Relationship Stability After Traumatic Brain Injury Among Veterans and Service Members: A VA TBI Model Systems.

Chelsy Foulk, SN

A Traumatic Brain Injury (TBI) can affect a mirage of areas in one’s life. This recent study explores the relationship results over 2 years following a TBI among servicemen. Marital stability can be defined as whether a marriage stays intact or not, whereas material satisfaction involves the marital adjustment and quality. Marital stability was the main focus in the study and though there are many limitations, such as the unique familial situation servicemen encounter, the results are important and imply a need for clinical intention.

The results are as follows. “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” (Stevens, et al., 2017).

These results have clinical implications. As part of rehabilitation, relationships need to be considered and the appropriate treatments given.

Stevens, L. F., Lapis, Y., Tang, X., Sander, A. M., Dreer, L. E., Hammond, F. M., . . . Nakase-     Richardson, R. (2017). Relationship Stability After Traumatic Brain Injury Among       Veterans and Service Members. Journal of Head Trauma Rehabilitation,32(4), 234-244. doi:10.1097/htr.0000000000000324

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