Low resilience is associated with worse health-related quality of life in caregivers of service members and veterans with traumatic brain injury: a longitudinal study

被引：3

作者：

Brickell, Tracey A. ^{[1
,2
,3
,4
]}

Wright, Megan M. ^{[1
,2
,5
]}

Sullivan, Jamie K. ^{[1
,2
,4
]}

Varbedian, Nicole V. ^{[1
,2
,5
]}

Rogers-Yosebashvili, Alicia A. ^{[1
,2
,5
]}

French, Louis M. ^{[1
,2
,3
]}

Lange, Rael T. ^{[1
,2
,3
,4
]}

机构：

[1] Walter Reed Natl Mil Med Ctr, Traumat Brain Injury Ctr Excellence, Bethesda, MD 20814 USA

[2] Walter Reed Natl Mil Med Ctr, Natl Intrepid Ctr Excellence, Bethesda, MD 20814 USA

[3] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA

[4] Gen Dynam Informat Technol, Silver Spring, MD 20910 USA

[5] CICONIX, Annapolis, MD USA

来源：

QUALITY OF LIFE RESEARCH | 2024年 / 33卷 / 08期

关键词：

Military family caregiver; Service member veteran; Traumatic brain injury; Health-related quality of life; Resilience;

D O I：

10.1007/s11136-024-03680-6

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Purpose To examine [a] the association of caregiver health-related quality of life (HRQOL) and service member/veteran (SMV) neurobehavioral outcomes with caregiver resilience; [b] longitudinal change in resilience at the group and individual level; and [c] the magnitude of change at the individual level. Methods Caregivers (N = 232) of SMVs with traumatic brain injury completed a resilience measure, and 18 caregiver HRQOL and SMV neurobehavioral outcome measures at a baseline evaluation and follow-up evaluation three years later. Caregivers were divided into two resilience groups at baseline and follow-up: [1] Low Resilience (<= 45 T, baseline n = 99, follow-up n = 93) and [2] High Resilience (> 45 T, baseline n = 133, follow-up n = 139). Results At baseline and follow-up, significant effects were found between Low and High Resilience groups for the majority of outcome measures. There were no significant differences in resilience from baseline to follow-up at the group-mean level. At the individual level, caregivers were classified into four longitudinal resilience groups: [1] Persistently Low Resilience (Baseline + Follow-up = Low Resilience, n = 60), [2] Reduced Resilience (Baseline = High Resilience + Follow-up = Low Resilience, n = 33), [3] Improved Resilience (Baseline = Low Resilience + Follow-up = High Resilience, n = 39), and [4] Persistently High Resilience (Baseline + Follow-up = High Resilience, n = 100). From baseline to follow-up, approximately a third of the Reduced and Improved Resilience groups reported a meaningful change in resilience (>= 10 T). Nearly all of the Persistently High and Persistently Low Resilience groups did not report meaningful change in resilience (< 10 T). Conclusion Resilience was not a fixed state for all caregivers. Early intervention may stall the negative caregiving stress-health trajectory and improve caregiver resilience.

引用

页码：2197 / 2206

页数：10

共 30 条

[1]

[Anonymous], 2007, User's Manual for the SF-36v2® Health Survey

[2]

Brickell T. A., 2020, LONG CAR FAM MEMB AN

[3] Longitudinal Health Outcomes in Caregivers of Military Members With Traumatic Brain Injury [J].