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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

Author

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  • Annahir N. Cariello

    (Virginia Commonwealth University, 907 Floyd Ave, Richmond, VA 23284, USA)

  • Paul B. Perrin

    (Virginia Commonwealth University, 907 Floyd Ave, Richmond, VA 23284, USA)

  • Yaneth Rodríguez-Agudelo

    (Neuropsychology Department, National Institute of Neurology and Neurosurgery, Mexico City 14269, Mexico)

  • Silvia Leonor Olivera Plaza

    (Grupo de Investigación Carlos Finlay, Universidad Surcolombiana, Neiva, Huila, Colombia)

  • Maria Cristina Quijano-Martinez

    (Department of Social Sciences, Pontificia University of Javeriana-Cali, Cali, Colombia)

  • Juan Carlos Arango-Lasprilla

    (BioCruces Bizkaia Health Research Institute, Cruces University Hospital Barakaldo, 48903 Barakaldo, Spain
    IKERBASQUE, Basque Foundation for Science, 48013 Bilbao, Spain
    Department of Cell Biology and Histology, University of the Basque Country (UPV/EHU), 48940 Leioa, Biscay, Spain)

Abstract

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.

Suggested Citation

  • Annahir N. Cariello & Paul B. Perrin & Yaneth Rodríguez-Agudelo & Silvia Leonor Olivera Plaza & Maria Cristina Quijano-Martinez & Juan Carlos Arango-Lasprilla, 2020. "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," IJERPH, MDPI, vol. 17(17), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6045-:d:401396
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    References listed on IDEAS

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    Cited by:

    1. Grace B. McKee & Laiene Olabarrieta-Landa & Paula K. Pérez-Delgadillo & Ricardo Valdivia-Tangarife & Teresita Villaseñor-Cabrera & Daniela Ramos-Usuga & Paul B. Perrin & Juan Carlos Arango-Lasprilla, 2020. "Longitudinal Growth Curve Trajectories of Family Dynamics after Pediatric Traumatic Brain Injury in Mexico," IJERPH, MDPI, vol. 17(22), pages 1-12, November.
    2. Alba Aza & Miguel Á. Verdugo & María Begoña Orgaz & Antonio M. Amor & María Fernández, 2021. "Predictive Factors of Self-Reported Quality of Life in Acquired Brain Injury: One-Year Follow-Up," IJERPH, MDPI, vol. 18(3), pages 1-19, January.
    3. Shannon B. Juengst & Paul B. Perrin & Daniel W. Klyce & Therese M. O’Neil-Pirozzi & Susan Herrera & Brittany Wright & Jean Lengenfelder & Kirk Lercher & Librada Callender & Juan Carlos Arango-Lasprill, 2022. "Caregiver Characteristics of Adults with Acute Traumatic Brain Injury in the United States and Latin America," IJERPH, MDPI, vol. 19(9), pages 1-11, May.

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