Testing a Model of Resilience in Family Members of Relatives with Traumatic Brain Injury vs Spinal Cord Injury: Multigroup Analysis.
Arch Phys Med Rehabil
; 102(12): 2325-2334, 2021 12.
Article
em En
| MEDLINE
| ID: mdl-34358498
ABSTRACT
OBJECTIVE:
To test a model comprising explanatory (neurologic impairment, coping, personality) and mediating (resilience, self-efficacy, hope, social support) variables on psychological adjustment and burden among family caregivers of individuals with traumatic brain injury (TBI) vs spinal cord injury (SCI).DESIGN:
Structural equation modeling with multigroup analysis.SETTING:
Six rehabilitation centers across New South Wales and Queensland, Australia.PARTICIPANTS:
A total of 181 family members (N=181; 131 TBI, 50 SCI).INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
Connor-Davidson Resilience Scale, Eysenck Personality Questionnaire, Ways of Coping Questionnaire, General Self-Efficacy Scale, Herth Hope Scale, Medical Outcome Study Social Support Survey; and 4 measures of psychological adjustment including Caregiver Burden Scale, Medical Outcomes Survey Short Form-36 (SF-36), General Health Questionnaire-28, and Positive and Negative Affect Scale.RESULTS:
The model for the aggregated sample demonstrated a very good model fit (χ2=47.42, df=39, ρ=0.167, normed fit index=.962, incremental fit index=.993, Tucker-Lewis index=.985, comparative fit index=.993, root-mean-squared error of approximation=.035). Multi-group analysis found significant commonalities in the pattern of relationships among variables across the 2 groups. In the only differences found, neuroticism was significantly more influential on burden in family members supporting individuals with TBI than family members of individuals with SCI. Furthermore, problem-focused coping was statistically more influential on positive affect in family members of individuals with TBI when compared with family members of individuals with SCI.CONCLUSIONS:
The study found significant similarities in the patterns of resilience and psychological adjustment among family caregivers of individuals with TBI and SCI.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos da Medula Espinal
/
Cuidadores
/
Resiliência Psicológica
/
Lesões Encefálicas Traumáticas
/
Sobrecarga do Cuidador
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article