@article{ref1,
title="Psychosocial adjustment and employment outcome 2, 5 and 10 years after TBI",
journal="Brain injury",
year="2004",
author="Franulic, Alexei and Carbonell, Carmen Gloria and Pinto, Patricia and Sepulveda, Isabel",
volume="18",
number="2",
pages="119-129",
abstract="OBJECTIVE: A patient's return to work has been considered a good indicator of his/her overall adaptation after suffering from TBI. A study has been designed at the Hospital del Trabajador to evaluate patients' psycho-pathological and social situations and to describe evolution and return-to-work predictors. Particular attention was paid to subjects' employment situations 2, 5 and 10 years after TBI. METHOD: TBI patients who had also suffered spinal cord injuries, amputations and other physical impairments were excluded. A total of 202 individuals were evaluated by a psychologist and an occupational therapist during clinical interviews using the Hamilton Anxiety and Depression Rating Scale and the Neurobehavioural Rating Scale (NRS-R). Work situations were evaluated by interviewing the subjects and family members and, whenever possible, a patient's immediate supervisor at his or her place of employment. RESULTS: Unemployed patients presented more severe symptoms of anxiety and depression than those who were working. Significant differences were observed in the NRS-R between employed and unemployed patients. There was no change in the marital status for at least 10 years after TBI. CONCLUSION: Factors determining a poor prognosis for adaptation and re-insertion into the workplace are age, a low educational level, a lack of job qualifications and greater cognitive impairments. The significant differences found between the NRS-R of employed and unemployed patients suggest that this variable may be used to predict a subject's ability to return to work.<p /><p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/0269905031000149515",
url="http://dx.doi.org/10.1080/0269905031000149515"
}