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Titre : | The Impact of Stigma on Community Reintegration of Veterans With Traumatic Brain Injury and the Well-Being of Their Caregivers (2018) |
Auteurs : | Sean M. Phelan ; Lauren R. Bangerter ; Greta Friedemann-Sanchez |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 11, 2018) |
Article en page(s) : | p. 2222-2229 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Aidants ; Rééducation et réadaptation ; Santé mentale |
Mots-clés: | Caregivers ; Mental Health ; Social Stigma ; Stigmate social ; Brain Injuries ; Traumatic ; Lésions traumatiques de l'encéphale |
Résumé : |
Objective To assess the association between perceived stigma and discrimination and caregiver strain, caregiver well-being, and patient community reintegration. Design A cross-sectional survey study of 564 informal caregivers of U.S. military service veterans of wars in Iraq and Afghanistan who experienced traumatic brain injuries or polytrauma (TBI/PT). Setting Care settings of community-dwelling former inpatients of U.S. Department of Veterans Affairs Polytrauma Rehabilitation Centers. Participants Caregivers of former inpatients (N=564), identified through next-of-kin records and subsequent nominations. Interventions Not applicable. Main Outcome Measures Caregiver strain, depression, anxiety, loneliness, and self-esteem; as well as care recipient community reintegration, a key aspect of TBI/PT rehabilitation. Results Family stigma was associated with strain, depression, anxiety, loneliness, lower self-esteem, and less community reintegration. Caregiver stigma-by-association was associated with strain, depression, anxiety, loneliness, and lower self-esteem. Care recipient stigma was associated with caregiver strain, depression, anxiety, loneliness, lower self-esteem, and less community reintegration. Conclusions Perceived stigma may be a substantial source of stress for caregivers of U.S. military veterans with TBI/PT, and may contribute to poor outcomes for the health of caregivers and for the community reintegration of the veterans for whom they provide care. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318302776 |