Subjective and objective burden and psychological distress in care partners of older adults with traumatic brain injury.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL Rehabilitation Psychology Pub Date : 2023-08-01 DOI:10.1037/rep0000500

Karèle Villeneuve, Simon Beaulieu-Bonneau, Carol Hudon, Guillaume Souesme, Marianne Lévesque, David Predovan, Marie-Josée Sirois, Élaine de Guise, Marie-Ève Lamontagne, Valérie Poulin, Natalie Le Sage, Marcel Émond, Marie-Christine Ouellet

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Abstract

Purpose/objective: In care partners of older persons (65 years and older) having sustained traumatic brain injury (TBI), the objectives were (a) to describe subjective burden (emotional, social, financial, and physical burden), objective burden (new roles and responsibilities), and psychological distress at 4 months postinjury, and (b) to explore the predictors of subjective burden and psychological distress.

Research method/design: This is an observational study of care partners of older adults with TBI (n = 46; M_age = 65.2 years, SD = 11.2, 87% female). Participants completed the Zarit Burden Interview, the Hospital Anxiety and Depression Scale, the Brain Injury Complaint Questionnaire (measuring difficulties of the injured older adult perceived by the care partner), and the modified Medical Outcomes Study Social Support Survey.

Results: A majority of care partners (88%) reported at least one form of objective burden (e.g., increased/decreased time spent in certain activities post-TBI), 29% perceived at least mild subjective burden, and 27% reported either significant anxiety or depressive symptoms. Linear regressions indicated that a higher number of difficulties reported regarding the injured person and poorer perceived social support predicted higher subjective burden and psychological distress. A younger age of the care partner also predicted a higher subjective burden.

Conclusions/implications: This study provides a better understanding of the potential impacts of TBI in older age for care partners. Future research should examine how to support adequately care partners in their psychological adaptation after TBI in an elderly person. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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老年人外伤性脑损伤护理伴的主客观负担及心理困扰。

目的/目的:研究老年人(65岁及以上)持续性创伤性脑损伤(TBI)的护理伴侣，目的是(a)描述创伤后4个月主观负担(情感、社会、经济和身体负担)、客观负担(新的角色和责任)和心理困扰，(b)探讨主观负担和心理困扰的预测因素。研究方法/设计:这是一项观察性研究，研究对象为老年TBI患者的护理伙伴(n = 46;年龄= 65.2岁，SD = 11.2, 87%为女性)。参与者完成了Zarit负担访谈、医院焦虑和抑郁量表、脑损伤投诉问卷(测量受伤老年人被护理伙伴感知的困难)和修改后的医疗结果研究社会支持调查。结果:大多数护理伙伴(88%)报告了至少一种形式的客观负担(例如，创伤性脑损伤后在某些活动上花费的时间增加/减少)，29%认为至少有轻微的主观负担，27%报告了显著的焦虑或抑郁症状。线性回归表明，受伤人员报告的困难数量越多，感知到的社会支持越差，表明主观负担和心理困扰越高。照顾对象的年龄越小，主观负担也越重。结论/意义:本研究提供了更好地了解老年脑外伤对护理伙伴的潜在影响。未来的研究应探讨如何在老年人脑外伤后为护理伙伴提供充分的心理适应支持。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.