Impact of TBI on caregivers of veterans with TBI: Burden and interventions

James F. Malec, Courtney Harold Van Houtven, Terri Tanielian, Adrian Atizado, Michael C. Dorn

Research output: Contribution to journalArticle

9 Scopus citations


Objectives: Describe State-of-the-Art in practice and research in caregiving with individuals, specifically, Veterans with traumatic brain injury (TBI) and the implications for current practice and future research. Sources: Professional literature and personal experience of review panel. Main Outcomes: Unpaid caregiving for individuals with TBI is most often provided by a spouse, parent or other blood relative; the majority of caregivers are women. Although caregiving can be rewarding, it also may create financial burden and psychological stress. Depression among family caregivers occurs four times more frequently than in the general population. Positive coping can help reduce the impact of stress, and Department of Veterans Affairs (VA) programmes are available to ease financial burden. Group interventions show promise in reinforcing and improving positive coping for both family caregivers and Veterans with TBI. Conclusions: Identifying the specific needs of caregivers and families of Veterans with TBI and other traumatic injuries, including post-traumatic stress syndrome (PTSD), will require further longitudinal research. Currently available group interventions and programmes appear to benefit injured Veterans and their family caregivers financially and psychologically. Increased understanding of characteristics of quality family caregiving and its long term costs and benefits is likely to lead to additional improvements in these interventions and programmes.

Original languageEnglish (US)
Pages (from-to)1235-1245
Number of pages11
JournalBrain Injury
Issue number9
StatePublished - Jul 29 2017


  • Brain Injury
  • Caregivers
  • Veterans

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Clinical Neurology

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    Malec, J. F., Van Houtven, C. H., Tanielian, T., Atizado, A., & Dorn, M. C. (2017). Impact of TBI on caregivers of veterans with TBI: Burden and interventions. Brain Injury, 31(9), 1235-1245.