nach oben

Quality of Life Research

Erschienen in:

20.05.2022

Pain interference and health-related quality of life in caregivers of service members and veterans with traumatic brain injury and mental health comorbidity

verfasst von: Tracey A. Brickell, Megan M. Wright, Hamid Ferdosi, Louis M. French, Rael T. Lange

Erschienen in: Quality of Life Research | Ausgabe 10/2022

Einloggen

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config

KI-gestützte Suche

Aus

Abstract

Purpose

To examine (1) the relationship between caregiver pain interference with caregiver health-related quality of life (HRQOL), caregiver age, and service member/veteran (SMV) functional ability, and (2) change in caregiver pain interference longitudinally over 5 years.

Method

Participants were 347 caregivers of SMVs diagnosed with traumatic brain injury (TBI). Caregivers completed the SF-12v2 Health Survey Bodily Pain scale at an initial baseline evaluation and up to four annual follow-up evaluations. Caregivers were divided into three pain interference groups: High Pain Interference (n = 104), Neutral Pain Interference (n = 117), and Low Pain Interference (n = 126). Caregivers also completed 15 HRQOL measures and a measure of SMV functional ability.

Results

The High Pain Interference group reported more clinically elevated scores on 13 measures compared to the Low Pain Interference group, and seven measures compared to the Neutral Pain Interference group. The Neutral Pain Interference group had more clinically elevated scores on three measures compared to the Low Pain Interference group. The High and Neutral Pain Interference groups were older than the Low Pain Interference group. Parent caregivers were older than intimate partner/sibling caregivers, but did not report worse pain interference. Caregiver age, and measures of Fatigue, Strain, Perceived Rejection, and Economic QOL were the strongest predictors of pain interference (p < .001), accounting for 28.2% of the variance. There was minimal change in Bodily Pain scores over five years. The interaction of time and age was not significant (X² = 2.7, p = .61).

Conclusion

It is important to examine pain in the context of HRQOL in caregivers, regardless of age.

Vorheriger Artikel “A fog that impacts everything”: a qualitative study of health-related quality of life in people living with HIV who have cognitive impairment

Nächster Artikel Criteria for developing, assessing and selecting candidate EQ-5D bolt-ons

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

über 102.000 Bücher
über 537 Zeitschriften

aus folgenden Fachgebieten:

Automobil + Motoren
Bauwesen + Immobilien
Business IT + Informatik
Elektrotechnik + Elektronik
Energie + Nachhaltigkeit
Finance + Banking
Management + Führung
Marketing + Vertrieb
Maschinenbau + Werkstoffe
Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Jetzt informieren

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

über 67.000 Bücher
über 340 Zeitschriften

aus folgenden Fachgebieten:

Bauwesen + Immobilien
Business IT + Informatik
Finance + Banking
Management + Führung
Marketing + Vertrieb
Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Jetzt informieren

Lange, R. T., et al. (2012). Neuropsychological outcome from uncomplicated mild, complicated mild, and moderate traumatic brain injury in US military personnel. Archives of Clinical Neuropsychology, 27(5), 480–494.PubMedCrossRef

de Guise, E., et al. (2010). Comprehensive clinical picture of patients with complicated vs uncomplicated mild traumatic brain injury. The Clinical Neuropsychologist, 24(7), 1113–1130.PubMedCrossRef

Williams, D. H., Levin, H. S., & Eisenberg, H. M. (1990). Mild head injury classification. Neurosurgery, 27(3), 422–428.PubMedCrossRef

Voormolen, D. C., et al. (2020). Outcomes after complicated and uncomplicated mild traumatic brain injury at three- and six-months post-injury: Results from the CENTER-TBI Study. Journal of Clinical Medicine, 9(5), 1525.PubMedCentralCrossRef

Temkin, N. R., Machamer, J. E., & Dikmen, S. S. (2003). Correlates of functional status 3–5 years after traumatic brain injury with CT abnormalities. Journal of Neurotrauma, 20(3), 229–241.PubMedCrossRef

Lange, R. T., Iverson, G. L., & Franzen, M. D. (2009). Neuropsychological functioning following complicated vs. uncomplicated mild traumatic brain injury. Brain Injury, 23(2), 83–91.PubMedCrossRef

Lange, R. T., et al. (2020). Post-traumatic stress disorder is a stronger predictor of long-term neurobehavioral outcome than traumatic brain injury severity. Journal of Traumatic Stress, 33(3), 318–329.PubMedCrossRef

Lange, R.T., et al., Long-term neurobehavioural symptom reporting following mild, moderate, severe, and penetrating traumatic brain injury in U.S. military service members. Neuropsychological Rehabilitation, 2020. 30(9): p. 1762–1785.

Brickell, T. A., et al. (2018). Characteristics and health outcomes of post-9/11 caregivers of US service members and veterans following traumatic brain injury. Journal of Head Trauma Rehabilitation, 33(2), 133–145.PubMedCrossRef

10.

Brickell, T. A., et al. (2019). Factors related to perceived burden among caregivers of service members/veterans following TBI. Rehabilitation Psychology, 64(3), 307–319.PubMedCrossRef

11.

Griffin, J. M., et al. (2012). The invisible side of war: Families caring for US service members with traumatic brain injuries and polytrauma. The Journal of Head Trauma Rehabilitation, 27(1), 3–13.PubMedCrossRef

12.

Brickell, T. A., et al. (2020). Severity of military traumatic brain injury influences caregiver health-related quality of life. Rehabilitation Psychology, 65(4), 377–389.CrossRef

13.

Cella, D. F. (1995). Measuring quality of life in palliative care. Seminars in Oncology, 22(2 Suppl 3), 73–81.PubMed

14.

Brickell, T. A., et al. (2018). Burden among caregivers of service members and veterans following traumatic brain injury. Brain Injury, 32(12), 1541–1548.PubMedCrossRef

15.

Brickell, T. A., et al. (2020). Resilience is associated with health-related quality of life in caregivers of service members and veterans following traumatic brain injury. Quality of Life Research, 29, 2781–2792.PubMedCrossRef

16.

Brickell, T. A., et al. (2020). Caring for a service member or veteran following traumatic brain injury influences caregiver mental health. Military Psychology, 32(4), 341–351.CrossRef

17.

Hanks, R. A., et al. (2020). Spirituality and outcomes in caregivers of persons with traumatic brain injury (TBI). Rehabilitation Psychology, 65(4), 347–359.PubMedCrossRef

18.

Kratz, A. L., et al. (2020). Do emotional distress and functional problems in persons with traumatic brain injury contribute to perceived sleep-related impairment in caregivers? Rehabilitation Psychology, 65, 432–442.CrossRef

19.

Griffin, J. M., et al. (2017). Burden and mental health among caregivers of veterans with traumatic brain injury/polytrauma. American Journal of Orthopsychiatry, 87(2), 139–148.PubMedCrossRef

20.

Moriarty, H., et al. (2018). Exploration of factors related to depressive symptomatology in family members of military veterans with traumatic brain injury. Journal of Family Nursing, 24(2), 184–216.PubMedCrossRef

21.

Brickell, T. A., et al. (2021). Unhealthy family functioning is associated with poor health-related quality of life in spouse caregivers of service members and veterans following traumatic brain injury. Psychological Trauma: Theory, Research, Practice, and Policy, 14, 587–596.CrossRef

22.

Phelan, S. M., et al. (2018). The impact of stigma on community reintegration of veterans with traumatic brain injury and the well-being of their caregivers. Archives of Physical Medicine and Rehabilitation, 99(11), 2222–2229.PubMedCrossRef

23.

Stevens, L. F., et al. (2015). The relationship between training and mental health among caregivers of individuals with polytrauma. Behavioural Neurology, 2015, 1–13.CrossRef

24.

Brickell, T. A., et al. (2019). Service needs and health outcomes among caregivers of service members and veterans following TBI. Rehabilitation Psychology, 64(1), 72–86.PubMedCrossRef

25.

Van Houtven, C. H., et al. (2012). Is policy well-targeted to remedy financial strain among caregivers of severely injured U.S. service members? INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 49(4), 339–351.PubMedCrossRef

26.

Cella, D., et al. (2010). The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005–2008. Journal of Clinical Epidemiology, 63(11), 1179–1194.PubMedPubMedCentralCrossRef

27.

Cook, K. F., et al. (2013). Pain assessment using the NIH Toolbox. Neurology, 80(11 (Suppl. 3)), S49–S53.PubMedPubMedCentralCrossRef

28.

Maruish, M. E. (2012). User’s manual for the SF-12v2 Health Survey (3rd ed.). QualityMetric Incorporated.

29.

Reid, M. C., Eccleston, C., & Pillemer, K. (2015). Management of chronic pain in older adults. British Medical Journal, 350, h532.PubMedPubMedCentralCrossRef

30.

Dahlhamer, J., et al. (2018). Prevalence of chronic pain and high-impact chronic pain among adults—United States, 2016. Morbidity and Mortality Weekly Report, 67(36), 1001–1006.PubMedPubMedCentralCrossRef

31.

Zelaya, C. E., et al. (2020). Chronic pain and high-impact chronic pain among US adults, 2019, in NCHS Data Brief (pp. 1–8). National Center for Health Statistics.

32.

Saban, K. L., et al. (2016). Perceived health, caregiver burden, and quality of life in women partners providing care to Veterans with traumatic brain injury. Journal of Rehabilitation Research and Development, 53(6), 681–692.PubMedCrossRef

33.

Delgado, R. E., et al. (2021). Phenotypes of caregiver distress in military and veteran caregivers: Suicidal ideation associations. PLoS ONE, 16(6), e0253207.PubMedPubMedCentralCrossRef

34.

Dreer, L. E., et al. (2019). Resilience among caregivers of injured service members: Finding the strengths in caregiving. Archives of Physical Medicine and Rehabilitation, 100(4S), S76–S84.PubMedCrossRef

35.

Maruish, M. E. (2017). Assessment of health status and health-related quality of life. In M. E. Maruish (Ed.), Handbook of psychological assessment in primary care settings. Routledge.

36.

Carlozzi, N. E., et al. (2019). The TBI-CareQOL Measurement System: Development and preliminary validation of health-related quality of life measures for caregivers of civilians and service members/veterans with traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 100(4S), S1–S12.PubMedCrossRef

37.

Carlozzi, N. E., et al. (2019). Understanding health-related quality of life in caregivers of civilians and service members/veterans with traumatic brain injury: Establishing the reliability and validity of PROMIS mental health measures. Archives of Physical Medicine and Rehabilitation, 100(S4), S94–S101.PubMedCrossRef

38.

Carlozzi, N. E., et al. (2019). Reliability and validity data to support the clinical utility of the Traumatic Brain Injury Caregiver Quality of Life (TBI-CareQOL). Rehabilitation Psychology, 65, 323–336.PubMedCrossRef

39.

HealthMeasures. (2021). PROMIS, Neuro-QoL, ASCQ-Me, and NIH Toolbox Measurement Systems. 2021; Available from: www.healthmeasures.net (23 September 2021).

40.

Tulsky, D. S., et al. (2015). Developing an item bank to measure economic quality of life for individuals with disabilities. Archives of Physical Medicine and Rehabilitation, 96(4), 604–613.PubMedCrossRef

41.

Malec, J. F., et al. (2003). Further psychometric evaluation and revision of the Mayo-Portland Adaptability Inventory in a national sample. The Journal of Head Trauma Rehabilitation, 18(6), 479–492.PubMedCrossRef

42.

Carlozzi, N. E., et al. (2020). Sleep impairment is related to health-related quality of life among caregivers of lower-functioning traumatic brain injury survivors. Rehabilitation Psychology, 65, 443–454.CrossRef

43.

Pattinson, C. L., et al. (2021). Sleep disturbances following traumatic brain injury are associated with poor neurobehavioral outcomes in U.S. military service members and veterans. Journal of Clinical Sleep Medicine, 17(12), 2425–2438.PubMedCrossRef

44.

Medic, G., Wille, M., & Hemels, M. E. (2017). Short- and long-term health consequences of sleep disruption. Nature and Science of Sleep, 9, 151–161.PubMedPubMedCentralCrossRef

45.

Campbell, S. B., & Renshaw, K. D. (2018). Posttraumatic stress disorder and relationship functioning: A comprehensive review and organizational framework. Clinical Psychology Review, 65, 152–162.PubMedPubMedCentralCrossRef

46.

Eisenberger, N. I., Lieberman, M. D., & Williams, K. D. (2003). Does rejection hurt? An FMRI study of social exclusion. Science, 302(5643), 290–292.PubMedCrossRef

47.

Eisenberger, N. I., & Lieberman, M. D. (2004). Why rejection hurts: A common neural alarm system for physical and social pain. Trends in Cognitive Sciences, 8(7), 294–300.PubMedCrossRef

48.

Yao, M., et al. (2020). Shared sensitivity to physical pain and social evaluation. Journal of Pain, 21(5–6), 677–688.PubMedCrossRef

49.

Eisenberger, N. I. (2012). The pain of social disconnection: Examining the shared neural underpinnings of physical and social pain. Nature Reviews Neuroscience, 13(6), 421–434.PubMedCrossRef

50.

Eisenberger, N. I., et al. (2006). An experimental study of shared sensitivity to physical pain and social rejection. Pain, 126(1–3), 132–138.PubMedCrossRef

51.

Vanoutven, C. H., Sperber, N., & Smith, V. A. (2016). Short-term impacts of the VA Caregiver Support Program on veterans and caregivers—Final Report, Evaluation of the VA Caregiver Support Program. Department of Veterans Affairs.

52.

Ramchand, R., et al. (2014). Hidden heroes: America’s military caregivers. Rand Corporation.CrossRef

53.

Traumatic Brain Injury Center of Excellence. (2020). DoD numbers for traumatic brain injury: www.health.mil (accessed 10 March 2021).

54.

Iverson, G. L., et al. (2016). Conceptualizing outcome from mild traumatic brain injury. In N. Zasler, et al. (Eds.), Brain Injury Medicine: Principles and Practice (pp. 470–497). Demos Medical Publishing.

55.

McCrea, M. A., et al. (2008). Mild traumatic brain injury and postconcussion syndrome: The new evidence base for diagnosis and treatment. In G. J. Lamberty (Ed.), Oxford Workshop Series: The American Academy of Clinical Neuropsychology. Oxford University Press.

56.

Brickell, T. A., et al. (2022). Is traumatic brain injury severity in service members and veterans related to health-related quality of life in their caregivers? Journal of Head Trauma Rehabilitation, in press.

57.

Lange, R. T., et al. (2013). Variable, not always persistent, postconcussion symptoms after mild TBI in US military service members: A five-year cross-sectional outcome study. Journal of Neurotrauma, 30(11), 958–969.PubMedCrossRef

58.

Lange, R. T., et al. (2020). Longitudinal trajectories and risk factors for persistent postconcussion symptom reporting following uncomplicated mild traumatic brain injury in U.S. Military service members. The Clinical Neuropsychologist, 34(6), 1134–1155.PubMedCrossRef

Titel: Pain interference and health-related quality of life in caregivers of service members and veterans with traumatic brain injury and mental health comorbidity
verfasst von: Tracey A. Brickell
Megan M. Wright
Hamid Ferdosi
Louis M. French
Rael T. Lange
Publikationsdatum: 20.05.2022
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 10/2022
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-022-03153-8

Springer Professional

Abstract

Purpose

Method

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu Ihrer Lizenz zu erhalten.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Springer Professional "Wirtschaft"

Weitere Artikel der Ausgabe 10/2022

A qualitative investigation of the relevance of skin irritation and self-confidence bolt-ons and their conceptual overlap with the EQ-5D in patients with psoriasis

Challenges and opportunities for using population health data to investigate cancer survivors’ quality of life in Australia

Utility values and its time to deterioration in breast cancer patients after diagnosis and during treatments

Multidimensional frailty and quality of life: data from the English Longitudinal Study of Ageing

Supporting researchers in knowledge translation and dissemination of their research to increase usability and impact

The prototype of a preference-based index of weight-related quality of life: demonstrating the possibilities

Premium Partner