Social Support Moderates Caregiver Life Satisfaction Following Traumatic Brain Injury

Abstract

Social support is an important determinant of adjustment following traumatic brain injury (TBI) sustained by a family member. The present study examined the extent to which social support moderates the influence of characteristics of the person with injury on caregiver subjective well-being. Sixty pairs of individuals who had sustained a moderate to severe TBI and their caregivers (N=120) participated. Years postinjury ranged from 0.3 to 9.9 ( M=4.8, SD=2.6). Cognitive, functional, and neurobehavioral functioning of participants with TBI were assessed using neuropsychological tests and rating scales. Caregiver life satisfaction and perceived social support were assessed using self-report questionnaires. Results indicated that time since injury was unrelated to life satisfaction. Neurobehavioral disturbances showed an inverse relation with life satisfaction. Social support emerged as an important moderator of life satisfaction. Only among caregivers with low social support was cognitive dysfunction adversely related to life satisfaction. Similarly, a trend suggested that patient unawareness of deficit was associated with caregiver life dissatisfaction only among caregivers with low social support. In contrast, these characteristics were unrelated to life satisfaction among caregivers with adequate social support.

Effet de la détresse psychologique du proche aidant sur le fonctionnement exécutif de la personne ayant subi un traumatisme crânio-cérébral /

“…Selon Baalen et al, (2007) (SAAQ, 2002;Herbert, 2007;Rosenbaum & Najenson, 1976). De plus, pour la majorité des aidants, il n'y a que peu ou pas de réduction des demandes et des responsabilités suivant le TCC de la personne proche dont ils ont la charge, ce qui entraîne l'épuisement de l'aidant (Douglas & Spellacy, 2000 L'absence ou le faible support social est étroitement lié à la présence de détresse psychologique chez l'aidant (Ergh, Hanks, Rapport, & Coleman, 2003;Ergh et al, 2002;Hoofien, Gilboa, Vakil & Donovick, 2001). Il est également indicateur de la symptomatologie dépressive (Douglas & Spellacy, 2000;Wells et al, 2005) et anxieuse chez l'aidant (Hanks et al, 2007;Wells et al, 2005 (Chwalisz, 1999).…”

Le calme après la tempête

“…Ce besoin varie dans le temps, mais est réel et important, et ce, même plusieurs années après l'annonce du diagnostic, étant donné les impacts à long terme de ce dernier (KolakowskyHayner et al, 2001 ;Sinnakaruppan et al, 2001). Une aide professionnelle serait donc toujours nécessaire et bénéfique au-delà de la phase de réadaptation, même dix ans plus tard (Lefebvre et al, 2004 ;Ergh et al, 2003 ;Minnes et al, 2000). Ce soutien est primordial, car il est en relation directe avec le fonctionnement familial et représente un moyen puissant de réduire la détresse psychologique du tandem soignant-soigné.…”

Yakinlarina Bakim Verenleri̇n Ruh Sağliklari İle Sosyal Destek Algilari Arasindaki̇ İli̇şki̇ler

“…Sosyal destek artınca, bakım vermenin olumsuz etkileri ve depresyon olasılığı düşmekte ve yaşam doyumu artmaktadır (Grant, Weaver, Elliott, Bartolucci ve Giger, 2004;Dökmen ve Azizoğlu, 2010;Dökmen ve Tokgöz, 2010;Ergh, Hanks, Rapport, ve Coleman, 2003;Gölalmış-Erhan,2005;Harwood ve ark., 2000;Pakenham, 2001;Kaner, 2004;Shaffer, Dooley ve Williamson, 2007;Sucuoğlu, 1997;Papastavrou, Kalokerinou, Papacostas, Tsangari ve Sourtzi;Waite, Bebington, Skelton-Robinson ve Orrell, 2004;Wells, Dywan ve Dumas, 2005).…”

“…Demanslı eşlerine bakanların kişisel ve sosyal yaşamları bozulmakta ve çocuklar da anababalarına yönelik bir şey yapamamanın suçluluğunu yaşamaktadırlar (Ankri, Andrieu, Beaufils, Grand ve Henrard, 2005). Hastanın akrabalık derecesinin psikolojik sıkıntı üzerinde bir etkisinin saptanmadığı, bakım verenlerin eş olup olmamalarına göre depresyon düzeylerinde farklılık bulunmadığı da bildirilmektedir (Ergh, Hanks, Rapport ve Coleman, 2003;Waite, Bebington, Skelton-Robinson ve Orrell, 2004).…”