Mascialino Guido, Perrin Paul B, Arango-Lasprilla Juan Carlos, Watson Jack D, Rodríguez-Lorenzana Alberto, Paz Clara
Escuela de Psicología y Educación, Universidad de Las Américas, 170137 Quito, Ecuador.
School of Data Science and Department of Psychology, University of Virginia, Charlottesville, VA 22903, USA.
J Clin Med. 2024 Nov 26;13(23):7169. doi: 10.3390/jcm13237169.
Traumatic brain injury (TBI) is a major cause of death and disability worldwide and often leads to long-lasting emotional, physical, and cognitive changes and results in reduced functioning across multiple domains. These changes often lead to strain in marital relationships as the uninjured spouse grapples with adapting to the changes in their partner. The purpose of this study was to examine the probability of marital stability after TBI at 6 and 12 months following injury (i.e., probability trajectory across those two time points), as well as predictors of that probability trajectory. The study design was repeated-measures and observational. Patient recruitment and follow-up took place from January 2018 to March 2020 in Quito, Ecuador. Ninety-seven TBI survivors were recruited while hospitalized in the neurosurgery unit of Hospital Eugenio Espejo, a tertiary care center. Patients were assessed at 6 and 12 months after their injury. Hierarchical linear modeling (HLM) was used to examine baseline predictors of linear marital probability trajectories across 6 and 12 months after injury. A final set of HLMs included each of the previously significant predictors from the first model, time, and the interaction terms between time and the previously significant predictor. The first HLM found that marital probability remained stable between 6 and 12 months after TBI. Individuals who were employed at baseline had higher marital probability trajectories than those who had been unemployed. Older individuals had higher marital probability trajectories than younger individuals, and women had higher marital probability trajectories than men. This is the first study to examine marital probability trajectories for an Ecuadorian adult population with TBI, and the data are of great value to understanding post-TBI outcomes in the region. These results can inform interventions and support systems to bolster marital resilience in the aftermath of TBI. Further research is warranted to explore the nuances of these relationships and to validate these findings in diverse populations.
创伤性脑损伤（TBI）是全球范围内死亡和残疾的主要原因，常常导致长期的情绪、身体和认知变化，并致使多个领域的功能减退。这些变化常常给婚姻关系带来压力，因为未受伤的配偶要努力适应伴侣的变化。本研究的目的是考察创伤性脑损伤后6个月和12个月时婚姻稳定的概率（即这两个时间点的概率轨迹），以及该概率轨迹的预测因素。研究设计为重复测量观察性研究。患者招募和随访于2018年1月至2020年3月在厄瓜多尔基多进行。97名创伤性脑损伤幸存者在三级护理中心欧亨尼奥·埃斯佩霍医院神经外科住院期间被招募。患者在受伤后6个月和12个月接受评估。采用分层线性模型（HLM）来考察受伤后6个月和12个月线性婚姻概率轨迹的基线预测因素。最后一组分层线性模型包括第一个模型中每个先前显著的预测因素、时间，以及时间与先前显著预测因素之间的交互项。第一个分层线性模型发现，创伤性脑损伤后6个月至12个月期间婚姻概率保持稳定。基线时就业的个体比失业个体有更高的婚姻概率轨迹。年龄较大的个体比年龄较小的个体有更高的婚姻概率轨迹，女性比男性有更高的婚姻概率轨迹。这是第一项考察厄瓜多尔成年创伤性脑损伤人群婚姻概率轨迹的研究，这些数据对于理解该地区创伤性脑损伤后的结果具有重要价值。这些结果可为干预措施和支持系统提供参考，以增强创伤性脑损伤后婚姻的恢复力。有必要进行进一步研究，以探索这些关系的细微差别，并在不同人群中验证这些发现。
