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Life Satisfaction After Traumatic Brain Injury and the World Health Organization Model of Disability

Pierce, Christopher A. PhD; Hanks, Robin A. PhD, ABCN

American Journal of Physical Medicine & Rehabilitation: November 2006 - Volume 85 - Issue 11 - p 889-898
doi: 10.1097/
Research Article: Quality of Life

Pierce CA, Hanks RA: Life satisfaction after traumatic brain injury and the World Health Organization model of disability. Am J Phys Med Rehabil 2006;85:889–898.

Objective: To determine which components of the World Health Organization’s International Classification of Functioning, Disability, and Health (ICF) are most predictive of global life satisfaction after traumatic brain injury (TBI).

Design: Prospective evaluation of 180 individuals enrolled in a TBI model system project site.

Results: Multiple regression analysis indicated that the combination of ICF components (body function and structure, activities, and participation) and demographic factors significantly predicted life satisfaction and accounted for 17% of the variance. Participation was the strongest predictor; activities were a significant, but weaker predictor; and body function and structure did not add to the prediction of life satisfaction. Of all the individual variables evaluated, only social integration and productivity were found to be significant, unique predictors.

Conclusions: When considering the effects of various aspects of disabling conditions on the life satisfaction of individuals who have suffered a TBI, restriction of participation in life activities was found to have the greatest impact. Although the model accounted for a significant percentage in the variation of life satisfaction, a large proportion of the predictive picture (>82%) remains unclear. Doubtless, other variables impinge on life satisfaction that would further clarify the complex relationship between disabling conditions and life satisfaction in TBI.

From the Department of Physical Medicine and Rehabilitation, Wayne State University School of Medicine, Detroit, Michigan (CAP, RAH); the Department of Rehabilitation Psychology and Neuropsychology, Rehabilitation Institute of Michigan, Detroit, Michian (CAP, RAH); and the Department of Behavioral Health Services, Denver Health Medical Center, Denver, Colorado (CAP).

This study was supported by a grant from the U.S. Department of Education–National Institute on Disability and Rehabilitation Research (H133A020515). This research was originally presented at the Annual Meeting of the American Psychological Association, 2002. Dr. Pierce is now in the Department of Behavioral Health Services at the Denver Health Medical Center.

FIM is a trademark of Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.

All correspondence and requests for reprints should be addressed to Christopher A. Pierce, PhD, Denver Health Medical Center, 777 Bannock St., Unit 9, OBHS, Mail Code 3450, Denver, CO 80204-4507.

© 2006 Lippincott Williams & Wilkins, Inc.