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首页> 外文期刊>Journal of the International Neuropsychological Society: JINS >Family functioning and emotional state two and five years after traumatic brain injury.
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Family functioning and emotional state two and five years after traumatic brain injury.

机译:颅脑外伤后第二和五年的家庭功能和情绪状态。

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摘要

Previous studies have documented poor family functioning, anxiety, and depression in relatives of individuals with traumatic brain injury (TBI). However, few studies have examined family functioning over extended periods after injury. The present study aimed to investigate family functioning and relatives' emotional state 2 and 5 years following TBI, predictive factors, and their interrelationships. Participants were individuals with TBI and their relatives, with 301 seen at 2 years and 266 at 5 years post-injury. Measures included a Structured Outcome Questionnaire, Family Assessment Device (FAD), Hospital Anxiety and Depression Scale, and the Craig Handicap Assessment and Reporting Technique. Results showed that while the group did not differ greatly in family functioning from a normative group, a significant proportion showed unhealthy functioning across most FAD subscales. Both TBI participants and their relatives showed elevated rates of anxiety and depression. There was little difference between family functioning or relatives' anxiety or depression levels at 2 and 5 years post-injury. Path analysis indicated that neurobehavioral changes in the injured individual have an impact on family functioning and distress in relatives even at 5 years post-injury. These findings indicate the need for long-term support of families with a brain-injured member.
机译:先前的研究已证明患有颅脑外伤(TBI)的亲戚的家庭功能差,焦虑和抑郁。但是,很少有研究检查受伤后长时间内的家庭功能。本研究旨在调查TBI后2年和5年的家庭功能和亲戚的情绪状态,预测因素及其相互关系。参加者为患有TBI及其亲属的个体,受伤后2年出现301人,受伤5年出现266人。措施包括结构化结果调查表,家庭评估设备(FAD),医院焦虑和抑郁量表以及克雷格障碍评估和报告技术。结果显示,尽管该组的家庭功能与正常组没有太大差异,但在大多数FAD分量表中,有相当比例的人显示出不健康的功能。 TBI参与者及其亲属均表现出焦虑和抑郁的发生率升高。受伤后2年和5年,家庭功能或亲戚的焦虑或抑郁水平之间几乎没有差异。路径分析表明,即使在受伤5年后,受伤人员的神经行为变化也会影响其亲属的家庭功能和痛苦。这些发现表明,需要对患有脑损伤的家庭进行长期支持。

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