Family risk factors are related to warfighter brain health: A dyad study.

IF 1.9 4区 医学 Q3 PSYCHOLOGY, CLINICAL
Tracey A Brickell, Megan M Wright, Sara M Lippa, Samantha M Baschenis, Jamie K Sullivan, Lars D Hungerford, Jason M Bailie, Brian J Ivins, Louis M French, Rael T Lange
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Abstract

Purpose/objective: This study aimed to explore family risk factors for chronic neurobehavioral symptoms in service members and veterans (SMVs) with traumatic brain injury (TBI).

Research method/design: SMVs (n = 72) completed eight neurobehavioral outcome measures. Their family members (n = 72) completed 13 family risk factor measures assessing physical, psychological, and social health, and family functioning. The number of neurobehavioral measures that were clinically elevated (≥ 60T) were summed and used to classify SMVs into three outcome groups: (a) none/few symptoms (0-1 elevated scores), (b) several symptoms (2-3 elevated scores), and (c) many symptoms (4-8 elevated scores).

Results: SMVs in the many symptoms group had family members with significantly higher scores on nine family risk factor measures compared to family members of SMVs in the none/few symptoms group and two family risk factors compared to family members of SMVs in the several symptoms group. SMVs in the several symptoms group had family members with higher scores on three risk factor measures compared to family members of SMVs in the none/few symptoms group. Family member Anger was the most significant predictor of the total number of SMV elevated scores followed by family functioning, together accounting for 26.9% of the variance.

Conclusions/implications: An important and unique addition to the literature was the finding that a range of risk factors in the warfighter's family environment were strongly associated with clinically elevated chronic neurobehavioral symptoms following a TBI of any severity. More attention to the well-being of family members and their role in warfighter recovery and return to duty following a TBI are required. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

家庭风险因素与战士大脑健康相关:一项双元研究。
目的:探讨创伤性脑损伤(TBI)军人和退伍军人慢性神经行为症状的家庭危险因素。研究方法/设计:smv (n = 72)完成了8项神经行为结果测量。他们的家庭成员(n = 72)完成了13项家庭风险因素测量,评估身体、心理、社会健康和家庭功能。总结临床神经行为测量值升高(≥60T)的数量,并将smv分为三个结果组:(a)无症状/很少症状(0-1分升高),(b)几种症状(2-3分升高),(c)多种症状(4-8分升高)。结果:与无/少症状组的smv家庭成员相比,多症状组的smv家庭成员在9项家庭危险因素指标上得分显著高于无/少症状组的smv家庭成员,在2项家庭危险因素指标上得分显著高于多症状组的smv家庭成员。与无/少症状组的smv家庭成员相比,有几种症状组的smv家庭成员在三项风险因素测量中得分更高。家庭成员愤怒是SMV得分升高总数的最显著预测因子,其次是家庭功能,共占方差的26.9%。结论/意义:对文献的一个重要和独特的补充发现,战士家庭环境中的一系列危险因素与任何严重程度的创伤性脑损伤后临床慢性神经行为症状升高密切相关。需要更多地关注家庭成员的福祉及其在创伤性脑损伤后战士康复和重返岗位中的作用。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
7.40%
发文量
65
期刊介绍: Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.
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