期刊
BRAIN INJURY
卷 21, 期 5, 页码 479-488出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/02699050701311737
关键词
coping strategies; social support; optimism; health-related quality of life; longitudinal changes; traumatic brain injury
Primary objective: To study longitudinal changes in psychological coping strategies, social support, life orientation and health-related quality of life in the late period after traumatic brain injury ( TBI). Subjects: Thirty-one patients with TBI who were first investigated on average 2.3 years after injury and were prospectively followed on average 5.7 years later. Methods: Estonian versions of the COPE-D Test, the Brief Social Support Questionnaire, the Life Orientation Test and the RAND-36 questionnaire. Results: During the late follow-up period health-related quality of life and resuming work did not improve significantly. Persons with TBI reported an increase in seeking social/emotional support ( p < 0.05), frequent use of avoidance-oriented styles and reduced use of task-oriented styles. This was accompanied by low social support and low satisfaction with support, both of which were associated with health-related quality of life and resuming work after TBI. Although the patients had become more optimistic ( p < 0.05), this did not correlate with their health status and social well-being. Conclusions: This prospective study revealed maladaptive changes in the profile of coping strategies and an increase in optimism. As social support, satisfaction with support and health-related quality of life did not improve, then rehabilitation, social and psychological support are continuously needed.
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