The Role Of Allostatic Load As A Mediator Between Chronic Stress And Poor Health For Dementia Caregivers
Funder
National Health and Medical Research Council
Funding Amount
$237,321.00
Summary
The potential risk to caregivers of dementia patients of poor health outcomes is well documented. The burden imposed by caregiving is most often described in terms of chronic stress. While it is apparent that some stress-relieving social interventions (e.g. respite) may have short-term benefits, it is also clear that many caregivers are unable or unwilling to avail themselves of such programs. The way in which chronic stress leads to poor health is not well understood. Our study of spouse caregi ....The potential risk to caregivers of dementia patients of poor health outcomes is well documented. The burden imposed by caregiving is most often described in terms of chronic stress. While it is apparent that some stress-relieving social interventions (e.g. respite) may have short-term benefits, it is also clear that many caregivers are unable or unwilling to avail themselves of such programs. The way in which chronic stress leads to poor health is not well understood. Our study of spouse caregivers seeks to identify the groups of physiological systems that suffer cumulative wear and tear as a result of chronic stress. This wear and tear is called allostatic load, and is thought to lead to poor health. It is expected that caregivers in our study will have greater allostatic load than people who are not caregivers. Should this be the case, our results will provide the basis for the design of tailored interventions to maintain caregivers in good health. The potential of such preventive health measures is to reduce caregivers' health care costs and reliance on community support, and to help caregivers to continue providing care for their spouses at home.Read moreRead less
Cognitive Impairments And Post Traumatic Stress Symptoms In Children With Traumatic Brain Injury: A Longitudinal Study
Funder
National Health and Medical Research Council
Funding Amount
$482,250.00
Summary
Traumatic brain injury in children is common with more than 2000 new cases a year in Queensland and Victoria alone. Many children who experience a brain injury go on to have long-term difficulties such as significant educational and social problems. Post-traumatic stress occurs in children following traumatic physical injury. However it is not clear to what extent this is so for children who have received a traumatic brain injury. Furthermore, when there is a traumatic brain injury and traumatic ....Traumatic brain injury in children is common with more than 2000 new cases a year in Queensland and Victoria alone. Many children who experience a brain injury go on to have long-term difficulties such as significant educational and social problems. Post-traumatic stress occurs in children following traumatic physical injury. However it is not clear to what extent this is so for children who have received a traumatic brain injury. Furthermore, when there is a traumatic brain injury and traumatic stress, it is not clear how these interact, how they influence long-term outcomes, and what factors such as pre-injury functioning and family support and distress mediate outcomes. These issues are very important since effective rehabilitation of children following traumatic brain injury is essential to maximise long-term functioning and minimise disability. To be effective, rehabilitation must be guided by the knowledge about key factors that determine the recovery process. This study aims to provide answers to these questions by following two cohorts of children (aged 6-14) over 18 months after receiving a traumatic brain injury. In total 240 children will be recruited from Brisbane and Melbourne hospitals. They will be assessed at three, six, twelve and eighteen months post-injury using measures of cognitive, psychological and social functioning. Information on parent distress and behaviours will also be obtained. The information obtained will provide the basis for the development of a specific rehabilitation strategy for children with traumatic brain injury, including information on strategies to help prevent any confounding impact of post-traumatic stress on recovery.Read moreRead less