Impact of parental acquired brain injury on children: Review of the literature and conceptual model

Tiar, Anna Maria Vitale; Dumas, Jean E.

doi:10.3109/02699052.2014.976272

Cited by 12 publications

(7 citation statements)

References 41 publications

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“…While the impact of ABI on individuals and families, and their corresponding sense of losses, has been well documented, generating knowledge and understanding of families' experiences of living with ABI has largely derived from examination of the subsystems within families-to either present their views of the family or provide their own perceptions of being in the family. Subsystems studied have included the individual with the ABI [1][2][3][4][5][6][7][8]; the caregiver or primary family carer [9][10][11][12][13][14][15][16][17][18], children [19][20][21][22][23], siblings [24][25][26][27][28], and the marital relationship [29][30][31][32][33][34][35][36]. Whilst the subsystem research has provided further understanding of individuals' experiences living with ABI, a family systems approach that studies the family in interaction with each other is limited.…”

Section: Introductionmentioning

confidence: 99%

Families’ Experiences Living with Acquired Brain Injury: “Thinking Family”—A Nursing Pathway for Family-Centered Care

Karpa

Chernomas

Roger

et al. 2020

Nursing Research and Practice

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The objective of this study was to examine families’ experiences living with acquired brain injury (ABI) using a research approach that included both the affected individual family member and the family together as a family group. A narrative inquiry study, informed by the life-stage approach of Lieblich, Tuval-Mashiach, and Zilber, was used to obtain family stories. Families experiencing an ABI event were purposefully selected from different regions in a western Canadian province. Centered on the life stages of before the ABI event, now living with the ABI, and the future, thematic findings included: Families, a grounding force; Losses, individual and family; Family adaptive capacities; Experiences with the healthcare system-hospital to home; and A patchwork future-entering the unknown. Themes affirmed the significant impacts of ABI on individual and family members and acknowledged ABI as an ambiguous loss event. The findings also illuminated families’ strengths and resiliencies in coping with living with ABI. The study results suggest by “thinking family” nurses can contribute towards a healthcare model that focuses on “family” as the central unit of care.

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Section: Introductionmentioning

confidence: 99%

Families’ Experiences Living with Acquired Brain Injury: “Thinking Family”—A Nursing Pathway for Family-Centered Care

Karpa

Chernomas

Roger

et al. 2020

Nursing Research and Practice

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“…17,18 Beyond effects on behavioral and mental health, parental injury has been found to increase the use of psychoactive medication use by children. 1,[19][20][21] Children of parents treated for unintentional injury were more likely to report posttraumatic stress and depressive symptoms postinjury. 1 Parental TBI has been associated with emotional and behavioral difficulties in children, including depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…1 Parental TBI has been associated with emotional and behavioral difficulties in children, including depressive symptoms. 19,20 Sleep disturbances are prevalent in the pediatric population but may be underdiagnosed. 22 Rates of specific sleep disorders range from 0.004% to 1.2% for parasomnias, 0.005% to 0.2% for circadian-rhythm sleep disorder, 1% for SDB, and 4% to 11% for insomnia.…”

Section: Introductionmentioning

confidence: 99%

Impact of parental injury on adolescent sleep

Ahmed

Gorman

Susi

et al. 2020

Journal of Clinical Sleep Medicine

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The aim of this study was to determine the impact of serious parental injury on adolescent sleep disorder diagnoses, outpatient care, and medication use. Methods: U.S. military personnel who sustained a serious injury and were parents of adolescents aged 10-18 years were identified. Included adolescents were enrolled in the Military Health System for 2 years before their parent's injury and 2 years after the injury. We used logistic regression clustered by adolescents to compare the odds of having a sleep diagnosis and negative binomial regression analysis clustered by adolescents to compare outpatient sleep disorder visits and sleep medication days before and after parental injury. Results: There were 96,318 parents seriously injured during 2004-2014 who had 117,577 children aged 10-18 years in 2002-2016. Approximately 2% of adolescents had a sleep disorder diagnosis, both before and after their parent's injury or illness. Outpatient sleep disorder visits increased 36% after a parent's injury (incidence rate ratio 1.36 [1.24-1.50]), with a twofold increase in insomnia visits (incidence rate ratio 2.35 [2.08-2.64]). Increases in sleep visits were most pronounced in adolescents of parents with traumatic brain injury, comorbid traumatic brain injury and posttraumatic stress disorder, battle injury, and those who were medically discharged from the military. The number of adolescents using sleep medications increased, but sleep medication days did not increase. Conclusions: Adolescents in our study used more outpatient medical care for sleep disorders; sleep medication use increased after parental injury. Sleep disorders should be considered in the care of adolescents with injured parents.

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“…Some evidence has indicated that parental brain injury is associated with adverse psychological outcomes in children (5,7,8,12,13). Adolescents have reported symptoms of anxiety and depression following parental TBI (8).…”

Section: Introductionmentioning

confidence: 99%

Psychiatric diagnoses of children affected by their parents’ traumatic brain injury: the 1987 Finnish Birth Cohort study

et al. 2018

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Background: Children affected by parental traumatic brain injury (TBI) are documented to access more specialised psychiatric services compared to their peers. It remains unknown if the service use indicates psychiatric disorders. Objective: To investigate whether parental TBI increases the overall risk for psychiatric disorders and the risk for specific psychiatric diagnoses in the children affected by parental TBI. Methods: The 1987 Finnish Birth Cohort (n = 59 476) were followed up through national registers from birth to the end of 2008. The diagnoses of cohort members and their parents were obtained from the Care Register of Health Care, provided by the National Institute of Health and Welfare. Results: During the 21-year follow-up, the likelihood for psychiatric diagnoses being assessed in psychiatric care was significantly increased in males with any mental disorder (odds ratio (OR) = 1.43), substance-use-related disorders (OR = 1.71) and behavioural and emotional disorders (OR = 1.75), and in females with disorders of psychological development (OR = 1.85). Conclusions: Children affected by parental TBI are at increased risk for psychiatric disorders: males for externalising disorders and females for developmental disorders. Observed gender interactions in the association between parental TBI and the psychiatric disorders of children warrants further study.

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Impact of parental acquired brain injury on children: Review of the literature and conceptual model

Abstract: This review summarizes these outcomes, raises conceptual as well as methodological questions to be addressed in future research and eventually presents relevant issues for support and clinical services.

Cited by 12 publications

References 41 publications

Families’ Experiences Living with Acquired Brain Injury: “Thinking Family”—A Nursing Pathway for Family-Centered Care

Families’ Experiences Living with Acquired Brain Injury: “Thinking Family”—A Nursing Pathway for Family-Centered Care

Impact of parental injury on adolescent sleep

Psychiatric diagnoses of children affected by their parents’ traumatic brain injury: the 1987 Finnish Birth Cohort study

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