Department of Physical Medicine and Rehabilitation, Wayne State University, Detroit, MI 48201, USA.
J Head Trauma Rehabil. 2011 Jan-Feb;26(1):20-9. doi: 10.1097/HTR.0b013e318204a70d.
To examine the predictive value of caregiver/family status to well-being of persons with brain injury and to examine whether perceived social support to caregivers moderates their well-being.
One hundred nine pairs of adults, a caregiver, and an individual with TBI.
Brief Symptom Inventory-18, Satisfaction With Life Scale; Disability Rating Scale; Social Provision Scale, Family Assessment Device, and Disability Rating Scale.
Canonical correlation indicated the presence of a relationship between well-being in TBI and caregiver participants. Two canonical variates accounted for 47.5% variance. Poor psychological well-being among persons with TBI was associated with poor caregiver perceived social support and poor familial behavioral control. Individuals with high disability also had caregivers with poorer psychological well-being. In post hoc multiple regressions, caregiver/family psychosocial characteristics added unique prediction of outcome for individuals with TBI. Hierarchical multiple regressions provided evidence that social support of caregivers moderates outcome status for individuals with TBI.
Future research efforts should focus on understanding of the specific mechanisms of reciprocal effects, to help design future therapy.
考察照顾者/家庭状况对脑损伤患者幸福感的预测价值，并考察照顾者感知到的社会支持是否能调节他们的幸福感。
109 对成年人、一名照顾者和一名脑损伤患者。
症状自评量表-18、生活满意度量表、残疾评定量表、社会供给量表、家庭评估工具和残疾评定量表。
典型相关表明脑损伤患者和照顾者的幸福感之间存在关系。两个典型变量解释了 47.5%的方差。脑损伤患者心理健康状况较差与照顾者感知到的社会支持较差和家庭行为控制较差有关。残疾程度较高的个体的照顾者心理健康状况也较差。在事后多元回归中，照顾者/家庭心理社会特征对脑损伤患者的结局具有独特的预测作用。分层多元回归提供了证据，表明照顾者的社会支持调节了脑损伤患者的结局状况。
未来的研究工作应集中于理解相互影响的具体机制，以帮助设计未来的治疗方法。
