Factors associated with strain among informal care providers of patients with traumatic brain injury in Malaysia

Bamatraf, Amena Awadh; AlAmodi, Abdulhadi A.; Ali, Meryam Abdella; Chong, Mei Chan; Mazlan, Mazlina; Shareef, Mohammad Abrar

doi:10.4103/jfmpc.jfmpc_247_20

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…Interestingly, we have found the behavior and affective symptoms within NPS each accounted for caregiver burden. These findings are consistent with previous research that has linked sudden behavior changes following TBI (e.g., apathy, irritability, appetite, disinhibition, and agitation) (Devi et al, 2020;Machamer et al, 2002), or affective symptoms (Bamatraf et al, 2020;Kaewphinit et al, 2022, Simpson et al, 2020 to a lack of immediate coping mechanisms for caregivers.…”

Section: Impact Of Nps On Caregiver Burden and Well-beingsupporting

confidence: 92%

Neuropsychiatric symptoms after moderate-to-severe traumatic brain injury in Vietnam: Assessment, prevalence, and impact on caregivers

Nguyen,

Pham,

Nguyen

et al. 2023

J Int Neuropsychol Soc

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Objective:Neuropsychiatric symptoms (NPSs) after moderate-to-severe traumatic brain injury (TBI) have been well documented in WEIRD (Western, educated, industrialized, rich, and democratic) populations. In non-WEIRD populations, such as Vietnam, however, patients with TBI clinically remain uninvestigated with potential neuropsychiatric disorders, limiting on-time critical interventions. This study aims to (1) adapt the Vietnamese Neuropsychiatric Inventory (V-NPI), (2) examine NPSs after moderate-to-severe TBI and (3) evaluate their impact on caregiver burden and well-being in Vietnam.Method:Caregivers of seventy-five patients with TBI completed the V-NPI, and other behavior, mood, and caregiver burden scales.Results:Our findings demonstrated good internal consistency, convergent validity, and structural validity of the V-NPI. Caregivers reported that 78.7% of patients with TBI had at least three symptoms and 16.0% had more than seven. Behavioral and mood symptoms were more prevalent (ranging from 44.00% to 82.67% and from 46.67% to 66.67%, respectively) and severe in the TBI group. Importantly, NPSs in patients with TBI uniquely predicted 55.95% and 33.98% of caregiver burden and psychological well-being, respectively.Conclusion:This study reveals the first evidence for the presence and severity of NPSs after TBI in Vietnam, highlighting an urgent need for greater awareness and clinical assessment of these symptoms in clinical practice. The adapted V-NPI can serve as a useful tool to facilitate such assessments and interventions. In addition, given the significant impact of NPS on caregiver burden and well-being, psychosocial support for caregivers should be established.

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Section: Impact Of Nps On Caregiver Burden and Well-beingsupporting

confidence: 92%

Neuropsychiatric symptoms after moderate-to-severe traumatic brain injury in Vietnam: Assessment, prevalence, and impact on caregivers

Nguyen,

Pham,

Nguyen

et al. 2023

J Int Neuropsychol Soc

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“…This was more common in unmarried patients with moderate to severe injuries. Parents or immediate family members tend to shoulder the responsibility as primary caregivers for a long period of time [ 44 ]. Our study found that independent living either alone or with friends is an independent predictor of good functional outcome.…”

Section: Discussionmentioning

confidence: 99%

Outcome of 1939 traumatic brain injury patients from road traffic accidents: Findings from specialist medical reports in a low to middle income country (LMIC)

Teh,

Mazlan,

Danaee

et al. 2023

PLoS ONE

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Objective Road traffic accident (RTA) is the major cause of traumatic brain injury (TBI) in developing countries and affects mostly young adult population. This research aimed to describe the factors predicting functional outcome after TBI caused by RTA in a Malaysian setting. Methods This was a retrospective cross-sectional study conducted on specialist medical reports written from 2009 to 2019, involving patients who survived after TBI from RTA. The functional outcome was assessed using the Glasgow Outcome Scale-Extended (GOSE). Factors associated with good outcome were analysed via logistic regression analysis. Multivariate logistic regression analysis was used to derive the best fitting Prediction Model and split-sample cross-validation was performed to develop a prediction model. Results A total of 1939 reports were evaluated. The mean age of the study participants was 32.4 ± 13.7 years. Most patients were male, less than 40, and with average post RTA of two years. Good outcome (GOSE score 7 & 8) was reported in 30.3% of the patients. Factors significantly affecting functional outcome include age, gender, ethnicity, marital status, education level, severity of brain injury, neurosurgical intervention, ICU admission, presence of inpatient complications, cognitive impairment, post-traumatic headache, post traumatic seizures, presence of significant behavioural issue; and residence post discharge (p<0.05). After adjusting for confounding factors, prediction model identified age less than 40, mild TBI, absence of post traumatic seizure, absence of behaviour issue, absence of cognitive impairment and independent living post TBI as significant predictors of good functional outcome post trauma. Discrimination of the model was acceptable (C-statistic, 0.67; p<0.001, 95% CI: 0.62–0.73). Conclusion Good functional outcome following TBI due to RTA in this study population is comparable to other low to middle income countries but lower than high income countries. Factors influencing outcome such as seizure, cognitive and behavioural issues, and independent living post injury should be addressed early to achieve favourable long-term outcomes.

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Factors associated with strain among informal care providers of patients with traumatic brain injury in Malaysia

Cited by 2 publications

References 16 publications

Neuropsychiatric symptoms after moderate-to-severe traumatic brain injury in Vietnam: Assessment, prevalence, and impact on caregivers

Neuropsychiatric symptoms after moderate-to-severe traumatic brain injury in Vietnam: Assessment, prevalence, and impact on caregivers

Outcome of 1939 traumatic brain injury patients from road traffic accidents: Findings from specialist medical reports in a low to middle income country (LMIC)

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