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Effects of Family and Caregiver Psychosocial Functioning on Outcomes in Persons With Traumatic Brain Injury

Vangel, Stephen J. Jr PhD; Rapport, Lisa J. PhD; Hanks, Robin A. PhD, ABPP (CN)

The Journal of Head Trauma Rehabilitation: January/February 2011 - Volume 26 - Issue 1 - p 20–29
doi: 10.1097/HTR.0b013e318204a70d
Original Article

Objectives: To examine the predictive value of caregiver/family status to well-being of persons with brain injury and toexamine whether perceived social support to caregivers moderates their well-being.

Participants: One hundred nine pairs ofadults, a caregiver, and an individual with TBI.

Main Measures: Brief Symptom Inventory–18, Satisfaction With LifeScale; Disability Rating Scale; Social Provision Scale, Family Assessment Device, and Disability Rating Scale.

Results: Canonical correlation indicated the presence of a relationship between well-being in TBI and caregiver participants. Two canonicalvariates accounted for 47.5% variance. Poor psychological well-being among persons with TBI was associated with poor caregiverperceived social support and poor familial behavioral control. Individuals with high disability also had caregivers with poorerpsychological well-being. In post hoc multiple regressions, caregiver/family psychosocial characteristics added unique prediction ofoutcome for individuals with TBI. Hierarchical multiple regressions provided evidence that social support of caregivers moderatesoutcome status for individuals with TBI.

Conclusions: Future research efforts should focus on understanding of the specificmechanisms of reciprocal effects, to help design future therapy.

Department of Physical Medicine and Rehabilitation (Drs Vangel and Hanks), and Department of Psychology (Dr Rapport), Wayne State University, Detroit, Michigan.

Corresponding Author: Stephen J. Vangel Jr, PhD, Department of Physical Medicine and Rehabilitation, Wayne State University, Room 555, 261 Mack Ave, Detroit, MI 48201(

This project was supported by the National Institute on Disability and Rehabilitation Research, grant H133A080044.

© 2011 Lippincott Williams & Wilkins, Inc.