TY  - JOUR
PY  - 2021//
TI  - Testing a model of resilience in family members of relatives with traumatic brain injury versus spinal cord injury: multigroup analysis
JO  - Archives of physical medicine and rehabilitation
A1  - Simpson, Grahame K.
A1  - Anderson, Malcolm I.
A1  - Daher, Maysaa
A1  - Jones, Kate K.
A1  - Morey, Peter
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE  To test a model comprising explanatory (neurological 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) versus spinal cord injury (SCI).   Design  Structural equation modelling with multigroup analysis.   Setting  Six rehabilitation centres across New South Wales and Queensland, Australia.   Participants  N=181 family members (131 TBI, 50 SCI).   Intervention  NA  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 four measures of psychological adjustment including: Caregiver Burden Scale, Medical Outcomes Survey (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, NFI = .962, IFI = .993, TLI = .985, CFI = .993, RMSEA = .035). Multi-group analysis found significant commonalities in the pattern of relationships among variables across the two 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 to 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-9993
UR  - http://dx.doi.org/10.1016/j.apmr.2021.06.016
ID  - ref1
ER  -