NDLI: Association Between Traumatic Brain Injury-Related Brain Lesions and Long-term Caregiver Burden.

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Association Between Traumatic Brain Injury-Related Brain Lesions and Long-term Caregiver Burden.

Content Provider	Semantic Scholar
Author	Guevara, Andrea Brioschi Démonet, Jean-François Polejaeva, Elena Knutson, Kristine M. Wassermann, Eric M. Grafman, Jordan Henry Krueger, Frank
Copyright Year	2016
Abstract	OBJECTIVE To investigate the association between traumatic brain injury (TBI)-related brain lesions and long-term caregiver burden in relation to dysexecutive syndrome. SETTING National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland. PARTICIPANTS A total of 256 participants: 105 combat veterans with TBI, 23 healthy control combat veterans (HCv), and 128 caregivers. OUTCOME MEASURE Caregiver burden assessed by the Zarit Burden Interview at 40 years postinjury. DESIGN Participants with penetrating TBI were compared with HCv on perceived caregiver burden and neuropsychological assessment measures. Data of computed tomographic scans (overlay lesion maps of participants with a penetrating TBI whose caregivers have a significantly high burden) and behavioral statistical analyses were combined to identify brain lesions associated with caregiver burden. RESULTS Burden was greater in caregivers of veterans with TBI than in caregivers of HCv. Caregivers of participants with lesions affecting cognitive and behavioral indicators of dysexecutive syndrome (ie, left dorsolateral prefrontal cortex and dorsal anterior cingulate cortex) showed greater long-term burden than caregivers of participants with lesions elsewhere in the brain. CONCLUSION AND IMPLICATION The TBI-related brain lesions have a lasting effect on long-term caregiver burden due to cognitive and behavioral factors associated with dysexecutive syndrome.
File Format	PDF HTM / HTML
DOI	10.1097/HTR.0000000000000151
PubMed reference number	26098258
Journal	Medline
Volume Number	31
Issue Number	2
Alternate Webpage(s)	http://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC4684802&blobtype=pdf
Alternate Webpage(s)	https://doi.org/10.1097/HTR.0000000000000151
Journal	The Journal of head trauma rehabilitation
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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