Article

OBJECTIVE: To examine the system of connections among traumatic brain injury
(TBI) patient social functioning, family functioning, and caregiver depression
and burden in Mexico. DESIGN: Cross-sectional survey. SETTING: A public medical
facility. PARTICIPANTS: Mexican TBI patient-caregiver dyads (N=84) participated
in this study. Most of the patients with TBI were men (81%), with an average age
+/- SD of 38.83+/-13.44 years. The majority of caregivers (86%) were women, with
an average age +/- SD of 51.74+/-11.29. INTERVENTION: Not applicable. MAIN
OUTCOME MEASURES: Outcomes assessed included family functioning (Family
Satisfaction Scale), patient social functioning (Medical Outcomes Study 36-Item
Short-Form Health Survey), and caregiver mental health (Patient Health
Questionnaire-9 and Zarit Burden Interview). RESULTS: A moderated mediation path
model found that patient social functioning and family functioning predicted
caregiver burden, and caregiver burden mediated the effect of family functioning
on caregiver depression. Caregivers with strong family functioning tended to have
low burden, no matter the level of patient social functioning. This path model
provided an excellent fit and explained 47% of the variance in caregiver burden
and 36% of the variance in caregiver depression. CONCLUSIONS: In Mexico, strong
family functioning is an important buffer in the relationship between TBI patient
social functioning deficits and caregiver mental health, especially because
familism is a core value in Latino culture. Rehabilitation interventions designed
to strengthen family functioning may improve caregiver mental health, thereby
influencing the quality of informal care that caregivers are able to provide.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS