Research Reports - Patients with traumatic brain injury and their relatives: Coping, satisfaction with life and neurological functioning

Brain Inj. 2017 Aug 22:1-7. doi: 10.1080/02699052.2017.1346295. [Epub ahead of

Haller CS(1).

BACKGROUND: To examine the associations between the functioning of patients with
severe traumatic brain injury (TBI), and their relatives' coping style and
quality of life across 12 months post-injury.
METHODS: Prospective, population-based cohort study assessing 188 patients with
severe TBI (Abbreviated Injury Scale of the head region [HAIS] score >3), and
their relatives, 3, 6 and 12 months post-injury. Data were drawn from a larger
national study run in Switzerland (2007-2011). Patient assessment: Glasgow Coma
Outcome Scale Extended (GOSE), Patient Competency Rating Scale for
Neurorehabilitation (PCRS-NR). Relative assessment: Health-Related Quality of
Life (HRQoL; 12-item short form health survey [SF-12]), Coping Inventory for
Stressful Situations (CISS). Mixed linear models were run separately for ages >50
and ≤50 (i.e. bimodal distribution).
RESULTS: Patients' GOSE score was associated with relatives' reported mental
SF-12 scores across age (ps < 0.01). Relatives' CISS was associated with
patients' PCRS score (age > 50 years): Total and cognitive functioning decreased
as emotion-oriented coping increased (ps = 0.01), while interpersonal functioning
increased as task-oriented coping increased (p = 0.01) and decreased as
avoidance-oriented coping increased (p = 0.02).
CONCLUSION: Patients' functioning and relatives' mental HRQoL and coping
strategies are associated with each other. 

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