Predictors of coping efficacy, negative moods and post-traumatic stress syndrome following major trauma.
The purpose of the study was to test relationships among injury appraisals, coping, social support and outcomes of coping efficacy, mood states and post-traumatic stress syndrome. A purposive sample of 152 hospitalized patients a week following major trauma was recruited from two trauma centres. The measures included the modified Ways of Coping Scale; the brief Social Support Questionnaire; the brief Profile of Mood State; the Impact of Event Scale; and selected demographic and injury related variables. Data were analyzed by multivariate statistics. The results indicated that perceived controllability, satisfaction with social support, wishful-thinking coping and problem-focused coping were the significant predictors for coping efficacy; perceived stressfulness, problem-focused coping and wishful thinking explained a significant amount of variance in mood states; avoidance coping and wishful-thinking coping were predictors for post-traumatic stress syndrome. The moderating effects of emotion-focused coping at high and medium levels were identified.
Tsay
S L
SL
Associate Professor, National Taipei College of Nursing, Taiwan, Republic of China. sltsay@ntcn.edu.tw
Halstead
M T
MT
McCrone
S
S
D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000517:prevention & control* / Q000523:psychology; D015999:Multivariate Analysis; D009511:New England / Q000453:epidemiology; D012044:Regression Analysis; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000517:prevention & control* / Q000523:psychology; D014947:Wounds and Injuries / Q000523:psychology*