Longitudinal growth curve trajectories of family dynamics after pediatric traumatic brain injury in Mexico

Pediatric traumatic brain injury (TBI) represents a serious public health concern. Family members are often caregivers for children with TBI, which can result in a significant strain on familial relationships. Research is needed to examine aspects of family functioning in the context of recovery pos...

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Authors: McKee, Grace B., Olabarrieta Landa, Laiene, Pérez Delgadillo, Paula K., Valdivia Tangarife, Edgar Ricardo, Villaseñor Cabrera, Teresita, Ramos Usuga, Daniela, Perrin, Paul B., Arango Lasprilla, Juan Carlos
Format: article
Status:Published version
Publication Date:2020
Country:España
Institution:Universidad San Jorge (USJ)
Repository:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
OAI Identifier:oai:academica-e.unavarra.es:2454/39993
Online Access:https://hdl.handle.net/2454/39993
Access Level:Open access
Keyword:Family caregivers
Family functioning
Latin America
Pediatric TBI
Traumatic brain injury (TBI)
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spelling Longitudinal growth curve trajectories of family dynamics after pediatric traumatic brain injury in MexicoMcKee, Grace B.Olabarrieta Landa, LaienePérez Delgadillo, Paula K.Valdivia Tangarife, Edgar RicardoVillaseñor Cabrera, TeresitaRamos Usuga, DanielaPerrin, Paul B.Arango Lasprilla, Juan CarlosFamily caregiversFamily functioningLatin AmericaPediatric TBITraumatic brain injury (TBI)Pediatric traumatic brain injury (TBI) represents a serious public health concern. Family members are often caregivers for children with TBI, which can result in a significant strain on familial relationships. Research is needed to examine aspects of family functioning in the context of recovery post-TBI, especially in Latin America, where cultural norms may reinforce caregiving by family members, but where resources for these caregivers may be scarce. This study examined caregiver-reported family satisfaction, communication, cohesion, and flexibility at three time points in the year post-injury for 46 families of a child with TBI in comparison to healthy control families. Families experiencing pediatric TBI were recruited from a large hospital in Guadalajara, Mexico, while healthy controls were recruited from a local educational center. Results from multilevel growth curve models demonstrated that caregivers of children with a TBI reported significantly worse family functioning than controls at each assessment. Families experiencing pediatric TBI were unable to attain the level of functioning of controls during the time span studied, suggesting that these families are likely to experience long-term disruptions in family functioning. The current study highlights the need for family-level intervention programs to target functioning for families affected by pediatric TBI who are at risk for difficulties within a rehabilitation context.This study was supported by the Department of Veterans Affairs Office of Academic Affiliations Advanced Fellowship Program in Mental Illness Research and Treatment, the Medical Research Service of the Veterans Affairs Central Virginia Health Care System, and the Department of Veterans Affairs Mid-Atlantic Mental Illness Research, Education, and Clinical Center (MIRECC). Ramos-Usuga, D. was supported by a predoctoral fellowship from the Basque Government (PRE_2019_1_0164).MDPICiencias de la SaludOsasun Zientziak2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2454/39993reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarrainstname:Universidad San Jorge (USJ)Inglés© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:academica-e.unavarra.es:2454/399932026-06-17T12:41:47Z
dc.title.none.fl_str_mv Longitudinal growth curve trajectories of family dynamics after pediatric traumatic brain injury in Mexico
title Longitudinal growth curve trajectories of family dynamics after pediatric traumatic brain injury in Mexico
spellingShingle Longitudinal growth curve trajectories of family dynamics after pediatric traumatic brain injury in Mexico
McKee, Grace B.
Family caregivers
Family functioning
Latin America
Pediatric TBI
Traumatic brain injury (TBI)
title_short Longitudinal growth curve trajectories of family dynamics after pediatric traumatic brain injury in Mexico
title_full Longitudinal growth curve trajectories of family dynamics after pediatric traumatic brain injury in Mexico
title_fullStr Longitudinal growth curve trajectories of family dynamics after pediatric traumatic brain injury in Mexico
title_full_unstemmed Longitudinal growth curve trajectories of family dynamics after pediatric traumatic brain injury in Mexico
title_sort Longitudinal growth curve trajectories of family dynamics after pediatric traumatic brain injury in Mexico
dc.creator.none.fl_str_mv McKee, Grace B.
Olabarrieta Landa, Laiene
Pérez Delgadillo, Paula K.
Valdivia Tangarife, Edgar Ricardo
Villaseñor Cabrera, Teresita
Ramos Usuga, Daniela
Perrin, Paul B.
Arango Lasprilla, Juan Carlos
author McKee, Grace B.
author_facet McKee, Grace B.
Olabarrieta Landa, Laiene
Pérez Delgadillo, Paula K.
Valdivia Tangarife, Edgar Ricardo
Villaseñor Cabrera, Teresita
Ramos Usuga, Daniela
Perrin, Paul B.
Arango Lasprilla, Juan Carlos
author_role author
author2 Olabarrieta Landa, Laiene
Pérez Delgadillo, Paula K.
Valdivia Tangarife, Edgar Ricardo
Villaseñor Cabrera, Teresita
Ramos Usuga, Daniela
Perrin, Paul B.
Arango Lasprilla, Juan Carlos
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Ciencias de la Salud
Osasun Zientziak
dc.subject.none.fl_str_mv Family caregivers
Family functioning
Latin America
Pediatric TBI
Traumatic brain injury (TBI)
topic Family caregivers
Family functioning
Latin America
Pediatric TBI
Traumatic brain injury (TBI)
description Pediatric traumatic brain injury (TBI) represents a serious public health concern. Family members are often caregivers for children with TBI, which can result in a significant strain on familial relationships. Research is needed to examine aspects of family functioning in the context of recovery post-TBI, especially in Latin America, where cultural norms may reinforce caregiving by family members, but where resources for these caregivers may be scarce. This study examined caregiver-reported family satisfaction, communication, cohesion, and flexibility at three time points in the year post-injury for 46 families of a child with TBI in comparison to healthy control families. Families experiencing pediatric TBI were recruited from a large hospital in Guadalajara, Mexico, while healthy controls were recruited from a local educational center. Results from multilevel growth curve models demonstrated that caregivers of children with a TBI reported significantly worse family functioning than controls at each assessment. Families experiencing pediatric TBI were unable to attain the level of functioning of controls during the time span studied, suggesting that these families are likely to experience long-term disruptions in family functioning. The current study highlights the need for family-level intervention programs to target functioning for families affected by pediatric TBI who are at risk for difficulties within a rehabilitation context.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2454/39993
url https://hdl.handle.net/2454/39993
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
instname:Universidad San Jorge (USJ)
instname_str Universidad San Jorge (USJ)
reponame_str Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
collection Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
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repository.mail.fl_str_mv
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