Marital adjustment and stability following traumatic brain injury

A pilot qualitative analysis of spouse perspectives

Flora Hammond, Christine S. Davis, Omar Y. Whiteside, Peggy Philbrick, Mark A. Hirsch

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background: Traumatic brain injury (TBI), causing various impairments and functional changes, may adversely impactmarital relationships. However, dynamics of the interactions that contribute to these marital difficulties are complex and poorlyunderstood. There has been little research on marital quality and stability in families of a person with TBI. Objective: Byidentifying themes of marital adjustment and stability, this qualitative exploratory study examines how a spouse who has experienced TBIaffects the marital relationship. Methods: Two gender-specific focus groups, each with 5 spouses of individuals living withthe effects of TBI, were conducted to collect data on marital interactions that were analyzed for themes related to marital adjustmentand stability. The data were analyzed using grounded theory, and then relational theories were applied as a framework for organizing themetacodes and concepts. Results: This study suggests that, after TBI, changes in family dynamics and the way spousesperceive those dynamics affect movement toward pulling together or pulling apart. Conclusion: Changes in spousalperceptions, interactions, responsibilities, and reactions to brain injury may impact marital stability and satisfaction. Further studyis warranted to better understand and determine whether and how awareness of these changes may be incorporated into treatment.

Original languageEnglish
Pages (from-to)69-78
Number of pages10
JournalJournal of Head Trauma Rehabilitation
Volume26
Issue number1
DOIs
StatePublished - Jan 2011

Fingerprint

Social Adjustment
Spouses
Family Relations
Focus Groups
Marriage
Brain Injuries
Traumatic Brain Injury
Research
Therapeutics

Keywords

  • adjustment
  • brain injury
  • caregiving
  • craniocerebral trauma
  • marriage

ASJC Scopus subject areas

  • Rehabilitation
  • Clinical Neurology
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Marital adjustment and stability following traumatic brain injury : A pilot qualitative analysis of spouse perspectives. / Hammond, Flora; Davis, Christine S.; Whiteside, Omar Y.; Philbrick, Peggy; Hirsch, Mark A.

In: Journal of Head Trauma Rehabilitation, Vol. 26, No. 1, 01.2011, p. 69-78.

Research output: Contribution to journalArticle

Hammond, Flora ; Davis, Christine S. ; Whiteside, Omar Y. ; Philbrick, Peggy ; Hirsch, Mark A. / Marital adjustment and stability following traumatic brain injury : A pilot qualitative analysis of spouse perspectives. In: Journal of Head Trauma Rehabilitation. 2011 ; Vol. 26, No. 1. pp. 69-78.
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