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The Impact of Stigma on Community Reintegration of Veterans With Traumatic Brain Injury and the Well-Being of Their Caregivers.

Publication ,  Journal Article
Phelan, SM; Bangerter, LR; Friedemann-Sanchez, G; Lackore, KA; Morris, MA; Van Houtven, CH; Carlson, KF; van Ryn, M; Harden, KJ; Griffin, JM
Published in: Arch Phys Med Rehabil
November 2018

OBJECTIVE: To assess the association between perceived stigma and discrimination and caregiver strain, caregiver well-being, and patient community reintegration. DESIGN: A cross-sectional survey study of 564 informal caregivers of U.S. military service veterans of wars in Iraq and Afghanistan who experienced traumatic brain injuries or polytrauma (TBI/PT). SETTING: Care settings of community-dwelling former inpatients of U.S. Department of Veterans Affairs Polytrauma Rehabilitation Centers. PARTICIPANTS: Caregivers of former inpatients (N=564), identified through next-of-kin records and subsequent nominations. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Caregiver strain, depression, anxiety, loneliness, and self-esteem; as well as care recipient community reintegration, a key aspect of TBI/PT rehabilitation. RESULTS: Family stigma was associated with strain, depression, anxiety, loneliness, lower self-esteem, and less community reintegration. Caregiver stigma-by-association was associated with strain, depression, anxiety, loneliness, and lower self-esteem. Care recipient stigma was associated with caregiver strain, depression, anxiety, loneliness, lower self-esteem, and less community reintegration. CONCLUSIONS: Perceived stigma may be a substantial source of stress for caregivers of U.S. military veterans with TBI/PT, and may contribute to poor outcomes for the health of caregivers and for the community reintegration of the veterans for whom they provide care.

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Published In

Arch Phys Med Rehabil

DOI

EISSN

1532-821X

Publication Date

November 2018

Volume

99

Issue

11

Start / End Page

2222 / 2229

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Social Stigma
  • Rehabilitation Centers
  • Rehabilitation
  • Occupational Injuries
  • Middle Aged
  • Male
  • Iraq War, 2003-2011
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Phelan, S. M., Bangerter, L. R., Friedemann-Sanchez, G., Lackore, K. A., Morris, M. A., Van Houtven, C. H., … Griffin, J. M. (2018). The Impact of Stigma on Community Reintegration of Veterans With Traumatic Brain Injury and the Well-Being of Their Caregivers. Arch Phys Med Rehabil, 99(11), 2222–2229. https://doi.org/10.1016/j.apmr.2018.04.007
Phelan, Sean M., Lauren R. Bangerter, Greta Friedemann-Sanchez, Kandace A. Lackore, Megan A. Morris, Courtney H. Van Houtven, Kathleen F. Carlson, Michelle van Ryn, Kristin J. Harden, and Joan M. Griffin. “The Impact of Stigma on Community Reintegration of Veterans With Traumatic Brain Injury and the Well-Being of Their Caregivers.Arch Phys Med Rehabil 99, no. 11 (November 2018): 2222–29. https://doi.org/10.1016/j.apmr.2018.04.007.
Phelan SM, Bangerter LR, Friedemann-Sanchez G, Lackore KA, Morris MA, Van Houtven CH, et al. The Impact of Stigma on Community Reintegration of Veterans With Traumatic Brain Injury and the Well-Being of Their Caregivers. Arch Phys Med Rehabil. 2018 Nov;99(11):2222–9.
Phelan, Sean M., et al. “The Impact of Stigma on Community Reintegration of Veterans With Traumatic Brain Injury and the Well-Being of Their Caregivers.Arch Phys Med Rehabil, vol. 99, no. 11, Nov. 2018, pp. 2222–29. Pubmed, doi:10.1016/j.apmr.2018.04.007.
Phelan SM, Bangerter LR, Friedemann-Sanchez G, Lackore KA, Morris MA, Van Houtven CH, Carlson KF, van Ryn M, Harden KJ, Griffin JM. The Impact of Stigma on Community Reintegration of Veterans With Traumatic Brain Injury and the Well-Being of Their Caregivers. Arch Phys Med Rehabil. 2018 Nov;99(11):2222–2229.
Journal cover image

Published In

Arch Phys Med Rehabil

DOI

EISSN

1532-821X

Publication Date

November 2018

Volume

99

Issue

11

Start / End Page

2222 / 2229

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Social Stigma
  • Rehabilitation Centers
  • Rehabilitation
  • Occupational Injuries
  • Middle Aged
  • Male
  • Iraq War, 2003-2011
  • Humans