Department of Psychology, Virginia Commonwealth University, Richmond, VA(∗).
PM R. 2013 Oct;5(10):839-49. doi: 10.1016/j.pmrj.2013.05.018. Epub 2013 Jun 2.
To examine the patterns of family dynamics that are most associated with the mental health of traumatic brain injury (TBI) caregivers from Mexico. It was hypothesized that healthier family dynamics would be associated with better caregiver mental health.
A cross-sectional study of self-reported data collected from TBI caregivers through the Mexican National Institute of Rehabilitation in Mexico City, Mexico, the premier public medical facility in Mexico that provides rehabilitation services to patients with various disabilities.
One public outpatient medical and rehabilitation facility.
Sixty-eight caregivers of individuals with moderate-to-severe TBI from Mexico City, Mexico, were related to an individual with TBI who was ≥3 months after injury, a primary caregiver for ≥3 months, familiar with the patient's history, and without neurologic or psychiatric conditions. The average (standard deviation) age of caregivers was 50.94 ± 12.85 years), and 82% were women.
The caregivers completed Spanish versions of instruments that assessed their own mental health and family dynamics.
Outcomes assessed included family dynamics (Family Adaptability and Cohesion Evaluation Scale-Fourth Edition; Family Communication Scale; Family Satisfaction Scale; Family Assessment Device-General Functioning; and Relationship-Focused Coping Scale), and caregiver mental health (Patient Health Questionnaire-9, Zarit Burden Interview, and Satisfaction with Life Scale).
Results of canonical correlation analyses suggested that caregiver mental health and family dynamics were positively related, with a large effect size. Caregivers with high family satisfaction and cohesion tended to have a low burden and high satisfaction with life. In addition, caregiver depression and burden were positively related to each other and were both inversely related to caregiver satisfaction with life.
TBI caregiver interventions in Latino populations would likely benefit from including programming or techniques to improve family dynamics, especially family cohesion, given the strong potentially reciprocal influence of these dynamics on caregiver mental health.
研究与墨西哥创伤性脑损伤（TBI）照顾者心理健康最相关的家庭动态模式。假设更健康的家庭动态与更好的照顾者心理健康相关。
对墨西哥城墨西哥国家康复研究所收集的 TBI 照顾者自我报告数据进行的横断面研究，该研究所是墨西哥首屈一指的公立医疗设施，为各种残疾患者提供康复服务。
一个公共门诊医疗和康复机构。
来自墨西哥城的 68 名 TBI 患者的照顾者，他们与 TBI 患者有关，该患者受伤后≥3 个月，作为主要照顾者≥3 个月，熟悉患者的病史，且没有神经或精神疾病。照顾者的平均（标准差）年龄为 50.94±12.85 岁），82%为女性。
照顾者完成了评估他们自己心理健康和家庭动态的西班牙语版本的工具。
评估的结果包括家庭动态（家庭适应性和凝聚力评估量表-第四版；家庭沟通量表；家庭满意度量表；家庭评估设备-一般功能；和以关系为导向的应对量表）和照顾者的心理健康（患者健康问卷-9、Zarit 负担访谈和生活满意度量表）。
典型相关分析的结果表明，照顾者的心理健康和家庭动态呈正相关，具有较大的效应量。家庭满意度高、凝聚力强的照顾者往往负担低，生活满意度高。此外，照顾者的抑郁和负担呈正相关，彼此呈负相关，与照顾者的生活满意度呈负相关。
考虑到这些动态对照顾者心理健康的潜在强烈互惠影响，针对拉丁裔人群的 TBI 照顾者干预措施可能会受益于包括改善家庭动态（特别是家庭凝聚力）的方案或技术。
