Medical and psychosocial predictors of caregiver distress and perceived burden following traumatic brain injury

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Reference Type:
Journal Article
Accession No.:
Journal of Head Trauma Rehabilitation
Year, Volume, Issue, Page(s):
2009, vol. 24, issue 3, pp 145-154
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Objective: To determine whether caregivers' medical and psychiatric histories, coping style, and social support predict global distress and perceived burden. Design: Correlational, cohort study. Participants: A total of 114 caregivers of persons with moderate to severe traumatic brain injury, assessed 1 year postinjury. Measures: Ratings of caregivers' medical and psychiatric history; Disability Rating Scale; Ways of Coping Questionnaire; Multidimensional Scale of Perceived Social Support; Brief Symptom Inventory; and Modified Caregiver Appraisal Scale. Results: Caregivers' medical and psychiatric histories predicted global distress, after accounting for education, sex, income, and relationship, as well as disability of the person with injury. Increased use of escape-avoidance as a coping strategy was related to increased distress. Perceived burden was predicted by disability in the person with injury. use of escape-avoidance. and perceived social support. Conclusions: Caregivers' preinjury functioning is more predictive of global distress, whereas the functioning of the person with injury is more predictive of injury-related burden. Caregivers' medical and psychiatric histories are important considerations when targeting interventions; global stress management strategies may be as important as assisting with injury-related issues. Keywords: caregivers. caregiver distress, traumatic brain injury
Davis L. C., Sander A. M., Struchen M. A., Sherer M., Nakase-Richardson R., and Malec J. F.
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