The Relationship between Training and Mental Health among Caregivers of Individuals with Polytrauma

This was a hypothesis-generating exploration of relationships between caregiver training during TBI/polytrauma rehabilitation and caregiver mental health. In this cross-sectional study, 507 informal caregivers to US service members with TBI who received inpatient rehabilitation care in a Veterans Af...

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Main Authors: Lillian Flores Stevens, Treven C. Pickett, Kathryn P. Wilder Schaaf, Brent C. Taylor, Amy Gravely, Courtney Harold Van Houtven, Greta Friedemann-Sánchez, Joan M. Griffin
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2015/185941
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author Lillian Flores Stevens
Treven C. Pickett
Kathryn P. Wilder Schaaf
Brent C. Taylor
Amy Gravely
Courtney Harold Van Houtven
Greta Friedemann-Sánchez
Joan M. Griffin
author_facet Lillian Flores Stevens
Treven C. Pickett
Kathryn P. Wilder Schaaf
Brent C. Taylor
Amy Gravely
Courtney Harold Van Houtven
Greta Friedemann-Sánchez
Joan M. Griffin
author_sort Lillian Flores Stevens
collection DOAJ
description This was a hypothesis-generating exploration of relationships between caregiver training during TBI/polytrauma rehabilitation and caregiver mental health. In this cross-sectional study, 507 informal caregivers to US service members with TBI who received inpatient rehabilitation care in a Veterans Affairs’ Polytrauma Rehabilitation Center from 2001 to 2009 completed a retrospective, self-report survey. Embedded in the survey were measures of caregiver mental health, including the National Institutes of Health’s Patient Reported Outcome Measurement Information System (PROMIS) Anxiety and Depression Short Forms, the Rosenberg Self-Esteem scale, and the Zarit Burden Short Form. Though no groups endorsed clinical levels, mental health symptoms varied by caregiver training category (Trained, Not Trained, and Did Not Need Training). Caregivers who did not receive training on how to navigate healthcare systems endorsed higher depression and burden and lower self-esteem than those who did. Caregivers who did not receive training in supporting their care recipients’ emotions endorsed higher anxiety, depression, and burden and lower self-esteem than those who did. Analyses also suggested a different association between training and mental health based on caregivers’ relationship to the care recipient and the intensity of care recipient needs. Potential hypotheses for testing in future studies raised by these findings are discussed.
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spelling doaj-art-764155bfd5324f0db448a658cfd7cbac2025-02-03T05:52:46ZengWileyBehavioural Neurology0953-41801875-85842015-01-01201510.1155/2015/185941185941The Relationship between Training and Mental Health among Caregivers of Individuals with PolytraumaLillian Flores Stevens0Treven C. Pickett1Kathryn P. Wilder Schaaf2Brent C. Taylor3Amy Gravely4Courtney Harold Van Houtven5Greta Friedemann-Sánchez6Joan M. Griffin7Hunter Holmes McGuire VAMC, Psychology Section (116B), 1201 Broad Rock Boulevard, Richmond, VA 23249, USAHunter Holmes McGuire VAMC, Psychology Section (116B), 1201 Broad Rock Boulevard, Richmond, VA 23249, USAHunter Holmes McGuire VAMC, Psychology Section (116B), 1201 Broad Rock Boulevard, Richmond, VA 23249, USACenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, 1 Veterans Drive (152/Building 9), Minneapolis, MN 55417, USACenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, 1 Veterans Drive (152/Building 9), Minneapolis, MN 55417, USACenter for Health Services Research in Primary Care, Durham VA Medical Center, 508 Fulton Street, Durham, NC 27705, USAHumphrey School of Public Affairs, University of Minnesota, 267 Humphrey Center, 301 19th Avenue S., Minneapolis, MN 55455, USACenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, 1 Veterans Drive (152/Building 9), Minneapolis, MN 55417, USAThis was a hypothesis-generating exploration of relationships between caregiver training during TBI/polytrauma rehabilitation and caregiver mental health. In this cross-sectional study, 507 informal caregivers to US service members with TBI who received inpatient rehabilitation care in a Veterans Affairs’ Polytrauma Rehabilitation Center from 2001 to 2009 completed a retrospective, self-report survey. Embedded in the survey were measures of caregiver mental health, including the National Institutes of Health’s Patient Reported Outcome Measurement Information System (PROMIS) Anxiety and Depression Short Forms, the Rosenberg Self-Esteem scale, and the Zarit Burden Short Form. Though no groups endorsed clinical levels, mental health symptoms varied by caregiver training category (Trained, Not Trained, and Did Not Need Training). Caregivers who did not receive training on how to navigate healthcare systems endorsed higher depression and burden and lower self-esteem than those who did. Caregivers who did not receive training in supporting their care recipients’ emotions endorsed higher anxiety, depression, and burden and lower self-esteem than those who did. Analyses also suggested a different association between training and mental health based on caregivers’ relationship to the care recipient and the intensity of care recipient needs. Potential hypotheses for testing in future studies raised by these findings are discussed.http://dx.doi.org/10.1155/2015/185941
spellingShingle Lillian Flores Stevens
Treven C. Pickett
Kathryn P. Wilder Schaaf
Brent C. Taylor
Amy Gravely
Courtney Harold Van Houtven
Greta Friedemann-Sánchez
Joan M. Griffin
The Relationship between Training and Mental Health among Caregivers of Individuals with Polytrauma
Behavioural Neurology
title The Relationship between Training and Mental Health among Caregivers of Individuals with Polytrauma
title_full The Relationship between Training and Mental Health among Caregivers of Individuals with Polytrauma
title_fullStr The Relationship between Training and Mental Health among Caregivers of Individuals with Polytrauma
title_full_unstemmed The Relationship between Training and Mental Health among Caregivers of Individuals with Polytrauma
title_short The Relationship between Training and Mental Health among Caregivers of Individuals with Polytrauma
title_sort relationship between training and mental health among caregivers of individuals with polytrauma
url http://dx.doi.org/10.1155/2015/185941
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