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Author: Jeffrey S Kreutzer (48)


Feb
2018

To evaluate (1) the trajectory of resilience during the first year after a moderate-severe traumatic brain injury (TBI); (2) factors associated with resilience at 3, 6, and 12 months postinjury; and (3) changing relationships over time between resilience and other factors.
Longitudinal analysis of an observational cohort.
Five inpatient rehabilitation centers.

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Feb
2018

To explore stability of relationships and predictors of change in relationship status 2 years following TBI/polytrauma.
Five Department of Veterans Affairs Polytrauma Rehabilitation Centers (VA PRCs).
A total of 357 active duty service members and Veterans enrolled in the Veterans Affairs Polytrauma Rehabilitation Centers Traumatic Brain Injury Model Systems database with complete marital status information at 2 years postinjury.

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Dec
1969

Neurorehabilitation covers a large range of disorders, assessment approaches and treatment methods. There have been previous citation analyses of rehabilitation and of its subfields. However, there has never been a comprehensive citation analysis in neurorehabilitation.

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Mar
2016

Spousal caregivers have an important role in recovery after brain injury, and there is evidence that injury has an adverse impact on uninjured partners as well as survivors. Unfortunately, the impact of brain injury on coupled relationships has received limited attention from clinical researchers.
To characterize marital stability after traumatic brain injury considering the perspectives of the patient and the uninjured partner.

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Dec
1969

To examine resilience at 3 months after traumatic brain injury (TBI).
Cross-sectional analysis of an ongoing observational cohort.
Five inpatient rehabilitation centers, with 3-month follow-up conducted primarily by telephone.

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Mar
2016

Traumatic brain injury (TBI) produces broad-reaching and often persistent challenges that impact an individual’s ability to engage in vocational productivity. Return to work (RTW) rates after TBI are markedly poor and the efficacy of current TBI vocational rehabilitation (VR) practices is unclear. Positive psychology, the practice of fostering positive emotions and traits, offers novel approaches that might enhance the effectiveness of existing TBI VR practices.

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Mar
2016

Examine the effectiveness of an intervention (Brain Injury Family Intervention) for family caregivers after acquired brain injury.
Prospective, controlled repeated-measures design.
The Brain Injury Family Intervention was designed as a whole family approach to addressing needs, emphasizing education, skill building, and psychological support.

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Mar
2016

To examine the relationship between resilience, psychological distress, adjustment, and community participation after traumatic brain injury (TBI).
Large university health system.
Adult survivors of mild to severe TBI (N = 96).

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Jun
2015

There is a high prevalence of traumatic brain injury (TBI) among those with substance dependence. However, TBI often remains undiagnosed in these individuals, due to lack of routine screening in substance use treatment settings or due to overlap in some of the cognitive sequelae (eg impulsivity, disinhibition) of TBI and cocaine dependence.
The prevalence of self-reported mild to moderate TBI in a group of cocaine-dependent (n = 95) and a group of healthy volunteers (n = 75) enrolled at the same facility was assessed.

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Jun
2013

In this commentary, clinical researchers examine the potential benefits of adopting Resilience Theory in the practice of psychotherapy after brain injury. This commentary presents the development of the paradigmatic shift that has given rise to the resilience movement. Additionally, the primary tenets of resilience theory are explored and the utility of the theory in practice is explained.

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Jun
2013

The importance of effectively identifying and managing sexuality issues following acquired brain injury is being increasingly recognized within clinical and research domains. However, a tool specifically developed to measure sexuality following brain injury is yet to be validated.
In this study, the reliability and validity of the Brain Injury Questionnaire of Sexuality (BIQS) was evaluated.

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Feb
2013

To examine the perceived importance of needs and the extent to which they are met among a sample of family members in an inpatient polytrauma setting.
The Family Needs Questionnaire was administered to 44 family members of patients at the Polytrauma Rehabilitation Center at McGuire Veterans Affairs Medical Center over a 30-month period.
Families rated health information needs as most important and most frequently met.

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Jul
2013

Identify the occurrence rate of post-arrest psychological distress; evaluate methodological approaches; suggest future research priorities; address clinical implications.
The electronic databases PubMed/MEDLINE and PsychInfo/APA PsycNET were utilized to search for terms including 'Cardiac Arrest', 'Therapeutic Hypothermia' and 'Depression', 'Anxiety', 'Quality of Life', 'Posttraumatic Stress Disorder (PTSD)', 'Psychological Outcomes', 'Hospital Anxiety and Depression Scale (HADS)', and 'Beck Depression Inventory (BDI)'.
High rates of psychological distress have been reported after OHCA.

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Dec
1969

To evaluate the effectiveness of a brief acute neurobehavioural intervention, the First Steps Acute Neurobehavioural and Cognitive Intervention (FANCI), with persons who have traumatic brain injury (TBI).
Prospective, controlled, repeated measures design.
Seventy-two patients in acute TBI rehabilitation participated either as FANCI subjects or as control participants who watched videos to control for time and attention.

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Dec
1969

This critical review of the literature examines marriage after traumatic brain injury. Studies reporting information on marital stability rates and studies examining the quality of marriages through the assessment of at least 1 relational domain have been included for review. Available findings are presented along with information on methodological limitations and knowledge gaps.

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Dec
1969

To describe and compare caregivers' and patients' helpfulness and goal attainment ratings of the Brain Injury Family Intervention (BIFI), and qualitatively evaluate their perceptions of most important things learned.
76 caregivers and 76 patients with acquired brain injury participated in the BIFI, a structured family intervention program which includes educational, skill building, and psychological support components. Outcome measures were obtained following each of the five intervention sessions and following completion of the entire program.

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Dec
1969

To develop and conduct a preliminary evaluation of a manualized family system intervention for adolescents with acquired brain injury (ABI).
Descriptive/exploratory design using mixed methods: modified-Delphi technique, self-administered questionnaires and semi-structured interviews.
Topic modules and content areas for the adolescent version (BIFI-A) were developed, building on topic areas from the empirically-based Brain Injury Family Intervention (BIFI) for adults.

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Dec
1969

Because of the growing minority population in the past 3 decades in the United States and the increasing numbers of individuals who sustain a traumatic brain injury (TBI), researchers and clinicians have started to pay more attention to the role of race and ethnicity in outcomes after TBI, with the goal of better serving this population. The aim of this article is to review the literature on the influence of race/ethnicity on functional, psychosocial, and neurobehavioral outcomes after TBI. Specifically, the following 8 areas of outcomes will be examined: (1) treatment outcomes, (2) neuropsychological outcomes, (3) employment/productivity, (4) functional outcomes, (5) community integration, (6) marital status, (7) quality of life/life satisfaction, and (8) emotional/neurobehavioral outcomes.

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Dec
1969

Major depression (MD) is the most common psychiatric disorder after traumatic brain injury (TBI). Yet, diagnosing MD is often challenging because of cognitive, emotional, and somatic symptoms that overlap with TBI and other psychiatric disorders. Best current evidence suggests that depressed mood is characterized more by irritability, anger, and aggression than by sadness and tearfulness in persons with TBI.

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Dec
1969

Rehabilitation professionals have become increasingly aware that traumatic brain injury has a long-term adverse impact on family members as well as on survivors. Family members often have a critical supporting role in the recovery process, and researchers have identified a relationship between caregiver well-being and survivor outcome. Drawing from the fields of family therapy, cognitive-behavioral therapy, and individual psychotherapy, this article provides information to help clinicians effectively serve families.

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Oct
2009

Gary KW, Arango-Lasprilla JC, Ketchum JM, Kreutzer JS, Copolillo A, Novack TA, Jha A. Racial differences in employment outcome after traumatic brain injury at 1, 2, and 5 years postinjury.
To examine racial differences in competitive employment outcomes at 1, 2, and 5 years after traumatic brain injury (TBI) and to determine whether changes in not competitive employment rates over time differ between blacks and whites with TBI after adjusting for demographic and injury characteristics.

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Aug
2009

To identify caregivers' most common concerns about the judgment and safety of patients with brain injury in home and community environments. To quantify caregivers' stress levels and their level of comfort leaving patients at home unsupervised and examine the interrelationships between caregivers' safety and judgment ratings, stress levels, and levels of comfort leaving patients unattended.
Retrospective, cross-sectional design.

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Jan
2009

To determine the influence of minority status on job stability after traumatic brain injury (TBI).
TBI Model Systems Centers.
633 individuals (414 Caucasians vs.

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Jun
2009

To evaluate the benefits of the Brain Injury Family Intervention (BIFI) for families of persons with acquired brain injury and identify factors related to outcomes.
Pre-test, post-test design with outcomes measured immediately after and 3 months following intervention.
Family members and survivors participated in five 2-hour sessions over 10 weeks which included discussions of typical effects of brain injury, coping with loss and change, managing stress and intense emotions, effective problem-solving, setting reasonable goals and taking care of one's self.

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Jun
2009

To describe frequency and magnitude of caregivers' emotional distress and life satisfaction using standardized assessment procedures; compare distress levels among spouses, parents, and other caregivers; and identify risk factors.
Prospective collaborative cohort study.
Six Traumatic Brain Injury Model System Centers providing neurotrauma care, rehabilitation, and outpatient follow-up.

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Jul
2008

The purpose of the present study was to determine the predictors of continuous marital stability over 2 years post-injury and examine the moderating effects of ethnicity.
Retrospective study.
Longitudinal dataset of the TBI Model Systems National Database.

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May
2008

To examine racial differences in employment status and occupational status 1 year after a traumatic brain injury (TBI).
Retrospective study.
Longitudinal dataset of the Traumatic Brain Injury Model Systems national database.

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Dec
1969

To examine rates of separation and divorce after traumatic brain injury and identify factors relating to risk of marital breakdown.
120 persons who sustained a mild, moderate, or severe traumatic brain injury and who were married at the time of injury.
Survivors were contacted between 30 and 96 months postinjury when demographic and marital status information was solicited.

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Dec
2006

To further evaluate determinants of return to work (RTW) after traumatic brain injury (TBI), with focus on the relation between preinjury occupational category and RTW outcome.
Prospective collaborative cohort study.
Seventeen National Institute on Disability and Rehabilitation Research-designated Traumatic Brain Injury Model Systems.

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Dec
2006

To determine characteristics of patients with complicated mild traumatic brain injury (CMTBI) on the inpatient rehabilitation unit and to accentuate limits of current classification systems for patients with mild TBI.
Multicenter analysis of individuals with a Glasgow Coma Scale (GCS) score of 13 to 15 (lowest score in 24 h) and positive computed tomography findings admitted to inpatient rehabilitation for TBI.
16 TBI Model System centers funded by the National Institute on Disability and Rehabilitation Research.

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Jan
2006

To examine age-related differences in rehabilitation outcomes following traumatic brain injury (TBI).
Retrospective collaborative study.
Patients received acute neurotrauma and inpatient rehabilitation services at 1 of the 17 National Institute on Disability and Rehabilitation Research-designated Traumatic Brain Injury Model Systems (TBIMS) centers.

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May
2005

The present study provides a rationale for and detailed description of a structured curriculum for a cognitive and neurobehavioural group intervention for patients in an acute inpatient brain injury rehabilitation setting. Preliminary outcome data are provided for 29 patients with acquired brain injuries who attended the group during inpatient rehabilitation. The group was held during three 30-minute sessions per week.

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May
2005

To examine the utility of the Neurobehavioral Functioning Inventory (NFI) for diagnosing depression in a rehabilitation setting.
In a prospective study, a structured clinical interview (Structured Clinical Interview for DSM-IV-TR) was used to identify DSM-IV-defined major depressive disorder (MDD) symptoms among patients with traumatic brain injury (TBI). NFI Depression scale items were compared with DSM-IV diagnosis obtained by the Structured Clinical Interview for DSM-IV Axis I Disorders.

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Jul
2002

Under the auspices of the American Brain Injury Consortium and the Joint Section of Neurotrauma and Critical Care of the American Association of Neurological Surgeons, the authors have reviewed and formulated opinions based on the evidence on protocol design and the outcome measures used for clinical trials in patients with a severe or moderate traumatic brain injury (TBI). First, in view of the heterogeneity of the population under study, the authors suggest that block randomization and stratification should always be used in the design of neurotrauma trials. Second, although the Glasgow Outcome Scale (GOS) remains the most widely used and accepted instrument for TBI trials, the authors believe the eight-point expanded scale that has recently been designed will ultimately provide greater discrimination, and narrower categories and will ultimately prove superior for detecting more subtle changes in outcome.

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Mar
2004

To examine the role of race on rehabilitation outcomes for a matched sample of patients with spinal cord injury (SCI).
African Americans and whites with SCI were matched based on age group, level and completeness of injury, and sponsor of care to retrospectively analyze the impact of race.
Eighteen medical centers in the federally sponsored Model Spinal Cord Injury Systems project.

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Nov
2003

To describe the patterns of depression in patients with traumatic brain injury (TBI), to evaluate the psychometric properties of the Neurobehavioral Functioning Inventory (NFI) Depression Scale, and to classify empirically NFI Depression Scale scores.
Depressive symptoms were characterized by using the NFI Depression Scale, the Beck Depression Inventory (BDI), and the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) Depression Scale.
An outpatient clinic within a Traumatic Brain Injury Model Systems center.

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Oct
2003

To identify factors relating to the intensity of rehabilitation services received and to ascertain the relation between injury outcomes, demographics, types of therapy, and the intensity of rehabilitation services provided.
A multicenter, prospective, nonrandomized study with inpatient rehabilitation data collected between 1989 and 1996.
Three medical centers in the federally sponsored Traumatic Brain Injury Model Systems.

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Oct
2003

To examine job stability moderating variables and develop a postinjury work stability prediction model.
Multicenter analysis of individuals with traumatic brain injury (TBI) who returned for follow-up at 1, 2, and 3, or 4 years postinjury, were of working age (between 18 and 62 years of age at injury), and were working preinjury.
Six National Institute on Disability and Rehabilitation Research TBI Model System centers for coordinated acute and rehabilitation care.

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Apr
2003

To evaluate the utility of prescribed malingering cut-off scores by examining the Rey Fifteen-Item Test (FIT) responses of persons with severe brain injury.
Series of five case studies.
The FIT was administered along with standardized neuropsychological and neurobehavioural measures.

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Feb
2003

To identify the frequency and manifestations of depression after traumatic brain injury (TBI) and the factors that contribute to developing this mood disorder.
A prospective, nationwide, multicenter study; 17 centers supplied data from medical records and patient responses on a standardized criterion instrument.
Traumatic Brain Injury Model Systems programs.

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Feb
2003

Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. Accidents are a major cause of brain injury, and many accidents are alcohol or drug related. Evidence indicates that a vast majority of victims test positive for alcohol or illicit drugs at the time of hospital admission.

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Jul
2002

To identify the patient population at greatest risk for post-injury adjustment problems, the present study independently examines and compares alcohol and drug use rates in patients with traumatic brain injury (TBI) and patients with spinal cord injury.
The two samples were matched with regard to age, gender and mechanism of injury. The study provides a description of post-injury use rates for each population, and describes similarities and differences between the two groups.

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Aug
2002

Given the limitations of the literature, a structured approach to helping families after brain injury is clearly needed.
On the basis of considerable clinical experience and research review, this article describes the Brain Injury Family Intervention (BIFI), developed to address common issues, concerns, and challenges. The foundation of the BIFI is a curriculum that includes 16 intervention topics, self-evaluation tools, and treatment strategies.

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Dec
1969

Traumatic brain injury is a leading cause of death and disability in the United States. Limited access to specialized medical and rehabilitation services has been linked to poor outcomes. Literature provides little guidance for assessment of service obstacles and satisfaction with community resources.

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Dec
1969

Interdisciplinary rehabilitation can be a complex, challenging, and sometimes confusing process. The varying experiences and perspectives of patients and professionals contribute to the diversity of challenging dilemmas. This manuscript is intended to help rehabilitation professionals improve their effectiveness and the quality of their relationships with patients, family members, and colleagues.

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