Psychosocial outcomes of severe traumatic brain injury in relation to discourse recovery: A longitudinal study up to 1 year post-injury

Elbourn, E; Kenny, B; Power, E; Togher, L

Psychosocial outcomes of severe traumatic brain injury in relation to discourse recovery: A longitudinal study up to 1 year post-injury

Elbourn, E Kenny, B Power, E

Togher, L

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Publication Type:: Journal Article
Citation:: American Journal of Speech-Language Pathology, 2019, 28 (4), pp. 1463 - 1478
Issue Date:: 2019-11-01

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Field	Value	Language
dc.contributor.author	Elbourn, E	en_US
dc.contributor.author	Kenny, B	en_US
dc.contributor.author	Power, E https://orcid.org/0000-0002-2638-0406	en_US
dc.contributor.author	Togher, L	en_US
dc.date.accessioned	2020-04-16T06:32:40Z
dc.date.available	2020-04-16T06:32:40Z
dc.date.issued	2019-11-01	en_US
dc.identifier.citation	American Journal of Speech-Language Pathology, 2019, 28 (4), pp. 1463 - 1478	en_US
dc.identifier.issn	1058-0360	en_US
dc.identifier.uri	http://hdl.handle.net/10453/140033
dc.description.abstract	© 2019 American Speech-Language-Hearing Association. Purpose: The interrelationship between psychosocial outcomes and discourse after severe traumatic brain injury remains largely unknown. This study examines outcomes relating to work, relationships, and independence within the context of discourse recovery across the 1st year post-injury. Method: An inception cohort comprising 57 participants with severe traumatic brain injury was assessed at 3, 6, 9, and 12 months post-injury. Outcomes were measured with the Sydney Psychosocial Reintegration Scale–2 (Tate et al., 2012; Tate, Simpson, Loo, & Lane-Brown, 2011), and discourse was evaluated with Main Concept Analysis of a narrative retell. Correlation and linear regression analyses were utilized. Results: Significant correlations were found between psychosocial outcomes reported by relatives and discourse performance across the 1st year. The 6-month discourse scores significantly predicted the 12-month psychosocial outcomes reported by relatives. Initial discourse severity and recovery pattern also informed outcomes. Conclusions: Discourse disorders have a strong relationship with everyday outcomes relating to work, relationships, and independence as reported by relatives. Six months post-injury is a beneficial time for assessment, education, and service planning. Age, years of education, and aphasia may mediate recovery and outcomes. A clinical decision tree is offered to support goal setting.	en_US
dc.relation.ispartof	American Journal of Speech-Language Pathology	en_US
dc.relation.isbasedon	10.1044/2019_AJSLP-18-0204	en_US
dc.subject.classification	Speech-Language Pathology & Audiology	en_US
dc.title	Psychosocial outcomes of severe traumatic brain injury in relation to discourse recovery: A longitudinal study up to 1 year post-injury	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	28	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1702 Cognitive Sciences	en_US
utslib.for	2004 Linguistics	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	28	en_US

Abstract:

© 2019 American Speech-Language-Hearing Association. Purpose: The interrelationship between psychosocial outcomes and discourse after severe traumatic brain injury remains largely unknown. This study examines outcomes relating to work, relationships, and independence within the context of discourse recovery across the 1st year post-injury. Method: An inception cohort comprising 57 participants with severe traumatic brain injury was assessed at 3, 6, 9, and 12 months post-injury. Outcomes were measured with the Sydney Psychosocial Reintegration Scale–2 (Tate et al., 2012; Tate, Simpson, Loo, & Lane-Brown, 2011), and discourse was evaluated with Main Concept Analysis of a narrative retell. Correlation and linear regression analyses were utilized. Results: Significant correlations were found between psychosocial outcomes reported by relatives and discourse performance across the 1st year. The 6-month discourse scores significantly predicted the 12-month psychosocial outcomes reported by relatives. Initial discourse severity and recovery pattern also informed outcomes. Conclusions: Discourse disorders have a strong relationship with everyday outcomes relating to work, relationships, and independence as reported by relatives. Six months post-injury is a beneficial time for assessment, education, and service planning. Age, years of education, and aphasia may mediate recovery and outcomes. A clinical decision tree is offered to support goal setting.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/140033