Faculty of Nursing and Health, Avondale College of Higher Education, Sydney (Dr Anderson); Brain Injury Rehabilitation Unit, Liverpool Health Service, Sydney (Dr Simpson); Rehabilitation Studies Unit, University of Sydney, Sydney (Dr Simpson); and Faculty of Business, Avondale College of Higher Education, Cooranbong (Dr Morey), New South Wales, Australia.
J Head Trauma Rehabil. 2013 Nov-Dec;28(6):453-63. doi: 10.1097/HTR.0b013e31825d6087.
To examine the differential effect of neurobehavioral impairments (cognitive, behavioral, and social) on family functioning, family roles, and psychological distress in male versus female caregivers of relatives with severe traumatic brain injury (TBI).
Structural equation modeling with multigroup analysis conducted in a cross-sectional sample to test an established theoretical model.
An aggregated sample of 122 caregivers (46 male, 76 female) of people with severe TBI. The sample comprised 64 spouses and 58 parents (29 parental couples) of 93 persons with TBI.
Neurobehavioral Problem Checklist; Family Assessment Device; and Brief Symptom Inventory.
Structural equation modeling showed that the proposed model had acceptable fit indices for the combined sample. Multigroup analysis indicated that both male and female caregivers (i) responded similarly to the neurobehavioral impairments experienced by the injured relative and (ii) reported behavior having a direct effect on family functioning, which, in turn, increased psychological distress. However, the effect of disrupted family functioning was more influential on the level of distress in male caregivers than in female caregivers.
Evidence was found for gender-specific pathways underlying the psychological distress of male versus female caregivers. Such findings can assist in tailoring family support strategies so that they cater for caregivers of both genders.
探讨神经行为损伤（认知、行为和社会）对严重创伤性脑损伤（TBI）患者亲属的男性和女性照顾者的家庭功能、家庭角色和心理困扰的差异影响。
在横断面样本中进行结构方程建模和多组分析，以检验一个既定的理论模型。
122 名严重 TBI 患者的照顾者（46 名男性，76 名女性）的汇总样本。该样本包括 93 名 TBI 患者的 64 名配偶和 58 名父母（29 对父母）。
神经行为问题清单；家庭评估工具；简明症状量表。
结构方程建模显示，所提出的模型对于合并样本具有可接受的拟合指数。多组分析表明，男性和女性照顾者（i）对受伤亲属经历的神经行为损伤有类似的反应，（ii）报告行为对家庭功能有直接影响，而家庭功能的破坏又会增加心理困扰。然而，家庭功能紊乱对男性照顾者的困扰程度的影响大于对女性照顾者的影响。
有证据表明，男性和女性照顾者的心理困扰存在性别特异性途径。这些发现可以帮助定制家庭支持策略，以满足男女照顾者的需求。
