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Quality of life, psychological well-being, and resilience in caregivers of people with acquired brain injury (ABI).
Brain Injury ( IF 1.5 ) Pub Date : 2020-02-19 , DOI: 10.1080/02699052.2020.1725127
Laura Bermejo-Toro 1 , Macarena Sánchez-Izquierdo 1 , Esther Calvete 2 , María Angustias Roldán 1
Affiliation  

Aim: The study aims to examine whether characteristics of patients with Acquired Brain Injury-ABI (time elapsed since injury, level of dependence and behavioral problems) and resilience factors of the caregiver predicted caregiver well-being (quality of life, anxiety,depression and positive aspects of caregiving).Methods: 78 voluntary family caregivers (75.6% female) of patients with ABI completed the Barthel Index, Head Behavior Injury Scale, Questionnaire of Resilience in Caregivers of Acquired Brain Injury, WHOQOL-BREF, Hospital Anxiety and Depression Scale,and Positive Aspects of Caregiving Scale. Correlation analysis and stepwise regression were carried out.Results: Time elapsed since injury showed a negative relationship with positive aspects of caregiving. On the other hand, care-recipients' behavioral problems showed significant associations with all caregiver variables: negatively with quality of life and positive aspects of caregiving, and positively with anxiety and depression. Regarding resilience, we found a positive relationship with quality of life and positive aspects of caregiving, and a negative association with anxiety and depression, showing better predictive power with depression.Conclusions: We confirm the relevance of developing multidisciplinary caregiver intervention programmes focused on positive ways to handle care-recipients' behavioral problems and developing positive coping skills, such as positive reinterpretation, acceptance and seeking social support, that may optimize caregiver resilience.

中文翻译:

获得性脑损伤 (ABI) 患者照顾者的生活质量、心理健康和适应能力。

目的:该研究旨在检查获得性脑损伤-ABI 患者的特征(受伤后的时间、依赖程度和行为问题)和照顾者的弹性因素是否预测了照顾者的幸福感(生活质量、焦虑、抑郁和护理的积极方面。方法:78 名 ABI 患者的自愿家庭护理人员(75.6% 为女性)完成了 Barthel 指数、头部行为损伤量表、获得性脑损伤护理人员的复原力问卷、WHOQOL-BREF、医院焦虑和抑郁量表,以及护理量表的积极方面。进行了相关分析和逐步回归。结果:受伤后的时间与照顾的积极方面呈负相关。另一方面,被照顾者的 行为问题与所有照料者变量均显示出显着关联:与生活质量和照料的积极方面呈负相关,与焦虑和抑郁呈正相关。关于复原力,我们发现与生活质量和照料的积极方面呈正相关,与焦虑和抑郁呈负相关,显示出对抑郁症的更好预测能力。处理被看护者的行为问题并培养积极的应对技巧,例如积极的重新解释、接受和寻求社会支持,这可以优化看护者的适应能力。并积极应对焦虑和抑郁。关于复原力,我们发现与生活质量和照料的积极方面呈正相关,与焦虑和抑郁呈负相关,显示出对抑郁症的更好预测能力。处理被看护者的行为问题并培养积极的应对技巧,例如积极的重新解释、接受和寻求社会支持,这可以优化看护者的适应能力。并积极应对焦虑和抑郁。关于复原力,我们发现与生活质量和照料的积极方面呈正相关,与焦虑和抑郁呈负相关,显示出对抑郁症的更好预测能力。处理被看护者的行为问题并培养积极的应对技巧,例如积极的重新解释、接受和寻求社会支持,这可以优化看护者的适应能力。
更新日期:2020-02-19
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