title: Family needs and TBI caregiver mental health in Guadalajara, Mexico.
abstract: BACKGROUND
  Traumatic brain injury (TBI) is a leading cause of death in Mexico, and Mexican TBI caregivers have been shown to experience significant mental health problems and high levels of family needs.
  
  
  OBJECTIVE
  This study investigated the associations between family needs and Mexican TBI caregiver mental health.
  
  
  METHODS
  Ninety TBI caregivers from Guadalajara, Mexico completed measures assessing their own mental health (depression, anxiety, burden, satisfaction with life, and self-esteem) and family needs (physical health, informational, financial, social support, and household).
  
  
  RESULTS
  Family health needs were uniquely associated with all indices of caregiver mental health, and household needs were uniquely associated with caregiver depression, burden, and anxiety. Additionally, social support needs were related to caregiver satisfaction with life, informational needs to burden, and financial needs to self-esteem.
  
  
  CONCLUSIONS
  Interventions for TBI caregivers in Mexico-and likely in other global regions with high levels of familism-should include an emphasis on overall family health, the delineation of family roles regarding household responsibilities, the improvement of social support networks and the social presence of family members, and the provision of complete and relevant information regarding TBI. When these needs are more comprehensively met, caregiver mental health will likely improve.
authors.affiliation: Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
authors.forename: Gillian G
authors.initials: GG
authors.lastname: Leibach
authors.affiliation: Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
authors.forename: Stephen K
authors.initials: SK
authors.lastname: Trapp
authors.affiliation: Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
authors.forename: Paul B
authors.initials: PB
authors.lastname: Perrin
authors.affiliation: Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
authors.forename: Robin S
authors.initials: RS
authors.lastname: Everhart
authors.affiliation: Department of Neurosciences, University of Guadalajara, Guadalajara, Mexico.
authors.forename: Teresita Villaseñor
authors.initials: TV
authors.lastname: Cabrera
authors.affiliation: Department of Neurosciences, University of Guadalajara, Guadalajara, Mexico Hospital Civil Fray Antonio Alcalde, Guadalajara, Mexico.
authors.forename: Miriam
authors.initials: M
authors.lastname: Jimenez-Maldonado
authors.affiliation: IKERBASQUE, Basque Foundation for Science, University of Deusto, Bilbao, Spain.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Arango-Lasprilla
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000523:psychology*; D017028:Caregivers / Q000523:psychology*; D005192:Family Health; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D008800:Mexico; D008875:Middle Aged
keywords: Latin America; TBI caregivers; family needs; mental health