TY - JOUR PY - 2011// TI - Coping Strategies as a Predictor of Post-concussive Symptoms in Children with Mild Traumatic Brain Injury versus Mild Orthopedic Injury JO - Journal of the International Neuropsychological Society A1 - Woodrome, Stacey E. A1 - Yeates, Keith Owen A1 - Taylor, H. Gerry A1 - Rusin, Jerome A1 - Bangert, Barbara A1 - Dietrich, Ann A1 - Nuss, Kathryn A1 - Wright, Martha SP - 317 EP - 326 VL - 17 IS - 2 N2 - 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.
Language: en
LA - en SN - 1355-6177 UR - http://dx.doi.org/10.1017/S1355617710001700 ID - ref1 ER -