Journal article
Pre-treatment compensation use is a stronger correlate of measures of activity limitations than cognitive impairment
Brain injury, Vol.26(11), pp.1297-1306
10/01/2012
DOI: 10.3109/02699052.2012.706354
PMID: 22897451
Abstract
Objectives: This study examined the relationship between baseline compensation use, activity limitations and cognitive impairment in persons who sustained moderate-to-severe acquired brain injury.
Design: Randomized controlled clinical trial.
Methods: A total of 22 individuals with medically documented brain injury and their family members completed a baseline assessment including measures of cognitive functioning (Repeatable Battery of Neuropsychological Assessment; RBANS), activity limitations (Neurobehavioural Functioning Inventory; NFI) and compensatory strategies use (Compensation Techniques Questionnaire; CTQ). There were no gender differences on measures of cognitive impairment, activity limitations or compensation use.
Results: As predicted, cognitive impairment was not significantly associated with frequency of baseline compensation strategy use. Weaker word-list learning on RBANS was associated with greater family-reported memory problems on the NFI. Lower frequency of compensatory strategy use was correlated with greater patient-reported activity limitations on NFI, while it was not related to family ratings of activity limitations. After adjusting for history of depression and anxiety, baseline compensation use uniquely accounted for 16% of variance in predicting greater patient ratings of mood difficulties.
Conclusions: Results indicate that, after acquired brain injury, baseline compensation use is more strongly associated with measures of activity limitations than is cognitive impairment.
Details
- Title: Subtitle
- Pre-treatment compensation use is a stronger correlate of measures of activity limitations than cognitive impairment
- Creators
- Maya Yutsis - VA Palo Alto Health Care SystemThomas Bergquist - DEPARTMENT OF PSYCHIATRY & PSYCHOLOGY, MAYO CLINIC COLLEGE OF MEDICINE, ROCHESTER, MN, USA ; DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION, MAYO CLINIC COLLEGE OF MEDICINE, ROCHESTER, MN, USA.Jackie Micklewright - Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, Rochester, MN, USA; HCMC, Minneapolis, MN, USACarissa Gehl - Iowa City VA Medical CenterJeffrey Smigielski - DEPARTMENT OF PSYCHIATRY & PSYCHOLOGY, MAYO CLINIC COLLEGE OF MEDICINE, ROCHESTER, MN, USA ; DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION, MAYO CLINIC COLLEGE OF MEDICINE, ROCHESTER, MN, USA.Allen W. Brown - Department of Physical Medicine and Rehabilitation Mayo Clinic College of Medicine Rochester MN USA.
- Resource Type
- Journal article
- Publication Details
- Brain injury, Vol.26(11), pp.1297-1306
- Publisher
- Taylor & Francis
- DOI
- 10.3109/02699052.2012.706354
- PMID
- 22897451
- ISSN
- 0269-9052
- eISSN
- 1362-301X
- Number of pages
- 10
- Grant note
- H133A070013 / National Institute on Disability and Rehabilitation Research (NIDRR), Office of Special Education and Rehabilitative Services (OSERS), Department of Education, Washington, DC UL1RR024150 / NATIONAL CENTER FOR RESEARCH RESOURCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR) UL1RR024150 / Mayo Clinic CTSA from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH)
- Language
- English
- Date published
- 10/01/2012
- Academic Unit
- Psychiatry
- Record Identifier
- 9984293651902771
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