The psychological effects of traumatic brain injury on the quality of life of a group of spouses/partners.

Abstract

This study explored the psychosocial impact of traumatic brain injury on the perceived quality of life of a purposefully selected group of 14 spouses/partners of head injured persons by means of a self-administered questionnaire. Analysis of responses revealed that spouses/partners' altered communication patterns were perceived to have affected interpersonal relationships and quality of life extensively, indicating the need for speech-language therapy. Decreased income was noted due to the low incidence of return to work. Participants reported changes in family relationships, particularly between the injured person and their children as well as deterioration in marital relationships, suggesting the necessity for family therapy and marital counselling. Various emotional reactions were documented in response to injury. Yet most respondents expressed acceptance of their new roles and responsibilities despite the difficulties entailed. Since injured persons were dependent on their spouses/partners to a large extent, most of the latter reported feeling tied down. Loneliness predominated as a social consequence despite the support of pre-injury friendships. In terms of coping resources, friends, family, religion and support groups were perceived to be most effective. Results are discussed in terms of their clinical implications for psychosocial rehabilitation and spouse/partner counselling.