Abstract
Objective
To examine the relationships between caregiver resilience and a comprehensive set
of sociodemographic and health-related quality of life (HRQOL) predictors among both
caregivers and injured service members.
Design
Cross-sectional analysis of an observational cohort.
Setting
Community dwelling.
Participants
Caregivers (n=87) who provide instrumental or emotional support to injured service
members (n=73)(N=160).
Interventions
Not applicable.
Main Outcome Measure
The Connor-Davidson Resilience Scale 25-item version.
Results
Higher caregiver resilience scores were related to lower depressive symptom severity,
greater health responsibility, physical activity, nutrition, spiritual growth, interpersonal
relations, stress management, and problem-solving orientation. A multivariable regression
model showed that spiritual growth and aspects of problem-solving orientation were
significantly related to resilience.
Conclusions
Results highlight the relationships between resilience and spirituality, problem-solving
orientation, and aspects of HRQOL among caregivers of injured service members. These
findings have important implications for caregiver behavioral health programs designed
to promote resilience and draw upon caregiver strengths when taking on a caregiver
role. Approaches that include a more integrative medicine or strengths-based emphasis
may be particularly beneficial when working with families of injured military.
Keywords
List of abbreviations:
CD-RISC (Connor-Davidson Resilience Scale), CES-D (Center for Epidemiological Studies Depression Scale), CIM (Community Integration Measure), HPLP-II (Health-Promoting Lifestyle Profile), HRQOL (health-related quality of life), ICS (impulsivity/carelessness style), PCL-C (Posttraumatic Stress Disorder Checklist-Civilian), PTSD (posttraumatic stress disorder), SPSI-R (Social Problem-Solving Inventory-Revised), TBI (traumatic brain injury), TICS (Telephone Interview Cognitive Status)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: January 23, 2019
Footnotes
Supported in part by clinical research funds and private donations, Lakeshore Foundation, the National Institute for Disability, Independent Living, and Rehabilitation Research (grant no. #90IF0039) and the Wise Up! Concussion Initiative of the Al and Sharyne Wallace Foundation.
Disclosures: none.
Identification
Copyright
© 2019 by the American Congress of Rehabilitation Medicine
