• Heidi Losoi, Minna Wäljas, Senni Turunen, Antti Brander, Mika Helminen, Teemu M Luoto, Eija Rosti-Otajärvi, Juhani Julkunen, and Juha Öhman.
• Department of Neurosciences and Rehabilitation (Mss Losoi, Wäljas, and Turunen and Drs Luoto, Rosti-Otajärvi, and Öhman), and Medical Imaging Center, Department of Radiology (Dr Brander), Tampere University Hospital, Tampere, Finland; University of Helsinki, Institute of Behavioural Sciences, Helsinki, Finland (Ms Losoi and Dr Julkunen); School of Health Sciences, University of Tampere, Tampere, Finland (Mr Helminen); and Science Center, Pirkanmaa Hospital District, Tampere, Finland (Mr Helminen).
• J Head Trauma Rehabil. 2015 May 1; 30 (3): E24-32.

ObjectiveTo examine resilience as a predictor of change in self-reported fatigue after mild traumatic brain injury (MTBI).ParticipantsA consecutive series of 67 patients with MTBI and 34 orthopedic controls.DesignProspective longitudinal study.Main MeasuresResilience Scale, Beck Depression Inventory-Second Edition, and Pain subscale from Ruff Neurobehavioral Inventory 1 month after injury and Barrow Neurological Institute Fatigue Scale 1 and 6 months after injury.ResultsInsomnia, pain, and depressive symptoms were significantly correlated with fatigue, but even when these variables were controlled for, resilience significantly predicted the change in fatigue from 1 to 6 months after MTBI. In patients with MTBI, the correlation between resilience and fatigue strengthened during follow-up. In controls, significant associations between resilience and fatigue were not found.ConclusionResilience is a significant predictor of decrease in self-reported fatigue following MTBI. Resilience seems to be a relevant factor to consider in the management of fatigue after MTBI along with the previously established associated factors (insomnia, pain, and depressive symptoms).

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