Traumatic Brain Injury And Marital Relationships: A Literature Review

Undertaking a literature review on the topic of traumatic brain injury (TBI) and its impact on marital
relationships is a daunting task. It requires an in-depth exploration of scholarly articles, research
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dynamics between TBI and marital relationships adds another layer of difficulty to this process.

Researchers and scholars often face hurdles in identifying key themes, theories, and empirical
evidence that shed light on the multifaceted nature of how TBI affects spousal dynamics,
communication patterns, emotional well-being, and overall relationship satisfaction.

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shift, and methodologies evolve. Staying updated with the latest research findings and incorporating
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Population-based studies indicate that insomnia occurs in approximately 40 percent of individuals
with TBI of any severity and is often the most prevalent somatic complaint (Schwab et al. 2007).
Sleep apnea (i.e., sleep-disordered breathing), a prevalent disorder in the general population, has
been reported to be present in about half of the U.S. Department of Veterans Affairs (VA) TBI
patient population (Zeitzer et al. 2009). Impact of Family Role on Patients Psychological Aspect Post
Spinal Cord Injur. The exclusion criteria included (a) the presence of a premorbid history of
psychiatric diseases, and (b) being divorced or separated. Conflicts of Interest The authors declare no
conflict of interest. The data may be extrapolated into the clinical realm where they become
especially relevant. One strong contraindication for use in reducing ICP is corticosteroid
administration, namely methylprednisolone. Underpinning the psychological aspects of expatriation -
Business Psychology. Overall, 48% of the variance in the DRS at 1 year postinjury. High et al.
(2002) reported on 212 persons who participated in a comprehen-. Traumatic Brain Injury
Pathophysiology and Treatments: Early, Intermediate, and Late Phases Post-Injury. Rapid qualitative
analysis vs the 'traditional approach': early findings and. Inflammation eventually serves to repair the
damage caused by TBI and is allows synaptic reorganization to occur. These data underscore the
need to consider neurobehavioral symptoms in the context of the entire life experience of women
rather than isolated to outcomes of BIs. Hippocampal cell loss in posttraumatic human epilepsy.
Lloyd et al. (2008) attempted to reduce not one but many of these inflammatory mediators to
understand their collective efforts. Though somewhat pessimistic, that categorization is not wholly
inaccurate. For instance CCL20, a lymphocyte chemotactic, increased centrally 48 h post-injury in a
lateral FPI rat model of TBI. One of the earliest modern reports of the gains made by persons with
TBI who. Di Como MD Acute and Chronic Renal Failure - A Review Acute and Chronic Renal
Failure - A Review Joseph A. Specifically, chronic-phase fractional anisotropy and radial diffusivity
values showed significant group differences in the corona radiata, anterior limb of internal capsule,
cingulum, superior longitudinal fasciculus, optic radiation, and genu of corpus callosum. Review
mental health concerns of returning Veterans Discuss current understandings of mild traumatic brain
injury (MTBI). Participants were evaluated 1 year following discharge. Very similar study was
conducted by Johnston and Lewis (Johnston, 1991. The reduced CBF deregulates cerebral
metabolism and depletes energy stores within the brain. In order to be human-readable, please install
an RSS reader. The findings reveal a higher proportion of IPV-related major traumas in women, with
more severe and poorer long-term outcomes, including employment, than in persons affected by other
types of violence. 15 Finally, Saleem and colleagues 16 report on IPV-related TBI from a New York
Community Justice Center. If an individual from low SES suffers a TBI in the military, that person
may be afforded the opportunity for continued treatment and care due to his service, which may
otherwise be unavailable. Summary report: Evidence for the effectiveness of rehabilitation for
persons with trau-. With the advent of such findings, it has become clear. However, there are other
factors that may preserve marital stability in couples with ABI spouses.
The positive experiences with wartime brain injury rehabilitation encouraged. Their data suggest that
there may be effects on cortical thickness depending on whether TBIs were from IPV or other types
of trauma. Inflammation eventually serves to repair the damage caused by TBI and is allows
synaptic reorganization to occur. Besides strategic design, another key variable influencing
prophylactic hypothermia studies is re-warming strategy. Mannitol is the gold standard hyperosmolar
agent recommended for use by the BTF. Have you read that the divorce rate for couples after brain
injury is higher than the divorce rate for the general population. Di Como MD Small intestines
powerpoint for surgical residents Small intestines powerpoint for surgical residents Joseph A.
Emotional disturbance and ongoing substance abuse can also affect a survivor’s capacity to
cognitively engage in and potentially benefit from even a well-designed cognitive rehabilitation
program. Second, we must develop strategies to strengthen marriages so that both partners describe
the relationship as positive and fulfilling. The selected evidence displays mixed results concerning
the therapeutic benefit of HBOT. Di Como MD Liver Function Tests, Hepatic Panels Liver Function
Tests, Hepatic Panels Joseph A. Early pathological responses are due to energy depletion and cell
death secondary to excitotoxicity, the intermediate phase is characterized by neuroinflammation and
the late stage by increased susceptibility to seizures and epilepsy. Practitioners and researchers
measure outcomes in various ways, ranging from mortality to ability to return to preinjury
employment status. Over the past 25 years, the significant growth of clinical research and applied.
With mounting evidence, HBOT may become a treatment for targeted types of TBI. Harris, G.
(1919). The Redemption of the Disabled: A Study of Programmes of Rehabili-. First, Bergin and
colleagues 6 recount information from women presenting for care to a community-based emergency
department. The selected evidence displays mixed results concerning the therapeutic benefit of
HBOT. As has been detailed, a number of cytokines, chemokines, and protein molecules enhance the
inflammatory response post-TBI. TBI. The procedure resulted in two groups grossly mismatched for
severity of. As described in Chapter 4, cognitive behavioral therapy is distinct from CRT in both the
target of the intervention and the specific intervention components. More positive studies are needed
to fully warrant the use of progesterone. Paper should be a substantial original Article that involves
several techniques or approaches, provides an outlook for. The authors noted that refugee status was
associated with the number of IPV-related BIs, highlighting the importance of carefully assessing for
BIs in this population. The functional outcome of patients with low-level TBI following rehabilita-.
Also, you can type in a page number and press Enter to go directly to that page in the book. The
perspectives of people with traumatic brain injury and their family membe. Prigatano and colleagues
(1984) compared 18 patients who participated in their. Many studies display similar results on seizure
prevention concerning LEV and PHT. Lastly, it is essential to be mindful of the adverse effects of
hyperoxic treatments.
As practitioners, payers, and participants looked to the scientific literature to. Various writers report
that impairment of self-awareness is specifically as-. Weinberg, J., Diller, L., Gordon, W.A.,
Gerstman, L.J., Lieberman, A., Lakin, P., Hodges. Besides acute therapy, there is a relative paucity in
pharmacological options for seizure prophylaxis post-TBI; yet, promising agents have shown success
in preliminary trials. Indeed, educational level and religious commitment, as well as aetiology, were
differently associated with the perceived couple and family satisfaction. More positive studies are
needed to fully warrant the use of progesterone. Work-role of Radiation Therapists in the
Consequences of Adaptive Radiotherap. Traumatic Brain Injury Pathophysiology and Treatments:
Early, Intermediate, and Late Phases Post-Injury. Find support for a specific problem in the support
section of our website. Characteristics: 28 year old Female Marital status: Partner named Tim of 5
years. Homozygous carriers of the TNF?-308 single nucleotide polymorphisms (SNP) had
significantly worse outcomes after TBI; the SNP is present in the TNF. According to the CDC,
approximately 1.5 million people in the U.S. get a traumatic brain injury each year, and currently
more than 5.3 million people are living with TBI. IL-1? spurs a positive feedback mechanism leading
to activation of microglia and further pro-inflammatory cytokine release. However, the evidence
provides strong support in favor of HS. Many prophylactic, pharmacologic, and surgical treatments
are used post-TBI to halt the progression of these pathologic reactions. Among the most salient of
these exposures are physical trauma and psychological stressors or trauma. High, W.M., Jr., Hannay,
H.J., Sander, A.M., et al. (in preparation). The effect of reha-. The first draft of the paper, S.L.; the
first draft of the paper was revised by A.C. and R.S.C. The final manuscript was approved by all
authors. Overall, the literature suggests CBF disturbance is one of the first pathological steps and the
effect varies with age and time. Cope, D.N. (1995). The effectiveness of traumatic brain injury
rehabilitation: A review. Over the past 25 years, the significant growth of clinical research and
applied. The rationale of this paper stems from the need to better clarify the variables subtending
marital stability after ABI. A key social-environmental factor that can affect the recovery process
and outcome is family functioning, as families are often partners in the rehabilitation process and can
play a role in goal planning and generalization of skills and knowledge to the home setting (Levack
et al. 2009). Successful rehabilitation requires family cooperation in a variety of areas such as
transportation, finances, leisure, and emotional support. The task force meets monthly and serves as
a focal point for professional education and networking that has led to collaborative research and
knowledge transfer activities. 21. International Journal of Molecular Sciences. 2014; 15(1):309-341.
Thought you might appreciate this item(s) I saw in The Journal of Head Trauma Rehabilitation.
Clinical characteristics of acquired brain injury (ABI) patients. After World War II the development
of brain injury rehabilitation was resumed. After the initiating injury, up-regulation of central nervous
system (CNS) chemokines does not occur immediately. Flow diagram of participant recruitment and
participation in the study.
Understanding the inflammatory cascade and its variability within different forms of TBI will be
paramount in effectively treating subsets of injury. 5. Progesterone, Hyperosmolar Agents,
Decompressive Craniectomy (DC) There are no true guidelines for the treatment of the
neuroinflammatory phase of TBI, but rather monitoring technologies and secondary prevention
tactics aimed at ameliorating its sequelae, namely elevated ICP. And the good news is that
improvements can still occur even years after injury. The functional gains made in rehabilitation are
largely retained over time. Deter-. After the initiating injury, up-regulation of central nervous system
(CNS) chemokines does not occur immediately. The distinction between phases is dependent upon
the processes rather than being separated in time. Information on marital status was collected at 16
NIDRR-funded TBI Model Systems around the country. ISPRS International Journal of Geo-
Information (IJGI). Table 3 summarizes presented evidence regarding the effect of progesterone
administration on TBI outcomes, including GOS and mortality. But with a little psychological
flexibility, we can also identify it as an opportunity. From Ketamine to Collars Evidence,
Controversies And An International Dialogu. Part II REHABILITATION OF SPECIFIC
COGNITIVE IMPAIRMENTS. Schonle, P.W. (2000). Neurological rehabilitation in Germany: The
phase model. In A.L. A third innovation was the focus on employment as the primary outcome of.
Flow diagram of participant recruitment and participation in the study. The usefulness of studies
using cohorts of patients who receive different types. This could, in part, explain the lower impact of
stroke outcomes on the quality of the couple relationship. If persons were too injured or weak to feed
themselves. Concept Map: Selected Topics in Neurological Nursing. Evidence also suggests the
edematous response post-TBI is age dependent. In patients with neurological disorders, impaired
awareness. Putnam and Adams (1992) published provocative results suggesting that more. The
inciting event to the inflammatory progression is the mechanical damage brought on by neurotrauma,
causing the release of the aforementioned triggers and evoking a series of cellular events culminating
in inflammation. Laratta S, Giannotti L, Tonin P, Calabro RS, Cerasa A. Central to these acts include
synaptic reorganization which alters the neuronal circuitry. Attempts to demonstrate the effectiveness
of inpatient rehabilitation programs. Data analysis entailed transcribing the interviews, crafting a
research story (narrative analysis) and an analysis of the narrative. Spettell and colleagues (1991)
found a small but significant relationship be-. All of these factors may affect the outcome and must.
Acute versus chronic admission to post-acute rehabilitation: Impact on functional. Click here to buy
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