title: Exploring the impact of traumatic brain injury on the older couple: 'yes, but how much of it is age, I can't tell you ...'.
abstract: OBJECTIVE
  To qualitatively explore the partner relationships of older couples faced with traumatic brain injury (TBI).
  
  
  METHODS
  Qualitative analysis comparing individuals with TBI and a comparison group.
  
  
  METHODS
  Twenty-one individuals were interviewed using a semi-structured format focusing on various aspects of their partner relationship. A qualitative analysis of transcripts identified general themes.
  
  
  RESULTS
  Variability of relationship experiences (relationship relatedness and persistence of the partnership) was shown across groups. Aspects of relationship commitment to the partnership were revealed. Many individuals with TBI and their partners attributed various relationship changes to ageing and age-related issues and not to the TBI.
  
  
  CONCLUSIONS
  These findings suggest that the effects of TBI are not clearly distinguished from age-related causes for change in the partners and their relationship. Older couples' experiences may be different from those of younger couples impacted by TBI, in the areas of sexuality, inter-personal support and role functions.
authors.affiliation: Jamaica Hospital Medical Center, Department of Physical Medicine and Rehabilitation, Jamaica (Queens), New York 11418, USA. dave@layman.com
authors.forename: D E
authors.initials: DE
authors.lastname: Layman
authors.forename: M P J M
authors.initials: MP
authors.lastname: Dijkers
authors.forename: T A
authors.initials: TA
authors.lastname: Ashman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology*; D001294:Attitude to Health; D001930:Brain Injuries / Q000523:psychology*; D003142:Communication; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D012725:Sexual Behavior; D018454:Spouses / Q000523:psychology*; D015599:Trauma Severity Indices