4.4 Article

Associations between illness perceptions, coping styles and outcome after mild traumatic brain injury: Preliminary results from a cohort study

Journal

BRAIN INJURY
Volume 25, Issue 11, Pages 1126-1138

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.3109/02699052.2011.607786

Keywords

Mild traumatic brain injury; MTBI; illness perceptions; outcome

Funding

  1. Neurological Foundation of New Zealand [0728-SPG]

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Purpose: The objective of this study was to examine associations between injury perceptions, coping, distress and outcome after mild traumatic brain injury (MTBI). Design: A prospective observational study with repeated measures. This study reports results from the first of two study visits. Participants: Participants (n = 147) were recruited within 3 months following presentation to a concussion clinic or an emergency department setting. Methods: Clinical and demographic information was collected and participants completed a range of questionnaires (Revised Illness Perceptions Questionnaire, Brief COPE, Rivermead Post-Concussion Symptoms Questionnaire, Rivermead Follow-Up Questionnaire and HADS). Associations between independent variables and outcome were examined using odds ratios and 95% confidence intervals. Results: Preliminary results suggested participants endorsing stronger beliefs about the injury identity (p < 0.05) and emotional impact (p < 0.01) had significantly greater odds of poor outcome at 3 months. There were also associations between higher educational attainment (p < 0.05), using active coping strategies (p < 0.06) and poor outcome. Conclusions: These variables appeared important determinants of outcome early after MTBI and may help identify those at risk for slow recovery. Current reassurance-based interventions may be improved by targeting such variables.

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