Coping style and post-traumatic stress disorder following severe traumatic brain injury

Coping style and post-traumatic stress disorder following severe traumatic brain injury
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DOI:
10.1080/026990500120826
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发表时间:
2000-02-01
期刊:
影响因子:
1.9
通讯作者:
Gurka, J
Gurka, J
中科院分区:
医学4区
文献类型:
--
作者:
Bryant, RA;Marosszeky, JE;Gurka, J

文献摘要

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越来越多的证据表明,一部分严重创伤性脑损伤(TBI)患者确实患有创伤后应激障碍(PTSD)。本研究的目的是在96例重度脑外伤患者中调查重度脑外伤后PTSD的预测因素,其中27%的患者满足PTSD的诊断标准。出院后6个月对患者进行创伤后应激障碍访谈、应对方式问卷、功能评估量表。逃避型应对方式、行为型应对方式和失业史是PTSD严重程度的显著预测因子。这些发现表明,通过教授患者更多的适应性应对策略,可能有助于减少创伤后应激障碍和管理严重的创伤性脑损伤。
There is increasing evidence that a proportion of severe traumatically brain injured (TBI) patients do suffer post-traumatic stress disorder (PTSD). The aim of this study was to investigate the predictors of PTSD following severe TBI in a sample of 96 patients who sustained a severe TBI, of whom 27% satisfied diagnostic criteria for PTSD. The Post-traumatic Stress Disorder interview, the Coping Style Questionnaire, and the Functional Assessment Measure was administered to these patients 6 months after hospital discharge. Avoidant coping style, behavioural coping style, and a history of prior unemployment were the significant predictors of PTSD severity. These findings indicate that reduction of PTSD and management of severe TBI may be facilitated by teaching patients more adaptive coping strategies.