A Multi-Site Study of Traumatic Brain Injury in Mexico and Colombia: Longitudinal Mediational and Cross-Lagged Models of Family Dynamics, Coping, and Health-Related Quality of Life

International Journal of Environmental Research and Public Health

JuanCarlos Arango-Lasprilla¹  MariaCristina Quijano-Martinez²  SilviaLeonor Olivera Plaza³  Yaneth Rodríguez-Agudelo⁴  AnnahirN. Cariello⁵  PaulB. Perrin⁵ 

[1] BioCruces Bizkaia Health Research Institute, Cruces University Hospital Barakaldo, 48903 Barakaldo, Spain;Department of Social Sciences, Pontificia University of Javeriana-Cali, Cali, Colombia;Grupo de Investigación Carlos Finlay, Universidad Surcolombiana, Neiva, Huila, Colombia;Neuropsychology Department, National Institute of Neurology and Neurosurgery, Mexico City 14269, Mexico;Virginia Commonwealth University, 907 Floyd Ave, Richmond, VA 23284, USA;

关键词: traumatic brain injury;    health-related quality of life;    family dynamics;    coping;   

DOI  :  10.3390/ijerph17176045

来源: DOAJ

【 摘 要 】

Latin America has high rates of traumatic brain injury (TBI), yet reduced mental and physical health outcomes due to limited rehabilitation services. To understand the psychosocial adjustment process in TBI patients in Latin America, the incorporation of cultural values including family-based variables is imperative. The current study examined relations among healthy family dynamics, coping, and mental and physical health related quality of life (HRQL) among a sample of TBI patients across three sites and two countries over the first 4 months post-injury. A sample of 109 acute TBI patients from Mexico and Colombia were recruited, and a series of longitudinal mediation and cross-lag panel analyses were run. Mental and physical HRQL were positively associated with each other, as well as healthy family dynamics and coping. Coping partially mediated the effects of healthy family dynamics on both mental and physical HRQL. Family dynamics showed the strongest cross-lag relationships with coping going from 2 months to 4 months. Similarly, coping showed the strongest cross-lag relationships with both mental and physical HRQL going from baseline to 2 months. Results provide empirical support for the importance of a rehabilitation workforce that has been trained in and can effectively implement family-based interventions for individuals with TBI in Latin America.

【 授权许可】

Unknown