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Titre : | Investigation of a New Couples Intervention for Individuals With Brain Injury: A Randomized Controlled Trial (2019) |
Auteurs : | Samantha Backhaus ; Dawn Neumann ; Devan Parrott |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 2, 2019) |
Article en page(s) : | p. 195-204 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Mariage ; Rééducation et réadaptation |
Mots-clés: | Brain Injuries ; Lésions encéphaliques ; Family characteristics ; Caractéristiques familiales ; Marriage |
Résumé : |
Objectives This study aimed to (1) examine the efficacy of a treatment to enhance a couples relationship after brain injury particularly in relationship satisfaction and communication; and (2) determine couples satisfaction with this type of intervention. Design Randomized waitlist-controlled trial. Setting Midwestern outpatient brain injury rehabilitation center. Participants Participants (N=44; 22 persons with brain injury and their intimate partners) were randomized by couples to the intervention or waitlist-controlled group, with 11 couples in each group. Interventions The Couples Caring and Relating with Empathy intervention is a 16-week, 2-hour, manualized small group treatment utilizing psychoeducation, affect recognition, empathy training, cognitive-behavioral and dialectical-behavioral strategies, communication skills training, and Gottmans theoretical framework for couples adjusted for individuals with brain injury. Main Outcome Measures The Dyadic Adjustment Scale, Quality of Marriage Index (QMI), and the Four Horsemen of the Apocalypse communication questionnaire were implemented. Measures were completed by the person with brain injury and that persons partner at 3 time points: baseline, immediate postintervention, 3-month follow-up. Results The experimental group showed significant improvement at posttest and follow-up on the Dyadic Adjustment Scale and the Horsemen questionnaire compared to baseline and to the waitlist-controlled group which showed no significant changes on these measures. No significant effects were observed on the QMI for either group. Satisfaction scores were largely favorable. Conclusions Results suggest this intervention can improve couples dyadic adjustment and communication after brain injury. High satisfaction ratings suggest this small group intervention is feasible with couples following brain injury. Future directions for this intervention are discussed. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318311833 |