Physical and Mental Health and Functioning Among Traumatic Brain Injury Close Relatives: The Role of Posttraumatic Stress Symptoms.
Functioning
Health-related quality of life
Posttraumatic stress symptoms
Relatives
Severe traumatic brain injury
calidad de vida relacionada con la salud
familiares
funcionamiento
síntomas de estrés postraumático
traumatismo cráneoencefálico grave
亲戚
健康关联的生活质量
创伤后压力症候
功能性
重度脑部创伤
Journal
Family process
ISSN: 1545-5300
Titre abrégé: Fam Process
Pays: United States
ID NLM: 0400666
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
pubmed:
24
4
2019
medline:
8
9
2021
entrez:
24
4
2019
Statut:
ppublish
Résumé
Severe Traumatic brain injury (sTBI) often instigates widespread long-lasting disability and is accompanied by extensive rehabilitation. Unsurprisingly, sTBI also holds malignant consequences for patients' close relatives. The burden caused by the injury and its severity explains some of the ramifications for the relatives. Additionally, some findings demonstrate that patients with sTBI and their relatives develop posttraumatic stress (PTS) symptoms. However, although the link between PTS symptoms and physical and mental health is well-documented in literature, the effect of PTS symptoms on relatives of patients with sTBI has barely been examined. This study examines the influence of PTS symptoms of patients with sTBI and their relatives on the physical and mental health and functioning of the relatives. Patients who sustained a severe sTBI (Abbreviated Injury Scale of the head region > 3) and close relatives were included in a multi-center, prospective cohort study (TRAST-MI). One-hundred patients and their relatives were assessed at 2, 6, and 12 months post injury. Outcome variables included health-related quality of life (SF-12) as well as emotional, cognitive, interpersonal, and total functioning (PCRS). Relatives' physical health was predicted by relatives' PTS symptoms (Slope=-1.76; p = .043), and mental health was predicted by both patients' (Slope=-2.77; p = .034) and relatives' (Slope=-6.59; p < .001) PTS symptoms. Functioning level was only predicted by patients' PTS symptoms (Slope=-.25; p El traumatismo craneoencefálico grave (TCEG) generalmente provoca una discapacidad duradera generalizada y está acompañado por una larga rehabilitación. Como es de esperarse, el TCEG también tiene consecuencias nocivas para los familiares cercanos de los pacientes. El agobio causado por la lesión y su gravedad explica algunas de las repercuciones en los familiares. Además, algunos resultados demuestran que los pacientes con TCEG y sus familiares desarrollan síntomas de estrés postraumático (EPT). Sin embargo, aunque la asociación entre los síntomas de EPT y la salud física y mental está bien documentada en la bibliografía, el efecto de los síntomas de EPT en los familiares de los pacientes con TCEG casi no se ha analizado. Este estudio analiza la influencia de los síntomas de EPT de los pacientes con TCEG y sus familiares en la salud física y mental y en el funcionamiento de los familiares. Se incluyó a pacientes que sufrieron un TCEG (escala abreviada de lesiones de la región craneana > 3) y a familiares cercanos en un estudio de cohorte prospectivo realizado en varios centros (TRAST-MI). Se evaluó a cien pacientes y a sus familiares a los dos, a los seis y a los doce meses después de la lesión. Entre los criterios de valoración se encontraron la calidad de vida relacionada con la salud (SF-12) así como el funcionamiento emocional, cognitivo, interpersonal y total (PCRS). La salud física de los familiares se predijo mediante los síntomas de EPT de los familiares (Pendiente = -1.76; p = .043), y la salud mental se predijo mediante los síntomas de EPT de los pacientes (Pendiente = -2.77; p = .034) y los familiares (Pendiente = -6.59; p < .001). El nivel de funcionamiento solo se predijo mediante los síntomas de EPT de los pacientes (Pendiente = -.25; p < .001). Los resultados enfatizan que el TCE debe considerarse una experiencia traumática amplia que va más allá del mero daño físico al cerebro y sus consecuencias directas, y que afecta a la persona lesionada y a sus familiares cercanos. 重度创伤性脑伤(sTBI)造成广泛的长期性残,伴随大量的康复治疗。 sTBI对病人的亲近的家属有伤害的结果,这一点并不惊奇。脑伤引起的负担和严重性解释了有疾病衍生出的对近亲的影响。另外,有些研究结论证明有sTBI的病人和他们的亲人都出现了PTS创伤后压力症候。但是尽管PTS症状和身体心理健康之间的关系在文献里面有很多记录,PTS症状在sTBI病人的亲戚中的情况尚未有研究。本研究旨在考察有sTBI的病人 和他们的亲戚中的PTS症状,考察他们身体和心理健康及亲属的正常功能方面的状况。这是一项多中心的前瞻性队列研究,对重度sTBI (小型头部区域的伤害程度>3)患者和他们的亲近家属进行考察。100多个病人本人和家属在病人受伤后的2,6,12个月都进行了评估检查。结果变量包括健康相关的生活质量(SF-12)以及情绪、认知、人际交往和整个功能(PCRS)。 家属的身体健康状况可以由家属的PTS症状 ((Slope斜率 =-1.76; p值=.043)来预测,心理健康则可以由病人(Slope = -2.77; p = .034)和亲属的(Slope = -6.59; p < .001) PTS症状来预测。功能水平只能被病人的PTS症状预测 (Slope = -.25; p < .001)。这些研究结果强调TBI 脑部创伤是一个综合性的创伤经历,其影响力远远超过仅仅对脑部肉体方面的创伤和造成的直接后果,还影响到受伤者本人以及其亲近的家属。.
Autres résumés
Type: Publisher
(spa)
El traumatismo craneoencefálico grave (TCEG) generalmente provoca una discapacidad duradera generalizada y está acompañado por una larga rehabilitación. Como es de esperarse, el TCEG también tiene consecuencias nocivas para los familiares cercanos de los pacientes. El agobio causado por la lesión y su gravedad explica algunas de las repercuciones en los familiares. Además, algunos resultados demuestran que los pacientes con TCEG y sus familiares desarrollan síntomas de estrés postraumático (EPT). Sin embargo, aunque la asociación entre los síntomas de EPT y la salud física y mental está bien documentada en la bibliografía, el efecto de los síntomas de EPT en los familiares de los pacientes con TCEG casi no se ha analizado. Este estudio analiza la influencia de los síntomas de EPT de los pacientes con TCEG y sus familiares en la salud física y mental y en el funcionamiento de los familiares. Se incluyó a pacientes que sufrieron un TCEG (escala abreviada de lesiones de la región craneana > 3) y a familiares cercanos en un estudio de cohorte prospectivo realizado en varios centros (TRAST-MI). Se evaluó a cien pacientes y a sus familiares a los dos, a los seis y a los doce meses después de la lesión. Entre los criterios de valoración se encontraron la calidad de vida relacionada con la salud (SF-12) así como el funcionamiento emocional, cognitivo, interpersonal y total (PCRS). La salud física de los familiares se predijo mediante los síntomas de EPT de los familiares (Pendiente = -1.76; p = .043), y la salud mental se predijo mediante los síntomas de EPT de los pacientes (Pendiente = -2.77; p = .034) y los familiares (Pendiente = -6.59; p < .001). El nivel de funcionamiento solo se predijo mediante los síntomas de EPT de los pacientes (Pendiente = -.25; p < .001). Los resultados enfatizan que el TCE debe considerarse una experiencia traumática amplia que va más allá del mero daño físico al cerebro y sus consecuencias directas, y que afecta a la persona lesionada y a sus familiares cercanos.
Type: Publisher
(chi)
重度创伤性脑伤(sTBI)造成广泛的长期性残,伴随大量的康复治疗。 sTBI对病人的亲近的家属有伤害的结果,这一点并不惊奇。脑伤引起的负担和严重性解释了有疾病衍生出的对近亲的影响。另外,有些研究结论证明有sTBI的病人和他们的亲人都出现了PTS创伤后压力症候。但是尽管PTS症状和身体心理健康之间的关系在文献里面有很多记录,PTS症状在sTBI病人的亲戚中的情况尚未有研究。本研究旨在考察有sTBI的病人 和他们的亲戚中的PTS症状,考察他们身体和心理健康及亲属的正常功能方面的状况。这是一项多中心的前瞻性队列研究,对重度sTBI (小型头部区域的伤害程度>3)患者和他们的亲近家属进行考察。100多个病人本人和家属在病人受伤后的2,6,12个月都进行了评估检查。结果变量包括健康相关的生活质量(SF-12)以及情绪、认知、人际交往和整个功能(PCRS)。 家属的身体健康状况可以由家属的PTS症状 ((Slope斜率 =-1.76; p值=.043)来预测,心理健康则可以由病人(Slope = -2.77; p = .034)和亲属的(Slope = -6.59; p < .001) PTS症状来预测。功能水平只能被病人的PTS症状预测 (Slope = -.25; p < .001)。这些研究结果强调TBI 脑部创伤是一个综合性的创伤经历,其影响力远远超过仅仅对脑部肉体方面的创伤和造成的直接后果,还影响到受伤者本人以及其亲近的家属。.
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
666-680Informations de copyright
© 2019 Family Process Institute.
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