Research Reports - The relations among cognitive impairment, coping style, and emotional adjustment following traumatic brain injury

J Head Trauma Rehabil. 2012 Apr 10. [Epub ahead of print]

Spitz G, Schönberger M, Ponsford J.

OBJECTIVE:: To examine the direct, mediated, and moderated associations among
cognition, coping, and emotional adjustment following traumatic brain injury
(TBI). DESIGN:: Cross-sectional, single-group design. PARTICIPANTS:: Ninety-seven
participants with mild to severe TBI recruited from their rehabilitation hospital
and assessed on average 19 months postinjury. MEASURES:: The BIRT Memory and
Information Processing Battery, Doors Test from the Doors and People Test,
Hayling Sentence Completion Test, Controlled Oral Word Association Test, Trail
Making Test, Digit Span, Symbol Digit Modalities Test-Oral Version, Hospital
Anxiety and Depression Scale, and the Coping Scale for Adults. RESULTS:: Poorer
performance on measures of memory, executive functions, and attention and
information processing was associated with greater levels of self-reported
depression and anxiety. No mediated relation was found between cognition and
emotional adjustment. However, the use of adaptive coping strategies was found to
moderate the relation between the Hayling A-a measure of information processing
speed-and self-reported depression. CONCLUSIONS:: Greater impairments in
cognition directly predicted higher levels of anxiety and depression following
TBI. In addition, the results suggest that the use of adaptive coping strategies
has a greater effect on levels of depression for individuals with poor
information processing speed.

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