Nordic Psychology ( IF 1.208 ) Pub Date : 2020-09-16 , DOI: 10.1080/19012276.2020.1817769 Chalotte Glintborg 1 , Tia G. B. Hansen 1
Abstract
Objective
Several studies have investigated biopsychosocial consequences after acquired brain injury (ABI) in the early rehabilitation phases. However, longitudinal studies are rare and few go beyond three years post-injury. The aim of the present study was to assess biopsychosocial challenges in a long term perspective and investigate which challenges remain after five years. With reference to the biopsychosocial model our study holds a special emphasis on the psychosocial aspects of it. Methods: Adults (N = 45) with moderate or severe ABI were evaluated at three time points: at discharge from hospitalization, 1-year post-injury, and 5-year follow-up. Data were derived from self-reported questionnaires: Major Depression Inventory, Quality of life, Impact on Participation and Autonomy Questionnaire and self-reports on work and marital status. Repeated measures ANOVAs were used for analysis. Results: Physical QOL and aspects of autonomy increased over time whereas social QOL decreased. Family roles were challenged at discharge and remained so at 1-year and 5-year follow-up, and the frequency of being married or in a relationship dropped. Level of depression did not change significantly over time, and one in four were still above clinical cut-off at the 5-year follow-up. Employment increased over time but remained less than half of the pre-injury level. Conclusion: Improvements in perceived physical function and autonomy are possible long after the injury, whereas social relations remain a challenge and signs of depression persist.
中文翻译:
获得性脑损伤后的社会心理后遗症:5 年随访
摘要
客观的
几项研究调查了早期康复阶段获得性脑损伤 (ABI) 后的生物心理社会后果。然而,纵向研究很少见,很少有超过三年的伤后研究。本研究的目的是从长期角度评估生物心理社会挑战,并调查五年后哪些挑战仍然存在。参考生物心理社会模型,我们的研究特别强调它的心理社会方面。方法:在三个时间点对患有中度或重度 ABI 的成人(N = 45)进行评估:出院时、受伤后 1 年和 5 年随访。数据来自自我报告的问卷:重度抑郁量表、生活质量、对参与的影响和自主问卷以及关于工作和婚姻状况的自我报告。重复测量方差分析用于分析。结果:身体 QOL 和自主性方面随时间增加,而社交 QOL 下降。家庭角色在出院时受到挑战,并且在 1 年和 5 年的随访中仍然如此,结婚或恋爱的频率下降了。随着时间的推移,抑郁程度没有显着变化,在 5 年的随访中,四分之一的患者仍高于临床临界值。随着时间的推移,就业人数有所增加,但仍不到受伤前水平的一半。结论:在受伤后很长一段时间内,感知身体功能和自主性的改善是可能的,而社会关系仍然是一个挑战,抑郁的迹象持续存在。家庭角色在出院时受到挑战,并且在 1 年和 5 年的随访中仍然如此,结婚或恋爱的频率下降了。随着时间的推移,抑郁程度没有显着变化,在 5 年的随访中,四分之一的患者仍高于临床临界值。随着时间的推移,就业人数有所增加,但仍不到受伤前水平的一半。结论:在受伤后很长一段时间内,感知的身体功能和自主性可能会有所改善,而社会关系仍然是一个挑战,抑郁症的迹象仍然存在。家庭角色在出院时受到挑战,并且在 1 年和 5 年的随访中仍然如此,结婚或恋爱的频率下降了。随着时间的推移,抑郁程度没有显着变化,在 5 年的随访中,四分之一的患者仍高于临床临界值。随着时间的推移,就业人数有所增加,但仍不到受伤前水平的一半。结论:在受伤后很长一段时间内,感知的身体功能和自主性可能会有所改善,而社会关系仍然是一个挑战,抑郁症的迹象仍然存在。随着时间的推移,就业人数有所增加,但仍不到受伤前水平的一半。结论:在受伤后很长一段时间内,感知的身体功能和自主性可能会有所改善,而社会关系仍然是一个挑战,抑郁症的迹象仍然存在。随着时间的推移,就业人数有所增加,但仍不到受伤前水平的一半。结论:在受伤后很长一段时间内,感知的身体功能和自主性可能会有所改善,而社会关系仍然是一个挑战,抑郁症的迹象仍然存在。