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

作者：Snell Deborah L^*; Siegert Richard J; Hay Smith E Jean C; Surgenor Lois J

来源：Brain Injury, 2011, 25(11): 1126-1138.

DOI：10.3109/02699052.2011.607786

• Mild traumatic brain injury
• MTBI
• illness perceptions
• outcome

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.

• 出版日期2011-10