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Journal of Head Trauma Rehabilitation:
doi: 10.1097/HTR.0b013e3182048f7c
Original Article

Examining the Contribution of Social Communication Abilities and Affective/Behavioral Functioning to Social Integration Outcomes for Adults With Traumatic Brain Injury

Struchen, Margaret A. PhD; Pappadis, Monique R. MEd; Sander, Angelle M. PhD; Burrows, Christina S. MA; Myszka, Katherine A. MA

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Objective: To evaluate the contribution of social communication abilities and affective/behavioral functioning to socialintegration outcomes for persons with traumatic brain injury (TBI).

Design: Prospective cohort study.

Participants: A total of 184 adults with TBI (72.8% men) evaluated at least 6 months postdischarge from acute care orinpatient rehabilitation hospitals and after living at least 3 months in the community postdischarge (Mean = 7.84 monthspostinjury).

Measures: La Trobe Communication Questionnaire (LCQ), Assessment of Interpersonal Problem-Solving Skills(AIPSS), Affective Behavioral subscale From the Problem Checklist of the Head Injury Family Interview (AB-HIFI), Craig HandicapAssessment and Reporting Technique–Short Form Social Integration subscale (CHART-SF-SI), Community Integration QuestionnaireSocial Integration subscale (CIQ-SI).

Results: Social communication measures (LCQ, AIPSS) and self-reported behavioralfunctioning (AB-HIFI) contributed significantly to concurrently measured social integration outcomes after controlling for demographicand injury-related variables. Separate hierarchical multiple regression analyses revealed that social communication and behavioralvariables accounted for 11.3% of variance in CIQ-SI and 16.3% of variance in CHART-SF-SI.

Conclusions: Social communication abilities and affective/behavioral functioning make a substantial contribution to social integration outcomes after TBI. The implications of such evidence for clinical assessment and intervention are discussed.

© 2011 Lippincott Williams & Wilkins, Inc.


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