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- Title
Resilience is associated with health-related quality of life in caregivers of service members and veterans following traumatic brain injury.
- Authors
Brickell, Tracey A.; Wright, Megan M.; Lippa, Sara. M.; Sullivan, Jamie K.; Bailie, Jason M.; French, Louis M.; Lange, Rael T.
- Abstract
Purpose: To examine factors related to resilience in military caregivers across caregiver health-related quality of life (HRQOL), caregiver sociodemographic variables, and service member/veteran (SMV) injury and health status. Methods: Caregivers (N = 346, Female = 96.2%; Spouse = 91.0%; Age: M = 40.6 years, SD = 9.3) of SMVs following a mild, moderate, severe, or penetrating TBI were recruited from U.S. military treatment facilities and via community outreach. Caregivers completed select TBI-CareQOL and NIH Toolbox scales, the Caregiver Appraisal Scale, Caregiver Questionnaire, and Mayo-Portland Adaptability Inventory-4. Caregivers were divided into three groups using the TBI-QOL Resilience scale: (1) Low-Moderate Resilience (n = 125), (2) Moderate Resilience (n = 122), and (3) Moderate-High Resilience (n = 99). Results: Factors related to low caregiver resilience were strain on employment, financial burden from out-of-pocket expenses, caring for children, less personal time, caring for both verbal and physical irritability, anger, and aggression, and lower SMV functional ability (all p's <.05). The Low-Moderate Resilience group had consistently worse HRQOL scores compared to the Moderate and Moderate-High Resilience groups (ps <.001; d =.50–1.60), with the exception of Caregiving Ideology. Conclusion: Lower resilience among caregivers of SMVs following TBI is associated with poorer caregiver HRQOL. Programs aimed at promoting and maintaining resilience in military caregivers long-term is important for their own health, the health of the SMV, and the health of their children.
- Subjects
NATIONAL Institutes of Health (U.S.); SERVICES for caregivers; QUALITY of life; BRAIN injuries; MILITARY personnel; CAREGIVERS; SERVICE life
- Publication
Quality of Life Research, 2020, Vol 29, Issue 10, p2781
- ISSN
0962-9343
- Publication type
Article
- DOI
10.1007/s11136-020-02529-y