Evidence map›Paper›PMID 32500241›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2020

Resilience is associated with health-related quality of life in caregivers of service members and veterans following traumatic brain injury.

Tracey A Brickell, Megan M Wright, Sara M Lippa, Jamie K Sullivan, Jason M Bailie, Louis M French, Rael T Lange

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In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Towards conceptual convergence: A systematic review of psychological resilience in family caregivers of persons living with chronic neurological conditions.Health expectations : an international journal of public participation in health care and health policy · 2022
    Pooled it
  2. Review
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  6. Low resilience is associated with worse health-related quality of life in caregivers of service members and veterans with traumatic brain injury: a longitudinal study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
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  8. Health outcomes before and during the COVID-19 pandemic in caregivers of service members and veterans with traumatic brain injury.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  9. Article
  10. Caregiver sleep impairment and service member and veteran adjustment following traumatic brain injury is related to caregiver health-related quality of life.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  11. Pain interference and health-related quality of life in caregivers of service members and veterans with traumatic brain injury and mental health comorbidity.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tracey A BrickellDefense and Veterans Brain Injury Center, Walter Reed National Military Medical Center, Bethesda, MD, USA. tbrickell@dvbic.org.
Megan M WrightDefense and Veterans Brain Injury Center, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Sara M LippaDefense and Veterans Brain Injury Center, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Jamie K SullivanDefense and Veterans Brain Injury Center, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Jason M BailieDefense and Veterans Brain Injury Center, Camp Pendleton, 2016 San Jacinto Rd, Camp Pendleton, CA, 92055, USA.
Louis M FrenchDefense and Veterans Brain Injury Center, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Rael T LangeDefense and Veterans Brain Injury Center, Walter Reed National Military Medical Center, Bethesda, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine factors related to resilience in military caregivers across caregiver health-related quality of life (HRQOL), caregiver sociodemographic variables, and service member/veteran (SMV) injury and health status.

methodsCaregivers (N = 346, Female = 96.2%; Spouse = 91.0%; Age: M = 40.6 years, SD = 9.3) of SMVs following a mild, moderate, severe, or penetrating TBI were recruited from U.S. military treatment facilities and via community outreach. Caregivers completed select TBI-CareQOL and NIH Toolbox scales, the Caregiver Appraisal Scale, Caregiver Questionnaire, and Mayo-Portland Adaptability Inventory-4. Caregivers were divided into three groups using the TBI-QOL Resilience scale: (1) Low-Moderate Resilience (n = 125), (2) Moderate Resilience (n = 122), and (3) Moderate-High Resilience (n = 99).

resultsFactors related to low caregiver resilience were strain on employment, financial burden from out-of-pocket expenses, caring for children, less personal time, caring for both verbal and physical irritability, anger, and aggression, and lower SMV functional ability (all p's < .05). The Low-Moderate Resilience group had consistently worse HRQOL scores compared to the Moderate and Moderate-High Resilience groups (ps < .001; d = .50-1.60), with the exception of Caregiving Ideology.

conclusionLower resilience among caregivers of SMVs following TBI is associated with poorer caregiver HRQOL. Programs aimed at promoting and maintaining resilience in military caregivers long-term is important for their own health, the health of the SMV, and the health of their children.

Indexed as

Resilience, PsychologicalAdultBrain Injuries, TraumaticCaregiversFemaleHumansMaleQuality of LifeVeteransCaregiverMental healthMilitaryResilienceService member veteranTraumatic brain injury

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.