Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, VA, USA.
NeuroRehabilitation. 2013;33(2):273-83. doi: 10.3233/NRE-130955.
To examine differences in ratings of family dynamics between individuals with traumatic brain injury (TBI) and their family caregivers in Mexico, as well as differences in the prediction of caregiver and patient mental health outcomes from those ratings.
Forty-two patient-caregiver dyads (n = 84) from the National Institute of Rehabilitation in México City participated in a comprehensive evaluation of their family dynamics and mental health.
Patients' and caregivers' ratings of family dynamics were significantly correlated and did not differ across five of six types of family dynamics, but caregivers rated their family's level of empathy higher than patients, p < 0.001. Additionally, all patient and caregiver ratings of family dynamics were significantly correlated. Patients', caregivers', and combined (using structural equation modeling latent constructs) ratings of family dynamics robustly predicted four times as many caregiver mental health outcomes as patient mental health outcomes.
Family dynamics influence both TBI patient and caregiver mental health but much more so in caregivers. Research on families of individuals with TBI in Mexico should incorporate both patient and caregiver perspectives to more comprehensively depict the environment in which TBI rehabilitation occurs.
在墨西哥，研究创伤性脑损伤（TBI）患者及其家庭照顾者对家庭动态的评分差异，以及这些评分对照顾者和患者心理健康结果的预测差异。
来自墨西哥城国家康复研究所的 42 对患者-照顾者（n=84）参与了对他们家庭动态和心理健康的全面评估。
患者和照顾者对家庭动态的评分显著相关，在六种家庭动态中的五种中没有差异，但照顾者对家庭同理心的评分高于患者，p<0.001。此外，家庭动态的所有患者和照顾者评分均显著相关。患者、照顾者和（使用结构方程建模潜在构念）综合评分的家庭动态能够更好地预测 4 倍的照顾者心理健康结果，而不是患者心理健康结果。
家庭动态影响 TBI 患者和照顾者的心理健康，但对照顾者的影响更大。在墨西哥对 TBI 患者家庭的研究应同时纳入患者和照顾者的观点，以更全面地描述 TBI 康复发生的环境。
