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创伤性脑损伤损害对墨西哥家庭照顾者心理健康的影响。

The influence of TBI impairments on family caregiver mental health in Mexico.

作者信息

Nonterah Camilla W, Jensen Bryan J, Perrin Paul B, Stevens Lillian Flores, Cabrera Teresita Villaseñor, Jiménez-Maldonado Miriam, Arango-Lasprilla Juan Carlos

机构信息

Department of Psychology, Virginia Commonwealth University , Richmond, VA , USA .

出版信息

Brain Inj. 2013;27(11):1287-93. doi: 10.3109/02699052.2013.812243.

Abstract

PURPOSE

This study examined the influence of five types of impairments in individuals with traumatic brain injury (TBI)-and caregiver stress due to these impairments-on the mental health of family caregivers in Guadalajara, Mexico.

METHOD

Ninety caregivers completed measures of TBI impairments and of their own mental health. The majority were female (92.20%) with a mean age of 47.12 years (SD = 12.67). Caregivers dedicated a median of 50 hours weekly to caregiving and had spent a median of 11 months providing care.

RESULTS

Two canonical correlation analyses suggested that these two sets of variables were broadly related, such that more severe impairments in individuals with TBI and more caregiver stress due to those impairments were associated with lower caregiver mental health. Across both analyses, social impairments were most associated with increased caregiver burden. Follow-up analyses also uncovered that caregiver stress due to cognitive impairments was uniquely associated with caregiver burden and anxiety.

CONCLUSIONS

These results are the first to provide evidence that social and cognitive impairments in individuals with TBI from Latin America are the impairments most associated with caregiver mental health and highlight the need for interventions that target social and cognitive functioning.

摘要

目的

本研究考察了墨西哥瓜达拉哈拉地区创伤性脑损伤(TBI)患者的五种损伤类型以及因这些损伤导致的照料者压力对家庭照料者心理健康的影响。

方法

90名照料者完成了TBI损伤情况及自身心理健康状况的测量。大部分为女性(92.20%),平均年龄47.12岁(标准差 = 12.67)。照料者每周照料时间中位数为50小时,照料时长中位数为11个月。

结果

两项典型相关分析表明,这两组变量大致相关,即TBI患者损伤越严重、因这些损伤导致的照料者压力越大,照料者心理健康水平越低。在两项分析中,社交功能损伤与照料者负担增加的关联最为密切。后续分析还发现,因认知功能损伤导致的照料者压力与照料者负担及焦虑存在独特关联。

结论

这些结果首次提供了证据,表明拉丁美洲TBI患者的社交和认知功能损伤与照料者心理健康关联最为密切,并强调了针对社交和认知功能的干预措施的必要性。

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