Barriers to driving and psychosocial outcomes after traumatic brain injury

被引：3

作者：

Sanders, Gavin ^{[1
]}

Rapport, Lisa J. J. ^{[1
,10
]}

Marwitz, Jenny H. H. ^{[2
]}

Novack, Thomas A. A. ^{[2
]}

Walker, William ^{[3
]}

Tefertiller, Candace ^{[4
]}

Watanabe, Thomas K. K. ^{[5
]}

Kennedy, Richard ^{[6
]}

Goldin, Yelena ^{[7
]}

Bergquist, Thomas ^{[8
]}

Dreer, Laura E. E. ^{[2
]}

Bombardier, Charles H. H. ^{[9
]}

Zhang, Yue ^{[6
]}

机构：

[1] Wayne State Univ, Dept Psychol, Detroit, MI USA

[2] Univ Alabama Birmingham, Dept Phys Med & Rehabil, Birmingham, AL USA

[3] Virginia Commonwealth Univ, Dept Phys Med & Rehabil, Richmond, VA USA

[4] Craig Hosp, Res Dept, Englewood, CO USA

[5] MossRehab Elkins Pk, Einstein Healthcare Network, Dept Phys Med & Rehabil, Elkins Pk, PA USA

[6] Univ Alabama Birmingham, Integrat Ctr Aging Res, Div Gerontol & Palliat Care, Dept Med, Birmingham, AL USA

[7] JFK Johnson Rehabil Inst, Dept Phys Med & Rehabil, Edison, NJ USA

[8] Mayo Clin, Dept Phys Med & Rehabil, Rochester, MN USA

[9] Univ Washington, Dept Phys Med & Rehabil, Seattle, WA USA

[10] Wayne State Univ, Dept Psychol, Detroit, MI 48202 USA

来源：

BRAIN INJURY | 2023年 / 37卷 / 05期

关键词：

Return to driving; barriers to driving; functional status; psychosocial; traumatic brain injury; DISABILITY RATING-SCALE; QUALITY-OF-LIFE; COMMUNITY INTEGRATION; SELF-AWARENESS; DEPRESSION; MODERATE; ANXIETY; RETURN; REHABILITATION; SATISFACTION;

D O I：

10.1080/02699052.2023.2172611

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

ObjectiveExamine considerations and perceived barriers to return to driving, and their association with psychosocial outcomes among adults with traumatic brain injury (TBI) who were not driving.Methods174 adults with moderate-to-severe TBI enrolled in the TBI Model System participated in this cross-sectional study. All participants were drivers prior to their TBI. Outcome measures included the Barriers to Driving Questionnaire, Disability Rating Scale, Patient Health Questionnaire-9, General Anxiety Disorder-7, and Satisfaction With Life Scale. Descriptive analyses examined considerations and barriers to driving, including differences associated with demographic characteristics. Moderation analyses investigated the extent to which disability moderated the relationship between barriers and psychosocial outcomes.ResultsSocial barriers were the most strongly endorsed domain, whereas physical barriers were endorsed least. The profile of endorsements differed for men and women, and for Black and White participants, on both theoretical considerations in returning to drive and experiences of barriers in doing so. Disability level moderated the relationship between barriers to driving and depression and life satisfaction, but not anxiety.ConclusionThe experience of barriers to driving is differentially associated with psychosocial outcomes among nondriving adults with TBI. Adults with low disability appear to be at risk for distress, even compared to other nondrivers.

引用

页码：412 / 421

页数：10

共 43 条

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