The course and impact of family optimism in the post-acute period after acquired brain injury.

Abstract:

OBJECTIVE:To investigate the course and impact of family optimism in the post-acute stage of acquired brain injury. METHODS:At Time 1, 30 family relatives of in-patients in rehabilitation units and 30 relatives of patients recently discharged from such units completed questionnaires relating to their emotional health, engagement in the rehabilitation process and expectations about the future consequences and controllability of the injury. At Time 2 (12-18 months later), 23 of the original sample completed questionnaires about their emotional health and actual consequences and controllability of the injury. RESULTS:At Time 1, optimism about future consequences and controllability was associated with greater engagement in the rehabilitation process and better emotional health. The two groups did not differ on any of the measures, which did not support the expectation that the patient's discharge home would trigger a loss of optimism and emotional upset for the family. At Time 2, the actual consequences were worse than had been expected at Time 1 and greater disappointment was associated with a greater decline in emotional wellbeing. CONCLUSION:Family expectations about recovery are linked with important variables such as emotional wellbeing and engagement in the rehabilitation process and need careful management by clinicians.

journal_name

Brain Inj

journal_title

Brain injury

authors

Riley GA,Hough A,Meader LM,Brennan AJ

doi

10.3109/02699052.2015.1004754

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

804-12

issue

7-8

eissn

0269-9052

issn

1362-301X

journal_volume

29

pub_type

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