Wade S L, Borawski E A, Taylor H G, Drotar D, Yeates K O, Stancin T
Department of Physical Medicine and Rehabilitation, Children's Hospital Medical Center, University of Cincinnati, Ohio 45229-3039, USA.
J Consult Clin Psychol. 2001 Jun;69(3):406-15. doi: 10.1037//0022-006x.69.3.406.
This study identified coping strategies associated with caregiver outcomes following pediatric injury and examined injury type as a moderator of coping efficacy. Families of 103 children with traumatic brain injury (TBI) and 71 children with orthopedic injuries were followed prospectively during the initial year postinjury. The groups had comparable preinjury characteristics and hospitalization experiences but differed on neurological insult. In hierarchical regression analyses, acceptance was associated with lower burden and denial was associated with greater distress in both groups. Active coping resulted in higher distress following TBI but not orthopedic injuries. Conversely, the use of humor was related to diminishing distress following TBI but unrelated to distress following orthopedic injuries. Results are discussed in terms of the implications for intervention following TBI.
本研究确定了与儿童受伤后照顾者结果相关的应对策略，并将损伤类型作为应对效果的调节因素进行了考察。对103名创伤性脑损伤（TBI）儿童和71名骨科损伤儿童的家庭在受伤后的第一年进行了前瞻性随访。两组在受伤前的特征和住院经历方面具有可比性，但在神经损伤方面存在差异。在分层回归分析中，接受与较低的负担相关，否认与两组中更大的痛苦相关。积极应对在TBI后导致更高的痛苦，但在骨科损伤后并非如此。相反，幽默的使用与TBI后痛苦的减轻相关，但与骨科损伤后的痛苦无关。根据TBI后干预的意义对结果进行了讨论。
