Psychological and marital adjustment in couples following a traumatic brain injury (TBI): a critical review. Brain Injury, 19(14), 1223-1235

Department of Psychology, Université du Québec à Trois-Riviéres, Québec, Canada.
Brain Injury (Impact Factor: 1.81). 01/2006; 19(14):1223-35. DOI: 10.1080/02699050500309387
Source: PubMed


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


Available from: Marie-Claude Blais, Dec 22, 2014
    • "required to maximise decision-making participation (Blais & Boisvert, 2005; Colantonio et al., 2004; Fellows, 2012; Ponsford et al., 2014; Sloan, Winkler, & Anson, 2007). Compromised social relationships may further affect participation. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Despite an increased awareness of society's obligation to ensure that people with cognitive disabilities have access to decision-making support, little is known about how this support should be provided. For people with traumatic brain injury, informal support mechanisms may provide the primary means of support but there is limited understanding of how this aids participation. As part of a larger project using constructivist grounded theory to explore processes used by adults with severe traumatic brain injury in making decisions after injury, the authors explored a single-case study, presented in this article. In particular, the study aimed to build an understanding of the evolution of decision-making support over time from multiple perspectives. Data consisted of seven in-depth, individual interviews with three participants: the central participant, Beau, and two participants whom he nominated as his decision-making supporters. Analysis of the data revealed several key themes relating to both the nature of the decision-making process and the factors that underpinned decision-making support. Relational factors included: (a) knowing who I am and what I value; (b) understanding the nature of the relationship; and (c) working with each other. Process factors included: (a) sharing a vision; (b) adjusting process to decisional circumstances; and (c) developing a supportive network. Findings emphasised that knowing the person well and sharing a focus on maximising autonomy contributed to positive decision-making support. However, the data also highlight potential challenges associated with the role of decision-making supporter and the importance of support for those who take on this role.
    No preview · Article · Oct 2015
  • 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.
    Full-text · Article · Mar 2012 · Trauma Violence & Abuse
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Acquired brain injury is a major health problem with an annual incidence in The Netherlands alone varying between 1 and 2 per 1000 cases. Not only the patients’ lives, but also those of the caregivers, change dramatically and often permanently because of the patients’ brain injury, and they have to adjust to the new reality. Little is known about the factors that predict successful adjustment. The way one deals with everyday problems (coping) seems to play an important role. In this article, we briefly describe what is known about coping after brain injury in both patients and family members. Furthermore, we describe a study we have performed in a rehabilitation population with brain injury (n = 136). Our results showed that there was no association between the patients’ coping style and their cognitive functioning profile after the injury, that patients with a higher education most often reported active (adaptive) coping styles, and that patients at a later stage post injury most often used passive (maladaptive) coping styles. Passive styles were associated with lower psychosocial functioning in both patients and caregivers. Passive styles increased and active styles decreased over the course of and after rehabilitation. Finally, we discuss implications for further research and for clinical practice.
    Full-text · Article · Jun 2012
Show more