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A longitudinal study of family functioning after TBI and relatives' emotional status

SCHONBERGER M; PONSFORD J; OLVER J; PONSFORD M
NEUROPSYCHOL REHABIL , 2010, vol. 20, n° 6, p. 813-829
Doc n°: 149480
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.1080/09602011003620077
Descripteurs : AF3 - TRAUMATISME CRANIEN, JL13 - HANDICAP ET FAMILLE

The objectives of the study were to examine family functioning and relatives'
emotional state after traumatic brain injury (TBI), and to test a model of the
relationship between neurobehavioural status, family functioning and relatives'
emotional status at two and five years post-injury. The relatives of 98 adult
individuals who had sustained severe TBI were followed up 2 and 5 years
post-injury and completed the Family Assessment Device, the Hospital Anxiety and
Depression Scale, and rated the neurobehavioural status (cognitive, behavioural,
emotional, social) of their injured relative, using the Structured Outcomes
Questionnaire. A structural equation model, based on existing research, was
developed and tested on 66 of the participants. The level of family functioning
and the rates of clinically relevant levels of anxiety and depression did not
change over time (p > .05). The starting path model was revised. The final model
had an excellent fit, chi(2)(16) = 15.20, p = .51; CFI = 1.00, RMSEA < .001, p
for test of close fit = .66. In this model, poor family functioning and symptoms
of anxiety and depression in the relatives were predicted by behavioural and mood
changes in the injured individual. The relationship between family functioning
and relatives' mood was reciprocal. The findings suggest the need for timely
investigation and institution of interventions. Support is needed both for
individual family members in dealing with their emotional distress as well as for
the family as a whole, with the aim of maximising quality of life for those with
TBI and their relatives.

Langue : ANGLAIS

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