title: The influence of TBI impairments on family caregiver mental health in Mexico.
abstract: OBJECTIVE
  This study examined the influence of five types of impairments in individuals with traumatic brain injury (TBI)-and caregiver stress due to these impairments-on the mental health of family caregivers in Guadalajara, Mexico.
  
  
  METHODS
  Ninety caregivers completed measures of TBI impairments and of their own mental health. The majority were female (92.20%) with a mean age of 47.12 years (SD = 12.67). Caregivers dedicated a median of 50 hours weekly to caregiving and had spent a median of 11 months providing care.
  
  
  RESULTS
  Two canonical correlation analyses suggested that these two sets of variables were broadly related, such that more severe impairments in individuals with TBI and more caregiver stress due to those impairments were associated with lower caregiver mental health. Across both analyses, social impairments were most associated with increased caregiver burden. Follow-up analyses also uncovered that caregiver stress due to cognitive impairments was uniquely associated with caregiver burden and anxiety.
  
  
  CONCLUSIONS
  These results are the first to provide evidence that social and cognitive impairments in individuals with TBI from Latin America are the impairments most associated with caregiver mental health and highlight the need for interventions that target social and cognitive functioning.
authors.affiliation: Department of Psychology, Virginia Commonwealth University , Richmond, VA , USA .
authors.forename: Camilla W
authors.initials: CW
authors.lastname: Nonterah
authors.forename: Bryan J
authors.initials: BJ
authors.lastname: Jensen
authors.forename: Paul B
authors.initials: PB
authors.lastname: Perrin
authors.forename: Lillian Flores
authors.initials: LF
authors.lastname: Stevens
authors.forename: Teresita Villaseñor
authors.initials: TV
authors.lastname: Cabrera
authors.forename: Miriam
authors.initials: M
authors.lastname: Jiménez-Maldonado
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Arango-Lasprilla
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety / Q000453:epidemiology / Q000209:etiology*; D001930:Brain Injuries / Q000453:epidemiology / Q000523:psychology*; D017028:Caregivers / Q000523:psychology*; D003863:Depression / Q000453:epidemiology / Q000209:etiology*; D005190:Family; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008603:Mental Health; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D010549:Personal Satisfaction; D011787:Quality of Health Care; D012649:Self Concept; D012934:Social Isolation; D057545:Social Stigma; D012944:Social Support; D013315:Stress, Psychological / Q000453:epidemiology* / Q000209:etiology* / Q000523:psychology; D011795:Surveys and Questionnaires