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Resilience Among Caregivers of Injured Service Members: Finding the Strengths in Caregiving

Published:January 23, 2019DOI:https://doi.org/10.1016/j.apmr.2018.12.027

      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)
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