Research Reports - Relationship stability 1-5 years after traumatic brain injury

NeuroRehabilitation. 2014 May 12

Forslund MV(1), Arango-Lasprilla JC(2), Roe C(1), Perrin PB(3), Andelic N(4)

OBJECTIVES: The aims of this study were to examine (a) predictors of partnered
relationship probability trajectories and relationship stability across 1, 2, and
5 years after traumatic brain injury, and (b) influences on the slopes of these
trajectories.
MATERIALS & METHODS: Individuals (n = 105) from Norway with acute TBI were
assessed during admission to an urban trauma center and again at 1, 2 and 5 years
after injury. The outcome measures were partnered relationship status (partnered
vs. single) at 1, 2 and 5 years post-injury investigated through multilevel
modelling, and relationship stability (stable, unstable, and single) investigated
through multionomial logistic regression. Independent variables were sex, age at
injury, partnered relationship at injury, having dependent children, education at
admission, employment at admission, occupation status at admission, acute Glasgow
Coma Scale score, posttraumatic amnesia, and length of stay in hospital.
RESULTS: Partnered relationship status at injury and the interaction of
relationship status at injury by time, employment at injury and the interaction
of TBI severity by time were significant predictors of participants' relationship
trajectories. Having dependent children at the time of injury, higher education,
and being in a blue collar occupation at time of injury were significant
predictors of relationship stability.
CONCLUSIONS: The identification of these influences on partnered relationship
probability trajectories and stability could help clinicians and researchers
develop and refine early interventions to reduce relationship dissolution in the
first several years after brain injury.

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