Resilience Is Associated with Outcome from Mild Traumatic Brain Injury

Heidi Losoi, Noah D. Silverberg, Minna Wäljas, Senni Turunen, Eija Rosti-Otajärvi, Mika Helminen, T Luoto, Juhani Julkunen, Juha Öhman, Grant L. Iverson

    Research output: Contribution to journalArticleScientificpeer-review

    42 Citations (Scopus)


    Resilient individuals manifest adaptive behavior and are better able to recover from adversity. The association between resilience and outcome from mild traumatic brain injury (mTBI) is examined, and the reliability and validity of the Resilience Scale and its short form in mTBI research is evaluated. Patients with mTBI (n=74) and orthopedic controls (n=39) completed the Resilience Scale at one, six, and 12 months after injury. Additionally, self-reported post-concussion symptoms, fatigue, insomnia, pain, post-traumatic stress, and depression, as well as quality of life, were evaluated. The internal consistency of the Resilience Scale and the short form ranged from 0.91 to 0.93 for the mTBI group and from 0.86 to 0.95 for controls. The test-retest reliability ranged from 0.70 to 0.82. Patients with mTBI and moderate-to-high resilience reported significantly fewer post-concussion symptoms, less fatigue, insomnia, traumatic stress, and depressive symptoms, and better quality of life, than the patients with low resilience. No association between resilience and time to return to work was found. Resilience was associated with self-reported outcome from mTBI, and based on this preliminary study, can be reliably evaluated with Resilience Scale and its short form in those with mTBIs.

    Original languageEnglish
    Pages (from-to)942-949
    Number of pages8
    JournalJournal of Neurotrauma
    Issue number13
    Publication statusPublished - 2015
    Publication typeA1 Journal article-refereed


    • head injury
    • patient outcome assessment
    • resilience
    • traumatic brain injury

    Publication forum classification

    • Publication forum level 1


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