Model System:

TBI

Reference Type:

Journal

Accession No.:

J68850

Journal:


Journal of Head Trauma Rehabilitation

Year, Volume, Issue, Page(s):

, 29, 5, 407-417

Publication Website:

Abstract:

Study identified preinjury coping profiles among adults with uncomplicated and complicated mild traumatic brain injury (mTBI) determined whether preinjury coping profiles contribute to the prediction of emotional functioning and quality of life (QOL) at 3 months post-mTBI. One hundred eighty-seven patients, including 89 with uncomplicated mTBI (i.e., negative neurological examination and neuroimaging results) and 98 with complicated mTBI (i.e., either positive neurological examination or neuroimaging results or both) were recruited from the emergency center of a level I trauma center. The Ways of Coping Questionnaire was administered within 2 weeks of injury. Cluster analysis was used to group participants on basis of their preinjury use of problem-focused and avoidant coping strategies. The Brief Symptom Inventory and the 36-item Short-Form Health Survey were administered 3 months postinjury. Cluster analysis distinguished 3 distinct preinjury coping profiles that were differentially associated with outcomes. Participants who used avoidant coping showed the worse emotional functioning and QOL outcomes, although this cluster also reported high usage of problem-focused strategies. Preinjury coping profiles explained a significant proportion of the variance in depression, anxiety, and mental health QOL at 3 months postinjury beyond that accounted for by demographic characteristics and mTBI severity.

Author(s):


Maestas, Kacey L., Sander, Angelle M., Clark, Allison N., van Veldhoven, Laura M., Struchen, Margaret A., Sherer, Mark, Hannay, H. Julia