Article

Relationship of race/ethnicity to caregivers' coping, appraisals, and distress after traumatic brain injury

Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA.
Neurorehabilitation (Impact Factor: 1.12). 02/2007; 22(1):9-17.
Source: PubMed

ABSTRACT

The objective of the current study was to determine the relationship between race/ethnicity and caregivers' coping, appraisals of the caregiving role, and distress after traumatic brain injury (TBI). Participants were 195 caregivers (75% white; 25% black/Hispanic) of persons with TBI who were admitted to comprehensive inpatient rehabilitation at one of three participating centers and were followed up at 1 year after injury. Caregivers completed interview and self-report questionnaires, including the Ways of Coping Questionnaire, Caregiver Appraisal Scale, and Brief Symptom Inventory. Compared to whites, blacks/Hispanics reported lower levels of education, lower annual household income, and were more likely to be caring for an extended family member. After adjusting for relationship to the person with injury, age, education and income, race/ethnicity significantly predicted caregivers' use of the coping strategies distancing and accepting responsibility. Blacks/Hispanics made greater use of these strategies compared to whites. Blacks/Hispanics also showed more traditional beliefs regarding the caregiving role. Race/ethnicity was not predictive of distress. However, an interaction was noted between race/ethnicity and caregiver ideology. For Blacks/Hispanics, more traditional ideology was associated with increased distress. Future research using a larger sample of non-whites and including measures of acculturation is warranted.

Download full-text

Full-text

Available from: Timothy B Atchison, Jan 02, 2014
  • Source
    • "Lazarus dan Folkman (1984) telah mengkategorikan strategi daya tindak fokus-emosi kepada enam jenis iaitu sokongan sosial, kawalan diri, menjauhkan diri, penilaian semula positif, penerimaan tanggungjawab dan pengelakan. Manakala strategi daya tindak fokus-masalah adalah teknik-teknik yang digunakan untuk mengubah tekanan dengan melihat situasi yang membawa kepada tekanan (Sander et al., 2007; Chang et al., 2006; Zakowski et al., 2001; Hamama et al., 2000; Carver et al., 1989). Strategi ini boleh dikelasifikasikan kepada dua iaitu konfrontasi dan penyelesaian masalah terancang. "
    [Show abstract] [Hide abstract]
    ABSTRACT: ABSTRAK Penjagaan tidak formal terhadap golongan yang berpenyakit kronik memberi tekanan kepada penjaga. Tekanan ini boleh diatasi dengan pelbagai bentuk strategi daya tindak. Oleh yang demikian, kajian telah dijalankan bertujuan bagi mengenal pasti strategi daya tindak yang dipraktikkan oleh mereka bagi mengatasi tekanan. Kajian kualitatif yang menggunakan tradisi kajian kes telah dijalankan dalam kalangan penjaga tidak formal yang menjaga anggota keluarga yang berpenyakit kronik. Sejumlah 15 orang penjaga tidak formal di sekitar Kuala Lumpur dan Selangor telah ditemu bual dengan menggunakan teknik temu bual mendalam. Hasil kajian mendapati, terdapat empat jenis strategi daya tindak yang dipraktikkan oleh penjaga tidak formal iaitu strategi daya tindak sokongan sosial (15 orang), strategi daya tindak kawalan-diri (seorang), strategi daya tindak penerimaan tanggungjawab (lima orang) dan strategi daya tindak penilaian semula positif (tiga orang). Hasil kajian juga mendapati, para penjaga tidak formal dalam kajian ini memerlukan satu sistem sokongan sosial yang eksklusif untuk mereka dan individu sakit yang dijaga mereka. Pelan cadangan sistem sokongan sosial untuk penjaga tidak formal ini adalah sebuah intervensi sosial yang mengandungi program sokongan sosial yang mampu membantu penjaga tidak formal mengurangkan tekanan yang dialami secara lebih teratur. Kata kunci: Strategi daya tindak, penjaga tidak formal, pesakit kronik, program sokongan sosial ABSTRACT Informal caregiving to chronic illness patients are giving stress to caregivers. This stressful can be overcome with various style of coping strategies. Thus, a research has been done to identify coping strategies practiced by caregivers to overcome the stressful events. A qualitative research using case study has been done among informal caregivers of chronic illness patients. A total of 15 informal caregivers around Kuala Lumpur and Selangor have been in-depth interviewed. Finding has found that there were four styles of coping strategies being practiced by the informal caregivers, which were social support (15 respondents), self-control (one respondent), accepting responsibility (five respondents) dan positive reappraisal (three respondents). Research also has found that all informal caregivers in this research need an exclusive social support system for them and for the patients being cared of. This propose social support system for informal caregivers
    Full-text · Article · Jan 2015
  • Source
    • "Beliau beranggapan, ini mungkin disebabkan komuniti penduduk di kawasan perumahan beliau adalah orang Melayu yang suka mengambil tahu hal 'dalam kain' orang lain di samping percaya akan bahawa sesuatu buruk yang berlaku adalah disebabkan kesalahan masa silam. Ini yang dikatakan oleh Sander et al. (2007) sebagai ideologi tradisi iaitu semakin kuat pegangan dan kepercayaan individu kepada ideologi tradisi, semkain tinggi tekanan yang dialaminya. "

    Full-text · Conference Paper · Jul 2012
  • Source
    • "Our review of the TBI caregiver literature revealed two studies that outlined differences between White, Black, and Hispanic caregivers of persons with TBI (e.g., Nabors et al., 2002; Sander et al., 2007). In light of this finding, we reviewed reported outcomes from the REACH (Resources for Enhancing Alzheimer Caregivers Health) study, the first national multi-site intervention trial for Caucasian, African American, and Hispanic/Latino American caregivers. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Job demands and workplace culture variables associated with work-family conflict stress, in addition to workplace racial bias, were examined for a national sample of 607 African American women in 16 Fortune 1000 companies. Similar to other studies, women in this sample who had dependents were younger, had supervisory responsibilities, and experienced a less positive workplace culture, and those in professional job positions with high job demand were most likely to experience work-family stress. Married women who experienced a more subtle form of workplace racial bias reported more work-family conflict stress. Implications for social work policy, practice, and research are considered.
    Full-text · Article · May 2012 · Social Work in Public Health
Show more