Northcentral University, Prescott Valley, AZ, USA.
NeuroRehabilitation. 2012;30(1):75-86. doi: 10.3233/NRE-2012-0729.
Much of what is known about family functioning in the face of traumatic brain injury (TBI) is based on research conducted in the United States. The purpose of this study was to (1) describe the levels of family adaptability, cohesion, communication, and satisfaction as reported by Mexican TBI survivors and their family caregivers, (2) test the hypothesis of the Circumplex Model that balanced families would exhibit better communication and greater satisfaction, and (3) explore how TBI survivors' and their family caregivers' perceptions of family adaptability and cohesion influenced their own and the other's perceptions of family communication and satisfaction. In the majority of dyads, both the TBI survivor and the family caregiver endorsed balanced family adaptability and cohesion. Both TBI survivors and their family caregivers reported a relatively high level of family communication and satisfaction. TBI survivors and family caregivers who reported greater levels of family adaptability and cohesion also endorsed better family communication and greater family satisfaction. In addition, individuals with TBI whose family caregiver endorsed balanced family adaptability and cohesion reported better family communication. Further, family caregivers of TBI survivors who reported balanced family adaptability and cohesion reported better family communication. Implications for research and practice are discussed.
在创伤性脑损伤 (TBI) 面前，家庭功能的许多方面都是基于在美国进行的研究。本研究的目的是：(1) 描述墨西哥 TBI 幸存者及其家庭照顾者报告的家庭适应性、凝聚力、沟通和满意度水平；(2) 检验 Circumplex 模型的假设，即平衡的家庭将表现出更好的沟通和更高的满意度；(3) 探讨 TBI 幸存者及其家庭照顾者对家庭适应性和凝聚力的看法如何影响他们自己和对方对家庭沟通和满意度的看法。在大多数对偶中，TBI 幸存者和家庭照顾者都认可平衡的家庭适应性和凝聚力。TBI 幸存者及其家庭照顾者都报告了相对较高水平的家庭沟通和满意度。报告家庭适应性和凝聚力水平较高的 TBI 幸存者和家庭照顾者也报告了更好的家庭沟通和更高的家庭满意度。此外，家庭照顾者对 TBI 幸存者的家庭适应性和凝聚力的认可程度与家庭沟通的改善有关。此外，报告家庭适应性和凝聚力平衡的 TBI 幸存者的家庭照顾者报告了更好的家庭沟通。讨论了对研究和实践的影响。
