HIGH-VOLUME AND HIGH-INTENSITY FUNCTIONAL TRAINING IN PATIENTS WITH MULTIPLE SCLEROSIS: A PILOT STUDY ON FEASIBILITY AND FUNCTIONAL CAPACITY.

Objective: To evaluate the feasibility of a high-volume and high-intensity functional training programme in patients with multiple sclerosis (MS), and to explore whether functional capacity improves. A further objective was to explore changes in muscle strength and aerobic capacity.

Methods: This pilot study comprised a 12-week intervention, with an 8-week follow-up period.

A study of the influence of cognitive complaints, cognitive performance and symptoms of anxiety and depression on self-efficacy in patients with acquired brain injury.

Objective:: To examine the relationship between self-efficacy for managing brain injury-specific symptoms and cognitive performance, subjective cognitive complaints and anxiety and depression symptoms in patients with acquired brain injury (ABI).

Design:: Clinical cohort study.

Setting:: General hospitals, rehabilitation centres.

Is the effect of coping styles disease specific? Relationships with emotional distress and quality of life in acquired brain injury and multiple sclerosis.

Objective: To investigate the use of coping styles and the relationships linking coping to emotional distress and quality of life in patients with acquired brain injury and multiple sclerosis.

Method: Cross-sectional cohort study of 143 patients with acquired brain injury and 310 patients with multiple sclerosis in the chronic stage. Quality of life was measured with the Life Satisfaction Questionnaire (LiSat-9), coping styles with the Coping Inventory for Stressful Situations (CISS-T, task-oriented; CISS-E, emotion-oriented; CISS-A, avoidance), emotional distress with the Hospital Anxiety and Depression Scale (HADS).

Self-efficacy and quality of life after low-intensity neuropsychological rehabilitation: A pre-post intervention study.

Background: Being highly self-efficacious is a key factor in successful chronic disease self-management. It is unknown whether neuropsychological rehabilitation improves self-efficacy in managing the consequences of brain injury.

Objective: To investigate whether levels of general and brain injury specific self-efficacy and quality of life (QoL) increased after neuropsychological rehabilitation and whether cognitive performance was associated with self-efficacy.

Life goal attainment in the adaptation process after acquired brain injury: the influence of self-efficacy and of flexibility and tenacity in goal pursuit.

Objective: To investigate attainment of important life goals and to examine whether self-efficacy, tenacity in goal pursuit and flexibility in goal adjustment contribute to adaptation by affecting levels of emotional distress and quality of life in patients with newly acquired brain injury.

Methods: Data were collected from a prospective clinical cohort study of 148 patients assessed after discharge home (mean time since injury = 15 weeks) and one year later. At follow-up, attainment of life goals (set at baseline) and satisfaction with attainment was scored (10-point scale) and patients were asked how they adjusted unattained goals.

Influence of self-efficacy and coping on quality of life and social participation after acquired brain injury: a 1-year follow-up study.

Objectives: To investigate the relations linking self-efficacy and coping to quality of life (QOL) and social participation and what effect self-efficacy, changes in self-efficacy, and coping style have on long-term QOL and social participation.

Design: Prospective clinical cohort study.

Setting: General hospitals, rehabilitation centers.

How flexible is coping after acquired brain injury? A 1-year prospective study investigating coping patterns and influence of self-efficacy, executive functioning and self-awareness.

Objectives: To investigate coping flexibility in patients with newly acquired brain injury and to investigate the influence of problem type, self-efficacy, self-awareness and self-reported executive functions on coping flexibility.

Methods: Data were collected from a prospective clinical cohort study of 136 patients assessed after discharge home (mean time since injury = 15 weeks) and 1 year later. Situation-specific coping was measured by asking patients to complete the Coping Inventory for Stressful Situations (CISS) for 3 acquired brain injury (ABI)-related situations, which were then categorized into problem types (physical, cognitive, emotional, behavioural, communication, other).

Psychometric properties of the Coping Inventory for Stressful Situations (CISS) in patients with acquired brain injury.

Information on the psychometric properties of the Coping Inventory for Stressful Situations (CISS) in acquired brain injury (ABI) is currently unavailable. Therefore, we investigated the construct and discriminant, convergent, and divergent validity of the CISS in a Dutch adult sample with newly ABI (N = 139). Patients were recruited at the start of outpatient neurorehabilitation (time since diagnosis ≤ 4 months) or after discharge home from hospital or inpatient neurorehabilitation.

Assessments of coping after acquired brain injury: a systematic review of instrument conceptualization, feasibility, and psychometric properties.

Objective: To identify measures of coping styles used by patients with acquired brain injury; to evaluate the conceptualization, feasibility, and psychometric properties of the instruments; and to provide guidance for researchers and clinicians in the choice of a suitable instrument.

Design: Systematic review.

Results: The search identified 47 instruments, of which 14 were selected.

The adaptation process following acute onset disability: an interactive two-dimensional approach applied to acquired brain injury.

Objective: To describe a new model of the adaptation process following acquired brain injury, based on the patient's goals, the patient's abilities and the emotional response to the changes and the possible discrepancy between goals and achievements.

Background: The process of adaptation after acquired brain injury is characterized by a continuous interaction of two processes: achieving maximal restoration of function and adjusting to the alterations and losses that occur in the various domains of functioning. Consequently, adaptation requires a balanced mix of restoration-oriented coping and loss-oriented coping.

Coping styles within the family system in the chronic phase following acquired brain injury: its relation to families' and patients' functioning.

Objective: To investigate how the functioning of family members and the coping styles they use are related to the psychosocial functioning both of the family members and of the person who has sustained a brain injury.

Design: Cross-sectional study.

Subjects: Primary caregivers (n = 61) and other family members (n = 15) of 61 patients with brain injury.

Coping following acquired brain injury: predictors and correlates.

Objective: To examine the determinants and correlates of coping styles in the chronic phase following acquired brain injury.

Design: Chart review.

Setting: Outpatient rehabilitation center.

Coping styles in relation to cognitive rehabilitation and quality of life after brain injury.

This study investigated the changes in coping styles of patients with acquired brain injury who underwent cognitive rehabilitation, and the effects of these changes on their quality of life. Participants were 110 patients in the chronic phase post-injury, who underwent outpatient cognitive rehabilitation according to current guidelines and standards. Coping style (Utrecht Coping List) was measured at the start of rehabilitation (T0) and repeated at least 5 months later (T1).