Do Spirituality, Resilience and Hope Mediate Outcomes among Family Caregivers After Traumatic Brain Injury or Spinal Cord Injury? A Structural Equation Modelling Approach

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avondale-bepress-to-dspace.facultyNursing
avondale-bepress-to-dspace.peer_review_statusPeer reviewed before publication
avondale-bepress.abstract<p>BACKGROUND: A deficits approach to understanding psychological adjustment in family caregivers of individuals with a neurological disability is extensive, but further research in the field of positive psychology (spirituality, resilience, hope) may provide a potential avenue for broadening knowledge of the family caregiver experience after traumatic brain injury (TBI) or spinal cord injury (SCI). OBJECTIVE: To test a proposed model of spirituality among family caregivers of individuals with TBI or SCI, using structural equation modelling (SEM). METHODS: A cross-sectional design was employed to survey ninety-nine family participants (TBI = 76, SCI = 23) from six rehabilitation units from NSW and Queensland. Assessments comprised Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale-Expanded, Connor –Davidson Resilience Scale, Herth Hope Index, and three measures of psychological adjustment including Caregiver Burden Scale, Positive and Negative Affect Scale, and Depression Anxiety Stress Scale. RESULTS: SEM showed the proposed model was a good fit. The main findings indicated spirituality had a direct negative link with burden. Spirituality had a direct positive association with hope which, in succession, had a positive link with resilience. Spirituality influenced positive affect indirectly, being mediated by resilience. Positive affect, in turn, had a negative association with depression in caregivers. CONCLUSIONS: This study contributes to better targeting strength-based family interventions.</p>
avondale-bepress.articleid1203
avondale-bepress.authorsGrahame K Simpson
avondale-bepress.authorsMalcolm Anderson
avondale-bepress.authorsKate Fiona Jones
avondale-bepress.authorsMichelle Genders
avondale-bepress.authorsBamini Gopinath
avondale-bepress.context-key18313467
avondale-bepress.coverpage-urlhttps://research.avondale.edu.au/nh_papers/198
avondale-bepress.document-typearticle
avondale-bepress.field.author_faculty_disciplineNursing
avondale-bepress.field.comments<p>Due to copyright restrictions this article is unavailable for download.</p>
avondale-bepress.field.custom_citation<p>Simpson, G. K., Anderson, M. I., Jones, K. F., Genders, M., & Gopinath, B. (2020). Do spirituality, resilience and hope mediate outcomes among family caregivers after traumatic brain injury or spinal cord injury? A structural equation modelling approach. <em>NeuroRehabilitation, 46</em>(1), 3-15. doi:10.3233/NRE-192945</p>
avondale-bepress.field.doihttps://doi.org/10.3233/NRE-192945
avondale-bepress.field.embargo_date2020-06-29T00:00:00Z
avondale-bepress.field.field_of_education06 Health
avondale-bepress.field.for170106 Health, Clinical and Counselling Psychology
avondale-bepress.field.issn1878-6448
avondale-bepress.field.issue_number1
avondale-bepress.field.journalNeuroRehabilitation
avondale-bepress.field.page_numbers3-15
avondale-bepress.field.peer_reviewBefore publication
avondale-bepress.field.publication_date2020-02-26T00:00:00Z
avondale-bepress.field.reportable_itemsC1
avondale-bepress.field.research_centreLifestyle and Health Research Centre
avondale-bepress.field.staff_classificationPermanent
avondale-bepress.field.volume_number46
avondale-bepress.keywordsTraumatic brain injury
avondale-bepress.keywordsspinal cord injury
avondale-bepress.keywordsspirituality
avondale-bepress.keywordsresilience
avondale-bepress.keywordshope
avondale-bepress.keywordsfamily caregiver
avondale-bepress.keywordsburden
avondale-bepress.keywordsdepression
avondale-bepress.keywordspsychological adjustment
avondale-bepress.label198
avondale-bepress.publication-date2020-02-26T00:00:00Z
avondale-bepress.publication-titleNursing and Health Papers and Journal Articles
avondale-bepress.statepublished
avondale-bepress.submission-date2020-06-29T17:39:06Z
avondale-bepress.submission-pathnh_papers/198
avondale-bepress.titleDo Spirituality, Resilience and Hope Mediate Outcomes among Family Caregivers After Traumatic Brain Injury or Spinal Cord Injury? A Structural Equation Modelling Approach
avondale-bepress.typearticle
dc.contributor.authorGopinath, Bamini
dc.contributor.authorGenders, Michelle
dc.contributor.authorJones, Kate Fiona
dc.contributor.authorAnderson, Malcolm
dc.contributor.authorSimpson, Grahame K.
dc.date.accessioned2023-11-01T00:30:12Z
dc.date.available2023-11-01T00:30:12Z
dc.date.issued2020-02-26
dc.date.submitted2020-06-29T17:39:06Z
dc.description.abstract<p>BACKGROUND: A deficits approach to understanding psychological adjustment in family caregivers of individuals with a neurological disability is extensive, but further research in the field of positive psychology (spirituality, resilience, hope) may provide a potential avenue for broadening knowledge of the family caregiver experience after traumatic brain injury (TBI) or spinal cord injury (SCI). OBJECTIVE: To test a proposed model of spirituality among family caregivers of individuals with TBI or SCI, using structural equation modelling (SEM). METHODS: A cross-sectional design was employed to survey ninety-nine family participants (TBI = 76, SCI = 23) from six rehabilitation units from NSW and Queensland. Assessments comprised Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale-Expanded, Connor –Davidson Resilience Scale, Herth Hope Index, and three measures of psychological adjustment including Caregiver Burden Scale, Positive and Negative Affect Scale, and Depression Anxiety Stress Scale. RESULTS: SEM showed the proposed model was a good fit. The main findings indicated spirituality had a direct negative link with burden. Spirituality had a direct positive association with hope which, in succession, had a positive link with resilience. Spirituality influenced positive affect indirectly, being mediated by resilience. Positive affect, in turn, had a negative association with depression in caregivers. CONCLUSIONS: This study contributes to better targeting strength-based family interventions.</p>
dc.description.versionBefore publication
dc.identifier.citation<p>Simpson, G. K., Anderson, M. I., Jones, K. F., Genders, M., & Gopinath, B. (2020). Do spirituality, resilience and hope mediate outcomes among family caregivers after traumatic brain injury or spinal cord injury? A structural equation modelling approach. <em>NeuroRehabilitation, 46</em>(1), 3-15. doi:10.3233/NRE-192945</p>
dc.identifier.doihttps://doi.org/10.3233/NRE-192945
dc.identifier.issn1878-6448
dc.identifier.urihttps://research.avondale.edu.au/handle/123456789/18313467
dc.language.isoen_us
dc.rights<p>Due to copyright restrictions this article is unavailable for download.</p>
dc.subjectTraumatic brain injury
dc.subjectspinal cord injury
dc.subjectspirituality
dc.subjectresilience
dc.subjecthope
dc.subjectfamily caregiver
dc.subjectburden
dc.subjectdepression
dc.subjectpsychological adjustment
dc.titleDo Spirituality, Resilience and Hope Mediate Outcomes among Family Caregivers After Traumatic Brain Injury or Spinal Cord Injury? A Structural Equation Modelling Approach
dc.typeJournal Article
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