It has been well documented that providing informal care for a person with a traumatic brain injury can be burdensome. The goal of this research was to discover the effects of two stressors, severity of daily hassles and distress caused by the behavioral problems exhibited by the person with the brain injury, and two supports, social support and income, on the caregiver burden and quality of life felt by caregivers.Data were collected using questionnaires sent via postal mail to members of the Brain Injury Associations of Ohio, Michigan, and Indiana. Each packet contained a demographic questionnaire, the Social Provisions Scale, the Head Injury Behavior Scale, the Daily Hassles Scale, the Caregiver Burden Scale and the Satisfaction with Life Scale. Ninety-one respondents returned usable protocols. Hierarchical regressions were utilized to analyze the data.When controlling for demographic variables, stressors were found to account for a statistically significant proportion of the variance in subjective caregiver burden but not in satisfaction with life. When controlling for both demographic variables and stressors, supports were not found to significantly predict either subjective burden or satisfaction with life. Upon further investigation, it was found that behavioral distress was most predictive of caregiver burden and the severity of daily hassles was the next most predictive variable of burden.This research was limited by the Midwest location of the participants and their lack of ethnic and gender diversity. Additionally, each respondent had access to support groups and they all had time to fill out the questionnaires. It is likely the case that many caregivers do not have this kind of support or the time to complete unnecessary paperwork. Finally, all of the factors affecting burden and quality of life for caregivers could not possibly be accounted for. Future research should account for a more diverse group of caregivers and assess some of the less frequently researched predictors. Scales more specific to caring for a person with a brain injury could be developed and utilized to explore sources of satisfaction for caregivers. Finally, more attention could be paid to the overall quality of life of caregivers. / Department of Counseling Psychology and Guidance Services

published_or_final_version / abstract / Clinical Psychology / Master / Master of Social Sciences

The current project applied a new theoretically-driven training paradigm shown to be effective at improving memory performance in a group of aging adults (Jennings & Jacoby, 2003) to a group of 10 individuals with Acquired Brain Injury (ABI). Training effects were assessed on the paradigm itself and other measures of memory and attention. Performance on cognitive measures was compared to a group of 9 healthy, young adults to control for practice effects. Results showed a replication of previous findings in terms of both frequency and magnitude of improvement in this new population. Some proximal effects of training were found on a similarly-structured task (false fame) but no distal effects of training were seen on other cognitive measures. Limitations of the current project included small sample sizes. Recommendations are provided for future research. Implications for a dual-process model of memory and clinical practice are discussed.

No description available.

published_or_final_version / Psychology / Master / Master of Philosophy

Not available / text

The main purpose of the present study was to identify sensory-motor deficits caused by closed head injury (CHI) when individuals with CHI are compared to a normal sample. The study also investigated lower-level sensory-motor functioning, such as gait, balance, and coordination and its relation to neurological impairment related to CHI. Additionally, the study determined if age significantly influenced sensory-motor functioning.Archival data was utilized to complete the study. Data was collected from a large, Midwestern neurology clinic (CHI) as well as from a normative sample of individuals with no reported history of neurological impairment. Preliminary analyses were completed to identify outliers. Samples were then randomly selected from the impaired group (CHI) and matched with randomly selected subjects from the normative sample based upon age.Three separate analyses were completed. The first analysis focused on age and if age significantly influences sensory motor functioning. The second analysis was completed using an adult's only sample based upon the results that age significantly influenced sensory-motor performance. Finally, the third analysis utilized all age groups to determine how dramatically age had an impact on distinguishing between individuals with CHI versus a normative sample.Results demonstrated that age had a significant influence on sensory-motor performance. Measures of subcortical and cortical motor function, motor speed, motor coordination and tactile examination were able to accurately classify individuals with head injury from a normative sample to a clinically significant degree (78%). The study argues that the D-WSMB is a reliable and valid measure to utilize when evaluating individuals with CHI. / Department of Educational Psychology

Access to abstract permanently restricted to Ball State community only / Access to thesis permanently restricted to Ball State community only / Department of Educational Psychology

Memory impairment is an outcome of Traumatic Brain Injury (TBI), and associated with lower levels of post-morbid adjustment. This research isolated the memory impairment of retrieval deficit, and examined the efficacy of cues and mnemonics in remediating the impairment. Thirty-three male and female TBI survivors, 18 to 71 years old, were pre-tested for attention (COPY), short-term memory (SD), long-term memory (LD) and recognition memory (RS) employing the Rey Osterrieth Complex Figure Test (CFT), and Subtest. Sixteen subjects demonstrating a retrieval deficit were administered the post-test, with even random assignment into four treatment conditions: a control group (CONTROL), a group administered cues (CUES), a group administered mnemonics {MNEM), and a group administered mnemonics and cues (BOTH) (n = 4). A MANOVA revealed a significant effect of TRIAL (p5.05), no significant effect of TREATMENT, and no interaction. A power analysis indicated the lack of TREATMENT effect could be the result of sample size. Post-hoc t tests revealed a difference across TRIAL for SD and LO in the two experimental conditions which utilized mnemonics. The sample was divided into two groups according to subjects' level of functioning (HIGH and LOW). A MANOVA showed main effects for LEVEL for SD and RS, for TRIAL for SD, LO, and RS, and a LEVEL by TRIAL interaction for COPY (R

The purpose of this study was to examine the utility of the Dean-Woodcock Sensory Motor Battery (DWSMB) as a diagnostic tool for identifying individuals with and without closed-head injury, comparing the predictive power of a two- and three-factor representation (DWSMB; Dean & Woodcock, 2003). The current study's major research questions focused on the predictive utility of the structure of the DWSMB. The simplified two-factor model (Total Sensory and Total Motor), based on the DWSMB manual (Dean & Woodcock), was compared to a three-factor theoretical model (Basic Sensory, Higher Sensory and Motor Functions) (R.S.Dean, personal communication, March 29, 2006) for this study. Logistic Regression was used to analyze the data. Results from this study demonstrate that when using the two-factor solution, the overall correct prediction of group membership was 73.8 % (59.4% for CHI and 85.2% for normals). The Total Motor Impairment variable was the only meaningful predictor. The results from the three-factor solution show an 84.2 % overall correct prediction rate (71.4 % for CHI and 95.1 % for normals). The significant contributors for identifying CHI when using the three-factor model included Basic Sensory and Motor Functions. Everything favors the three-factor model as being more precise. All indicators of prediction accuracy and goodness of fit favored the three-factor model. Based on these results, the DWSMB was determined to be a good screening instrument for identifying children in school contexts who should be referred for a neuropsychological examination to confirm pre-existing CHI that interfere with school functioning. / Department of Educational Psychology