Relationship stability after traumatic brain injury among veterans and service members: A VA TBI model systems study

Lillian Flores Stevens, Yanna Lapis, Xinyu Tang, Angelle M. Sander, Laura E. Dreer, Flora Hammond, Jeffrey S. Kreutzer, Therese M. O'Neil-Pirozzi, Risa Nakase-Richardson

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: To explore stability of relationships and predictors of change in relationship status 2 years following TBI/polytrauma. Setting: Five Department of Veterans Affairs Polytrauma Rehabilitation Centers (VA PRCs). Participants: A total of 357 active duty service members and Veterans enrolled in the Veterans Affairs Polytrauma Rehabilitation Centers Traumatic Brain Injury Model Systems database with complete marital status information at 2 years postinjury. Design: Prospective, longitudinal, multisite. Main Measures: Relationship status change was defined as change in marital status (single/never married; married; divorced/separated) at 2-year follow-up, compared with status at enrollment. Results: At the time of enrollment, 134 participants (38%) were single/never married; 151 (42%) were married, and 72 (20%) were divorced/separated. Of those married at enrollment, 78% remained married at year 2 while 22% underwent negative change. Multivariable analyses revealed that age and education at the time of injury and mental health utilization prior to injury were significant predictors of relationship change. Among those who were single/divorced/separated at the time of enrollment, 87% remained so at year 2 while 13% underwent positive change. Injury during deployment significantly predicted positive relationship change. Conclusions: The unmalleable, preinjury characteristics identified may be used as potential triggers for education, prevention, surveillance, and couples therapy, if needed.

Original languageEnglish (US)
Pages (from-to)234-244
Number of pages11
JournalJournal of Head Trauma Rehabilitation
Volume32
Issue number4
DOIs
StatePublished - 2017

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Divorce
Multiple Trauma
Veterans
Rehabilitation Centers
Marital Status
Wounds and Injuries
Couples Therapy
Education
Mental Health
Databases
Traumatic Brain Injury

Keywords

  • Brain injuries
  • Couples
  • Marital status
  • Polytrauma
  • Relationship stability
  • Veterans

ASJC Scopus subject areas

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

Cite this

Relationship stability after traumatic brain injury among veterans and service members : A VA TBI model systems study. / Stevens, Lillian Flores; Lapis, Yanna; Tang, Xinyu; Sander, Angelle M.; Dreer, Laura E.; Hammond, Flora; Kreutzer, Jeffrey S.; O'Neil-Pirozzi, Therese M.; Nakase-Richardson, Risa.

In: Journal of Head Trauma Rehabilitation, Vol. 32, No. 4, 2017, p. 234-244.

Research output: Contribution to journalArticle

Stevens, LF, Lapis, Y, Tang, X, Sander, AM, Dreer, LE, Hammond, F, Kreutzer, JS, O'Neil-Pirozzi, TM & Nakase-Richardson, R 2017, 'Relationship stability after traumatic brain injury among veterans and service members: A VA TBI model systems study', Journal of Head Trauma Rehabilitation, vol. 32, no. 4, pp. 234-244. https://doi.org/10.1097/HTR.0000000000000324
Stevens, Lillian Flores ; Lapis, Yanna ; Tang, Xinyu ; Sander, Angelle M. ; Dreer, Laura E. ; Hammond, Flora ; Kreutzer, Jeffrey S. ; O'Neil-Pirozzi, Therese M. ; Nakase-Richardson, Risa. / Relationship stability after traumatic brain injury among veterans and service members : A VA TBI model systems study. In: Journal of Head Trauma Rehabilitation. 2017 ; Vol. 32, No. 4. pp. 234-244.
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