dcterms.isPartOf | urn:ISSN:1365-2648 | fr |
dcterms.language | eng | fr |
UdeM.ReferenceFournieParDeposant | PMID: 28677245 DOI: 10.1111/jan.13376 | fr |
UdeM.VersionRioxx | Version acceptée / Accepted Manuscript | fr |
oaire.citationTitle | Journal of advanced nursing | |
oaire.citationVolume | 73 | |
oaire.citationIssue | 12 | |
oaire.citationStartPage | 3133 | |
oaire.citationEndPage | 3143 |
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