Marital instability after brain injury: An exploratory analysis

Kreutzer, Jeffrey S.; Sima, Adam P.; Marwitz, Jennifer H.; Lukow, Herman R.

doi:10.3233/nre-161318

Cited by 27 publications

(25 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent study using the Caregiver Activity Survey in various neurological conditions (including 35 TBI) reported similar findings for ICT, particularly identifying ST as being the most time-consuming activity (median = 28 h/wk). 43 The high level of ICT-ST in the present study also suggests that supervision is a major component of ICT for adults with neurological disability 44,45 and is concordant with the loss of cognitive autonomy as shown by the 24% of patients with legal guardianship. Surprisingly, ICT in the objectively overburdened group contrasted with a low recourse and amount of formal care provision.…”

Section: Patterns Of Burden 4 Years After the Injurymentioning

confidence: 60%

“…Clinical cutoffs grade burden severity as mild (range: 0-20), mild to moderate (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40), moderate to severe (41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60), and severe burden (61-88). 33 The baseline characteristics of the patients and their caregivers are displayed in Table 1.…”

Section: Informal Caregiver Burden Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

Objective and Subjective Burden of Informal Caregivers 4 Years After a Severe Traumatic Brain Injury: Results From the PariS-TBI Study

Bayen¹,

Jourdan²,

Ghout³

et al. 2016

Journal of Head Trauma Rehabilitation

View full text Add to dashboard Cite

show abstract

Section: Patterns Of Burden 4 Years After the Injurymentioning

confidence: 60%

Section: Informal Caregiver Burden Assessmentmentioning

confidence: 99%

Objective and Subjective Burden of Informal Caregivers 4 Years After a Severe Traumatic Brain Injury: Results From the PariS-TBI Study

Bayen¹,

Jourdan²,

Ghout³

et al. 2016

Journal of Head Trauma Rehabilitation

View full text Add to dashboard Cite

show abstract

“…12,13,14 A decrease in overall intimacy between partners has been documented, 15 as well as impaired sexual functioning and satisfaction for both persons with TBI and their spouses/partners. 16,17,18 Spouses of individuals with TBI have also reported greater emotional distress compared to parents 19,20,21 and compared to healthy controls.…”

mentioning

confidence: 99%

“…9,22,23 Studies investigating marital stability have yielded inconsistent results, with rates of divorce or separation ranging from 9-78% at periods ranging from 2-15 years post-injury. 6,12,14,24-28 Sample sizes have ranged from 48 to 977 and most have included persons with severe injury. Notably, recent findings suggest that marital stability following brain injury might be high despite the presence of marital distress.…”

mentioning

confidence: 99%

Relationship Stability After Traumatic Brain Injury Among Veterans and Service Members: A VA TBI Model Systems Study

Stevens

Lapis²,

Tang³

et al. 2017

Journal of Head Trauma Rehabilitation

Self Cite

View full text Add to dashboard Cite

Objective To explore stability of relationships and predictors of change in relationship status two years following TBI/Polytrauma. Setting Five Department of Veterans Affairs Polytrauma Rehabilitation Centers (VA PRCs). Participants 357 active duty service members and Veterans enrolled in the VA PRCs Traumatic Brain Injury Model Systems (TBIMS) database with complete marital status information at two-year post-injury. Design Prospective, longitudinal, multi-site. Main Measures Relationship status change was defined as change in marital status (single/never married; married; divorced/separated) at 2-year follow-up, compared to status at injury. Results At the time of injury, 134 participants (38%) were single/never married; 151 (42%) were married, and 72 (20%) were divorced/separated. Of those married at enrollment, 78% remained married at Year 2 while 22% underwent negative change. Multivariable analyses revealed that age and education at the time of injury, and mental health utilization prior to injury, were significant predictors of relationship change. Among those who were single/divorced/separated at the time of injury, 87% remained so at Year 2 while 13% underwent positive change. Injury during deployment significantly predicted positive relationship change. Conclusions The unmalleable, pre-injury characteristics identified may be used as potential triggers for education, prevention, surveillance and couples therapy, if needed.

show abstract

“…Their behavior may place an intolerable stress on their personal relationships. As with clients with other types of head injury, there is a very high risk of marital breakdown (Wood, Liossi & Wood, 2005;Kreutzer et al, 2007).…”

mentioning

confidence: 99%

Using Client-Centered Psychotherapy Embedded Within A Pluralistic Integrative Approach to Help a Client With Executive Dysfunction: The Case of "Judith"

Ward¹,

Hogan

2015

PCSP

View full text Add to dashboard Cite

Executive dysfunction refers to a breakdown within a cluster of cognitive and behavioral processes that regulate, control, and manage the achievement of particular goals. Executive dysfunction can thus encompass problems like disinhibition, poor planning, impulsiveness and unproductive repetition. Previous reports in the literature have suggested that psychotherapy with clients affected by the condition can be complicated. This report consists of a case study on the successful use psychotherapy for "Judith," a 48-year-old client experiencing emotional disruption and affected by long standing executive difficulties due to a head injury sustained at work 10 years earlier who was seen in therapy by the first author (TW). Emotional well-being was assessed before and after a period of psychotherapy, using an ABA design, and appropriate single-case statistical techniques. The primary approach to the client's issues was clientcentered, but other problem-solving techniques were incorporated within a pluralistic framework and are described. The client's reported well-being improved, and this improvement was statistically reliable and clinically significant. A previous report of therapy with a client with executive dysfunction suggested that the tendency to perseverate on particular negative thoughts can induce considerable distress in such clients. Judith's case study shows that while this might be a risk, it is possible to work successfully with at least some such clients, and to do so using a client-centered approach.

show abstract

Marital instability after brain injury: An exploratory analysis

Abstract: Marital stability can be classified beyond labeling couples as married, separated, or divorced. Researchers have suggested that postinjury marital relationships are prone to instability and divorce in comparison to the general population. The present findings suggest otherwise.

Cited by 27 publications

References 39 publications

Objective and Subjective Burden of Informal Caregivers 4 Years After a Severe Traumatic Brain Injury: Results From the PariS-TBI Study

Objective and Subjective Burden of Informal Caregivers 4 Years After a Severe Traumatic Brain Injury: Results From the PariS-TBI Study

Relationship Stability After Traumatic Brain Injury Among Veterans and Service Members: A VA TBI Model Systems Study

Using Client-Centered Psychotherapy Embedded Within A Pluralistic Integrative Approach to Help a Client With Executive Dysfunction: The Case of "Judith"

Contact Info

Product

Resources

About