Mental effort and recovery from task-induced fatigue in people with traumatic brain injury.

This exploratory case-controlled study examined whether the same amount of effort leads to similar feelings of fatigue and whether feelings of fatigue decline at the same rate in people with traumatic brain injury (pwTBI) compared to controls. Twenty pwTBI and 20 healthy controls (HC) completed an a...

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Publicado en:Disability & Rehabilitation Vol. 45; no. 2; pp. 244 - 252
Autores principales: Bruijel, Jessica, Vermeeren, Annemiek, Stapert, Sven Z., van Heugten, Caroline M.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2023
      vid: 45
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09638288.2022.2030416
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        atl: Mental effort and recovery from task-induced fatigue in people with traumatic brain injury.
      aug:
        au:
          Bruijel, Jessica
          Vermeeren, Annemiek
          Stapert, Sven Z.
          van Heugten, Caroline M.
        affil: Department of Neuropsychology & Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
      sug:
        subj:
          Brain Injuries Complications
          Fatigue
          Recovery
          Task Performance and Analysis Evaluation
          Human
          Netherlands
          Male
          Female
          Middle Age
          Case Control Studies
          Descriptive Statistics
          Pretest-Posttest Design
          Comparative Studies
          Multiple Linear Regression
          Exploratory Research
          Visual Analog Scaling
          Rehabilitation Centers
          T-Tests
          Chi Square Test
          Pearson's Correlation Coefficient
          Data Analysis Software
          Confidence Intervals
          Scales
          Cognition
          Anxiety
          Depression
          Middle Aged: 45-64 years
          Male
          Female
      ab: This exploratory case-controlled study examined whether the same amount of effort leads to similar feelings of fatigue and whether feelings of fatigue decline at the same rate in people with traumatic brain injury (pwTBI) compared to controls. Twenty pwTBI and 20 healthy controls (HC) completed an adaptive n-back task to induce fatigue and reported mental effort upon task completion and state-fatigue pre-task and several times during 30-minutes rest-period post-task. Task difficulty adapted to performance allowing both groups to invest substantial amounts of mental effort. Fatigue and effort levels were higher in pwTBI compared to controls. Multiple linear regression analyses showed that effort was positively related to post-task fatigue and this relationship did not differ between groups. Pre-task fatigue was the only predictor of post-task fatigue. Multilevel models showed no significant difference in decline of fatigue over the rest-period between groups. Excessive feelings of fatigue following TBI could not be explained by a higher vulnerability to the fatigue-inducing effects of mental effort needed to perform a specific task. In pwTBI pre-task fatigue levels might be more related to the complex demands of everyday life. Future studies should investigate recovery of fatigue and applications of this knowledge to rehabilitation interventions. People with TBI experience long-term fatigue as one of the most frequent and disabling symptoms and this long-term fatigue is a risk factor for development of secondary psychiatric symptoms such as depression or anxiety. Since people with TBI did not show a higher vulnerability to the fatigue-inducing effects of mental effort, fatigue following TBI might be better explained by the complex demands of everyday life such as external (environment) and internal (emotions) factors. Rehabilitation programs should be directed to this complex and highly individual interplay of fatigue in relation to other factors.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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