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

Author

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  • Chimdindu Ohayagha

    (Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA)

  • Paul B. Perrin

    (Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA)

  • Annahir N. Cariello

    (Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA)

  • Juan Carlos Arango-Lasprilla

    (BioCruces Bizkaia Health Research Institute, 40903 Barakaldo, Spain
    IKERBASQUE, Basque Foundation for Science, 48009 Bilbao, Spain
    Department of Cell Biology and Histology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain)

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.

Suggested Citation

  • Chimdindu Ohayagha & Paul B. Perrin & Annahir N. Cariello & Juan Carlos Arango-Lasprilla, 2021. "Is Helping Really Helping? Health-Related Quality of Life after TBI Predicting Caregiver Depression Symptom Trajectories in Latin America," IJERPH, MDPI, vol. 18(3), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1247-:d:490036
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    References listed on IDEAS

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    1. Martin Pinquart & Silvia Sörensen, 2003. "Associations of Stressors and Uplifts of Caregiving With Caregiver Burden and Depressive Mood: A Meta-Analysis," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(2), pages 112-128.
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