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20-05-2022

Pain interference and health-related quality of life in caregivers of service members and veterans with traumatic brain injury and mental health comorbidity

Auteurs: Tracey A. Brickell, Megan M. Wright, Hamid Ferdosi, Louis M. French, Rael T. Lange

Gepubliceerd in: Quality of Life Research | Uitgave 10/2022

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Abstract

Purpose

To examine (1) the relationship between caregiver pain interference with caregiver health-related quality of life (HRQOL), caregiver age, and service member/veteran (SMV) functional ability, and (2) change in caregiver pain interference longitudinally over 5 years.

Method

Participants were 347 caregivers of SMVs diagnosed with traumatic brain injury (TBI). Caregivers completed the SF-12v2 Health Survey Bodily Pain scale at an initial baseline evaluation and up to four annual follow-up evaluations. Caregivers were divided into three pain interference groups: High Pain Interference (n = 104), Neutral Pain Interference (n = 117), and Low Pain Interference (n = 126). Caregivers also completed 15 HRQOL measures and a measure of SMV functional ability.

Results

The High Pain Interference group reported more clinically elevated scores on 13 measures compared to the Low Pain Interference group, and seven measures compared to the Neutral Pain Interference group. The Neutral Pain Interference group had more clinically elevated scores on three measures compared to the Low Pain Interference group. The High and Neutral Pain Interference groups were older than the Low Pain Interference group. Parent caregivers were older than intimate partner/sibling caregivers, but did not report worse pain interference. Caregiver age, and measures of Fatigue, Strain, Perceived Rejection, and Economic QOL were the strongest predictors of pain interference (p < .001), accounting for 28.2% of the variance. There was minimal change in Bodily Pain scores over five years. The interaction of time and age was not significant (X2 = 2.7, p = .61).

Conclusion

It is important to examine pain in the context of HRQOL in caregivers, regardless of age.
Literatuur
1.
go back to reference Lange, R. T., et al. (2012). Neuropsychological outcome from uncomplicated mild, complicated mild, and moderate traumatic brain injury in US military personnel. Archives of Clinical Neuropsychology, 27(5), 480–494.PubMedCrossRef Lange, R. T., et al. (2012). Neuropsychological outcome from uncomplicated mild, complicated mild, and moderate traumatic brain injury in US military personnel. Archives of Clinical Neuropsychology, 27(5), 480–494.PubMedCrossRef
2.
go back to reference de Guise, E., et al. (2010). Comprehensive clinical picture of patients with complicated vs uncomplicated mild traumatic brain injury. The Clinical Neuropsychologist, 24(7), 1113–1130.PubMedCrossRef de Guise, E., et al. (2010). Comprehensive clinical picture of patients with complicated vs uncomplicated mild traumatic brain injury. The Clinical Neuropsychologist, 24(7), 1113–1130.PubMedCrossRef
3.
go back to reference Williams, D. H., Levin, H. S., & Eisenberg, H. M. (1990). Mild head injury classification. Neurosurgery, 27(3), 422–428.PubMedCrossRef Williams, D. H., Levin, H. S., & Eisenberg, H. M. (1990). Mild head injury classification. Neurosurgery, 27(3), 422–428.PubMedCrossRef
4.
go back to reference Voormolen, D. C., et al. (2020). Outcomes after complicated and uncomplicated mild traumatic brain injury at three- and six-months post-injury: Results from the CENTER-TBI Study. Journal of Clinical Medicine, 9(5), 1525.PubMedCentralCrossRef Voormolen, D. C., et al. (2020). Outcomes after complicated and uncomplicated mild traumatic brain injury at three- and six-months post-injury: Results from the CENTER-TBI Study. Journal of Clinical Medicine, 9(5), 1525.PubMedCentralCrossRef
5.
go back to reference Temkin, N. R., Machamer, J. E., & Dikmen, S. S. (2003). Correlates of functional status 3–5 years after traumatic brain injury with CT abnormalities. Journal of Neurotrauma, 20(3), 229–241.PubMedCrossRef Temkin, N. R., Machamer, J. E., & Dikmen, S. S. (2003). Correlates of functional status 3–5 years after traumatic brain injury with CT abnormalities. Journal of Neurotrauma, 20(3), 229–241.PubMedCrossRef
6.
go back to reference Lange, R. T., Iverson, G. L., & Franzen, M. D. (2009). Neuropsychological functioning following complicated vs. uncomplicated mild traumatic brain injury. Brain Injury, 23(2), 83–91.PubMedCrossRef Lange, R. T., Iverson, G. L., & Franzen, M. D. (2009). Neuropsychological functioning following complicated vs. uncomplicated mild traumatic brain injury. Brain Injury, 23(2), 83–91.PubMedCrossRef
7.
go back to reference Lange, R. T., et al. (2020). Post-traumatic stress disorder is a stronger predictor of long-term neurobehavioral outcome than traumatic brain injury severity. Journal of Traumatic Stress, 33(3), 318–329.PubMedCrossRef Lange, R. T., et al. (2020). Post-traumatic stress disorder is a stronger predictor of long-term neurobehavioral outcome than traumatic brain injury severity. Journal of Traumatic Stress, 33(3), 318–329.PubMedCrossRef
8.
go back to reference Lange, R.T., et al., Long-term neurobehavioural symptom reporting following mild, moderate, severe, and penetrating traumatic brain injury in U.S. military service members. Neuropsychological Rehabilitation, 2020. 30(9): p. 1762–1785. Lange, R.T., et al., Long-term neurobehavioural symptom reporting following mild, moderate, severe, and penetrating traumatic brain injury in U.S. military service members. Neuropsychological Rehabilitation, 2020. 30(9): p. 1762–1785.
9.
go back to reference Brickell, T. A., et al. (2018). Characteristics and health outcomes of post-9/11 caregivers of US service members and veterans following traumatic brain injury. Journal of Head Trauma Rehabilitation, 33(2), 133–145.PubMedCrossRef Brickell, T. A., et al. (2018). Characteristics and health outcomes of post-9/11 caregivers of US service members and veterans following traumatic brain injury. Journal of Head Trauma Rehabilitation, 33(2), 133–145.PubMedCrossRef
10.
go back to reference Brickell, T. A., et al. (2019). Factors related to perceived burden among caregivers of service members/veterans following TBI. Rehabilitation Psychology, 64(3), 307–319.PubMedCrossRef Brickell, T. A., et al. (2019). Factors related to perceived burden among caregivers of service members/veterans following TBI. Rehabilitation Psychology, 64(3), 307–319.PubMedCrossRef
11.
go back to reference Griffin, J. M., et al. (2012). The invisible side of war: Families caring for US service members with traumatic brain injuries and polytrauma. The Journal of Head Trauma Rehabilitation, 27(1), 3–13.PubMedCrossRef Griffin, J. M., et al. (2012). The invisible side of war: Families caring for US service members with traumatic brain injuries and polytrauma. The Journal of Head Trauma Rehabilitation, 27(1), 3–13.PubMedCrossRef
12.
go back to reference Brickell, T. A., et al. (2020). Severity of military traumatic brain injury influences caregiver health-related quality of life. Rehabilitation Psychology, 65(4), 377–389.CrossRef Brickell, T. A., et al. (2020). Severity of military traumatic brain injury influences caregiver health-related quality of life. Rehabilitation Psychology, 65(4), 377–389.CrossRef
13.
go back to reference Cella, D. F. (1995). Measuring quality of life in palliative care. Seminars in Oncology, 22(2 Suppl 3), 73–81.PubMed Cella, D. F. (1995). Measuring quality of life in palliative care. Seminars in Oncology, 22(2 Suppl 3), 73–81.PubMed
14.
go back to reference Brickell, T. A., et al. (2018). Burden among caregivers of service members and veterans following traumatic brain injury. Brain Injury, 32(12), 1541–1548.PubMedCrossRef Brickell, T. A., et al. (2018). Burden among caregivers of service members and veterans following traumatic brain injury. Brain Injury, 32(12), 1541–1548.PubMedCrossRef
15.
go back to reference Brickell, T. A., et al. (2020). Resilience is associated with health-related quality of life in caregivers of service members and veterans following traumatic brain injury. Quality of Life Research, 29, 2781–2792.PubMedCrossRef Brickell, T. A., et al. (2020). Resilience is associated with health-related quality of life in caregivers of service members and veterans following traumatic brain injury. Quality of Life Research, 29, 2781–2792.PubMedCrossRef
16.
go back to reference Brickell, T. A., et al. (2020). Caring for a service member or veteran following traumatic brain injury influences caregiver mental health. Military Psychology, 32(4), 341–351.CrossRef Brickell, T. A., et al. (2020). Caring for a service member or veteran following traumatic brain injury influences caregiver mental health. Military Psychology, 32(4), 341–351.CrossRef
17.
go back to reference Hanks, R. A., et al. (2020). Spirituality and outcomes in caregivers of persons with traumatic brain injury (TBI). Rehabilitation Psychology, 65(4), 347–359.PubMedCrossRef Hanks, R. A., et al. (2020). Spirituality and outcomes in caregivers of persons with traumatic brain injury (TBI). Rehabilitation Psychology, 65(4), 347–359.PubMedCrossRef
18.
go back to reference Kratz, A. L., et al. (2020). Do emotional distress and functional problems in persons with traumatic brain injury contribute to perceived sleep-related impairment in caregivers? Rehabilitation Psychology, 65, 432–442.CrossRef Kratz, A. L., et al. (2020). Do emotional distress and functional problems in persons with traumatic brain injury contribute to perceived sleep-related impairment in caregivers? Rehabilitation Psychology, 65, 432–442.CrossRef
19.
go back to reference Griffin, J. M., et al. (2017). Burden and mental health among caregivers of veterans with traumatic brain injury/polytrauma. American Journal of Orthopsychiatry, 87(2), 139–148.PubMedCrossRef Griffin, J. M., et al. (2017). Burden and mental health among caregivers of veterans with traumatic brain injury/polytrauma. American Journal of Orthopsychiatry, 87(2), 139–148.PubMedCrossRef
20.
go back to reference Moriarty, H., et al. (2018). Exploration of factors related to depressive symptomatology in family members of military veterans with traumatic brain injury. Journal of Family Nursing, 24(2), 184–216.PubMedCrossRef Moriarty, H., et al. (2018). Exploration of factors related to depressive symptomatology in family members of military veterans with traumatic brain injury. Journal of Family Nursing, 24(2), 184–216.PubMedCrossRef
21.
go back to reference Brickell, T. A., et al. (2021). Unhealthy family functioning is associated with poor health-related quality of life in spouse caregivers of service members and veterans following traumatic brain injury. Psychological Trauma: Theory, Research, Practice, and Policy, 14, 587–596.CrossRef Brickell, T. A., et al. (2021). Unhealthy family functioning is associated with poor health-related quality of life in spouse caregivers of service members and veterans following traumatic brain injury. Psychological Trauma: Theory, Research, Practice, and Policy, 14, 587–596.CrossRef
22.
go back to reference Phelan, S. M., et al. (2018). The impact of stigma on community reintegration of veterans with traumatic brain injury and the well-being of their caregivers. Archives of Physical Medicine and Rehabilitation, 99(11), 2222–2229.PubMedCrossRef Phelan, S. M., et al. (2018). The impact of stigma on community reintegration of veterans with traumatic brain injury and the well-being of their caregivers. Archives of Physical Medicine and Rehabilitation, 99(11), 2222–2229.PubMedCrossRef
23.
go back to reference Stevens, L. F., et al. (2015). The relationship between training and mental health among caregivers of individuals with polytrauma. Behavioural Neurology, 2015, 1–13.CrossRef Stevens, L. F., et al. (2015). The relationship between training and mental health among caregivers of individuals with polytrauma. Behavioural Neurology, 2015, 1–13.CrossRef
24.
go back to reference Brickell, T. A., et al. (2019). Service needs and health outcomes among caregivers of service members and veterans following TBI. Rehabilitation Psychology, 64(1), 72–86.PubMedCrossRef Brickell, T. A., et al. (2019). Service needs and health outcomes among caregivers of service members and veterans following TBI. Rehabilitation Psychology, 64(1), 72–86.PubMedCrossRef
25.
go back to reference Van Houtven, C. H., et al. (2012). Is policy well-targeted to remedy financial strain among caregivers of severely injured U.S. service members? INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 49(4), 339–351.PubMedCrossRef Van Houtven, C. H., et al. (2012). Is policy well-targeted to remedy financial strain among caregivers of severely injured U.S. service members? INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 49(4), 339–351.PubMedCrossRef
26.
go back to reference Cella, D., et al. (2010). The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005–2008. Journal of Clinical Epidemiology, 63(11), 1179–1194.PubMedPubMedCentralCrossRef Cella, D., et al. (2010). The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005–2008. Journal of Clinical Epidemiology, 63(11), 1179–1194.PubMedPubMedCentralCrossRef
28.
go back to reference Maruish, M. E. (2012). User’s manual for the SF-12v2 Health Survey (3rd ed.). QualityMetric Incorporated. Maruish, M. E. (2012). User’s manual for the SF-12v2 Health Survey (3rd ed.). QualityMetric Incorporated.
30.
go back to reference Dahlhamer, J., et al. (2018). Prevalence of chronic pain and high-impact chronic pain among adults—United States, 2016. Morbidity and Mortality Weekly Report, 67(36), 1001–1006.PubMedPubMedCentralCrossRef Dahlhamer, J., et al. (2018). Prevalence of chronic pain and high-impact chronic pain among adults—United States, 2016. Morbidity and Mortality Weekly Report, 67(36), 1001–1006.PubMedPubMedCentralCrossRef
31.
go back to reference Zelaya, C. E., et al. (2020). Chronic pain and high-impact chronic pain among US adults, 2019, in NCHS Data Brief (pp. 1–8). National Center for Health Statistics. Zelaya, C. E., et al. (2020). Chronic pain and high-impact chronic pain among US adults, 2019, in NCHS Data Brief (pp. 1–8). National Center for Health Statistics.
32.
go back to reference Saban, K. L., et al. (2016). Perceived health, caregiver burden, and quality of life in women partners providing care to Veterans with traumatic brain injury. Journal of Rehabilitation Research and Development, 53(6), 681–692.PubMedCrossRef Saban, K. L., et al. (2016). Perceived health, caregiver burden, and quality of life in women partners providing care to Veterans with traumatic brain injury. Journal of Rehabilitation Research and Development, 53(6), 681–692.PubMedCrossRef
33.
go back to reference Delgado, R. E., et al. (2021). Phenotypes of caregiver distress in military and veteran caregivers: Suicidal ideation associations. PLoS ONE, 16(6), e0253207.PubMedPubMedCentralCrossRef Delgado, R. E., et al. (2021). Phenotypes of caregiver distress in military and veteran caregivers: Suicidal ideation associations. PLoS ONE, 16(6), e0253207.PubMedPubMedCentralCrossRef
34.
go back to reference Dreer, L. E., et al. (2019). Resilience among caregivers of injured service members: Finding the strengths in caregiving. Archives of Physical Medicine and Rehabilitation, 100(4S), S76–S84.PubMedCrossRef Dreer, L. E., et al. (2019). Resilience among caregivers of injured service members: Finding the strengths in caregiving. Archives of Physical Medicine and Rehabilitation, 100(4S), S76–S84.PubMedCrossRef
35.
go back to reference Maruish, M. E. (2017). Assessment of health status and health-related quality of life. In M. E. Maruish (Ed.), Handbook of psychological assessment in primary care settings. Routledge. Maruish, M. E. (2017). Assessment of health status and health-related quality of life. In M. E. Maruish (Ed.), Handbook of psychological assessment in primary care settings. Routledge.
36.
go back to reference Carlozzi, N. E., et al. (2019). The TBI-CareQOL Measurement System: Development and preliminary validation of health-related quality of life measures for caregivers of civilians and service members/veterans with traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 100(4S), S1–S12.PubMedCrossRef Carlozzi, N. E., et al. (2019). The TBI-CareQOL Measurement System: Development and preliminary validation of health-related quality of life measures for caregivers of civilians and service members/veterans with traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 100(4S), S1–S12.PubMedCrossRef
37.
go back to reference Carlozzi, N. E., et al. (2019). Understanding health-related quality of life in caregivers of civilians and service members/veterans with traumatic brain injury: Establishing the reliability and validity of PROMIS mental health measures. Archives of Physical Medicine and Rehabilitation, 100(S4), S94–S101.PubMedCrossRef Carlozzi, N. E., et al. (2019). Understanding health-related quality of life in caregivers of civilians and service members/veterans with traumatic brain injury: Establishing the reliability and validity of PROMIS mental health measures. Archives of Physical Medicine and Rehabilitation, 100(S4), S94–S101.PubMedCrossRef
38.
go back to reference Carlozzi, N. E., et al. (2019). Reliability and validity data to support the clinical utility of the Traumatic Brain Injury Caregiver Quality of Life (TBI-CareQOL). Rehabilitation Psychology, 65, 323–336.PubMedCrossRef Carlozzi, N. E., et al. (2019). Reliability and validity data to support the clinical utility of the Traumatic Brain Injury Caregiver Quality of Life (TBI-CareQOL). Rehabilitation Psychology, 65, 323–336.PubMedCrossRef
39.
40.
go back to reference Tulsky, D. S., et al. (2015). Developing an item bank to measure economic quality of life for individuals with disabilities. Archives of Physical Medicine and Rehabilitation, 96(4), 604–613.PubMedCrossRef Tulsky, D. S., et al. (2015). Developing an item bank to measure economic quality of life for individuals with disabilities. Archives of Physical Medicine and Rehabilitation, 96(4), 604–613.PubMedCrossRef
41.
go back to reference Malec, J. F., et al. (2003). Further psychometric evaluation and revision of the Mayo-Portland Adaptability Inventory in a national sample. The Journal of Head Trauma Rehabilitation, 18(6), 479–492.PubMedCrossRef Malec, J. F., et al. (2003). Further psychometric evaluation and revision of the Mayo-Portland Adaptability Inventory in a national sample. The Journal of Head Trauma Rehabilitation, 18(6), 479–492.PubMedCrossRef
42.
go back to reference Carlozzi, N. E., et al. (2020). Sleep impairment is related to health-related quality of life among caregivers of lower-functioning traumatic brain injury survivors. Rehabilitation Psychology, 65, 443–454.CrossRef Carlozzi, N. E., et al. (2020). Sleep impairment is related to health-related quality of life among caregivers of lower-functioning traumatic brain injury survivors. Rehabilitation Psychology, 65, 443–454.CrossRef
43.
go back to reference Pattinson, C. L., et al. (2021). Sleep disturbances following traumatic brain injury are associated with poor neurobehavioral outcomes in U.S. military service members and veterans. Journal of Clinical Sleep Medicine, 17(12), 2425–2438.PubMedCrossRef Pattinson, C. L., et al. (2021). Sleep disturbances following traumatic brain injury are associated with poor neurobehavioral outcomes in U.S. military service members and veterans. Journal of Clinical Sleep Medicine, 17(12), 2425–2438.PubMedCrossRef
44.
45.
go back to reference Campbell, S. B., & Renshaw, K. D. (2018). Posttraumatic stress disorder and relationship functioning: A comprehensive review and organizational framework. Clinical Psychology Review, 65, 152–162.PubMedPubMedCentralCrossRef Campbell, S. B., & Renshaw, K. D. (2018). Posttraumatic stress disorder and relationship functioning: A comprehensive review and organizational framework. Clinical Psychology Review, 65, 152–162.PubMedPubMedCentralCrossRef
46.
go back to reference Eisenberger, N. I., Lieberman, M. D., & Williams, K. D. (2003). Does rejection hurt? An FMRI study of social exclusion. Science, 302(5643), 290–292.PubMedCrossRef Eisenberger, N. I., Lieberman, M. D., & Williams, K. D. (2003). Does rejection hurt? An FMRI study of social exclusion. Science, 302(5643), 290–292.PubMedCrossRef
47.
go back to reference Eisenberger, N. I., & Lieberman, M. D. (2004). Why rejection hurts: A common neural alarm system for physical and social pain. Trends in Cognitive Sciences, 8(7), 294–300.PubMedCrossRef Eisenberger, N. I., & Lieberman, M. D. (2004). Why rejection hurts: A common neural alarm system for physical and social pain. Trends in Cognitive Sciences, 8(7), 294–300.PubMedCrossRef
48.
go back to reference Yao, M., et al. (2020). Shared sensitivity to physical pain and social evaluation. Journal of Pain, 21(5–6), 677–688.PubMedCrossRef Yao, M., et al. (2020). Shared sensitivity to physical pain and social evaluation. Journal of Pain, 21(5–6), 677–688.PubMedCrossRef
49.
go back to reference Eisenberger, N. I. (2012). The pain of social disconnection: Examining the shared neural underpinnings of physical and social pain. Nature Reviews Neuroscience, 13(6), 421–434.PubMedCrossRef Eisenberger, N. I. (2012). The pain of social disconnection: Examining the shared neural underpinnings of physical and social pain. Nature Reviews Neuroscience, 13(6), 421–434.PubMedCrossRef
50.
go back to reference Eisenberger, N. I., et al. (2006). An experimental study of shared sensitivity to physical pain and social rejection. Pain, 126(1–3), 132–138.PubMedCrossRef Eisenberger, N. I., et al. (2006). An experimental study of shared sensitivity to physical pain and social rejection. Pain, 126(1–3), 132–138.PubMedCrossRef
51.
go back to reference Vanoutven, C. H., Sperber, N., & Smith, V. A. (2016). Short-term impacts of the VA Caregiver Support Program on veterans and caregivers—Final Report, Evaluation of the VA Caregiver Support Program. Department of Veterans Affairs. Vanoutven, C. H., Sperber, N., & Smith, V. A. (2016). Short-term impacts of the VA Caregiver Support Program on veterans and caregivers—Final Report, Evaluation of the VA Caregiver Support Program. Department of Veterans Affairs.
52.
go back to reference Ramchand, R., et al. (2014). Hidden heroes: America’s military caregivers. Rand Corporation.CrossRef Ramchand, R., et al. (2014). Hidden heroes: America’s military caregivers. Rand Corporation.CrossRef
53.
go back to reference Traumatic Brain Injury Center of Excellence. (2020). DoD numbers for traumatic brain injury: www.health.mil (accessed 10 March 2021). Traumatic Brain Injury Center of Excellence. (2020). DoD numbers for traumatic brain injury: www.​health.​mil (accessed 10 March 2021).
54.
go back to reference Iverson, G. L., et al. (2016). Conceptualizing outcome from mild traumatic brain injury. In N. Zasler, et al. (Eds.), Brain Injury Medicine: Principles and Practice (pp. 470–497). Demos Medical Publishing. Iverson, G. L., et al. (2016). Conceptualizing outcome from mild traumatic brain injury. In N. Zasler, et al. (Eds.), Brain Injury Medicine: Principles and Practice (pp. 470–497). Demos Medical Publishing.
55.
go back to reference McCrea, M. A., et al. (2008). Mild traumatic brain injury and postconcussion syndrome: The new evidence base for diagnosis and treatment. In G. J. Lamberty (Ed.), Oxford Workshop Series: The American Academy of Clinical Neuropsychology. Oxford University Press. McCrea, M. A., et al. (2008). Mild traumatic brain injury and postconcussion syndrome: The new evidence base for diagnosis and treatment. In G. J. Lamberty (Ed.), Oxford Workshop Series: The American Academy of Clinical Neuropsychology. Oxford University Press.
56.
go back to reference Brickell, T. A., et al. (2022). Is traumatic brain injury severity in service members and veterans related to health-related quality of life in their caregivers? Journal of Head Trauma Rehabilitation, in press. Brickell, T. A., et al. (2022). Is traumatic brain injury severity in service members and veterans related to health-related quality of life in their caregivers? Journal of Head Trauma Rehabilitation, in press.
57.
go back to reference Lange, R. T., et al. (2013). Variable, not always persistent, postconcussion symptoms after mild TBI in US military service members: A five-year cross-sectional outcome study. Journal of Neurotrauma, 30(11), 958–969.PubMedCrossRef Lange, R. T., et al. (2013). Variable, not always persistent, postconcussion symptoms after mild TBI in US military service members: A five-year cross-sectional outcome study. Journal of Neurotrauma, 30(11), 958–969.PubMedCrossRef
58.
go back to reference Lange, R. T., et al. (2020). Longitudinal trajectories and risk factors for persistent postconcussion symptom reporting following uncomplicated mild traumatic brain injury in U.S. Military service members. The Clinical Neuropsychologist, 34(6), 1134–1155.PubMedCrossRef Lange, R. T., et al. (2020). Longitudinal trajectories and risk factors for persistent postconcussion symptom reporting following uncomplicated mild traumatic brain injury in U.S. Military service members. The Clinical Neuropsychologist, 34(6), 1134–1155.PubMedCrossRef
Metagegevens
Titel
Pain interference and health-related quality of life in caregivers of service members and veterans with traumatic brain injury and mental health comorbidity
Auteurs
Tracey A. Brickell
Megan M. Wright
Hamid Ferdosi
Louis M. French
Rael T. Lange
Publicatiedatum
20-05-2022
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 10/2022
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-022-03153-8