Acquired brain injuries (ABI) represent neurological disorders that can arise after traumatic and non-traumatic events. In addition to the physical, emotional and cognitive challenges that patients face, these injuries can bring changes in the life of the patient and his or her family.
OBJECTIVE:
This study aims to understand how the occurrence of an ABI condition can disrupt and reshape family functioning by examining certain dimensions such as role in the family, gender and age, which may have a major influence on family dynamics.
METHODS:
We enrolled 86 caregivers of patients with ABI. Two experienced psychologists examined family functioning with Olso’s Family Adaptability and Cohesion Rating Scale (FACES IV).
RESULTS:
The correlation between groups by generics showed a significant difference only for flexibility (p = 0.05). Specifically, flexibility was greater in male caregivers, particularly in sons. Most of the constructs defining family functioning, such as communication, remained unchanged despite the ABI event.
CONCLUSION:
This study provides an in-depth understanding of how families face the challenges posed by the ABI and the role caregivers play within the system.
Bivona,U., Villalobos,D., De Luca,M., Zilli,F., Ferri,G., Lucatello,S., Iannetti,M., Cellupica,L., Mungiello,F., Lo Sterzo,P., Marchegiani,V., Puccitti,A., Lombardi,G., Moretti,G., Donvito,T., Penza,F., & Formisano,R. (2020). Psychological status and role of caregivers in the neuro-rehabilitation of patients with severe Acquired-Brain Injury (ABI). Brain Injury, 34(13-14), 1714–1722. https://doi.org/10.1080/02699052.2020.1812002
2.
Boulos,M. E., Colella,B., Meusel,L. A., Sharma,B., Peter,M. K., Worthington,T., & Green,R. E. A. (2024). Feasibility of group telerehabilitation for individuals with chronic acquired brain injury: integrating clinical care and research. Disability and Rehabilitation, 46(4), 750–762. https://doi.org/10.1080/09638288.2023.2177357
3.
Brett,C. E., Sykes,C., & Pires-Yfantouda,R. (2017). Interventions to increase engagement with rehabilitation in adults with acquired brain injury: A systematic review. Neuropsychological Rehabilitation, 27(6), 959–982. https://doi.org/10.1080/09602011.2015.1090459
4.
Calasanti,T., & King,N. (2007). Taking ‘women’s work’ ‘like a man’: Husbands’ experiences of care work. The Gerontologist, 47(4), 516–527. https://doi.org/10.1093/geront/47.4.516
5.
Calderone,A., Carta,D., Cardile,D., Quartarone,A., Rifici,C., Calabrò,R. S., & Corallo,F. (2023). Use of Virtual Reality in Patients with Acquired Brain Injury: A Systematic Review. Journal of Clinical Medicine, 12(24), 7680. https://doi.org/10.3390/jcm12247680
6.
Cheng,W. Y., Klonoff,P. S., & Perumparaichallai,R. K. (2024). Components of self-awareness affecting caregiver burden: a long-term follow-up study. Brain Injury, 38(1), 26–31. https://doi.org/10.1080/02699052.2024.2304883
7.
Cigoli,V., & Mariotti,M. (Eds.). (2002). The physician, the family and the community: The biopsychosocial approach to health and illness (Vol. 26). FrancoAngeli.
8.
CkumdeeS., & ArpanantikulM. (2014). Sirapo-ngam Y. Family caregivers’ adjustment problems in caring for stroke patients. Thai J Nurs Counc, 29(4), 45–63.
9.
Conde-Sala,J. L., Garre-Olmo,J., Turró-Garriga,O., Vilalta-Franch,J., & López-Pousa,S. (2010). Differential features of burden between spouse and adult-child caregivers of patients with Alzheimer’s disease: an exploratory comparative design. International Journal of Nursing Studies, 47(10), 1262–1273. https://doi.org/10.1016/j.ijnurstu.2010.03.001
10.
Corallo,F., Pria,D., Di Blasi,A., Bonanno,L., De Cola,M. C., Di Cara,M., Rifici,C., De Salvo,S., Bramanti,P., Marino,S., & Buono,V. L. (2021). The effects of caregiver’s burden on dynamic structure in disorder of consciousness families: An observational study. Brain and Behavior, 11(8), e2305. https://doi.org/10.1002/brb3.2305
11.
Creasy,K. R., Lutz,B. J., Young,M. E., & Stacciarini,J. M. (2015). Clinical Implications of Family-Centered Care in Stroke Rehabilitation. Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurses, 40(6), 349–359. https://doi.org/10.1002/rnj.188
12.
Deepradit,S., Powwattana,A., Lagampan,S., & Thiangtham,W. (2023). Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial. International Journal of Nursing Sciences, 10(4), 446–455. https://doi.org/10.1016/j.ijnss.2023.09.020
13.
Degeneffe,C. E., & Olney,M. F. (2010). We are the forgotten victims’: Perspectives of adult siblings of persons with traumatic brain injury. Brain Injury, 24(12), 1416–1427. https://doi.org/10.3109/02699052.2010.514317
14.
Dillahunt,T., Wang,Z., & Teasley,S. D. (2014). Democratizing higher education: Exploring MOOC use among those who cannot afford a formal education. International Review of Research in Open and Distributed Learning, 15(5), 177–196. https://doi.org/10.19173/irrodl.v15i5.1841CopiatoC’è stato un errore
Gillespie,D., & Campbell,F. (2011). Effect of stroke on family carers and family relationships. Nursing Standard (Royal College of Nursing (Great Britain): 1987), 26(2), 39–46. https://doi.org/10.7748/ns2011.09.26.2.39.c8707
17.
Godwin,E., Chappell,B., & Kreutzer,J. (2014). Relationships after TBI: a grounded research study. Brain Injury, 28(4), 398–413.
18.
Hodes,G. E., & Epperson,C. N. (2019). Sex Differences in Vulnerability and Resilience to Stress Across the Life Span. Biol Psychiatry, 86(6), 421–432. 10.1016/j.biopsych.2019.04.028. Epub 2019 May 7. PMID: 31221426; PMCID: PMC8630768.
19.
Ingebretsen,S. M. H., Stubberud,J., & Kirmess,M. (2024). Family members’ and friends’ reports after standard and intensive group treatment for social communication difficulties following acquired brain injury – a mixed method approach. Brain Injury, 38(4), 304–315. https://doi.org/10.1080/02699052.2024.2311345
Kumar,R., Kaur,S., & Reddemma,K. (2016). Family needs of caregivers of stroke survivors. Adv Practice Nurs, 1(120), 2.
22.
Lai,D. W. (2012). Effect of financial costs on caregiving burden of family caregivers of older adults. Sage Open, 2(4), 2158244012470467. https://doi.org/10.1177/2158244012470467
23.
Laratta,S., Lucca,L. F., Tonin,P., & Cerasa,A. (2020). Factors Influencing Burden in Spouse-Caregivers of Patients with Chronic-Acquired Brain Injury. BioMed Research International, 2020, 6240298. https://doi.org/10.1155/2020/6240298
24.
Leibach,G. G., Trapp,S. K., Perrin,P. B., Everhart,R. S., Cabrera,T. V., Jimenez-Maldonado,M., & Arango-Lasprilla,J. C. (2014). Family needs and TBI caregiver mental health in Guadalajara, Mexico. NeuroRehabilitation, 34(1), 167–175. https://doi.org/10.3233/NRE-131013
25.
Lezak,M. D. (1988). Brain damage is a family affair. Journal of Clinical and Experimental Neuropsychology, 10(1), 111–123. https://doi.org/10.1080/01688638808405098
26.
Li,J., Kong,X., Wang,J., Zhu,H., Zhong,J., Cao,Y., & Wu,B. (2023). Family functioning and patients’ depressive symptoms: comparison in perceived family function between patients who had an acute ischaemic stroke and their primary family caregivers – a cross-sectional study. BMJ Open, 13(11), e068794. https://doi.org/10.1136/bmjopen-2022-068794
27.
Lond,B. J., & Williamson,I. R. (2018). Stuck in a loop of fear”: a phenomenological exploration of carers’ experiences supporting a spouse with acquired brain injury. Disability and Rehabilitation, 40(24), 2907–2915. https://doi-org.bibliosan.idm.oclc.org/10.1080/09638288.2017.1363299
28.
Lond,B. J., & Williamson,I. R. (2022). Acceptance, grief and adaptation amongst caregivers of partners with acquired brain injury: an interpretative phenomenological enquiry. Disability and Rehabilitation, 44(11), 2285–2294. https://doi.org/10.1080/09638288.2020.1829104
29.
Lond,B. J., & Williamson,I. R. (2022). Acceptance, grief and adaptation amongst caregivers of partners with acquired brain injury: an interpretative phenomenological enquiry. Disability and Rehabilitation, 44(11), 2285–2294. https://doi.org/10.1080/09638288.2020.1829104
Maggio,M. G., De Luca,R., Torrisi,M., De Cola,M. C., Buda,A., Rosano,M., Visani,E., Pidalà,A., Bramanti,P., & Calabrò,R. S. (2018). Is there a correlation between family functioning and functional recovery in patients with acquired brain injury? An exploratory study. Applied Nursing Research: ANR, 41, 11–14. https://doi.org/10.1016/j.apnr.2018.03.005
32.
Maggio,M. G., La Rosa,G., Calatozzo,P., Andaloro,A., Foti Cuzzola,M., Cannavò,A., Militi,D., Manuli,A., Oddo,V., Pioggia,G., & Calabrò,R. S. (2021). How COVID-19 Has Affected Caregivers’ Burden of Patients with Dementia: An Exploratory Study Focusing on Coping Strategies and Quality of Life during the Lockdown. Journal of Clinical Medicine, 10(24), 5953. https://doi.org/10.3390/jcm10245953
McCormick,S., Jarvis,J. M., Terhorst,L., Richardson,A., Kaseman,L., Kesbhat,A., Yepuri,Y., Beyene,E., VonVille,H., Bendixen,R., & Treble-Barna,A. (2024). Patient-report and caregiver-report measures of rehabilitation service use following acquired brain injury: a systematic review. BMJ Open, 14(2), e076537. https://doi.org/10.1136/bmjopen-2023-076537
37.
Minuchin,S. (1976). Families and family therapy. Astrolabe.
38.
Norman,A., Curro,V., Holloway,M., Percuklievska,N., & Ferrario,H. (2023). Experiences of individuals with acquired brain injury and their families interacting with community services: a systematic scoping review. Disability and Rehabilitation, 45(4), 739–751. https://doi-org.bibliosan.idm.oclc.org/10.1080/09638288.2022.2043465
39.
Norman,A., Curro,V., Holloway,M., Percuklievska,N., & Ferrario,H. (2023). Experiences of individuals with acquired brain injury and their families interacting with community services: a systematic scoping review. Disability and Rehabilitation, 45(4), 739–751. https://doi-org.bibliosan.idm.oclc.org/10.1080/09638288.2022.2043465
40.
Petruzzo,A., Biagioli,V., Durante,A., Emberti Gialloreti,L., D’Agostino,F., Alvaro,R., & Vellone,E. (2019). Influence of preparedness on anxiety, depression, and quality of life in caregivers of heart failure patients: Testing a model of path analysis. Patient Education and Counseling, 102(5), 1021–1028. https://doi.org/10.1016/j.pec.2018.12.027
41.
PonsfordJ., OlverJ., PonsfordM., & NelmsR. (2003). Adeguamento a lungo termine delle famiglie a seguito di lesioni cerebrali traumatiche in cui è stata fornita una riabilitazione completa. Lesione Cerebrale, 17, 453–468.
42.
Reinhard,S. C., Given,B., Petlick,N. H., & Bemis,A. (2008). Supporting family caregivers in providing care. Patient safety and quality: An evidence-based handbook for nurses.
43.
Rolland,J. S. (2005). Cancer and the family: An integrative model. Cancer: Interdisciplinary International Journal of the American Cancer Society, 104(S11), 2584–2595. https://doi.org/10.1002/cncr.21489
44.
Rolland,J. S. (2011). Mastering family challenges: Coping with serious illness and disability. In F. Walsh (Ed.). Normal family processes, (4th ed.). New York: Guilford.
45.
Rolland,J. S., & Walsh,F. (2005). Systemic training for healthcare professionals: the Chicago Center For Family Health approach. Family Process, 44(3), 283–301. https://doi.org/10.1111/j.1545-5300.2005.00060.x
Stein,A., Thorstensen,J. R., Ho,J. M., Ashley,D. P., Iyer,K. K., & Barlow,K. M. (2024). Attention Please! Unravelling the Link Between Brain Network Connectivity and Cognitive Attention Following Acquired Brain Injury: A Systematic Review of Structural and Functional Measures. Brain Connectivity, 14(1), 4–38. https://doi.org/10.1089/brain.2023.0067
48.
Tsai,C. F., Huang,M. H., Lee,J. J., Jhang,K. M., Huang,L. C., Huang,L. K., Lee,W. J., Sung,P. S., Liu,Y. C., Ouyang,W. C., Cheng,C. M., Hsu,C. C., & Fuh,J. L. (2022). Factors associated with burden among male caregivers for people with dementia. Journal of the Chinese Medical Association: JCMA, 85(4), 462–468. https://doi.org/10.1097/JCMA.0000000000000704
49.
Tzidkiahu,T., Sazbon,L., & Solzi,P. (1994). Reazioni caratteristiche dei parenti di pazienti inconsapevoli post-coma nel processo di adattamento alla perdita. Lesione Cerebrale, 8(2), 159–165. https://doi.org/10.3109/02699059409150967
50.
Uhm,K. E., Jung,H., Woo,M. W., Kwon,H. E., Oh-Park,M., Lee,B. R., Kim,E. J., Kim,J. H., Lee,S. A., & Lee,J. (2023). Influence of preparedness on caregiver burden, depression, and quality of life in caregivers of people with disabilities. Frontiers in Public Health, 11, 1153588. https://doi.org/10.3389/fpubh.2023.1153588
51.
Visani,E., Di Nuovo,S., & Loriedo,C. (2014). The Faces IV. Olson’s circumflex model in the clinic and research: Olson’s circumflex model in the clinic and research. FrancoAngeli.
52.
Visani,E., Di Nuovo,S., & Loriedo,C. (Eds.). (2004). The Faces IV. Olson’s circumflex model in clinical and research. Franco Angeli: Milan.
53.
Wang,S., Lu,Q., Zhang,D., Wang,L., Jin,H., Zhou,Y., & Ma,R. (2024). Mediation effect of self-efficacy on the relationship between perceived social support and resilience in caregivers of patients with first-stroke in China: a cross-sectional survey. Topics in Stroke Rehabilitation, 1–9. Advance online publication. https://doi.org/10.1080/10749357.2024.2318087
