Velikonja Diana, Warriner Erin M, Coulson Sherry, Brum Christine
Hamilton Health Sciences, Hamilton, Ontario, Canada.
Brain Inj. 2013;27(2):158-68. doi: 10.3109/02699052.2012.729289. Epub 2013 Jan 16.
To evaluate the impact of combined Axis I and II emotional profiles, demographic and psychosocial variables on coping responses in an Acquired Brain Injury (ABI) population using the Personality Assessment Inventory (PAI) and the Coping Response Inventory (CRI).
This was a retrospective study examining the relationship between coping styles with affective, demographic and psychosocial variables using a multi-dimensional profile analysis.
Participants completed the PAI and CRI during a regular clinical visit at the ABI Program (n = 100). Profile data was divided into seven established sub-types and analysed with coping responses. Traumatic (TBI; n = 78) and non-traumatic (n = 24) brain-injured individuals comprised the sample.
Previous findings were confirmed showing that highly symptomatic patients primarily use negative coping strategies. Also, affective symptoms, gender, relationship status, perceived stress and psychosocial supports mediate the use of different negative coping responses. Interesting, anxiety-based symptoms were associated with positive responses similar to asymptomatic ABI patients.
Coping strategies adopted by brain-injured individuals are mediated by Axis I and II symptoms as well as psychosocial support, stress, marital status and gender. As a result, this has implications for developing treatment strategies.
使用人格评估量表（PAI）和应对反应量表（CRI），评估轴I和轴II情绪特征、人口统计学和社会心理变量对后天性脑损伤（ABI）人群应对反应的影响。
这是一项回顾性研究，采用多维度特征分析来检验应对方式与情感、人口统计学和社会心理变量之间的关系。
参与者在ABI项目的常规临床就诊期间完成了PAI和CRI（n = 100）。特征数据被分为七种既定的亚型，并与应对反应进行分析。样本包括创伤性脑损伤（TBI；n = 78）和非创伤性脑损伤个体（n = 24）。
先前的研究结果得到证实，表明症状严重的患者主要使用消极应对策略。此外，情感症状、性别、关系状况、感知压力和社会心理支持介导了不同消极应对反应的使用。有趣的是，基于焦虑的症状与类似于无症状ABI患者的积极反应相关。
脑损伤个体采用的应对策略由轴I和轴II症状以及社会心理支持、压力、婚姻状况和性别介导。因此，这对制定治疗策略具有启示意义。
