Title

A Predictive Model of Resilience Among Family Caregivers Supporting Relatives with Traumatic Brain Injury (TBI): A Structural Equation Modelling Approach

Author Faculty (Discipline)

Nursing

Document Type

Article

Publication Date

11-25-2020

Early Online Version

5-28-2019

JOURNAL

Neuropsychological Rehabilitation

VOLUME NUMBER

30

ISSUE NUMBER

10

PAGE NUMBERS

1925-1946

ISSN

1464-0694

Embargo Period

6-3-2019

ANZSRC / FoR Code

111707 Family Care| 170106 Health, Clinical and Counselling Psychology

Avondale Research Centre

Lifestyle and Health Research Centre

Avondale Research Centre

Scripture, Spirituality and Society Research Centre

Reportable Items (HERDC/ERA)

C1

Abstract

Constructs from positive psychology were employed to create an explicit model of caregiver resilience. Predictive and mediating relationships among resilience and related variables (personality, coping, self-efficacy, hope, social support) were then tested for their association with burden and psychological adjustment among family members caring for relatives with severe TBI. Family participants (n = 131) from six rehabilitation units from New South Wales and Queensland completed assessments which elicited explanatory (Eysenck Personality Questionnaire, Ways of Coping Questionnaire), mediating (Connor-Davidson Resilience Scale, General Self-Efficacy Scale, Herth Hope Scale, Medical Outcome Study Social Support Survey), and caregiver outcome (Caregiver Burden Scale, Mental Health sub-Scale-SF36, General Health Questionnaire, and Positive and Negative Affect Scale) variables. Structural Equation Modeling (SEM) showed that resilience had a direct effect on positive affect in caregivers. Resilience also played a protective role in relation to two variables associated with caregiver vulnerability: an indirect association with caregiver burden mediated through social support; a direct effect on hope, which, in turn, was associated with positive mental health. Positive mental health then played a buffering role in relation to psychological distress and negative affect. Resilience, in combination with other psychological attributes, was associated with reduced morbidity among family caregivers after severe TBI.

Link to publisher version (DOI)

https://doi.org/10.1080/09602011.2019.1620787

Peer Review

Before publication

Grant Number

170-00-7857

Comments

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Copyright © 2019 Informa UK Limited (Taylor & Francis).

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