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Purpose <p>To examine the relationship between intimate partner (IP) caregiver strain with health and family outcomes in military couples with service members and veterans (SMV) experiencing chronic symptoms following traumatic brain injury (TBI).</p> Methods <p>Participants included 202 military couples (<i>N</i> = 404) classified into two groups: [<CitationRef CitationID="CR1">1</CitationRef>] Caregiving (169 dyads) and [<CitationRef CitationID="CR2">2</CitationRef>] Non-Caregiving (33 dyads). The Caregiving group was further classified into [1a] High Caregiver Strain (61 dyads) and [1b] Low Caregiver Strain (86 dyads) groups; excluding 22 dyads to maximize group distinction. Dyads completed measures of physical, psychological, social, caregiving, neurobehavioral, and/or family outcomes.</p> Results <p>IPs in the High Caregiver Strain group reported significantly worse scores on health and family outcome measures compared to IPs in the Low Caregiver Strain and Non-Caregiving groups (<i>p</i>&lt;.05, d=0.57-1.97). SMVs of IPs in the High Caregiver Strain Group reported worse scores on outcome measures compared to SMVs of IPs in the Low Caregiver Strain and Non-Caregiving Groups (<i>p</i>&lt;.05, d=0.33-0.1.60). High caregiver strain was associated with assisting SMVs with greater difficulty performing activities (<i>p</i>&lt;.05, d=0.44-0.75) and providing care more hours per day (<i>p</i>&lt;.001, PR = 1.90), but not TBI severity (<i>p</i>=.272, PR = 1.66). A higher prevalence of dyads in the High Caregiver Strain group reported clinically elevated symptoms (≥ 60T) on the health and family outcome measures (11.5%-92.0%).</p> Conclusion <p>Caregiver strain was strongly associated with health and family outcomes in military couples with SMVs experiencing chronic symptoms post-TBI. More attention to the relationship between IP caregiver strain, SMV chronic symptoms, and health and family outcomes in military families is required.</p>

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Caregiver strain is strongly associated with health and family outcomes in military couples following traumatic brain injury in service members and veterans

  • 期刊论文

  • 发表日期：

    2026年4月1日

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  • Tracey A. Brickell,
  • Brian J. Ivins,
  • Megan M. Wright,
  • Louis M. French,
  • Rael T. Lange

摘要

Purpose

To examine the relationship between intimate partner (IP) caregiver strain with health and family outcomes in military couples with service members and veterans (SMV) experiencing chronic symptoms following traumatic brain injury (TBI).

Methods

Participants included 202 military couples (N = 404) classified into two groups: [1] Caregiving (169 dyads) and [2] Non-Caregiving (33 dyads). The Caregiving group was further classified into [1a] High Caregiver Strain (61 dyads) and [1b] Low Caregiver Strain (86 dyads) groups; excluding 22 dyads to maximize group distinction. Dyads completed measures of physical, psychological, social, caregiving, neurobehavioral, and/or family outcomes.

Results

IPs in the High Caregiver Strain group reported significantly worse scores on health and family outcome measures compared to IPs in the Low Caregiver Strain and Non-Caregiving groups (p<.05, d=0.57-1.97). SMVs of IPs in the High Caregiver Strain Group reported worse scores on outcome measures compared to SMVs of IPs in the Low Caregiver Strain and Non-Caregiving Groups (p<.05, d=0.33-0.1.60). High caregiver strain was associated with assisting SMVs with greater difficulty performing activities (p<.05, d=0.44-0.75) and providing care more hours per day (p<.001, PR = 1.90), but not TBI severity (p=.272, PR = 1.66). A higher prevalence of dyads in the High Caregiver Strain group reported clinically elevated symptoms (≥ 60T) on the health and family outcome measures (11.5%-92.0%).

Conclusion

Caregiver strain was strongly associated with health and family outcomes in military couples with SMVs experiencing chronic symptoms post-TBI. More attention to the relationship between IP caregiver strain, SMV chronic symptoms, and health and family outcomes in military families is required.