Social Problem Solving and Community Integration in Postacute Rehabilitation Outpatients With Traumatic Brain Injury

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ObjectiveTo enhance understanding of the role that social problem solving (SPS) plays in community integration following traumatic brain injury (TBI).Study DesignRegression analysis.ParticipantsForty-five adults with TBI participating in higher level outpatient cognitive rehabilitation and 15 uninjured adults.Main Outcome MeasuresMeasures of community integration, problem-solving ability, and SPS self-appraisal and performance.ResultsIndividuals with TBI demonstrated poorer problem-solving as measured by both neuropsychological and SPS methods; however, the largest effect size was observed for SPS self-appraisal. Only SPS self-appraisal predicted a significant proportion of the variance in community integration.ConclusionsIt is important to assess brain-injured persons' confidence in their ability to cope with problems. A focus on objective test scores alone may lead to underdetection of disabling problem-solving deficits.

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