Department of Psychology, University of Toronto, Ontario, Canada.
J Int Neuropsychol Soc. 2011 Mar;17(2):248-55. doi: 10.1017/S1355617710001499. Epub 2010 Dec 21.
Many people who sustain traumatic brain injuries (TBI) have poor psychosocial outcomes that have been related to the use of avoidant coping. A major obstacle to understanding the mechanisms of this relationship are the self-report measures by which coping has been traditionally evaluated. The purpose of the present study was to compare coping behavior during a simulated real-world stress test with self-reported coping. People with moderate-to-severe TBI and matched controls completed the Baycrest Psychosocial Stress Test (BPST) where coping behavior was evaluated, and also completed the Ways of Coping Questionnaire (WOC). While there were no group differences in self- or significant-other-reported behavior on the WOC, the TBI group engaged in more avoidant than planful behavior on the BPST, while the control group displayed the opposite pattern of behavior. Moreover, in the control group there were positive relations between behavior on the BPST and self-reported coping on the WOC, but no such relation within the TBI group. Secondary analyses allowed for TBI participants to be characterized as "planners" or "avoiders." This is the first study, to our knowledge, to report behavioral differences in coping post-TBI. Future work investigating the moderators of these differences may have significant implications for rehabilitative intervention.
许多遭受创伤性脑损伤 (TBI) 的人都有较差的社会心理结果，这与回避应对有关。理解这种关系机制的一个主要障碍是传统上用于评估应对的自我报告措施。本研究的目的是比较模拟现实世界压力测试中的应对行为与自我报告的应对。中度至重度 TBI 患者和匹配的对照组完成了 Baycrest 心理压力测试 (BPST)，在该测试中评估了应对行为，并完成了应对方式问卷 (WOC)。虽然 WOC 上自我报告或重要他人报告的行为在两组之间没有差异，但 TBI 组在 BPST 上表现出比计划性更强的回避行为，而对照组则表现出相反的行为模式。此外，在对照组中，BPST 上的行为与 WOC 上的自我报告应对之间存在正相关，但在 TBI 组中没有这种关系。二次分析允许将 TBI 参与者描述为“计划者”或“回避者”。据我们所知，这是第一项报告 TBI 后应对行为差异的研究。未来研究这些差异的调节因素可能对康复干预具有重要意义。
