Pain interference and health-related quality of life in caregivers of service members and veterans with traumatic brain injury and mental health comorbidity

Longitudinal health outcomes in caregivers of military members with traumatic brain injury.

“…Consistent with previous research from the CGFM Study (Brickell, Ferdosi, Wright, French, Lippa, et al, 2021; Brickell, Ferdosi, Wright, French, Sullivan, et al, 2021; Brickell, Wright, Ferdosi, et al, 2020, 2022), there was little to no change in group-level mean T-scores for physical, psychological, or social HRQOL outcome measures from the baseline evaluation to the follow-up evaluation approximately 3 years later. Likewise, examination of change in clinically elevated scores on HRQOL outcome measures from baseline to follow-up revealed that the majority of caregivers were classified as Asymptomatic or Persistent.…”

“…Recent research from our team as part of the 15-year longitudinal caregiver and family member study (CGFM) with caregivers of SMVs with TBI has found that social participation, resilience, sleep impairment, feelings of rejection, and emotional support were some of the first HRQOL areas to improve during the first 12 months of the caregiver transitioning from providing care to no longer caregiving (Brickell et al, 2023). However, longitudinal analyses using linear mixed-effects models and group-level mean scores demonstrated no significant change in caregiving burden, mental health, resilience, sleep impairment, or pain interference over 4–5 years (Brickell, Ferdosi, Wright, French, Lippa, et al, 2021; Brickell, Ferdosi, Wright, French, Sullivan, et al, 2021; Brickell, Wright, Ferdosi, et al, 2020, 2022). It is possible that using group-level mean scores failed to capture individual variability in symptom reporting over time.…”

“…HRQOL is a subjective multidimensional construct that reflects the perceived impact a medical condition has on physical, psychological, and social well-being (Cella, 1995). Care provision for SMVs post-TBI has been consistently associated with poor caregiver physical HRQOL (e.g., pain, sleep impairment, fatigue), psychological HRQOL (e.g., depression, anxiety, stress), and social HRQOL domains (e.g., social participation, isolation; Brickell, Wright, Ferdosi, et al, 2022; Brickell, Wright, Sullivan, et al, 2022; Carlozzi et al, 2020; Delgado et al, 2018; Griffin et al, 2017; Hanks et al, 2020; Moriarty et al, 2018; Saban et al, 2016).…”

Sağlik Çalişanlarinda Kas İskelet Ağrisi İle Yorgunluk Şi̇ddeti̇ Arasindaki̇ İli̇şki̇ni̇n İncelenmesi̇

“…Ağrı, birçok sağlık sorununun bir bileşenidir ve hareketliliğin azalması, aktivite kısıtlılığı psikolojik sıkıntı, uyku bozukluğu, yorgunluk ve sosyal izolasyon gibi durumlara yol açabilmektedir. İş, ev, sosyal, eğlence ve kişisel bakım dahil olmak üzere bir bireyin yaşamının çeşitli yönlerine etki edebilmekte ve yaşam kalitesini olumsuz yönde etkileyebilmektedir (2). Yorgunluk, "yorgunluk veya enerji eksikliği hissi" olarak tanımlanmıştır (5).…”

Family caregivers of service members in United States Department of Defense health care report impairment in longitudinal health outcomes.

“…Family caregivers report managing caregiving responsibilities along with family, work, and household commitments, leaving little personal time for their own health-related quality of life (HRQOL) needs. Research has accumulated documenting the negative association between care provision for SMVs with TBI and caregiver physical, psychological, social, and caregiving HRQOL (Brickell, Wright, Ferdosi, et al, 2022; Brickell, Wright, Sullivan, et al, 2022; Griffin et al, 2017; Hanks et al, 2020; Moriarty et al, 2018). The SMV’s neurobehavioral symptoms and comorbid conditions (mental health, pain, headaches, aggression) have been consistently associated with worse caregiver outcomes.…”