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Cognitive, Behavioral, and Functional Impairments among Traumatic Brain Injury Survivors: Impact on Caregiver Burden
- Source :
- Journal of Neurosciences in Rural Practice, Vol 11, Iss 04, Pp 629-635 (2020), Journal of Neurosciences in Rural Practice
- Publication Year :
- 2020
- Publisher :
- Thieme Medical and Scientific Publishers Pvt. Ltd., 2020.
-
Abstract
- Background The burden of cognitive, behavioral, and functional impairments after traumatic brain injury (TBI) is still not highlighted much, but its impact on caregivers is socio-economically relevant. The objectives of the study were to assess cognitive, behavioral, and functional impairments in patients of TBI and its impact on caregiver burden. Materials and Methods A descriptive cross-sectional study was conducted using a total enumeration sampling technique. Mini-mental status examination, neuropsychiatric inventory and Rappaport’s disability rating scale were used to assess patients’ cognitive, behavioral, and functional impairments, respectively. Zarit Caregiver Burden Scale was executed to quantify the caregiver burden. Results Fifty patients of TBI and their caregivers were enrolled. Among these, 24% had moderate cognitive impairments. Among behavioral symptoms, 40% had agitation, 24% had depression, 18% had anxiety, and 16% had irritability. Moderate functional disability was reported by 18% of the patients, while 2% reported severe functional disability. Moderate to severe caregiver burden was reported by 8% of caregivers. Patients’ behavioral (r = 0.507, p < 0.001), functional (r = 0.473, p = 0.001), and cognitive (r = –0.438, p = 0.001) impairments had significant correlations with caregiver burden. Conclusion Patients develop cognitive, behavioral, and functional disability after TBI. The caregiver burden increases significantly with cognitive dysfunction, behavioral symptoms, and impaired functional status of patients. Therefore, appropriate support is to be provided to caregivers as well as patients.
- Subjects :
- Traumatic brain injury
Irritability
lcsh:RC321-571
disability rating scale
03 medical and health sciences
0302 clinical medicine
Medicine
Outpatient clinic
030212 general & internal medicine
rapport disability rating scale
lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry
Depression (differential diagnoses)
behavioral changes
caregiver burden
business.industry
General Neuroscience
traumatic brain injury
Cognition
outpatient department
Disability Rating Scale
Caregiver burden
medicine.disease
Anxiety
Original Article
Neurology (clinical)
medicine.symptom
business
030217 neurology & neurosurgery
Clinical psychology
Subjects
Details
- Language :
- English
- ISSN :
- 09763155 and 09763147
- Volume :
- 11
- Issue :
- 04
- Database :
- OpenAIRE
- Journal :
- Journal of Neurosciences in Rural Practice
- Accession number :
- edsair.doi.dedup.....f475a9bfbcf1c2940c4262bba6f74654