Promoting Resilience Following Traumatic Brain Injury: Application of an Interdisciplinary, Evidence‐Based Model for Intervention

Godwin, Emilie E.; Lukow, II Herman R.; Lichiello, Stephanie

doi:10.1111/fare.12122

Cited by 31 publications

(8 citation statements)

References 75 publications

(141 reference statements)

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“…Taken together, MD and GAD after TBI display an interplay of comorbid psychiatric and psychological problems. The decreased stability of MD and GAD from six to twelve months post-TBI (relative to three to six) sheds light on the potential of individual resilience, highlighting the importance of targeting this to promote psychological as well as functional recovery during and after rehabilitation [ 58 , 59 , 60 ]. Treatment programs, such as Cognitive Behavioral Therapy (CBT), mindfulness-based interventions, or Acceptance and Commitment Therapy (ACT), may be helpful in coping with MD and GAD and prevent persisting affective disorders.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Analyses of the Reciprocity of Depression and Anxiety after Traumatic Brain Injury and Its Clinical Implications

Wang¹,

Zeldovich²,

Rauen³

et al. 2021

JCM

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Depression and anxiety are common following traumatic brain injury (TBI). Understanding their prevalence and interplay within the first year after TBI with differing severities may improve patients’ outcomes after TBI. Individuals with a clinical diagnosis of TBI recruited for the large European collaborative longitudinal study CENTER-TBI were screened for patient-reported major depression (MD) and generalized anxiety disorder (GAD) at three, six, and twelve months post-injury (N = 1683). Data were analyzed using autoregressive cross-lagged models. Sociodemographic, premorbid and injury-related factors were examined as risk factors. 14.1–15.5% of TBI patients reported moderate to severe MD at three to twelve months after TBI, 7.9–9.5% reported GAD. Depression and anxiety after TBI presented high within-domain persistency and cross-domain concurrent associations. MD at three months post-TBI had a significant impact on GAD at six months post-TBI, while both acted bidirectionally at six to twelve months post-TBI. Being more severely disabled, having experienced major extracranial injuries, an intensive care unit stay, and being female were risk factors for more severe MD and GAD. Major trauma and the level of consciousness after TBI were additionally associated with more severe MD, whereas being younger was related to more severe GAD. Individuals after TBI should be screened and treated for MD and GAD early on, as both psychiatric disturbances are highly persistent and bi-directional in their impact. More severely disabled patients are particularly vulnerable, and thus warrant timely screening and intensive follow-up treatment.

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Section: Discussionmentioning

confidence: 99%

Longitudinal Analyses of the Reciprocity of Depression and Anxiety after Traumatic Brain Injury and Its Clinical Implications

Wang¹,

Zeldovich²,

Rauen³

et al. 2021

JCM

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show abstract

“…Given the multidimensional damage to the functioning of a relative with brain injury, various family members (parents, spouses, children, siblings, etc.) become part of an intensive and prolonged intervention throughout the successive stages of rehabilitation (Degeneffe, Chan, Dunlap, & Man, 2011; Godwin, Lukow, & Lichiello, 2015; Kitter & Sharman, 2015). The percentage of men diagnosed with TBI is double that of women (174.7 and 85.2, respectively, per 100,000; Farace & Alves, 2000).…”

Section: Introductionmentioning

confidence: 99%

“Shared Destiny”: The Dynamics of Relationships in Families of Patients With Brain Injury

2017

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This qualitative research focused on the relationships between family members of patients with acquired brain injury (ABI). The aim was to explore the dynamics between caregivers of the family member with a brain injury during rehabilitation hospitalization, and the relationships between them and the rest of the extended family. Twenty semistructured interviews were conducted with family members. In each family, the spouse of the patient and another family member involved in caregiving were interviewed. The importance of the relationships between family members during rehabilitation hospitalization justifies the examination undertaken in this research. Findings point at the change that took place in the relationships between family members because of the need to cope with a relative's injury. It is possible that direct intervention in the dynamics of the relationship, especially between the family of origin and the nuclear family of the injured person, can benefit extended families in coping with the crisis.

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“…Many interventions can alleviate stress, such as providing essential information, group support, family counselling, caregiver training, and learning about different sources of self-help (Blake, 2008). Resilience factors are critical in order to be able to effectively cope with the severe and often long-lasting consequences of injury, and these factors are associated with further growth and empowerment (Godwin, Lukow & Lichiello, 2015). However, family needs are often subjective and their dynamics depend on the patients' recovery during the acute phase of rehabilitation: this is an important consideration for service providers (Kreutzer et al, 2018).…”

Section: Prednosti I Ograničenja Istraživanjamentioning

confidence: 99%

„Sretni smo poslije svakog tog zooma“

Klepo¹,

Bartolac

Ščurić³

et al. 2022

Hrvat. rev. rehabil. istraž. (Online)

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Uključenost obitelji u proces rehabilitacije osoba s ozljedom mozga iznimno je važna, no zbog prevencije širenja zaraze virusom SarsCov19 onemogućeni su posjeti i boravak uz bližnju oboljelu osobu u zdravstvenim ustanovama. Cilj je ovog istraživanja steći uvid u iskustvo članova obitelji kojima je bližnji boravio na bolničkoj rehabilitaciji zbog posljedica ozljede mozga u vrijeme pandemije, a kojima je omogućena komunikacija putem virtualne platforme Zoom. Namjeran uzorak sudionika uključuje 11 članova obitelji koji su imali kontinuiranu interakciju sa svojim bližnjim putem videoveze, koja je bila dio radnoterapijske intervencije. U ovom kvalitativnom istraživačkom nacrtu prikupljanje podataka provedeno je putem polustrukturiranog intervjua, a dva su neovisna istraživača provela tematsku analizu kojom su izdvojene tri glavne teme: (1) Suočavanje s traumatskom ozljedom člana obitelji, (2) Iskustvo omogućenog videopoziva tijekom rehabilitacije i (3) Čimbenici obiteljske otpornosti. Rezultati istraživanja upućuju na snažne emocionalne reakcije sudionika i promjene u njihovu svakodnevnom životu uslijed traumatskog događaja i nemogućnosti boravka uz ozlijeđenog člana u bolnici. Iskustvo interakcije putem video veze pokazalo se posebno značajnim za sudionike jer im je omogućilo uvid u zdravstveno stanje bližnjeg, uključenost u rehabilitacijski proces, kao i praćenje oporavka bližnjeg. Sve su to čimbenici koji su pridonijeli otpornosti članova obitelji. Istraživanje ukazuje i na perspektivu primjene virtualnih metoda komunikacije i uključivanja članova obitelji u proces skrbi i rehabilitacije i izvan pandemijskog konteksta, u drugim okolnostima u kojima članovi obitelji ne mogu fizički boraviti uz svojeg bližnjeg u bolnici.

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Promoting Resilience Following Traumatic Brain Injury: Application of an Interdisciplinary, Evidence‐Based Model for Intervention

Cited by 31 publications

References 75 publications

Longitudinal Analyses of the Reciprocity of Depression and Anxiety after Traumatic Brain Injury and Its Clinical Implications

Longitudinal Analyses of the Reciprocity of Depression and Anxiety after Traumatic Brain Injury and Its Clinical Implications

“Shared Destiny”: The Dynamics of Relationships in Families of Patients With Brain Injury

„Sretni smo poslije svakog tog zooma“

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