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Is Helping Really Helping? Health-Related Quality of Life after TBI Predicting Caregiver Depression Symptom Trajectories in Latin America.

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  • Additional Information
    • Source:
      Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: Basel : MDPI, c2004-
    • Subject Terms:
      Brain Injuries, Traumatic* ; Quality of Life*; Caregivers ; Colombia/epidemiology ; Depression/epidemiology ; Europe ; Humans ; Latin America/epidemiology ; Mexico/epidemiology
    • Abstract:
      Previous research connecting health-related quality of life (HRQoL) in people with traumatic brain injury (TBI) and caregiver mental health has primarily been conducted cross-sectionally in the U.S. and Western Europe. This study, therefore, examined how HRQoL in individuals immediately after their TBI predicts longitudinal caregiver depression symptom trajectories in Latin America. A sample of 109 patients with an acute TBI and 109 caregivers (total n = 218) was recruited from three hospitals in Mexico City, Mexico, and in Cali and Neiva, Colombia. TBI patients reported their HRQoL while they were still in hospital, and caregivers reported their depression symptoms at the same time and at 2 and 4 months later. Hierarchal linear models (HLM) found that caregiver depression symptom scores decreased over time, and lower patient mental health and pain-related quality of life at baseline (higher pain) predicted higher overall caregiver depression symptom trajectories across the three time points. These findings suggest that in Latin America, there is an identifiable relationship between psychological and pain-related symptoms after TBI and caregiver depression symptom outcomes. The results highlight the importance of early detection of caregiver mental health needs based in part upon patient HRQoL and a culturally informed approach to rehabilitation services for Latin American TBI caregivers.
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    • Grant Information:
      R21TW009746 United States TW FIC NIH HHS
    • Contributed Indexing:
      Keywords: Latin America; caregivers; depression; health-related quality of life; traumatic brain injury
    • Publication Date:
      Date Created: 20210212 Date Completed: 20210325 Latest Revision: 20210325
    • Publication Date:
      20240104
    • Accession Number:
      PMC7908361
    • Accession Number:
      10.3390/ijerph18031247
    • Accession Number:
      33573228