Ergh Tanya C, Hanks Robin A, Rapport Lisa J, Coleman Renee D
Department of Psychology, Wayne State University, Detroit, MI 48202, USA.
J Clin Exp Neuropsychol. 2003 Dec;25(8):1090-101. doi: 10.1076/jcen.25.8.1090.16735.
Social support is an important determinant of adjustment following traumatic brain injury (TBI) sustained by a family member. The present study examined the extent to which social support moderates the influence of characteristics of the person with injury on caregiver subjective well-being. Sixty pairs of individuals who had sustained a moderate to severe TBI and their caregivers (N=120) participated. Years postinjury ranged from 0.3 to 9.9 ( M=4.8, SD=2.6). Cognitive, functional, and neurobehavioral functioning of participants with TBI were assessed using neuropsychological tests and rating scales. Caregiver life satisfaction and perceived social support were assessed using self-report questionnaires. Results indicated that time since injury was unrelated to life satisfaction. Neurobehavioral disturbances showed an inverse relation with life satisfaction. Social support emerged as an important moderator of life satisfaction. Only among caregivers with low social support was cognitive dysfunction adversely related to life satisfaction. Similarly, a trend suggested that patient unawareness of deficit was associated with caregiver life dissatisfaction only among caregivers with low social support. In contrast, these characteristics were unrelated to life satisfaction among caregivers with adequate social support.
社会支持是家庭成员遭受创伤性脑损伤（TBI）后适应情况的一个重要决定因素。本研究考察了社会支持在多大程度上缓和了受伤者的特征对照顾者主观幸福感的影响。60对中度至重度创伤性脑损伤患者及其照顾者（N = 120）参与了研究。受伤后的时间跨度为0.3至9.9年（M = 4.8，SD = 2.6）。使用神经心理学测试和评定量表对创伤性脑损伤患者的认知、功能和神经行为功能进行评估。使用自陈问卷对照顾者的生活满意度和感知到的社会支持进行评估。结果表明，受伤后的时间与生活满意度无关。神经行为障碍与生活满意度呈负相关。社会支持成为生活满意度的一个重要调节因素。只有在社会支持较低的照顾者中，认知功能障碍才与生活满意度呈负相关。同样，一种趋势表明，只有在社会支持较低的照顾者中，患者对缺陷的无意识才与照顾者的生活不满相关。相比之下，在社会支持充足的照顾者中，这些特征与生活满意度无关。
