A Social Blow: The Role of Interpersonal Relationships in Mild Traumatic Brain Injury

Bannon, Sarah M.; Greenberg, Jonathan; Goldson, Jami; O’Leary, Daniel; Vranceanu, Ana‐Maria

doi:10.1016/j.psym.2020.04.003

Cited by 22 publications

(28 citation statements)

References 57 publications

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“…11 The family serves as the primary support system for patients, and interpersonal relationships are recognised as an important factor influencing all aspects of the rehabilitation process. 12 Despite this, rehabilitation after traumatic brain injury has often been individually oriented, and family members have been treated as passive actors in the process. 13 Few studies have evaluated the effectiveness of family system interventions, and most study results draw on information from either the patients or the caregiver.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of a family-centred intervention after traumatic brain injury: A pragmatic randomised controlled trial

et al. 2021

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Objectives: To determine the effectiveness of a family-centred intervention for patients with traumatic brain injury and family members. Design: Open-labelled, two-armed randomised controlled trial. Settings: Outpatient clinic and family residences. Participants: Sixty-one patients (33 women) with traumatic brain injury, with mean (SD) age 43.8 (12.2), and 63 family members (33 women), with mean (SD) age 42.6 (11.3), were assign to intervention ( n = 30 families) and control group ( n = 31 families). Intervention: An eight-session single-family intervention to improve individual and family functioning. Outcome measures: Self-reported questionnaires at start-of-treatment, median (IQR) 11.4 (8.4, 15.9) months post-injury, and at two follow-ups, 2.7 (2.3, 3.8) and 9.2 (8.2, 9.9) months after start-of-treatment. Primary outcome measures were the SF-36 Mental Component Summary (MCS) and Caregiver Burden Scale (CGB). Secondary outcome measures were the Family Adaptability and Cohesion Evaluation Scale (FACES) and Quality of Life after Brain Injury Questionnaire (QOLIBRI). Group differences were analysed with linear mixed-model analysis for repeated measurements. Results: No significant between-group differences were found. The intervention group significantly improved on the MCS, the CGB and FACES in the treatment period, whereas the controls did not. The mean (SD) MCS change in the treatment period was 2.4 (1.1) points P = 0.028 in the intervention group. Mean (SE) MCS scores were 47.9 (1.26) and 47.3 (1.27) in the intervention and control group at last follow-up. Conclusions: Receiving an eight-session family intervention, in addition to specialised rehabilitation for the patients, was not superior to rehabilitation at a specialised traumatic brain injury outpatient clinic.

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Section: Introductionmentioning

confidence: 99%

The effectiveness of a family-centred intervention after traumatic brain injury: A pragmatic randomised controlled trial

et al. 2021

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“…Interestingly, an unexpected outcome of the PA intervention identi ed in this study was the creation of a peer-led support group by users participating in group-based PA activities. This may demonstrate the positive impacts of group dynamics, but more importantly, further highlight the social needs of adults with persistent symptoms of mTBI to socialize and share experiences among peers (37). Literature about the potential bene ts of peer-led support groups for individuals with mTBI is scant, however, there is growing evidence about how peer-led programs may provide multiple social bene ts and improve healthrelated outcomes among individuals with moderate and severe TBI, stroke and spinal cord injury (38)(39)(40).…”

Section: Discussionmentioning

confidence: 90%

SWOT analysis of an outpatient rehabilitation physical activity intervention for individuals with mild traumatic brain injury

Alarie

Gagnon

Huynh

et al. 2021

Preprint

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Background Physical activity interventions have been shown to be an effective therapeutic approach to improve symptoms and reduce recovery time after a mild traumatic brain injury. Service providers from a specialized traumatic brain injury outpatient rehabilitation program recognized the need to ensure their physical activity intervention integrated evidence-based treatment components, while considering user needs and preferences. To inform quality improvement efforts, service providers felt it necessary to learn about the perceptions of key stakeholders, regarding the quality of the intervention. The study objective was to explore the perceptions of administrators, clinicians and users of the specialized program regarding the physical activity intervention’s strengths, weaknesses, opportunities and threats (SWOT). Methods Using a SWOT analysis framework, this qualitative study explored the perspectives of the purposive sample (n=14) composed of the managerial staff, six clinicians and five program users. Semi-structured interviews were performed, recorded, transcribed verbatim and analyzed using a qualitative content analysis approach. Results Fifty categories were generated resulting in 15 strengths, 17 weaknesses, 12 opportunities and 6 threats grouped into 8 overarching categories: physical activity intervention, health-related outcomes, clinical expertise, knowledge translation, communication, user engagement, resources, accessibility. Category descriptions, convergent and divergent perspectives, and salient quotes of participants are provided. Conclusions This study successfully identified perceived strengths, many weaknesses, several opportunities and a few threats. Participants were generally positive about the intervention but identified weaknesses including the need for service providers to better describe the physical activity intervention using theoretically driven approaches before engaging in quality improvement activities. Convergent and divergent perspectives of service providers and program users helped identify areas to maintain and others to improve upon when the program develops their new intervention. Study results may also inform the development of other physical activity interventions designed for adults with persisting symptoms of a mild traumatic brain injury.

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“…After controlling for initial satisfaction, initial RPQ13 mTBI symptoms predicted declines in relationship satisfaction. Relative to the RPQ3 subscale, the RPQ13 mTBI items assess cognitive (e.g., taking longer to think, reduced concentration, forgetfulness) and psychological/behavioral (e.g., irritability, fatigue, sleep disturbance, depression, restlessness) symptoms that have demonstrated links to relationship challenges outside of the mTBI literature (Bannon et al, 2020; Randall & Bodenmann, 2017). These findings require replication in larger samples before they can be fully interpreted but may represent important screening and intervention targets aimed at preserving relationship quality after mTBI.…”

Section: Discussionmentioning

confidence: 99%

“…Based on prior literature on interpersonal adjustment to illness and psychotherapy, case conceptualizations should consider several factors, including (a) preinjury psychopathology and relationship stressors, (b) the short-term impact that mTBI has on the individual and their loved ones, (c) individual and shared conceptualizations of the injury (e.g., symptoms, injury trajectory), and (d) contextual factors such as relationship length (Bannon et al, 2020; Papp & Witt, 2010; Randall & Bodenmann, 2017). Though we were unable to recruit romantic partners in the present study, psychotherapists working with individuals with mTBI should consider involving partners in the assessment of mTBI symptoms and providing psychoeducation about the expected trajectory of symptoms and adaptive coping strategies.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, we provided a brief narrative review on existing research in mTBI, as well as relevant interpersonal and dyadic theoretical frameworks that could be applied to understand mTBI outcomes (Bannon et al, 2020). Our review revealed the paucity of qualitative and empirical research on how close relationships, such as those with romantic partners, would be impacted by mTBI.…”

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confidence: 99%

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Short-term changes in romantic relationship satisfaction after mild traumatic brain injury (mTBI): A pilot investigation in an emergency department sample.

Bannon¹,

Fernandes²,

Gates³

et al. 2023

Couple and Family Psychology: Research and Practice

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Mild traumatic brain injury (mTBI; concussion) impacts millions annually and is linked to a host of emotional, cognitive, and physical challenges that have the potential to undermine the stability and quality of close relationships. Despite the high prevalence of mTBI, studies of relationship adjustment following brain injury have almost entirely focused on more severe forms of traumatic brain injury (TBI). The present study sought to contribute to this critical gap in the literature by examining the impact of mTBI on the relationship satisfaction of individuals recovering from mTBI. Individuals (N = 30) involved in current romantic relationships were recruited from a suburban emergency department (ED) during their visit for injuries related to mTBI. Self-report measures of mTBI symptoms and relationship satisfaction were administered at baseline (within 2 weeks of injury), assessing retrospective functioning prior to injury, and again assessing functioning 1-month after the mTBI. No significant changes were observed from baseline to 1-month postinjury on indices of relationship satisfaction. However, linear regression analyses indicated that 1-month ratings of mTBI symptoms demonstrated significant cross-sectional associations with romantic relationship satisfaction, while controlling for retrospective ratings of satisfaction prior to injury. Greater initial mTBI symptoms were also related to decreases in relationship satisfaction 1-month postinjury. These findings suggest that mTBI may be a risk factor for decreases in relationship satisfaction if the symptoms do not abate.

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A Social Blow: The Role of Interpersonal Relationships in Mild Traumatic Brain Injury

Cited by 22 publications

References 57 publications

The effectiveness of a family-centred intervention after traumatic brain injury: A pragmatic randomised controlled trial

The effectiveness of a family-centred intervention after traumatic brain injury: A pragmatic randomised controlled trial

SWOT analysis of an outpatient rehabilitation physical activity intervention for individuals with mild traumatic brain injury

Short-term changes in romantic relationship satisfaction after mild traumatic brain injury (mTBI): A pilot investigation in an emergency department sample.

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