Department of Psychology, Harvard University , Cambridge, Massachusetts, USA.
Department of Psychology, University of Luebeck , Luebeck, Germany.
Brain Inj. 2020 May 11;34(6):764-772. doi: 10.1080/02699052.2020.1753241. Epub 2020 Apr 27.
The aim of this study was to investigate the association between relatives' interpersonal functioning and patients' recovery after severe traumatic brain injury (TBI) across one year in Switzerland. : This prospective, multi-center cohort study is comprised of 188 adult patients with severe TBI (Abbreviated Head Injury Score > 3) and their relatives. Patients and relatives were assessed 3, 6, and 12 months post-injury. : Interpersonal functioning (Patient Competency Rating Scale for Neurorehabilitation, PCRS-NR), Physical and Mental Health related Quality of Life (HRQoL, SF-12), and overall functioning (Glasgow Outcome Comma Scale Extended, GOSE). : Multilevel analyses showed that relatives' interpersonal functioning was positively associated with a) patients' mental HRQoL ( =.002; slope = 2.95; β =.24) independently of age, b) a moderation time*patients' physical HRQoL among patients > 50 years of age ( <.045; slope = 2.63; β =.2) and c) patients' GOSE among younger individuals ( <.001; slope =.60; β =.23). : These findings show that health and overall functioning are linked with interpersonal dimensions. Thus, the interplay between relatives and patients with TBI needs to be further investigated.
本研究旨在探讨瑞士一年内亲属人际功能与严重创伤性脑损伤（TBI）患者康复之间的关系。这是一项前瞻性、多中心队列研究，纳入了 188 名成人严重 TBI 患者（简明头部损伤评分>3）及其亲属。患者和亲属在受伤后 3、6 和 12 个月进行评估。人际功能（神经康复患者能力评定量表，PCRS-NR）、身体和心理健康相关生活质量（SF-12）和整体功能（格拉斯哥结局量表扩展版，GOSE）。多水平分析显示，亲属的人际功能与患者的心理健康相关生活质量呈正相关（ =.002；斜率=2.95；β=.24），独立于年龄，b）年龄>50 岁的患者中，患者的身体健康相关生活质量的时间*患者的调节作用（ <.045；斜率=2.63；β=.2）和 c）年轻患者的患者 GOSE（ <.001；斜率=.60；β=.23）。这些发现表明健康和整体功能与人际维度有关。因此，需要进一步研究 TBI 患者及其亲属之间的相互作用。
