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[This corrects the article DOI: 10.7150/thno.45939.].
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OBJECTIVE: To determine which factors are highly associated with burden and depression in a group of caregivers of persons with Traumatic Brain Injury (TBI) in Colombia, South America. DESIGN: Prospective. PARTICIPANTS: Fifty-one pairs of individuals with TBI and their caregivers from two major cities in Colombia completed a comprehensive psychosocial evaluation that included information related to patient and caregiver sociodemographic factors, patient factors, and caregiver estimation of patient neurobehavioral functioning. OUTCOME MEASURES: Caregiver burden (Zarit Burden Interview) and caregiver depression (PHQ-9). RESULTS: Generalized linear models revealed that patient language problems and caregiver perception of patient functioning on six neurobehavioral domains were related to caregiver burden. Caregiver socioeconomic status and caregiver perception of patient functioning on six neurobehavioral domains were related to caregiver depression. These variables were then selected as candidates for the multiple regression models, which were fit separately for caregiver depression and burden, and revealed that caregivers' perception of patient depression was the only factor associated with both caregiver burden and depression. CONCLUSION: Caregivers' perception of patient depression was the single best predictor of both caregiver burden and depression. Implications for treatment based on these preliminary findings are discussed.
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Lesiones Encefálicas , Cuidadores/psicología , Costo de Enfermedad , Depresión/psicología , Estrés Psicológico/psicología , Adaptación Psicológica , Adulto , Colombia , Femenino , Humanos , Modelos Lineales , Masculino , Persona de Mediana Edad , Encuestas y CuestionariosRESUMEN
PURPOSE: The aim of the present study was to determine the level of acceptance of disability as measured by the Acceptance of Disability Scale (ADS) within a sample of individuals with spinal cord injury (SCI) from Neiva, Colombia and to examine the influence of sociodemographic variables, injury characteristics, and level of depression on ADS score. METHODS: The ADS was administered to 40 adults with SCI from Nieva, Colombia who were recruited from an organization that connects individuals with disabilities to resources. Most (92.5%) participants were men, with a mean age of 34.75 years and approximately 12 years since injury. Fifty-five percent of subjects were diagnosed with paraplegia and the remainder with tetraplegia. Descriptive, linear model and multiple regression analyses were used to describe the relationship between the independent and dependent variables. RESULTS: The mean total ADS score of this sample was 171.5, indicating overall low disability acceptance. After controlling for level of depression and time since injury, gender was significantly related to ADS score such that women reported higher acceptance of disability. After controlling for gender and time since injury, level of depression was significantly related to ADS score. CONCLUSION: Acceptance of disability is a serious problem in this group of SCI survivors in Neiva, Colombia, especially among women and individuals with higher levels of depression. Because acceptance of disability is likely a problem for many individuals living with disability in the developing world, future researchers should investigate what interventions (e.g. counseling, pharmacological intervention, social service programs) can be implemented to improve acceptance of disability in this population.
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Adaptación Psicológica , Personas con Discapacidad/psicología , Autoimagen , Traumatismos de la Médula Espinal/psicología , Adulto , Anciano , Colombia , Evaluación de la Discapacidad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Análisis de Regresión , Distribución por Sexo , Factores Socioeconómicos , Traumatismos de la Médula Espinal/rehabilitación , Encuestas y Cuestionarios , Adulto JovenRESUMEN
The purpose of this study was to compare the health-related quality of life (HRQoL) of 99 caregivers of individuals with dementia and 95 healthy individuals from the general population in Colombia. The 36-item short-form (SF-36), a self-report measure composed of 8 component areas (physical function, role-physical, bodily pain, general health, energy/vitality, social function, role-emotional, and mental health), was used to measure HRQoL. Results indicated that the healthy control group had a higher level of education, socioeconomic status (SES), and number of male participants. After adjusting for education, SES, and gender, the caregivers of individuals with dementia scored significantly lower on all of the SF-36 subscales than the healthy controls. These findings suggest the need for rehabilitation health professionals to develop and implement culturally appropriate interventions to improve the HRQoL of caregivers of individuals with dementia in Colombia.