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Journal of Head Trauma Rehabilitation:
doi: 10.1097/HTR.0000000000000055
Original Articles

Resilience Is Associated With Fatigue After Mild Traumatic Brain Injury

Losoi, Heidi MA Psych; Wäljas, Minna Psych L; Turunen, Senni MA Psych; Brander, Antti MD, PhD; Helminen, Mika MSc; Luoto, Teemu M. MD; Rosti-Otajärvi, Eija PhD; Julkunen, Juhani PhD; Öhman, Juha MD, PhD

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Objective: To examine resilience as a predictor of change in self-reported fatigue after mild traumatic brain injury (MTBI).

Participants: A consecutive series of 67 patients with MTBI and 34 orthopedic controls. Design: Prospective longitudinal study.

Main Measures: Resilience Scale, Beck Depression Inventory–Second Edition, and Pain subscale from Ruff Neurobehavioral Inventory 1 month after injury and Barrow Neurological Institute Fatigue Scale 1 and 6 months after injury.

Results: Insomnia, pain, and depressive symptoms were significantly correlated with fatigue, but even when these variables were controlled for, resilience significantly predicted the change in fatigue from 1 to 6 months after MTBI. In patients with MTBI, the correlation between resilience and fatigue strengthened during follow-up. In controls, significant associations between resilience and fatigue were not found.

Conclusion: Resilience is a significant predictor of decrease in self-reported fatigue following MTBI. Resilience seems to be a relevant factor to consider in the management of fatigue after MTBI along with the previously established associated factors (insomnia, pain, and depressive symptoms).

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.


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