Citation

Agtarap S, Carl E, Reynolds MC, Roden-Foreman K, Bennett M, Rainey E, Powers MB, Driver S, Warren AM. J. Spinal Cord Med. 2018; ePub(ePub): 1-4.

Affiliation

d Division of Trauma, Critical Care, & Acute Care Surgery , Baylor University Medical Center , Dallas , Texas , USA.

Copyright

(Copyright © 2018, Academy of Spinal Cord Injury Professionals, Publisher Maney Publishing)

DOI

10.1080/10790268.2018.1508953

PMID

30129892

Abstract

OBJECTIVE: Caregivers of patients with spinal cord injury (SCI) have increased risk of depression, anxiety, and diminished quality of life. Unmet expectations for recovery may contribute to poorer outcomes.

DESIGN: Prospective, longitudinal observation study. SETTINGS: Trauma/Critical care ICU at baseline, telephone for follow-ups. PARTICIPANTS: Caregivers of patients with SCI (n = 13). INTERVENTIONS: None. OUTCOME MEASURES: Expectations for recovery were assessed across four primary domains identified in a review of the literature including: pain severity, level of engagement in social/recreational activities, sleep quality, and ability to return to work/school. Caregivers' forecasts of future recovery were compared to later perceived actual recovery.

RESULTS: At three months, 75% of caregivers had unmet expectations for social engagement recovery, 50% had unmet expectations for pain decrease, and 42% had unmet expectations for sleep improvement and resuming work. Rates of unmet expectations were similar at six months, with 70% of caregivers reporting unmet expectations for social engagement recovery, 50% with unmet expectations for pain decrease, and 40% with unmet expectations for sleep improvement.

CONCLUSION: Unmet caregiver expectations for recovery could pose a risk for caregiver recovery and adjustment. Our results show that caregiver expectations merit further investigation for their link with caregiver mental health.

Language: en

Keywords

Caregiver expectations; Caregivers; Family members; Recovery; Spinal cord injury