Association between long-term cognitive decline in Vietnam veterans with TBI and caregiver attachment style.

Details

Serval ID
serval:BIB_3306657140FB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Association between long-term cognitive decline in Vietnam veterans with TBI and caregiver attachment style.
Journal
Journal of Head Trauma Rehabilitation
Author(s)
Brioschi Guevara A., Démonet J.F., Polejaeva E., Knutson K.M., Wassermann E.M., Krueger F., Grafman J.
ISSN
1550-509X (Electronic)
ISSN-L
0885-9701
Publication state
Published
Issued date
2015
Volume
30
Number
1
Pages
E26-E33
Language
english
Notes
Publication types: Journal Article ; Observational Study
Publication Status: ppublish
Abstract
OBJECTIVE: To examine whether a caregiver's attachment style is associated with patient cognitive trajectory after traumatic brain injury (TBI).
SETTING: National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland.
PARTICIPANTS: Forty Vietnam War veterans with TBI and their caregivers.
MAIN OUTCOME MEASURE: Cognitive performance, measured by the Armed Forces Qualification Test percentile score, completed at 2 time points: preinjury and 40 years postinjury.
DESIGN: On the basis of caregivers' attachment style (secure, fearful, preoccupied, dismissing), participants with TBI were grouped into a high or low group. To examine the association between cognitive trajectory of participants with TBI and caregivers' attachment style, we ran four 2 × 2 analysis of covariance on cognitive performances.
RESULTS: After controlling for other factors, cognitive decline was more pronounced in participants with TBI with a high fearful caregiver than among those with a low fearful caregiver. Other attachment styles were not associated with decline.
CONCLUSION AND IMPLICATION: Caregiver fearful attachment style is associated with a significant decline in cognitive status after TBI. We interpret this result in the context of the neural plasticity and cognitive reserve literatures. Finally, we discuss its impact on patient demand for healthcare services and potential interventions.
Keywords
Aged, Brain Injuries/complications, Brain Injuries/rehabilitation, Caregivers/psychology, Cognitive Reserve, Fear, Humans, Longitudinal Studies, Male, Middle Aged, Mild Cognitive Impairment/etiology, Mild Cognitive Impairment/psychology, Object Attachment, Veterans, Vietnam Conflict
Pubmed
Open Access
Yes
Create date
23/12/2015 15:17
Last modification date
23/06/2020 10:15
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