
The effects of caregiver's burden on dynamic structure in disorder of consciousness families: An observational study
Author(s) -
Corallo Francesco,
Pria Deborah,
Di Blasi Agata,
Bonanno Lilla,
De Cola Maria Cristina,
Di Cara Marcella,
Rifici Carmela,
De Salvo Simona,
Bramanti Placido,
Marino Silvia,
Lo Buono Viviana
Publication year - 2021
Publication title -
brain and behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.915
H-Index - 41
ISSN - 2162-3279
DOI - 10.1002/brb3.2305
Subject(s) - biopsychosocial model , psychology , caregiver burden , disengagement theory , distress , clinical psychology , anxiety , observational study , psychiatry , medicine , gerontology , disease , dementia , pathology
Disorder of consciousness is a clinical condition due to severe brain damage. The impact of consciousness disorder on the family is characterized by a combination of biopsychosocial factors. The burden and suffering perceived by caregivers can cause psychological distress characterized by anxiety, depression, and physical illness. The aim of the study was to investigate the interaction between family dynamics and caregiver burden. Methods We enlisted 35 caregivers of subjects in a minimally conscious state. Two skilled psychologists administered the Olson's Adaptability and Family Cohesion Assessment Scale and the Novak's Burden Inventory Caregiver Scale to assess family function and family burden, respectively. Results We found that the caregiver burden correlates with the family adaptability and cohesion, as well as with enmeshment, rigidity, and disengagement. Conclusion Findings suggest that the traumatic event does not affect the family structure. Families are able to maintain a balanced functioning and control distress.