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Citation
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Hammond FM, Sevigny M, Backhaus S, Neumann D, Corrigan JD, Charles SK, Gazett H. J. Head Trauma Rehabil. 2021; 36(4): E199-E208. |
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Abstract
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OBJECTIVE: To examine the stability of marriage from the time of traumatic brain injury (TBI) to 10 years postinjury.
DESIGN: Retrospective cohort. SETTING: TBI Model Systems centers. PARTICIPANTS: In total, 1423 participants in the TBI Model Systems National Database who experienced TBI 10 years prior and were married at the time of injury. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Remaining married to the same partner from the time of injury to 10-year follow-up.
RESULTS: At 10 years, 66% (938) remained married to the same person. Significant associations were found with age at injury (P <.0001), sex (P =.0028), and preinjury problematic substance use (P =.0092). Marital stability over the 10-year period was higher for those who were older, were female, and had no problematic substance use history. Marital instability was greatest in the first year postinjury.
CONCLUSIONS: Most married adults who received inpatient rehabilitation for TBI remained married to the same individual 10 years later. Those who were younger, were male, and had a history of problematic substance use were at a highest risk for relationship dissolution.
FINDINGS have implications for content, timing, and delivery of marital interventions. Substance use education and prevention appear to be important aspects of marital support.
Language: en |