Article

Psychological and marital adjustment in couples following a traumatic brain injury (TBI): a critical review.

Department of Psychology, Université du Québec à Trois-Riviéres, Québec, Canada.
Brain Injury (Impact Factor: 1.86). 01/2006; 19(14):1223-35. DOI: 10.1080/02699050500309387
Source: PubMed

ABSTRACT The first part of this paper examines current data describing the psychological and marital adjustment of couples following a traumatic brain injury (TBI). Although these findings reveal some discrepancies, they highlight that adjustment following a TBI represents a genuine challenge for those involved in the process. The second part moves toward the examination of factors associated with psychological and marital adjustment in both couple partners. Here again, there exists a large diversity in empirical data and theoretical models informing this emerging area of interest. Nevertheless, cognitive variables such as coping skills are commonly seen as critical variables to explain the adjustment level in people with TBI and their spouse/caregivers. Concurrently with the discussion of the methodological issues and pitfalls encountered in this area of research, the conclusion provides suggestions of further steps to undertake in this endeavour toward a better understanding of the adjustment process following TBI.

Download full-text

Full-text

Available from: Marie-Claude Blais, Dec 22, 2014
2 Followers
 · 
93 Views
  • Source
    • "Case studies also suggest an association between TBI and aggressive and aberrant sexual behavior (Bezeau, Bogod, & Mateer, 2004). Consequently, TBI has been associated with significant psychological distress for the spouses of TBI victims (Blais & Boisvert, 2005; Linn, Allen, & Willer, 1994). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Intimate partner violence (IPV) is widespread. Several risk factors are associated with IPV perpetuation, including alcohol use and educational level. The aggression and violence associated with traumatic brain injury (TBI) suggest that brain trauma may also be a risk factor for IPV. To examine the association between TBI and IPV, the authors conducted a meta-analysis of peer-reviewed published studies reporting the prevalence of TBI in IPV perpetrators. The authors compared the frequency of TBI among IPV perpetuators to estimates of TBI in the general population using a single-sample test of proportions. Six studies containing a total of 222 subjects met inclusion criteria. Fifty-three percent (119) of the IPV perpetuators had a history of TBI, a prevalence significantly higher (p < .0001) than estimates of TBI in the general population. The prevalence of TBI among perpetuators of IPV appears significantly higher than the prevalence of TBI in the general population. To the extent that this association is causal, TBI may be a risk factor for interpersonal violence, although comparatively few source studies, lack of standardized information about TBI severity, and the inability to investigate potential confounding variables necessarily limit this conclusion.
    Trauma Violence & Abuse 03/2012; 13(2):77-82. DOI:10.1177/1524838012440338 · 3.27 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: This critical review of the literature examines marriage after traumatic brain injury. Studies reporting information on marital stability rates and studies examining the quality of marriages through the assessment of at least 1 relational domain have been included for review. Available findings are presented along with information on methodological limitations and knowledge gaps. A rationale for the adoption of a marriage and family therapy framework to clarify remaining inconsistencies is presented. Furthermore, specific marriage and family therapy relational models and corresponding measurement instruments are outlined. Finally, suggestions for future research and potential implications for brain injury rehabilitation outcomes are discussed.
    The Journal of head trauma rehabilitation 26(1):43-55. DOI:10.1097/HTR.0b013e3182048f54 · 3.00 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Traumatic brain injury (TBI), causing various impairments and functional changes, may adversely impact marital relationships. However, dynamics of the interactions that contribute to these marital difficulties are complex and poorly understood. There has been little research on marital quality and stability in families of a person with TBI. By identifying themes of marital adjustment and stability, this qualitative exploratory study examines how a spouse who has experienced TBI affects the marital relationship. Two gender-specific focus groups, each with 5 spouses of individuals living with the effects of TBI, were conducted to collect data on marital interactions that were analyzed for themes related to marital adjustment and stability. The data were analyzed using grounded theory, and then relational theories were applied as a framework for organizing the metacodes and concepts. This study suggests that, after TBI, changes in family dynamics and the way spouses perceive those dynamics affect movement toward pulling together or pulling apart. Changes in spousal perceptions, interactions, responsibilities, and reactions to brain injury may impact marital stability and satisfaction. Further study is warranted to better understand and determine whether and how awareness of these changes may be incorporated into treatment.
    The Journal of head trauma rehabilitation 26(1):69-78. DOI:10.1097/HTR.0b013e318205174d · 3.00 Impact Factor