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Evaluating a theory of stress and adjustment when predicting long-term psychosocial outcome after brain injury

Published online by Cambridge University Press:  17 May 2006

NEIL A. RUTTERFORD  and
RODGER Ll. WOOD
NEIL A. RUTTERFORD
Affiliation:
Psychology Department, School of Human Sciences, University of Wales Swansea, United Kingdom
RODGER Ll. WOOD
Affiliation:
Psychology Department, School of Human Sciences, University of Wales Swansea, United Kingdom
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Abstract

Kendall and Terry (1996) include many psychosocial predictors in their theoretical model that explains individual differences in psychosocial adjustment (Lazarus & Folkman, 1984). The model depicts appraisal and coping variables as mediating relationships between situation factors, environmental and personal resources, and multidimensional outcome. The aim of this study was to explore these theoretical relationships at very late stages of recovery from traumatic brain injury. A total of 131 participants who were more than 10 years post-injury (mean = 15.31 years) completed several psychosocial measures relating to outcome dimensions comprising employment, community integration, life satisfaction, quality of life (QoL), and emotion. There was no evidence that appraisal and coping variables mediated relationships between psychosocial and any of the outcome variables. However, when appraisal and coping variables were combined with psychosocial variables as direct predictors of outcome, every outcome except employment status was reliably predicted, accounting for between 31 and 46% of the variance. Personality significantly influenced all predicted outcomes. Self-efficacy contributed to the prediction of all outcomes except QoL. Data did not support for the theory of stress and adjustment as a framework for explaining the nature of predictive relationships between psychosocial variables and very long-term, multidimensional outcome after brain injury. (JINS, 2006, 12, 359–367.)

Keywords

Psychosocial factorsBrain injuriesOutcome studiesPersonalityStressAdjustment
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 12 , Issue 3 , May 2006 , pp. 359 - 367
Copyright
© 2006 The International Neuropsychological Society

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References

REFERENCES

Baron, R.M. & Kenny, D.A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.Google Scholar
Bartlett, M.S. (1954). A note on the multiplying factors for various chi square approximations. Journal of the Royal Statistical Society, 16, 296–298.Google Scholar
Brooks, D.N. & McKinlay, W. (1983). Personality and behavioural change after severe blunt head injury-A relative's view. Journal of Neurology, Neurosurgery and Psychiatry, 46, 336–344.Google Scholar
Colantonio, A., Ratcliff, G., Chase, S., Kelsey, S., Escobar, M., & Vernich, L. (2004). Long term outcomes after moderate to severe traumatic brain injury. Disability and Rehabilitation, 26, 253–261.Google Scholar
Doig, E., Fleming, J., & Tooth, L. (2001). Patterns of community integration 2–5 years post discharge from brain injury rehabilitation. Brain Injury, 15, 747–762.Google Scholar
Eysenck, H.J. & Eysenck, S.B.G. (1991). Manual of the Eysenck Personality Scales. London: Hodder and Stoughton.
Finset, A. & Andersson, S. (2000). Coping strategies in patients with acquired brain injury: Relationships between coping, apathy, depression and lesion location. Brain Injury, 14, 887–905.Google Scholar
Fleming, J.M., Strong, J., & Ashton, R. (1998). Cluster analysis of self-awareness levels in adults with traumatic brain injury and relationship to outcome. Journal of Head Trauma Rehabilitation, 13, 39–51.Google Scholar
Fleminger, S., Oliver, D.L., Williams, W.H., & Evans, J. (2003). The neuropsychiatry of depression after brain injury. Neuropsychological Rehabilitation, 13, 65–87.Google Scholar
Greenspan, A.I., Wrigley, J.M., Kresnow, M., Branche-Dorsey, C.M., & Fine, P.R. (1996). Factors influencing failure to return to work due to traumatic brain injury. Brain Injury, 10, 207–218.Google Scholar
Hall, K.M., Bushnik, T., Lakisic-Kazaic, B., Wright, J., & Cantagallo, A. (2001). Assessing traumatic brain injury outcome measures for long-term follow-up of community based individuals. Archives of Physical Medicine and Rehabilitation, 82, 367–374.Google Scholar
Heinemann, A.W. & Whiteneck, G.G. (1995). Relationships among impairment, disability, handicap, and life satisfaction in persons with traumatic brain injury. Journal of Head Trauma Rehabilitation, 10, 54–63.Google Scholar
Holosko, M.J. & Huege, S. (1989). Perceived social adjustment and social support among a sample of head injured adults. Canadian Journal of Rehabilitation, 2, 145–154.Google Scholar
Hoofien, D., Gilboa, A., Vakil, E., & Donovick, P.J. (2001). Traumatic brain injury (TBI) 10-20 years later: A comprehensive outcome study of psychiatric symptomology, cognitive abilities and psychosocial functioning. Brain Injury, 15, 189–209.Google Scholar
Kaiser, H. (1970). A second generation little jiffy. Psychometrika, 35, 401–415.Google Scholar
Kaiser, H. (1974). An index of factorial simplicity. Psychometrika, 39, 31–36.Google Scholar
Kendall, E. & Terry, D.J. (1996). Psychosocial adjustment following closed head injury: A model for understanding individual differences and predicting outcome. Neuropsychological Rehabilitation, 6, 101–132.Google Scholar
Kurtz, J.E., Putnam, S.H., & Stone, C. (1998). Stability of normal personality traits after traumatic brain injury. Journal of Head Trauma Rehabilitation, 13, 1–14.Google Scholar
Lazarus, R.S. (1993). Coping theory and research: Past, present, and future. Psychosomatic Medicine, 5, 234–247.Google Scholar
Lazarus, R.S. & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer Publishing Co.
Little, R.J.A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83, 1198–1202.Google Scholar
Little, R.J.A. & Rubin, D.B. (1987). Statistical analysis with missing data. New York: Wiley.
Malec, J.F., Brown, A.W., & Moessner, A.M. (2004). Personality factors and injury severity in the prediction of early and late traumatic brain injury outcomes. Rehabilitation Psychology, 49, 55–61.Google Scholar
McMillan, T.M., Williams, W.H., & Bryant, R.A. (2003). Post-traumatic stress disorder and traumatic brain injury: A review of causal mechanisms, assessment, and treatment. Neuropsychological Rehabilitation, 13, 149–164.Google Scholar
Miller, M.A. & Rahe, R.H. (1997). Life changes scaling for the 1990s. Journal of Psychosomatic Research, 43, 279–292.Google Scholar
Milne, D. (Ed.). (1992). Assessment: A mental health portfolio. London: NFER—NELSON.
Moore, A.D. & Stambrook, M. (1992). Coping strategies and locus of control following traumatic brain injury: Relationship to long-term outcome. Brain Injury, 6, 89–94.Google Scholar
Moore, A.D. & Stambrook, M. (1994). Coping following traumatic brain injury (TBI): Derivation and validation of TBI sample ways of coping-revised subscales. Canadian Journal of Rehabilitation, 4, 122–129.Google Scholar
Oddy, M., Coughlan, T., Tyerman, A., & Jenkins, D. (1985). Social adjustment after closed head injury: A further follow-up seven years after injury. Journal of Neurology, Neurosurgery and Psychiatry, 48, 564–568.Google Scholar
Power, M.J., Champion, L.A., & Aris, S.J. (1988). The development of a measure of social support: The significant others (SOS) scale. British Journal of Clinical Psychology, 27, 349–358.Google Scholar
Prigatano, G.P. & Altman, I.M. (1990). Impaired awareness of behavioural limitations after traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 71, 1058–1064.Google Scholar
Prigatano, G.P. & Klonoff, P.S. (1998). A clinician's rating scale for evaluating impaired self-awareness and denial of disability after brain injury. The Clinical Neuropsychologist, 12, 56–67.Google Scholar
Prigatano, G.P. & Schachter, D.L. (1991). Awareness of deficit after brain injury: Clinical and theoretical issues. New York: Oxford University Press.
Schafer, J.L. & Graham, J.W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147–177.Google Scholar
Schretlen, D.J. (2000). Do neurocognitive ability and personality traits account for different aspects of psychosocial outcome after traumatic brain injury? Rehabilitation Psychology, 45, 260–273.Google Scholar
Sherer, M., Oden, K., Bergloff, P., Levin, E., & High, W.M., Jr. (1998). Assessment and treatment of impaired awareness after brain injury: Implications for community re-integration. Neurorehabilitation, 10, 25–37.Google Scholar
Smith, J.L., Magill-Evans, J., & Britnell, S. (1998). Life satisfaction following traumatic brain injury. Canadian Journal of Rehabilitation, 11, 131–140.Google Scholar
Tabachnick, B. & Fidell, L.S. (2001). Using multivariate statistics. Boston: Allyn and Bacon.
Tate, R.L. (2003). Impact of pre-injury factors on outcome after severe traumatic brain injury: Does post-traumatic personality change represent an exacerbation of premorbid traits. Neuropsychological Rehabilitation, 13, 43–64.CrossRefGoogle Scholar
Thomsen, I.V. (1984). Late outcome of very severe blunt head trauma: A 10–15 year second follow-up. Journal of Neurology, Neurosurgery and Psychiatry, 47, 260–268.Google Scholar
Thomsen, I.V. (1987). Late psychosocial outcome in severe blunt head trauma. Brain Injury, 1, 131–143.Google Scholar
Thomsen, I.V. (1989). Do young patients have worse outcomes after severe blunt head trauma? Brain Injury, 3, 157–162.Google Scholar
Tyerman, A. & Humphrey, M. (1984). Changes in self-concept following severe head injury. International Journal of Rehabilitation Research, 7, 11–23.Google Scholar
Webb, C.R., Wrigley, M., Yoels, W., & Fine, P.R. (1995). Explaining quality of life for persons with traumatic brain injuries 2 years after injury. Archives of Physical Medicine and Rehabilitation, 76, 1113–1119.Google Scholar
Williams, W.H., Williams, J.M., & Ghadiali, E.J. (1998). Autobiographical memory in traumatic brain injury: neuropsychological and mood predictors of recall. Neuropsychological Rehabilitation, 8, 43–60.Google Scholar
Wood, R.L. & Rutterford, N.A. (2006, this issue). Demographic and cognitive predictors of long term psychosocial outcome after brain injury. Journal of the International Neuropsychological Society, 12, 350–358.Google Scholar