Blais Marie Claude, Boisvert Jean-Marie
Department of Psychology, Université du Québec à Trois-Rivières, Trois-Rivières, Canada.
Brain Inj. 2007 Apr;21(4):357-72. doi: 10.1080/02699050701311075.
PRIMARY OBJECTIVE AND RESEARCH DESIGN: Using a correlational design, this study verifies the relationships between personal characteristics of individuals with TBI and their spouses and their level of psychological and marital adjustment.
Seventy individuals with TBI and their spouses in the post-acute rehabilitation phase completed self-report questionnaires assessing the predictive variables (coping and social problem-solving strategies; perceived communication skills) and the criteria variables of psychological and marital adjustment.
In the target group, the characteristics most strongly related to adjustment variables were an effective attitude towards problems, infrequent use of avoidance coping strategies, and a positive perception of one's spouse's communication skills. Individuals with TBI and their spouses report significantly lower scores on some of these personal characteristics, compared to those of a matched control group of 70 couples from the general population.
Specific personal characteristics are critical for psychological and marital adjustment following TBI. This knowledge may be of relevance for detecting couples at risk for developing difficulties in the post-acute rehabilitation phase. Rehabilitation interventions targeting the personal characteristics identified as critical for the adjustment process could help to prevent these difficulties.
主要目标与研究设计：本研究采用相关性设计，验证了创伤性脑损伤（TBI）患者及其配偶的个人特征与他们心理和婚姻适应水平之间的关系。
70名处于急性康复后期的创伤性脑损伤患者及其配偶完成了自我报告问卷，评估预测变量（应对和社会问题解决策略；感知沟通技巧）以及心理和婚姻适应的标准变量。
在目标群体中，与适应变量最密切相关的特征是对问题的有效态度、不常使用回避应对策略以及对配偶沟通技巧的积极认知。与来自普通人群的70对匹配对照组夫妇相比，创伤性脑损伤患者及其配偶在其中一些个人特征上的得分显著较低。
特定的个人特征对于创伤性脑损伤后的心理和婚姻适应至关重要。这一知识可能有助于在急性康复后期发现有出现困难风险的夫妇。针对被确定为对适应过程至关重要的个人特征的康复干预措施可能有助于预防这些困难。
