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Do emotional distress and functional problems in persons with traumatic brain injury contribute to perceived sleep-related impairment in caregivers?
Rehabilitation Psychology ( IF 3.713 ) Pub Date : 2020-11-01 , DOI: 10.1037/rep0000327
Anna L Kratz 1 , Nicholas R Boileau 1 , Angelle M Sander 2 , Risa Nakase-Richardson 3 , Robin A Hanks 4 , Jill P Massengale 5 , Jennifer A Miner 1 , Noelle E Carlozzi 1
Affiliation  

OBJECTIVE The goal of this study was to examine the association between characteristics of persons with traumatic brain injury (PwTBI) and perceived sleep-related impairment of the caregivers. METHOD Fifty-two dyads (n = 23 civilians, n = 29 service members/veterans [SMVs]) were enrolled. Caregivers completed the Patient-Reported Outcomes Measurement Information System Sleep-Related Impairment computer adaptive test, and PwTBI completed Quality of Life in Neurological Disorders measures of depression, anxiety, anger, cognitive functioning, and upper and lower extremity functioning. Hierarchical linear regression models, stratified by civilian/SMV group, were employed to assess prediction of caregiver-perceived sleep-related impairment from emotional distress of the PwTBI (anxiety, depressed mood, and anger) and perceived functional status of the PwTBI (cognitive, upper extremity, lower extremity functioning). RESULTS Compared with caregivers of civilians, caregivers of SMVs reported higher perceived sleep-related impairment. Regression results showed that characteristics of the PwTBI accounted for moderate amounts of variance in the sleep-related impairment of caregivers of both civilians and SMVs. Within-group analyses showed that the strongest predictor of sleep-related impairment of caregivers of civilians was self-reported cognitive function of the PwTBI (β = -0.82, p = .08); the strongest predictor of sleep-related impairment of caregivers of SMVs was self-reported anger of the PwTBI (β = 0.54, p = .07). CONCLUSIONS In both caregivers of civilians and SMVs with TBI, characteristics of the PwTBI were related to perceived caregiver sleep-related impairment. These preliminary data can inform future research with larger samples that examine the impact of multiple characteristics of the caregiver and care recipient on caregiver sleep. Findings highlight the potential importance of considering the dynamics of the dyad in rehabilitation programming not only for the PwTBI but for caregivers as well. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译:

创伤性脑损伤患者的情绪困扰和功能问题是否会导致护理人员感知到与睡眠相关的障碍?

目的 本研究的目的是检查外伤性脑损伤 (PwTBI) 患者的特征与看护者感知到的睡眠相关障碍之间的关联。方法 招募了 52 名二人组(n = 23 名平民,n = 29 名服役人员/退伍军人 [SMV])。护理人员完成了患者报告的结果测量信息系统睡眠相关障碍计算机适应性测试,PwTBI 完成了抑郁、焦虑、愤怒、认知功能以及上下肢功能的神经疾病生活质量测量。使用由平民/SMV 组分层的分层线性回归模型来评估对护理人员感知的 PwTBI 情绪困扰(焦虑、抑郁情绪、和愤怒)和感知的 PwTBI 功能状态(认知、上肢、下肢功能)。结果 与平民的照顾者相比,SMV 的照顾者报告了更高的感知睡眠相关障碍。回归结果表明,PwTBI 的特征解释了平民和 SMV 的看护者的睡眠相关损伤的适度差异。组内分析表明,平民照护者睡眠相关损害的最强预测因子是 PwTBI 的自我报告认知功能(β = -0.82,p = .08);SMV 看护者睡眠相关损害的最强预测因子是 PwTBI 自我报告的愤怒(β = 0.54,p = .07)。结论 在平民的护理人员和患有 TBI 的 SMV 中,PwTBI 的特征与感知到的看护者睡眠相关障碍有关。这些初步数据可以为未来的研究提供更大的样本,这些样本检查看护者和被看护者的多种特征对看护者睡眠的影响。研究结果强调了在康复规划中考虑二元组动态的潜在重要性,不仅对于 PwTBI,而且对于护理人员也是如此。(PsycInfo 数据库记录 (c) 2020 APA,保留所有权利)。
更新日期:2020-11-01
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