The impact of coronavirus disease 2019 on emotional and behavioral stress of informal family caregivers of individuals with stroke or traumatic brain injury at chronic phase living in a Mediterranean setting
Garcia-Rudolph, Alejandro (Institut Germans Trias i Pujol. Institut Guttmann)
Saurí, Joan (Institut Germans Trias i Pujol. Institut Guttmann)
García-Molina, Alberto (Institut Germans Trias i Pujol. Institut Guttmann)
Cegarra, Blanca (Institut Germans Trias i Pujol. Institut Guttmann)
Opisso, Eloy (Institut Germans Trias i Pujol. Institut Guttmann)
Tormos, Jose M. (Institut Germans Trias i Pujol. Institut Guttmann)
Frey, Dietmar (Charité-Universitätsmedizin Berlin)
Madai, Vince (Charité-Universitätsmedizin Berlin)
Bernabeu Guitart, Montserrat (Institut Germans Trias i Pujol. Institut Guttmann)

Data:	2022
Resum:	Even in nonpandemic times, persons with disabilities experience emotional and behavioral disturbances which are distressing for them and for their close persons. We aimed at comparing the levels of stress in emotional and behavioral aspects, before and during coronavirus disease 2019 (COVID-19), as reported by informal family caregivers of individuals with chronic traumatic brain injury (TBI) or stroke living in the community, considering two different stratifications of the recipients of care (cause and injury severity). We conducted a STROBE-compliant prospective observational study analyzing informal caregivers of individuals with stroke (IC-STROKE) or traumatic brain injury (IC-TBI). IC-STROKE and IC-TBI were assessed in-person before and during COVID-19 online, using the Head Injury Behavior Scale (HIBS). The HIBS comprises behavioral and emotional subtotals (10 items each) and a total-HIBS. Comparisons were performed using the McNemar's test, Wilcoxon signed-rank test or t -test. Recipients of care were stratified according to their injury severity using the National Institutes of Health Stroke Scale (NIHSS) and the Glasgow Coma Scale (GCS). One hundred twenty-two informal caregivers (62. 3% IC-STROKE and 37. 7% IC-TBI) were assessed online between June 2020 and April 2021 and compared to their own assessments performed in-person 1. 74 ± 0. 88 years before the COVID-19 lockdown. IC-STROKE significantly increased their level of stress during COVID-19 in five emotional items (impatience, frequent complaining, often disputes topics, mood change and overly sensitive) and in one behavioral item (overly dependent). IC-TBI stress level only increased in one behavioral item (impulsivity). By injury severity, (i) mild (14. 7%) showed no significant differences in emotional and behavioral either total-HIBS (ii) moderate (28. 7%) showed significant emotional differences in two items (frequent complaining and mood change) and (iii) severe (56. 6%) showed significant differences in emotional (often disputes topics) and behavioral (impulsivity) items. Our results suggest specific items in which informal caregivers could be supported considering cause or severity of the recipients of care.
Ajuts:	European Commission 777107
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Behavioral ; COVID-19 ; Emotional ; Informal caregivers ; Stress ; Stroke ; Traumatic brain injury
Publicat a:	Brain and behavior, Vol. 12, Num. 1 (january 2022) , ISSN 2162-3279

DOI: 10.1002/brb3.2440
PMID: 34910375

13 p, 395.2 KB

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