PRESS-NEWS.org - Press Release Distribution
PRESS RELEASES DISTRIBUTION

High risk of divorce after TBI? Not necessarily, study suggests

2021-07-06
(Press-News.org) July 6, 2021 - Traumatic brain injury (TBI) has a major impact on the lives of affected patients and families. But it doesn't necessarily lead to an increased risk of marital instability, as two-thirds of patients with TBI are still married to the same partner 10 years after their injury, reports a study in the July/August issue of the Journal of Head Trauma Rehabilitation (JHTR). The official journal of the Brain Injury Association of America, JHTR is published in the Lippincott portfolio by Wolters Kluwer.

For marriages that do end, divorce most often occurs within the first year after TBI, according to the new research by Flora M. Hammond, MD, of Indiana University School of Medicine, Indianapolis, and colleagues. "Our data dispel myths about risk of divorce after TBI and suggest a message of hope," the researchers write.

Findings may help in assessing risk and targeting timing marital interventions after TBI Dr. Hammond and colleagues analyzed long-term follow-up data on 1,423 patients with TBI, all of whom were married at the time of their injury. Patients were drawn from the Traumatic Brain Injury Model Systems (TBIMS) database enrolling persons hospitalized with TBI. Average age at the time of injury was 44 years; about three-fourths of patients were men.

Ten years after TBI, 66 percent of patients with TBI remained married to the same person, without separation or divorce. Of marriages that ended, 68 percent did so within five years after TBI, including 39 percent within the first year.

The study also looked at factors associated with a higher or lower risk of divorce or separation. "Marital stability over the 10-year period was higher for those who were older, were female, and had no problematic substance use history," the researchers write. The risk of a breakup didn't seem to be related to race/ethnicity, education, cause of injury, or injury severity.

Marital stability has a major impact on the ability to resume normal life and functioning in persons with TBI. Some reports have suggested high divorce rates after TBI. However, in previous studies, reported rates of marital instability after TBI varied widely: from 22 to 85 percent. Long-term follow-up in a large sample of patients with TBI are major strengths of the new study.

The results question previous studies suggesting a high divorce rate among patients who are married at the time they sustain a TBI. The study also provides insights into risk factors for a marital breakup after TBI. The findings are consistent with the known bidirectional link between TBI and substance use. "While substance use itself may not cause marital instability, a spouse's perception that substance use is problematic may contribute to marital instability," Dr. Hammond and coauthors write.

The high risk of marital loss within the first few years after TBI suggests that early education and support might be helpful. The researchers note some important limitations of their study - including the lack of information on the quality of the marital relationship before TBI.

The findings may help to identify couples who may be at high risk of marital instability after TBI, and to guide patient and family education, relationship counseling, and other marital interventions, Dr. Hammond and colleagues believe. They conclude, "Interventions aimed at substance use prevention and functional improvement may also have relevance to facilitating marital stability."

INFORMATION:

Click here to read "Marital Stability Over 10 Years Following Traumatic Brain Injury." DOI: 10.1097/HTR.0000000000000674

About The Journal of Head Trauma Rehabilitation The Journal of Head Trauma Rehabilitation is a leading, peer-reviewed resource that provides up-to-date information on the clinical management and rehabilitation of persons with traumatic brain injuries. Six issues each year aspire to the vision of "knowledge informing care" and include a wide range of articles, topical issues, commentaries and special features. It is the official journal of the Brain Injury Association of America.

About the Brain Injury Association of America The Brain Injury Association of America is the country's oldest and largest nationwide brain injury advocacy organization. Our mission is to advance awareness, research, treatment and education and to improve the quality of life for all individuals impacted by brain injury. Through advocacy, we bring help, hope and healing to millions of individuals living with brain injury, their families and the professionals who serve them.

About Wolters Kluwer Wolters Kluwer (WKL) is a global leader in professional information, software solutions, and services for the clinicians, nurses, accountants, lawyers, and tax, finance, audit, risk, compliance, and regulatory sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with advanced technology and services.

Wolters Kluwer reported 2020 annual revenues of €4.6 billion. The group serves customers in over 180 countries, maintains operations in over 40 countries, and employs approximately 19,200 people worldwide. The company is headquartered in Alphen aan den Rijn, the Netherlands.

Wolters Kluwer provides trusted clinical technology and evidence-based solutions that engage clinicians, patients, researchers and students in effective decision-making and outcomes across healthcare. We support clinical effectiveness, learning and research, clinical surveillance and compliance, as well as data solutions. For more information about our solutions, visit https://www.wolterskluwer.com/en/health and follow us on LinkedIn and Twitter @WKHealth.

For more information, visit http://www.wolterskluwer.com, follow us on Twitter, Facebook, LinkedIn, and YouTube.



ELSE PRESS RELEASES FROM THIS DATE:

Improved prediction of Indian Monsoon onset three months in advance using machine learning

Improved prediction of Indian Monsoon onset three months in advance using machine learning
2021-07-06
The onset of the Indian summer monsoon has been predicted three months ahead for the last 40 years with the highest precision up until today. The result indicates longer seasonal forecasts based on machine learning may be a way to mitigate the consequences of an erratic monsoon system under future global warming. Dr. Takahito Mitsui and Dr. Niklas Boers of the Potsdam Institute of Climate Impact Research (PIK Potsdam), Germany, published the results in Environmental Research Letters. The work is part of the European TiPES project, Coordinated from The Niels Bohr Institute, University of Copenhagen, Denmark and PIK Potsdam. Millions of people as well as natural habitats depend on the ...

Doctors warn against off-label use of new Alzheimer's drug for cerebral amyloid angiopathy

2021-07-06
BOSTON - A novel therapy recently approved by the U.S. Food and Drug Administration for patients with Alzheimer's disease amid considerable controversy should not be prescribed by physicians off-label for cerebral amyloid angiopathy (CAA), a similar cerebrovascular condition, according to Steven Greenberg, MD, PhD, director of the Hemorrhagic Stroke Research Program at Massachusetts General Hospital (MGH) and president of the International Cerebral Amyloid Angiopathy Association (ICAAA). In a letter published in The Lancet Neurology, Greenberg and eight other officers of the association wrote that there is no clinical evidence that the monoclonal antibody aducanumab is beneficial to patients with CAA, a condition in which proteins known ...

Relationship between chromosomal instability and senescence revealed in the fly Drosophila

Relationship between chromosomal instability and senescence revealed in the fly Drosophila
2021-07-06
Chromosomal instability is a feature of solid tumours such as carcinoma. Likewise, cellular senescence is a process that is highly related to cellular ageing and its link to cancer is becoming increasingly clear. Scientists led by ICREA researcher Dr. Marco Milán at IRB Barcelona have revealed the link between chromosomal instability and cellular senescence. "Chromosomal instability and senescence are two characteristics common to most tumours, and yet it was not known how one related to the other. Our studies indicate that senescence may be one of the intermediate links between chromosomal alterations and cancer," says Dr. Milan, head of the Development and Growth Control laboratory at IRB Barcelona. "The behaviour we saw in cells with chromosomal instability ...

Digital pens provide new insight into cognitive testing results

2021-07-06
(Boston)--During neuropsychological assessments, participants complete tasks designed to study memory and thinking. Based on their performance, the participants receive a score that researchers use to evaluate how well specific domains of their cognition are functioning. Consider, though, two participants who achieve the same score on one of these paper-and-pencil neuropsychological tests. One took 60 seconds to complete the task and was writing the entire time; the other spent three minutes, and alternated between writing answers and staring off into space. If researchers ...

Study reveals source of remarkable memory of "superagers"

2021-07-06
BOSTON -- As we age, our brains typically undergo a slow process of atrophy, causing less robust communication between various brain regions, which leads to declining memory and other cognitive functions. But a rare group of older individuals called "superagers" have been shown to learn and recall novel information as well as a 25-year-old. Investigators from Massachusetts General Hospital (MGH) have now identified the brain activity that underlies superagers' superior memory. "This is the first time we have images of the function of superagers' brains as they actively learn and remember new information," says Alexandra Touroutoglou, PhD, director of Imaging ...

Developing new techniques to build biomaterials

Developing new techniques to build biomaterials
2021-07-06
Scientists at the University of Leeds have developed an approach that could help in the design of a new generation of synthetic biomaterials made from proteins. The biomaterials could eventually have applications in joint repair or wound healing as well as other fields of healthcare and food production.   But one of the fundamental challenges is to control and fine tune the way protein building blocks assemble into complex protein networks that form the basis of biomaterials.   Scientists at Leeds are investigating how changes to the structure and mechanics of individual protein building blocks - changes at the nanoscale - can alter the structure and mechanics of the biomaterial ...

Studies add to concern about climate tipping

Studies add to concern about climate tipping
2021-07-06
Two model studies document the probability of climate tipping in Earth subsystems. The findings support the urgency of restricting CO2 emissions as abrupt climate changes might be less predictable and more widespread in the climate system than anticipated. The work is part of the European TiPES project, coordinated by the University of Copenhagen, Denmark but was conducted by Professor Michael Ghil, Ecole Normale Supérieure, Paris, France and coauthours from The Royal Meteorological Institute of Belgium and Parthenope University of Naples, Italy. Tipping could be imminent It is often assumed climate change will proceed gradually as we increase the amounts of CO2 in ...

Asymptomatic adults may be reservoirs of Streptococcus pneumoniae

Asymptomatic adults may be reservoirs of Streptococcus pneumoniae
2021-07-06
Streptococcus pneumoniae is a major human pathogen and a leading cause of several infectious diseases including pneumonia, the third-leading cause of death in Portugal. In Europe, S. pneumoniae is the most common cause of community-acquired bacterial pneumonia in adults. Still, very little is known about its colonization within this age group. A team of researchers from ITQB NOVA has now taken a crucial step to clarify the dynamics of carriage of this bacterium in adults. This bacterium, also known as pneumococcus, can asymptomatically colonize the human upper respiratory tract. Colonization not only precedes diseases but is also essential for transmission. Even ...

Sculpted by starlight: A meteorite witness to the solar system's birth

Sculpted by starlight: A meteorite witness to the solar systems birth
2021-07-06
In 2011, scientists confirmed a suspicion: There was a split in the local cosmos. Samples of the solar wind brought back to Earth by the Genesis mission definitively determined oxygen isotopes in the sun differ from those found on Earth, the moon and the other planets and satellites in the solar system. Early in the solar system's history, material that would later coalesce into planets had been hit with a hefty dose of ultraviolet light, which can explain this difference. Where did it come from? Two theories emerged: Either the ultraviolet light came from our then-young sun, or it came from a large nearby star in the sun's stellar nursery. Now, researchers from the lab of Ryan Ogliore, assistant professor of physics in Arts ...

Structuring the cerebral neocortex

Structuring the cerebral neocortex
2021-07-06
The neocortex is a layered structure of the brain in which neurons are arranged parallel to each other. This organization is critical for healthy brain function. A team of researchers from Charité - Universitätsmedizin Berlin have uncovered two key processes that direct this organization. Reporting in Science Advances*, the researchers identify one crucial factor which ensures the timely movement of neurons into their destined layer and, subsequently, their final parallel orientation within this space. The neocortex is the outer region of the brain. It is responsible for cognitive functions such as language, decision-making, and ...

LAST 30 PRESS RELEASES:

Wildlife monitoring technologies used to intimidate and spy on women, study finds

Around 450,000 children disadvantaged by lack of school support for color blindness

Reality check: making indoor smartphone-based augmented reality work

Overthinking what you said? It’s your ‘lizard brain’ talking to newer, advanced parts of your brain

Black men — including transit workers — are targets for aggression on public transportation, study shows

Troubling spike in severe pregnancy-related complications for all ages in Illinois

Alcohol use identified by UTHealth Houston researchers as most common predictor of escalated cannabis vaping among youths in Texas

Need a landing pad for helicopter parenting? Frame tasks as learning

New MUSC Hollings Cancer Center research shows how Golgi stress affects T-cells' tumor-fighting ability

#16to365: New resources for year-round activism to end gender-based violence and strengthen bodily autonomy for all

Earliest fish-trapping facility in Central America discovered in Maya lowlands

São Paulo to host School on Disordered Systems

New insights into sleep uncover key mechanisms related to cognitive function

USC announces strategic collaboration with Autobahn Labs to accelerate drug discovery

Detroit health professionals urge the community to act and address the dangers of antimicrobial resistance

3D-printing advance mitigates three defects simultaneously for failure-free metal parts 

Ancient hot water on Mars points to habitable past: Curtin study

In Patagonia, more snow could protect glaciers from melt — but only if we curb greenhouse gas emissions soon

Simplicity is key to understanding and achieving goals

Caste differentiation in ants

Nutrition that aligns with guidelines during pregnancy may be associated with better infant growth outcomes, NIH study finds

New technology points to unexpected uses for snoRNA

Racial and ethnic variation in survival in early-onset colorectal cancer

Disparities by race and urbanicity in online health care facility reviews

Exploring factors affecting workers' acquisition of exercise habits using machine learning approaches

Nano-patterned copper oxide sensor for ultra-low hydrogen detection

Maintaining bridge safer; Digital sensing-based monitoring system

A novel approach for the composition design of high-entropy fluorite oxides with low thermal conductivity

A groundbreaking new approach to treating chronic abdominal pain

ECOG-ACRIN appoints seven researchers to scientific committee leadership positions

[Press-News.org] High risk of divorce after TBI? Not necessarily, study suggests