Date Approved


Graduate Degree Type


Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

First Advisor

Andrea Bostrom

Second Advisor

Patricia Underwood

Third Advisor

Richard Paschke


This study examined adaptation in physical symptoms, role functioning, and self concept 2-5 years after mild traumatic brain injury (MTBI). The effects of outpatient cognitive rehabilitation were also analyzed. Roy's Adaptation Model provided a framework for this study. Subjects (n = 164) were surveyed about role function, physical post-concussion symptoms, and self concept. Sixty-six subjects returned the completed survey. Subjects reported problems with memory (33%), tiredness (29%), depression (27%), and concentration (26%). The number of new symptoms and the social score were inversely related (r = {dollar}-{dollar}.5854, p =.001). Self Concept as measured on the Tennessee Self Concept Scale (TSCS) was below the average range in Behavior, Moral Ethical Self, Physical Self, and Identity. The rehabilitated group (n = 15) had statistically significant lower TSCS scores than the non-rehabilitated group (n = 49) on the following subscales: Family, Social Self, Self Satisfaction, Behavior and the Total Score. Study results indicate that some persons with MTBI are at risk for physical sequelae and lowered self concept.


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