The aim of this study was to investigate the association between relatives' interpersonal functioning and patients' recovery after severe traumatic brain injury (TBI) across one year in Switzerland. Design: This prospective, multi-center cohort study is comprised of 188 adult patients with severe TBI (Abbreviated Head Injury Score > 3) and their relatives. Patients and relatives were assessed 3, 6, and 12 months post-injury. Main outcome measures: Interpersonal functioning (Patient Competency Rating Scale for Neurorehabilitation, PCRS-NR), Physical and Mental Health related Quality of Life (HRQoL, SF-12), and overall functioning (Glasgow Outcome Comma Scale Extended, GOSE). Results: Multilevel analyses showed that relatives' interpersonal functioning was positively associated with a) patients' mental HRQoL (p =.002; slope = 2.95; β =.24) independently of age, b) a moderation time*patients' physical HRQoL among patients > 50 years of age (p <.045; slope = 2.63; β =.2) and c) patients' GOSE among younger individuals (p <.001; slope =.60; β =.23). Conclusion: These findings show that health and overall functioning are linked with interpersonal dimensions. Thus, the interplay between relatives and patients with TBI needs to be further investigated.

中文翻译：

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严重 TBI 后患者的康复与其近亲的人际关系功能相关：一项为期 12 个月的前瞻性队列研究。

本研究的目的是调查瑞士一年内严重创伤性脑损伤 (TBI) 后亲属的人际交往功能与患者康复之间的关系。设计：这项前瞻性、多中心队列研究由 188 名患有严重 TBI（头部损伤评分 > 3）的成年患者及其亲属组成。患者和亲属在受伤后 3、6 和 12 个月进行评估。主要结果测量：人际功能（神经康复患者能力评定量表，PCRS-NR），与身心健康相关的生活质量（HRQoL，SF-12）和整体功能（格拉斯哥结果逗号量表扩展，GOSE）。结果：多层次分析表明，亲属的人际交往功能与 a) 患者的心理 HRQoL 呈正相关（p =.002；斜率 = 2.95；β =.24) 与年龄无关，b) 调节时间*> 50 岁患者的身体 HRQoL (p <.045；斜率 = 2.63；β =.2) 和 c) 年轻人的 GOSE （p <.001；斜率 =.60；β =.23）。结论：这些研究结果表明，健康和整体功能与人际关系相关。因此，需要进一步研究亲属与 TBI 患者之间的相互作用。