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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

The Journal of Head Trauma Rehabilitation: January/February 2011 - Volume 26 - Issue 1 - p 30–42
doi: 10.1097/HTR.0b013e3182048f7c
Original Article

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.

Department of Physical Medicine and Rehabilitation, Baylor College of Medicine (Drs Struchen and Sander), Brain Injury Research Center, TIRR Memorial Hermann Hospital (Drs Struchen and Sander and Mss Pappadis and Burrows), Graduate College of Social Work (Ms Pappadis) and Department of Psychology (Mss Burrows and Myszka), University of Houston, and Department of Physical Medicine and Rehabilitation, Quentin Mease Community Hospital, Harris County Hospital District (Dr Sander), Houston, Texas.

Corresponding Author: Margaret A. Struchen, PhD, Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030(

This work was supported by grants from the National Institute on Disability and Rehabilitation Research, US Department of Education (grant H133B031117, Rehabilitation Research and Training Center on Community Integration of Persons with Traumatic Brain Injury; H133B090023, Rehabilitation Research and Training Center on Developing Strategies to Foster Community Integration and Participation for Individuals With Traumatic Brain Injury; and H133A070043, Texas Traumatic Brain Injury Model System of TIRR).

© 2011 Lippincott Williams & Wilkins, Inc.