Lynn H C Gaertner1,2, Noga Tsur3, Chiara S Haller1,4. 1. Department of Psychology, Harvard University , Cambridge, Massachusetts, USA. 2. Department of Psychology, University of Luebeck , Luebeck, Germany. 3. School of Social Work, Tel Aviv University , Tel Aviv, Israel. 4. Division of Public Psychiatry, Massachusetts Mental Health Center, Harvard Medical School , Boston, Massachusetts, USA.
Abstract
OBJECTIVE: The aim of this study was to investigate the association between relatives' interpersonal functioning and patients' recovery after severe traumatic brain injury (TBI) across one year in Switzerland. Design: This prospective, multi-center cohort study is comprised of 188 adult patients with severe TBI (Abbreviated Head Injury Score > 3) and their relatives. Patients and relatives were assessed 3, 6, and 12 months post-injury. Main outcome measures: Interpersonal functioning (Patient Competency Rating Scale for Neurorehabilitation, PCRS-NR), Physical and Mental Health related Quality of Life (HRQoL, SF-12), and overall functioning (Glasgow Outcome Comma Scale Extended, GOSE). Results: Multilevel analyses showed that relatives' interpersonal functioning was positively associated with a) patients' mental HRQoL (p =.002; slope = 2.95; β =.24) independently of age, b) a moderation time*patients' physical HRQoL among patients > 50 years of age (p <.045; slope = 2.63; β =.2) and c) patients' GOSE among younger individuals (p <.001; slope =.60; β =.23). Conclusion: These findings show that health and overall functioning are linked with interpersonal dimensions. Thus, the interplay between relatives and patients with TBI needs to be further investigated.
OBJECTIVE: The aim of this study was to investigate the association between relatives' interpersonal functioning and patients' recovery after severe traumatic brain injury (TBI) across one year in Switzerland. Design: This prospective, multi-center cohort study is comprised of 188 adult patients with severe TBI (Abbreviated Head Injury Score > 3) and their relatives. Patients and relatives were assessed 3, 6, and 12 months post-injury. Main outcome measures: Interpersonal functioning (Patient Competency Rating Scale for Neurorehabilitation, PCRS-NR), Physical and Mental Health related Quality of Life (HRQoL, SF-12), and overall functioning (Glasgow Outcome Comma Scale Extended, GOSE). Results: Multilevel analyses showed that relatives' interpersonal functioning was positively associated with a) patients' mental HRQoL (p =.002; slope = 2.95; β =.24) independently of age, b) a moderation time*patients' physical HRQoL among patients > 50 years of age (p <.045; slope = 2.63; β =.2) and c) patients' GOSE among younger individuals (p <.001; slope =.60; β =.23). Conclusion: These findings show that health and overall functioning are linked with interpersonal dimensions. Thus, the interplay between relatives and patients with TBI needs to be further investigated.
Authors: Jose Antonio Merchán-Baeza; Maria Rodriguez-Bailon; Giorgia Ricchetti; Alba Navarro-Egido; María Jesús Funes Journal: BMJ Open Date: 2020-10-26 Impact factor: 2.692