The relationship between neurobehavioural problems of severe traumatic brain injury (TBI), family functioning and the psychological wellbeing of the spouse/caregiver: path model analysis
The relationship between neurobehavioural problems of severe traumatic brain injury (TBI), family functioning and the psychological wellbeing of the spouse/caregiver: path model analysis
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DOI：
10.1080/02699050210128906
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发表时间：
2002-09-01
期刊：
影响因子：
1.9
通讯作者：
Mok, M
中科院分区：
文献类型：
--
作者：
Anderson, MI;Parmenter, TR;Mok, M
本研究采用现代压力理论作为框架，以加强对创伤性脑损伤的神经行为问题，家庭功能和配偶/照顾者心理困扰之间关系的理解。这项研究是一个事后的设计，利用横截面的方法。路径分析被用来确定神经行为问题对家庭功能和心理困扰的结构性影响。招募了47名患有严重TBI的女性和17名患有严重TBI的男性配偶/照顾者。报告患有TBI的伴侣具有高水平行为和认知问题的配偶/照顾者经历了高水平的不健康家庭功能。高水平的不健康的家庭功能与配偶/照顾者的高水平的痛苦有关，因为家庭功能对心理痛苦有中度影响。此外，通过家庭功能运作的行为和认知问题的间接影响加剧了配偶/照顾者所经历的心理痛苦程度。此外，配偶/照顾者谁报告的行为，沟通和社会问题，在其合作伙伴的高度也经历了高度的心理困扰。这项研究是重要的，因为从多维角度来看，TBI对配偶/照顾者的影响是脑损伤和残疾领域的一个重要和研究不足的领域。
This study used a modern theory of stress as a framework to strengthen the understanding of the relationship between neurobehavioural problems of TBI, family functioning and psychological distress in spouse/caregivers. The research was an ex post facto design utilising a cross-sectional methodology. Path analysis was used to determine the structural effect of neurobehavioural problems on family functioning and psychological distress. Forty-seven female and 17 male spouse/caregivers of partners with severe TBI were recruited. Spouse/caregivers who reported partners with TBI as having high levels of behavioural and cognitive problems experienced high levels of unhealthy family functioning. High levels of unhealthy family functioning were related to high levels of distress in spouse/caregivers, as family functioning had a moderate influence on psychological distress. Furthermore, indirect effects of behavioural and cognitive problems operating through family functioning intensified the level of psychological distress experienced by spouse/caregivers. Additionally, spouse/caregivers who reported high levels of behavioural, communication and social problems in their partners also experienced high levels of psychological distress. This study was significant because the impact of TBI on the spouse/caregiver from a multidimensional perspective is an important and under-researched area in the brain injury and disability field.