Title

Testing a Model of Resilience in Family Members of Relatives with Traumatic Brain Injury vs Spinal Cord Injury: Multigroup Analysis

Author Faculty (Discipline)

Nursing

Document Type

Article

Publication Date

2022

Early Online Version

8-2-2021

JOURNAL

Archives of Physical Medicine and Rehabilitation

ISSN

0003-9993

Embargo Period

10-4-2022

Avondale Research Centre

Lifestyle and Health Research Centre

Reportable Items (HERDC/ERA)

C1

Abstract

Objective

To test a model comprising explanatory (neurologic impairment, coping, personality) and mediating (resilience, self-efficacy, hope, social support) variables on psychological adjustment and burden among family caregivers of individuals with traumatic brain injury (TBI) vs spinal cord injury (SCI).

Design

Structural equation modeling with multigroup analysis.

Setting

Six rehabilitation centers across New South Wales and Queensland, Australia.

Participants

A total of 181 family members (N=181; 131 TBI, 50 SCI).

Interventions

Not applicable.

Main Outcome Measures

Connor-Davidson Resilience Scale, Eysenck Personality Questionnaire, Ways of Coping Questionnaire, General Self-Efficacy Scale, Herth Hope Scale, Medical Outcome Study Social Support Survey; and 4 measures of psychological adjustment including: Caregiver Burden Scale, Medical Outcomes Survey Short Form-36 (SF-36), General Health Questionnaire-28, and Positive and Negative Affect Scale.

Results

The model for the aggregated sample demonstrated a very good model fit (χ2=47.42, df=39, ρ=0.167, normed fit index=.962, incremental fit index=.993, Tucker-Lewis index=.985, comparative fit index=.993, root-mean-squared error of approximation=.035). Multi-group analysis found significant commonalities in the pattern of relationships among variables across the 2 groups. In the only differences found, neuroticism was significantly more influential on burden in family members supporting individuals with TBI than family members of individuals with SCI. Furthermore, problem-focused coping was statistically more influential on positive affect in family members of individuals with TBI when compared with family members of individuals with SCI.

Conclusions

The study found significant similarities in the patterns of resilience and psychological adjustment among family caregivers of individuals with TBI and SCI.

Link to publisher version (DOI)

https://doi.org/10.1016/j.apmr.2021.06.016

Peer Review

Before publication

Grant Number

170-00-7857

Comments

Due to copyright restrictions this article is unavailable for download.

© 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.


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