T Tomberg1, A Toomela, M Ennok, A Tikk. 1. Department of Neurology and Neurosurgery, University of Tartu, Estonia. tiiu.tomberg@kliinikum.ee
Abstract
PRIMARY OBJECTIVE: To study longitudinal changes in psychological coping strategies, social support, life orientation and health-related quality of life in the late period after traumatic brain injury (TBI). SUBJECTS: Thirty-one patients with TBI who were first investigated on average 2.3 years after injury and were prospectively followed on average 5.7 years later. METHODS: Estonian versions of the COPE-D Test, the Brief Social Support Questionnaire, the Life Orientation Test and the RAND-36 questionnaire. RESULTS: During the late follow-up period health-related quality of life and resuming work did not improve significantly. Persons with TBI reported an increase in seeking social/emotional support (p<0.05), frequent use of avoidance-oriented styles and reduced use of task-oriented styles. This was accompanied by low social support and low satisfaction with support, both of which were associated with health-related quality of life and resuming work after TBI. Although the patients had become more optimistic (p<0.05), this did not correlate with their health status and social well-being. CONCLUSIONS: This prospective study revealed maladaptive changes in the profile of coping strategies and an increase in optimism. As social support, satisfaction with support and health-related quality of life did not improve, then rehabilitation, social and psychological support are continuously needed.
PRIMARY OBJECTIVE: To study longitudinal changes in psychological coping strategies, social support, life orientation and health-related quality of life in the late period after traumatic brain injury (TBI). SUBJECTS: Thirty-one patients with TBI who were first investigated on average 2.3 years after injury and were prospectively followed on average 5.7 years later. METHODS: Estonian versions of the COPE-D Test, the Brief Social Support Questionnaire, the Life Orientation Test and the RAND-36 questionnaire. RESULTS: During the late follow-up period health-related quality of life and resuming work did not improve significantly. Persons with TBI reported an increase in seeking social/emotional support (p<0.05), frequent use of avoidance-oriented styles and reduced use of task-oriented styles. This was accompanied by low social support and low satisfaction with support, both of which were associated with health-related quality of life and resuming work after TBI. Although the patients had become more optimistic (p<0.05), this did not correlate with their health status and social well-being. CONCLUSIONS: This prospective study revealed maladaptive changes in the profile of coping strategies and an increase in optimism. As social support, satisfaction with support and health-related quality of life did not improve, then rehabilitation, social and psychological support are continuously needed.
Authors: Alba Aza; Miguel Ángel Verdugo; María Begoña Orgaz; María Fernández; Antonio Manuel Amor Journal: Qual Life Res Date: 2019-12-18 Impact factor: 4.147
Authors: Paul E Rapp; Brenna M Rosenberg; David O Keyser; Dominic Nathan; Kevin M Toruno; Christopher J Cellucci; Alfonso M Albano; Scott A Wylie; Douglas Gibson; Adele M K Gilpin; Theodore R Bashore Journal: Front Neurol Date: 2013-07-22 Impact factor: 4.003
Authors: Nada Andelic; Paul B Perrin; Marit V Forslund; Helene L Soberg; Solrun Sigurdardottir; Unni Sveen; Tone Jerstad; Cecilie Roe Journal: J Neurol Date: 2014-12-05 Impact factor: 4.849
Authors: André Hajek; Christian Brettschneider; Carolin Lange; Tina Posselt; Birgitt Wiese; Susanne Steinmann; Siegfried Weyerer; Jochen Werle; Michael Pentzek; Angela Fuchs; Janine Stein; Tobias Luck; Horst Bickel; Edelgard Mösch; Steffen Wolfsgruber; Kathrin Heser; Wolfgang Maier; Martin Scherer; Steffi G Riedel-Heller; Hans-Helmut König Journal: Qual Life Res Date: 2015-10-27 Impact factor: 4.147
Authors: Tom Williams; Lynne Evans; Angus Robertson; Lew Hardy; Stuart Roy; Daniel Lewis; Freya Glendinning Journal: Front Sports Act Living Date: 2020-10-02