摘要：Introduccion: Durante la ultima decada la Neurorehabilitacion ha comenzado a prestar mayor atencion a la familias de personas que adquiren un dano neurologico. Este giro parece responder a un creciente numero de estudios describiendo importantes niveles de malestar psicologico en dichas familias y adviertiendo de su impacto en el proceso de rehabilitacion. En Chile, lamentablemente, no contamos con estudios que exploren el estado emocional de familiares en ninguna de las etapas de rehabilitacion, esto, a pesar de existir guias clinicas que sugieren el abordaje familiar como meta central. Dicha falta de informacion limita tanto la capacidad diagnostica como interventiva de los equipos de rehabilitacion. El objetivo de este articulo es describir, y comparar, el perfil de malestar psicologico en familiares de personas con lesion cerebral y medular en etapa subaguda de rehabilitacion. Metodo: 89 familiares de personas con dano neurologico (Lesion Cerebral Adquirida = 50; Trauma Raquimedular = 39) respondieron el General Health Questionnaire-28 como medida de malestar psicologico. Este instrumento que se compone de cuatro subescalas: sintomas somaticos, ansiedad e insomno, disfuncion social y depresion grave. Resultados: En ambas poblaciones el puntaje total del GHQ-28 se observo por encima de los estandares poblacionales, sugiriendo niveles clinicos de malestar psicologicos en 90% de la muestra. No se observaron diferencias entre ambas poblaciones en terminos de puntaje total o puntaje de subescalas, sugiriendo similares perfiles de malestar psicologico. Dicho perfil se caracterizo por altos niveles de ansiedad e insomnio, seguido en menor grado de sintomas somaticos.
其他摘要：During the last decade neurorehabilitation has begun to pay more attention to the families of people who adquiren neurological damage. This shift seems to respond to a growing number of studies describing significant levels of psychological distress in these families and adviertiendo its impact on the process of rehabilitation. In Chile, unfortunately, we have no studies that explore the emotional state of families in any stage of rehabilitation, this, despite the existence of clinical guidelines that suggest the family approach as a central goal. This lack of information limits both the ability of interventional diagnosis and rehabilitation equipment. The aim of this article is to describe and compare the profile of psychological distress in relatives of people with brain and spinal cord injury rehabilitation in subacute stage. Method- 89 relatives of people with nerve damage (Acquired Brain Injury = 50; Trauma Raquimedular = 39) responded to the General Health Questionnaire-28 as a measure of psychological distress. This instrument consists of four subscales: somatic, anxiety and insomno symptoms, social dysfunction and severe depression. Results: In both populations the total score of the GHQ-28 was observed above the standard population, suggesting clinical levels of psychological distress in 90% of the sample. No differences were observed between the two populations in terms of total score or subscale score, suggesting similar profiles of psychological distress. This profile was characterized by high levels of anxiety and insomnia, followed to a lesser degree of somatic symptoms.
