Assessing the Effects of Traumatic Brain Injury on Family Functioning: Conceptual and Methodological Issues |
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| Authors: | Wade, Shari Drotar, Dennis Taylor, H. Gerry Stancin, Terry |
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| Affiliation: | Case Western Reserve University and Rainbow Babies & Childrens Hospital, Case Western Reserve University and MetroHealth Medical Center, Case Western Reserve University and Rainbow Babies & Childrens Hospital, Case Western Reserve University and MetroHealth Medical Center 2All correspondence should be sent to Shari Wade, 333 W. Sycamore Street, Oxford, Ohio 45056. |
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| Abstract: | Reviewed empirical literature published since 1975 on the effectsof pediatric traumatic brain injury (TBI) on the family. Fewsystematic, hypothesis-driven investigations of the impact ofTBI on family functioning have been conducted. However, existingfindings indicate that severe TBI can adversely affect familiesand individual family members. Certain factors, such as poorpreinjury functioning and parental psychological disorder, appearto place families at greater risk for long-term disruption.Issues associated with the conceptualization of the impact ofTBI on various aspects of family functioning are discussed andmethodological considerations are outlined. Special attentionis given to novel strategies for studying these complex, multifacetedissues. Finally, a framework is proposed for examining the processesof family adaptation after pediatric TBI to guide future researchdirections. |
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| Keywords: | traumatic brain injury family adaptation family assessment social resources stressors. |
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