Citation

Snell DL, Siegert RJ, Hay-Smith EJC, Surgenor LJ. J. Head Trauma Rehabil. 2011; 26(6): 468-477.

Affiliation

Rehabilitation Teaching and Research Unit, University of Otago, Wellington, New Zealand (Ms Snell and Dr Hay-Smith); King's College London, Department of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, London, United Kingdom (Dr Siegert); and Department of Psychological Medicine, University of Otago, Christchurch, New Zealand (Dr Surgenor).

Copyright

(Copyright © 2011, Lippincott Williams and Wilkins)

DOI

10.1097/HTR.0b013e3181fc5e1e

PMID

21245767

Abstract

OBJECTIVE:: To investigate the factor structure and internal consistency of the Brief COPE, adapted for use with adults with mild traumatic brain injury (MTBI). DESIGN:: Prospective cohort study. SETTING:: Hospital based emergency department and concussionclinic. PARTICIPANTS:: A total of 147 adults meeting diagnostic criteria for MTBI. MAIN MEASURE:: Brief COPE. ANALYSES:: The previously reported 9-factor structure of the Brief COPE wastested by using confirmatory factor analysis (CFA) and then exploratory factor analysis (EFA). The Cronbach α was computed for both the original subscales and those derived from EFA. RESULTS:: The CFA provided a less than satisfactory fit for the 9-factor model. While the EFA solution was very similar to that ofthe original scale, the reliability of some derived subscales was low. Further analyses identified improved internalconsistency with a 3-factor model reflecting approach, avoidance, and help-seeking coping styles. CONCLUSIONS:: The Brief COPE has satisfactory psychometric properties for use in MTBI but may be morereliably and meaningfully interpreted using 3 dimensions/subscales rather than 9.

Language: en