Coping behaviour following traumatic brain injury: what makes a planner plan and an avoider avoid?

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  • Author(s): Krpan KM;Krpan KM; Stuss DT; Anderson ND
  • Source:
    Brain injury [Brain Inj] 2011; Vol. 25 (10), pp. 989-96. Date of Electronic Publication: 2011 Jul 12.
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 8710358 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1362-301X (Electronic) Linking ISSN: 02699052 NLM ISO Abbreviation: Brain Inj Subsets: MEDLINE
    • Publication Information:
      Publication: London : Informa Healthcare
      Original Publication: London ; New York : Taylor & Francis, c1987-
    • Subject Terms:
      Adaptation, Psychological* ; Executive Function* ; Galvanic Skin Response* ; Heart Rate*; Brain Injuries/*psychology; Adult ; Analysis of Variance ; Brain Injuries/complications ; Brain Injuries/physiopathology ; Female ; Humans ; Male ; Neuropsychological Tests ; Social Behavior ; Surveys and Questionnaires ; United States
    • Abstract:
      Primary Objective: Avoidant coping has consistently been related to negative outcomes following traumatic brain injury (TBI), although the mechanisms of this relationship are not clear. A recent study demonstrated that people with moderate-to-severe TBI engaged in more avoidant than planful coping behaviour during a psychosocial stress test, while their matched healthy counterparts engaged in the opposite pattern. The purpose of the current study was to evaluate the neuropsychological, physiological and psychological differences between planners and avoiders with TBI.
      Methods and Procedures: Eighteen people with moderate-to-severe TBI completed the Baycrest Psychosocial Stress Test (BPST) where coping behaviour was evaluated and physiological measures recorded. Participants also completed a series of questionnaires and a neuropsychological test battery.
      Main Outcomes and Results: Compared to avoiders, planners had better executive function, were more psychologically and physiologically reactive and performed better on the BPST. Dysfunction on tests assessing executive abilities was the best predictor of avoidant coping, while physiological and psychological reactivity were the best predictors of planful coping.
      Conclusions: This study is the first to document differences between planners and avoiders with TBI. Understanding the determinants of coping following TBI will allow for more sophisticated and targeted rehabilitative intervention.
    • Publication Date:
      Date Created: 20110714 Date Completed: 20111007 Latest Revision: 20151119
    • Publication Date:
      20231215
    • Accession Number:
      10.3109/02699052.2011.597045
    • Accession Number:
      21749191