Coping strategies as a predictor of post-concussive symptoms in children with mild traumatic brain injury versus mild orthopedic injury.
This study examined whether children's coping strategies are related to post-concussive symptoms following mild traumatic brain injury (TBI) versus orthopedic injury (OI). Participants were 8- to 15-year-old children with mild TBI (n = 167) or OI (n = 84). They rated their current preferred coping strategies and post-injury symptoms at 2 weeks (baseline) and 1, 3, and 12 months post-injury. Children's reported use of coping strategies did not vary significantly over time, so their baseline coping ratings were examined as predictors of post-concussive symptoms across time. Self-ratings of symptoms were positively related to emotion-focused strategies and negatively related to problem-focused engagement after both mild TBI and OI. Higher problem-focused disengagement predicted larger group differences in children's ratings of symptoms, suggesting that problem-focused disengagement moderates the effects of mild TBI. Coping strategies collectively accounted for approximately 10-15% of the variance in children's post-concussive symptoms over time. The findings suggest that coping may play an important role in accounting for children's perceptions of post-concussive symptoms after mild TBI.
Department of Neuropsychology, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
Stacey E
SE
Woodrome
Keith Owen
KO
Yeates
H Gerry
HG
Taylor
Jerome
J
Rusin
Barbara
B
Bangert
Ann
A
Dietrich
Kathryn
K
Nuss
Martha
M
Wright
D000223:Adaptation, Psychological / Q000502:physiology*; D000293:Adolescent; D001930:Brain Injuries / Q000150:complications*; D002648:Child; D004644:Emotions / Q000502:physiology; D005260:Female; D018409:Foot Injuries / Q000150:complications*; D023261:Glasgow Outcome Scale; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D015999:Multivariate Analysis; D009483:Neuropsychological Tests; D010555:Personality Inventory; D038223:Post-Concussion Syndrome / Q000209:etiology*; D011237:Predictive Value of Tests; D013997:Time Factors
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