Severity of Military Traumatic Brain Injury Influences Caregiver Health-related Quality of Life

Overview

Journal Rehabil Psychol

Date 2020 Jan 24

PMID 31971431

Citations 4

Authors

Tracey A Brickell

Bridget A Cotner

Louis M French

Noelle E Carlozzi

Danielle R OConnor

Risa Nakase-Richardson

Rael T Lange

Affiliations

Soon will be listed here.

Abstract

Purpose/objective: To examine the influence of traumatic brain injury (TBI) severity on the health-related quality of life of caregivers providing care to service members/veterans (SMV) following a TBI. Research Method/Design: Thirty caregivers (90.0% female; 70.0% spouse; age: = 39.5 years, = 10.7) of SMVs who sustained a mild, moderate, severe, or penetrating TBI were recruited from Walter Reed National Military Medical Center and via community outreach to participate in one of six focus groups. Caregivers were classified into 3 TBI severity/caregiver groups: (a) moderate/severe/penetrating TBI caregiver group ( = 11); (b) mild TBI caregiver group ( = 10); and (c) equivocal TBI caregiver group ( = 9). Thematic analysis using a constant comparative approach was conducted with qualitative analysis software to identify common themes across the 3 severity/caregiver groups.

Results: Eleven themes emerged: no time for self/needs last (83.3%), poor physical health (80.0%), increased stress/anxiety (76.7%), social isolation/loneliness (66.7%), lack of access to services (50.0%), impact on family life (46.7%), sleep issues (46.7%), finances/employment (36.7%), depression (30.0%), exhaustion (30.0%), and anger (16.7%). Exploratory pairwise comparisons revealed a higher proportion of the moderate/severe/penetrating TBI group endorsed 7 of the 11 themes (no time for self/needs last, increased stress/anxiety, impact on family life, sleep issues, finances/employment, exhaustion, anger, and increased stress/anxiety) compared with the other 2 groups.

Conclusions/implications: It is important that caregivers of SMVs receive long-term support in their caregiving and parenting roles. Further work is required to understand the challenges caregivers experience in accessing services they need and how to effectively meet their needs across the care continuum. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Citing Articles

Efficacy and Implementation Planning Across the Veterans Affairs Polytrauma System of Care: Protocol for the REACH Intervention for Caregivers of Veterans and Service Members With Traumatic Brain Injury.

Perrin P, Haun J, Klyce D, Melillo C, Nakase-Richardson R, Seel R JMIR Res Protoc. 2024; 13:e57692.

PMID: 39145996 PMC: 11362706. DOI: 10.2196/57692.

Predictors of Quality of Life Among Omani Family Caregivers of Patients With Traumatic Brain Injury.

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The military spouse experience of living alongside their serving/veteran partner with a mental health issue: A systematic review and narrative synthesis.

Senior E, Clarke A, Wilson-Menzfeld G PLoS One. 2023; 18(5):e0285714.

PMID: 37200312 PMC: 10194995. DOI: 10.1371/journal.pone.0285714.

Caregiver sleep impairment and service member and veteran adjustment following traumatic brain injury is related to caregiver health-related quality of life.

Brickell T, Wright M, Sullivan J, Varbedian N, Nose K, Rather L J Clin Sleep Med. 2022; 18(11):2577-2588.

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