Are spousal partner perceptions of continuity and discontinuity within the relationship linked to the symptoms of acquired brain injury?
|Authors||Yasmin, Natasha and Riley, Gerard|
Some partners experience their relationship with a person with brain injury as the continuation of a loving pre-injury relationship (continuity), but others feel that the pre-injury relationship has been lost and replaced with something very different (discontinuity). This study provided a quantitative test of claims arising from qualitative research that certain symptoms of the injury might contribute to the experience of discontinuity – specifically, lack of emotional warmth, reduced social interaction and aggression. Fifty-three partners providing care to someone with brain injury completed questionnaires assessing continuity/discontinuity and a range of symptoms (emotional warmth, conversational ability, aggression, depression, somatic complaints, cognition, communication, aggression, and phys- ical disability). Discontinuity was significantly correlated with all symptom variables except physical disability but, in a multiple regression, only the measures of emotional warmth, conversation, aggression, and depression made a significant unique contribution. Discontinuity has been linked with relationship dissatisfaction and dysfunction, greater bur- den and distress, and a less person-centred approach to the provision of care. Identifying which symp- toms contribute to discontinuity may enable partners to be more effectively supported in terms of how they make sense of and react to those symptoms, so that a greater sense of continuity may be retained.
|Keywords||Marriage; caregivers; interpersonal relationships; relationship continuity; brain injury; aggression|
|Journal||Disability and Rehabilitation|
|Publisher||Tylor & Francis|
|Digital Object Identifier (DOI)||https://doi.org/10.1080/09638288.2021.1900410|
|Web address (URL)||https://www.tandfonline.com/doi/abs/10.1080/09638288.2021.1900410?journalCode=idre20|
|Publication dates||18 Mar 2021|
|Publication process dates|
|Deposited||15 Jun 2021, 08:47|
|Accepted||03 Mar 2021|
|Contributors||University of Birmingham and University of Derby|
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