Department of Neuropsychology, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
J Int Neuropsychol Soc. 2011 Mar;17(2):317-26. doi: 10.1017/S1355617710001700. Epub 2011 Jan 18.
This study examined whether children's coping strategies are related to post-concussive symptoms following mild traumatic brain injury (TBI) versus orthopedic injury (OI). Participants were 8- to 15-year-old children with mild TBI (n = 167) or OI (n = 84). They rated their current preferred coping strategies and post-injury symptoms at 2 weeks (baseline) and 1, 3, and 12 months post-injury. Children's reported use of coping strategies did not vary significantly over time, so their baseline coping ratings were examined as predictors of post-concussive symptoms across time. Self-ratings of symptoms were positively related to emotion-focused strategies and negatively related to problem-focused engagement after both mild TBI and OI. Higher problem-focused disengagement predicted larger group differences in children's ratings of symptoms, suggesting that problem-focused disengagement moderates the effects of mild TBI. Coping strategies collectively accounted for approximately 10-15% of the variance in children's post-concussive symptoms over time. The findings suggest that coping may play an important role in accounting for children's perceptions of post-concussive symptoms after mild TBI.
本研究旨在探讨儿童的应对策略是否与轻度创伤性脑损伤（TBI）与骨科损伤（OI）后的脑震荡后症状有关。参与者为 8 至 15 岁的轻度 TBI 儿童（n=167）或 OI 儿童（n=84）。他们在受伤后 2 周（基线）和 1、3、12 个月时评估了当前首选的应对策略和受伤后的症状。儿童的应对策略报告在时间上没有显著变化，因此将他们的基线应对评分作为跨时间脑震荡后症状的预测指标进行了检查。在轻度 TBI 和 OI 后，自我报告的症状与情绪聚焦策略呈正相关，与问题聚焦参与呈负相关。较高的问题聚焦脱离预示着儿童对症状的评分的组间差异更大，表明问题聚焦脱离调节了轻度 TBI 的影响。应对策略共同解释了儿童在轻度 TBI 后随时间推移的脑震荡后症状的 10%-15%左右的变异。研究结果表明，应对策略可能在解释儿童对轻度 TBI 后脑震荡后症状的认知方面发挥重要作用。
