{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T09:39:15Z","timestamp":1776850755425,"version":"3.51.2"},"reference-count":56,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,6,2]],"date-time":"2013-06-02T00:00:00Z","timestamp":1370131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the patterns of family dynamics that are most associated with the mental health of traumatic brain injury (TBI) caregivers from Mexico. It was hypothesized that healthier family dynamics would be associated with better caregiver mental health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional study of self\u2010reported data collected from TBI caregivers through the Mexican National Institute of Rehabilitation in Mexico City, Mexico, the premier public medical facility in Mexico that provides rehabilitation services to patients with various disabilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>One public outpatient medical and rehabilitation facility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Sixty\u2010eight caregivers of individuals with moderate\u2010to\u2010severe TBI from Mexico City, Mexico, were related to an individual with TBI who was \u22653 months after injury, a primary caregiver for \u22653 months, familiar with the patient's history, and without neurologic or psychiatric conditions. The average (standard deviation) age of caregivers was 50.94 \u00b1 12.85 years), and 82% were women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The caregivers completed Spanish versions of instruments that assessed their own mental health and family dynamics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measurements<\/jats:title><jats:p>Outcomes assessed included family dynamics (Family Adaptability and Cohesion Evaluation Scale\u2014Fourth Edition; Family Communication Scale; Family Satisfaction Scale; Family Assessment Device\u2014General Functioning; and Relationship\u2010Focused Coping Scale), and caregiver mental health (Patient Health Questionnaire\u20109, Zarit Burden Interview, and Satisfaction with Life Scale).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results of canonical correlation analyses suggested that caregiver mental health and family dynamics were positively related, with a large effect size. Caregivers with high family satisfaction and cohesion tended to have a low burden and high satisfaction with life. In addition, caregiver depression and burden were positively related to each other and were both inversely related to caregiver satisfaction with life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>TBI caregiver interventions in Latino populations would likely benefit from including programming or techniques to improve family dynamics, especially family cohesion, given the strong potentially reciprocal influence of these dynamics on caregiver mental health.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2013.05.018","type":"journal-article","created":{"date-parts":[[2013,6,2]],"date-time":"2013-06-02T13:04:32Z","timestamp":1370178272000},"page":"839-849","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Exploring the Connections Between Traumatic Brain Injury Caregiver Mental Health and Family Dynamics in Mexico City, Mexico"],"prefix":"10.1002","volume":"5","author":[{"given":"Paul B.","family":"Perrin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lillian F.","family":"Stevens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Sutter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Hubbard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dulce Mar\u00eda","family":"D\u00edaz Sosa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irma Guadalupe","family":"Espinosa Jove","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Carlos","family":"Arango\u2010Lasprilla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,6,2]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/026990598122430"},{"key":"e_1_2_6_3_2","doi-asserted-by":"crossref","first-page":"73","DOI":"10.3233\/NRE-2010-0582","article-title":"Predictors of family caregivers' life satisfaction after traumatic brain injury at one and two years post\u2010injury: A longitudinal multi\u2010center investigation","volume":"27","author":"Livingston L.A.","year":"2010","journal-title":"NeuroRehabilitation"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/096382800445489"},{"key":"e_1_2_6_5_2","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1080\/026990599120990","article-title":"A study of the health and social needs of carers of traumatically brain injured individuals served by one community rehabilitation team","volume":"13","author":"Moules S.","year":"1999","journal-title":"Brain Inj"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/026990598122700"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0b013e318204a70d"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/0269905031000070143"},{"key":"e_1_2_6_9_2","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3233\/NRE-2007-22102","article-title":"Predictors of caregiver depression among community\u2010residing families living with traumatic brain injury","volume":"22","author":"Rivera P.","year":"2007","journal-title":"NeuroRehabilitation"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-200204000-00006"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.72.5.776"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699050010004040"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1037\/1091-7527.23.2.186"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.3109\/02699059409150973"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-200605000-00004"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-200611000-00001"},{"key":"e_1_2_6_17_2","doi-asserted-by":"crossref","first-page":"321","DOI":"10.3233\/NRE-2011-0660","article-title":"Parental stress and marital relationships among patients with brain injury and their spouses","volume":"28","author":"Kieffer\u2010Kristensen R.","year":"2011","journal-title":"NeuroRehabilitation"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699050600743725"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699050210128906"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617709991342"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-3729.2006.00431.x"},{"key":"e_1_2_6_22_2","first-page":"23","volume-title":"Stress and Its Impact on Society","author":"Anderson M.I.","year":"2006"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.3109\/02699050903302336"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4899-0840-7_2"},{"key":"e_1_2_6_25_2","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3233\/NRE-2007-22103","article-title":"Relationship of race\/ethnicity to caregivers' coping, appraisals, and distress after traumatic brain injury","volume":"22","author":"Sander A.M.","year":"2007","journal-title":"NeuroRehabilitation"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/27.4.393"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-200006000-00005"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1076\/jcen.25.8.1090.16735"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/42.2.125"},{"key":"e_1_2_6_30_2","first-page":"75","volume-title":"Latino Elders and the Twenty\u2010first Century: Issues and Challenges for Culturally Competent Research and Practice","author":"S\u00e1nchez\u2010Ay\u00e9ndez M.","year":"1998"},{"key":"e_1_2_6_31_2","doi-asserted-by":"crossref","unstructured":"Villarreal R Blozis SA Widaman KF. Factorial invariance of a pan\u2010Hispanic familism scale. Hisp J Behav Sci 35;27:409\u2010425.","DOI":"10.1177\/0739986305281125"},{"key":"e_1_2_6_32_2","first-page":"1","article-title":"Latino culture values: Their role in adjustment to disability","volume":"9","author":"Zea M.C.","year":"1994","journal-title":"J Soc Behav"},{"key":"e_1_2_6_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/019251300021005007"},{"key":"e_1_2_6_34_2","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.3109\/02699052.2010.490516","article-title":"Family needs in caregivers of individuals with traumatic brain injury from Colombia, South America","volume":"24","author":"Arango Lasprilla J.C.","year":"2010","journal-title":"Brain Inj"},{"key":"e_1_2_6_35_2","first-page":"93","article-title":"Effect of the behavioral alterations of victims of traumatic brain injury for the family caregiver","volume":"13","author":"Hora E.C.","year":"2005","journal-title":"Rev Lat Am Enfermagem"},{"key":"e_1_2_6_36_2","first-page":"183","article-title":"Changes in social roles: A consequence of traumatic brain injury for the family caregiver","volume":"14","author":"Serna E.C.H.","year":"2006","journal-title":"Rev Lat Am Enfermagem"},{"key":"e_1_2_6_37_2","doi-asserted-by":"publisher","DOI":"10.3102\/01623737001003071"},{"key":"e_1_2_6_38_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_6_39_2","doi-asserted-by":"publisher","DOI":"10.4088\/PCC.v04n0504"},{"key":"e_1_2_6_40_2","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1097\/00006842-200107000-00021","article-title":"Validation and utility of the patient health questionnaire in diagnosing mental disorders in 1003 general hospital Spanish inpatients","volume":"63","author":"Diez\u2010Quevado C.","year":"2001","journal-title":"Psychosom Med"},{"key":"e_1_2_6_41_2","doi-asserted-by":"publisher","DOI":"10.2466\/pr0.106.2.419-432"},{"key":"e_1_2_6_42_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/20.6.649"},{"key":"e_1_2_6_43_2","article-title":"Caregiver burden in dementia: A study in the Turkish population","volume":"4","author":"Karlikaya G.","year":"2005","journal-title":"Internet J Neurol"},{"key":"e_1_2_6_44_2","first-page":"338","article-title":"Adaptation for our community of the Zarit Burden Interview de Zarit","volume":"6","author":"Martin M.","year":"1996","journal-title":"Revista de Gerontolog\u00eda"},{"key":"e_1_2_6_45_2","volume-title":"FACES IV Manual","author":"Olson D.H.","year":"2010"},{"key":"e_1_2_6_46_2","doi-asserted-by":"publisher","DOI":"10.1177\/1066480710372084"},{"key":"e_1_2_6_47_2","doi-asserted-by":"publisher","DOI":"10.1111\/1467-6427.00105"},{"key":"e_1_2_6_48_2","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1111\/j.1752-0606.2009.00175.x","article-title":"FACES IV and the circumplex model: Validation study","volume":"3","author":"Olson D.","year":"2011","journal-title":"J Marital Fam Ther"},{"key":"e_1_2_6_49_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-0606.1983.tb01497.x"},{"key":"e_1_2_6_50_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-6494.1996.tb00944.x"},{"key":"e_1_2_6_51_2","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1037\/1040-3590.5.2.164","article-title":"Review of the satisfaction with life scale","volume":"5","author":"Pavot L.","year":"1995","journal-title":"Psychol Assess"},{"key":"e_1_2_6_52_2","doi-asserted-by":"publisher","DOI":"10.1300\/J010v26n01_05"},{"key":"e_1_2_6_53_2","doi-asserted-by":"publisher","DOI":"10.1037\/a0013039"},{"key":"e_1_2_6_54_2","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_6_55_2","doi-asserted-by":"crossref","first-page":"686","DOI":"10.3233\/NRE-130891","article-title":"Just how bad is it? Comparison of the mental health of Mexican traumatic brain injury caregivers to age\u2010matched healthy controls","volume":"32","author":"Perrin P.B.","year":"2013","journal-title":"NeuroRehabilitation"},{"key":"e_1_2_6_56_2","doi-asserted-by":"publisher","DOI":"10.1037\/h0080547"},{"key":"e_1_2_6_57_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699050902926291"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.pmrj.2013.05.018","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148213003080?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148213003080?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.pmrj.2013.05.018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T13:49:28Z","timestamp":1694699368000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.pmrj.2013.05.018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,2]]},"references-count":56,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2013,10]]}},"alternative-id":["10.1016\/j.pmrj.2013.05.018"],"URL":"https:\/\/doi.org\/10.1016\/j.pmrj.2013.05.018","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6,2]]},"assertion":[{"value":"2012-11-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-05-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-06-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}