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Comment published on 10 August 2021, see Healthcare 2021, 9(8), 1024.
Article

Marital Stability and Quality of Couple Relationships after Acquired Brain Injury: A Two-Year Follow-Up Clinical Study

1
S. Anna Institute, 88900 Crotone, Italy
2
IRCCS Centro Neurolesi Bonino-Pulejo, 98124 Messina, Italy
3
Institute for Biomedical Research and Innovation, National Research Council (IRIB-CNR), 87050 Mangone, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Katherine Hertlein
Healthcare 2021, 9(3), 283; https://doi.org/10.3390/healthcare9030283
Received: 8 February 2021 / Revised: 27 February 2021 / Accepted: 1 March 2021 / Published: 4 March 2021
(This article belongs to the Special Issue Strengthening Couple Relationships: Innovations in Practice)
Couple relationships after acquired brain injury (ABI) could be vulnerable to emotional distress. Previous evidence has demonstrated significant marital dissatisfaction in the first period after a traumatic event, while long-term evaluations are lacking. In this study, we evaluated the impact of a series of demographic and clinical factors on marital stability after two years from the injury. Thirty-five patients (29% female) with mild/moderate ABI (57% vascular, 43% traumatic) and their partners were enrolled. The couples completed a series of psychological questionnaires assessing marital adjustment (Dyadic Adjustment Scale, DAS) and family functioning (Family Relationship Index, FRI) at discharge from the intensive rehabilitation unit and after 2 years. Demographics (i.e., educational level, job employment and religion commitment) and clinical variables (i.e., the Barthel index, aetiology and brain lesion localization) were considered as predictive factors. Regression analyses revealed that the DAS and FRI values are differently influenced by demographic and clinical factors in patients and caregivers. Indeed, the highest educational level corresponds to better DAS and FRI values for patients. In the spouses, the variability of the DAS values was explained by aetiology (the spouses of traumatic ABI patients had worse DAS values), whereas the variability in the FRI values was explained by religious commitment (spending much time on religious activities was associated with better FRI values). Our data suggest that some clinical and demographic variables might be important for protecting against marital dissatisfaction after an ABI. View Full-Text
Keywords: marital stability; acquired brain injury; spouses; religiosity; educational level marital stability; acquired brain injury; spouses; religiosity; educational level
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MDPI and ACS Style

Laratta, S.; Giannotti, L.; Tonin, P.; Calabrò, R.S.; Cerasa, A. Marital Stability and Quality of Couple Relationships after Acquired Brain Injury: A Two-Year Follow-Up Clinical Study. Healthcare 2021, 9, 283. https://doi.org/10.3390/healthcare9030283

AMA Style

Laratta S, Giannotti L, Tonin P, Calabrò RS, Cerasa A. Marital Stability and Quality of Couple Relationships after Acquired Brain Injury: A Two-Year Follow-Up Clinical Study. Healthcare. 2021; 9(3):283. https://doi.org/10.3390/healthcare9030283

Chicago/Turabian Style

Laratta, Stefania, Lucia Giannotti, Paolo Tonin, Rocco Salvatore Calabrò, and Antonio Cerasa. 2021. "Marital Stability and Quality of Couple Relationships after Acquired Brain Injury: A Two-Year Follow-Up Clinical Study" Healthcare 9, no. 3: 283. https://doi.org/10.3390/healthcare9030283

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