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Coping Strategies as a Predictor of Post-concussive Symptoms in Children with Mild Traumatic Brain Injury versus Mild Orthopedic Injury

Published online by Cambridge University Press:  18 January 2011

Stacey E. Woodrome ,
Keith Owen Yeates ,
H. Gerry Taylor ,
Jerome Rusin ,
Barbara Bangert ,
Ann Dietrich ,
Kathryn Nuss  and
Martha Wright
Stacey E. Woodrome
Affiliation:
Department of Neuropsychology, Children's Healthcare of Atlanta, Atlanta, Georgia
Keith Owen Yeates*
Affiliation:
Department of Pediatrics, The Ohio State University, Columbus, Ohio Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
H. Gerry Taylor
Affiliation:
Department of Pediatrics, Case Western Reserve University, Cleveland, Ohio Rainbow Babies & Children's Hospital, Cleveland, Ohio
Jerome Rusin
Affiliation:
Department of Radiology, Nationwide Children's Hospital, Columbus, Ohio
Barbara Bangert
Affiliation:
Departments of Radiology and Neurosurgery, University Hospitals Health System, Cleveland, Ohio
Ann Dietrich
Affiliation:
Department of Pediatrics, The Ohio State University, Columbus, Ohio Department of Emergency Medicine, Nationwide Children's Hospital, Columbus, Ohio
Kathryn Nuss
Affiliation:
Department of Pediatrics, The Ohio State University, Columbus, Ohio Department of Emergency Medicine, Nationwide Children's Hospital, Columbus, Ohio
Martha Wright
Affiliation:
Department of Pediatrics, Case Western Reserve University, Cleveland, Ohio Rainbow Babies & Children's Hospital, Cleveland, Ohio
*
Correspondence and reprint requests to: Keith Owen Yeates, Ph.D., Department of Psychology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205. E-mail: keith.yeates@nationwidechildrens.org
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Abstract

This study examined whether children's coping strategies are related to post-concussive symptoms following mild traumatic brain injury (TBI) versus orthopedic injury (OI). Participants were 8- to 15-year-old children with mild TBI (n = 167) or OI (n = 84). They rated their current preferred coping strategies and post-injury symptoms at 2 weeks (baseline) and 1, 3, and 12 months post-injury. Children's reported use of coping strategies did not vary significantly over time, so their baseline coping ratings were examined as predictors of post-concussive symptoms across time. Self-ratings of symptoms were positively related to emotion-focused strategies and negatively related to problem-focused engagement after both mild TBI and OI. Higher problem-focused disengagement predicted larger group differences in children's ratings of symptoms, suggesting that problem-focused disengagement moderates the effects of mild TBI. Coping strategies collectively accounted for approximately 10–15% of the variance in children's post-concussive symptoms over time. The findings suggest that coping may play an important role in accounting for children's perceptions of post-concussive symptoms after mild TBI. (JINS, 2011, 17, 317–326)

Keywords

ChildrenCopingLongitudinal studyModerator variablePost-concussive symptomsTraumatic brain injury
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 17 , Issue 2 , 28 February 2011 , pp. 317 - 326
Copyright
Copyright © The International Neuropsychological Society 2011

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References

American Association for Automotive Medicine. (1990). The Abbreviated Injury Scale (AIS) - 1990 revision. Des Plaines: American Association for Automotive Medicine.Google Scholar
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.Google Scholar
Anson, K., Ponsford, J. (2006). Coping and emotional adjustment following traumatic brain injury. Journal of Head Trauma Rehabilitation, 21, 248–259.CrossRefGoogle ScholarPubMed
Armstrong, F.D., Lemanek, K.L., Pegelow, C.H., Gonzalez, J.C., Martinez, A. (1993). Impact of lifestyle disruption on parent and child coping, knowledge, and parental discipline in children with sickle cell anemia. Children's Health Care, 22, 189–203.CrossRefGoogle Scholar
Axelrod, B., Fox, D.D., Less-Haley, P.R., Earnest, K., Dolezal-Wood, S., Goldman, R.S. (1996). Latent structure of the Postconcussion Syndrome Questionnaire. Psychological Assessment, 8, 422–427.CrossRefGoogle Scholar
Ayr, L.K., Yeates, K.O., Taylor, H.G., Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. Journal of the International Neuropsychological Society, 15, 19–30.CrossRefGoogle Scholar
Bachanas, P.J., Kullgren, K.A., Schwartz, K.S., Lanier, B., McDaniel, J.S., Smith, J., Nesheim, S. (2001). Predictors of psychological adjustment in school-age children infected with HIV. Journal of Pediatric Psychology, 26, 343–352.CrossRefGoogle ScholarPubMed
Band, E.B., Weisz, J.R. (1988). How to feel better when it feels bad: Children's perspectives on coping with everyday stress. Developmental Psychology, 24, 247–253.CrossRefGoogle Scholar
Barlow, K.M., Crawford, S., Stevenson, A., Sandhu, S.S., Belanger, F., Dewey, D. (2010). Epidemiology of postconcussion syndrome in pediatric mild traumatic brain injury. Pediatrics, 126, 374–381.CrossRefGoogle ScholarPubMed
Barry, C.T., Taylor, H.G., Klein, S., Yeates, K.O. (1996). The validity of neurobehavioral symptoms reported in children after traumatic brain injury. Child Neuropsychology, 2, 213–226.CrossRefGoogle Scholar
Bazarian, J.J., McClung, J., Shah, M.N., Cheng, Y.T., Flesher, W., Kraus, J. (2005). Mild traumatic brain injury in the United States, 1998-2000. Brain Injury, 19, 85–91.CrossRefGoogle ScholarPubMed
Bland, J.M., Altman, D.G. (1997). Cronbach's alpha. British Medical Journal, 314, 572.CrossRefGoogle ScholarPubMed
Bohnen, N., Joelles, J., Twijnstra, A., Mellink, R., Sulon, J. (1992). Coping styles, cortisol reactivity, and performance in a vigilance task of patients with persistent postconcussive symptoms after a mild head injury. Journal of Neuroscience, 64, 97–105.Google Scholar
Campbell, L.K., Scaduto, M., Van Slyke, D., Niarhos, F., Whitlock, J.A., Compas, B.E. (2009). Executive function, coping, and behavior in survivors of childhood acute lymphocytic leukemia. Journal of Pediatric Psychology, 34, 317–327.CrossRefGoogle ScholarPubMed
Carroll, L.J., Cassidy, J.D., Peloso, P.M., Borg, J., von Holst, H., Holm, L., Pépin, M. (2004). Prognosis for mild traumatic brain injury: Results of the WHO collaborating Centre Task Force on Mild Traumatic Brain Injury. Journal of Rehabilitation Medicine, Supplement 43, 84–105.CrossRefGoogle Scholar
Casey, R., Brown, R.T., Bakeman, R. (2000). Predicting adjustment in children and adolescents with sickle cell disease: A test of the risk-resistance-adaptation model. Rehabilitation Psychology, 45, 155–178.CrossRefGoogle Scholar
Cassidy, J.D., Carroll, L.J., Peloso, P.M., Borg, J., Von Holst, H., Holm, L., Coronado, V.G. (2004). Incidence, risk factors and prevention of mild traumatic brain injury: Results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. Journal of Rehabilitation Medicine, Supplement 43, 28–60.CrossRefGoogle Scholar
Cauce, A.M., Ryan, K.D., Grove, K. (1998). Children and adolescents of color, where are you? Participation, selection, recruitment, and retention in developmental research. In V. C. McLoyd & L. Steinberg (Eds.), Studying minority adolescents: Conceptual, methodological, and theoretical issues. Mahwah, NJ: Lawrence Erlbaum.Google Scholar
Cicerone, K.D., Kalmar, K. (1995). Persistent postconcussion syndrome: The structure of subjective complaints after mild traumatic brain injury. Journal of Head Trauma Rehabilitation, 10, 1–17.CrossRefGoogle Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Erlbaum.Google Scholar
Compas, B. (1987). Coping with stress during childhood and adolescence. Psychological Bulletin, 101, 393–403.CrossRefGoogle ScholarPubMed
Compas, B.E., Boyer, M.C. (2001). Coping and attention: Implications for child health and pediatric conditions. Developmental and Behavioral Pediatrics, 22, 323–333.CrossRefGoogle ScholarPubMed
Compas, B.E., Boyer, M.C., Stanger, C., Dufton, L.M., Cole, D.A. (2006). Latent variable analysis of coping, anxiety/depression, and somatic symptoms in adolescents with chronic pain. Journal of Consulting and Clinical Psychology, 74, 1132–1142.CrossRefGoogle ScholarPubMed
Compas, B.E., Connor-Smith, J.K., Saltzman, H., Thomsen, A.H., Wadsworth, M.E. (2001). Coping with stress during childhood and adolescence: Problems, progress, and potential theory and research. Psychological Bulletin, 127, 87–127.CrossRefGoogle ScholarPubMed
Donaldson, D., Prinstein, M.J., Danovsky, M., Spirito, A. (2000). Patterns of children's coping with life stress. American Journal of Orthopsychiatry, 70, 351–359.CrossRefGoogle ScholarPubMed
Fay, T.B., Yeates, K.O., Taylor, H.G., Bangert, B., Dietrich, A., Nuss, K.E., Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. Journal of the International Neuropsychological Society, 16, 94–105.CrossRefGoogle ScholarPubMed
Ganesalingam, K., Yeates, K.O., Ginn, M.S., Taylor, H.G., Dietrich, A., Nuss, K., Wright, M. (2008). Family burden and parental distress following mild traumatic brain injury in children and its relationship to post-concussive symptoms. Journal of Pediatric Psychology, 33, 621–629.CrossRefGoogle ScholarPubMed
Gerber, D.J., Schraa, J.C. (1995). Mild traumatic brain injury: Searching for the syndrome. Journal of Head Trauma Rehabilitation, 10, 28–40.CrossRefGoogle Scholar
George, D., Mallery, P. (2003). SPSS for Windows step by step: A simple guide and reference. 11.0 update (4th ed.). Boston: Allyn & Bacon.Google Scholar
Gouvier, W.D., Cubic, B., Jones, G., Brantley, P., Cutlip, Q. (1992). Postconcussion symptoms and daily stress in normal and head-injured college populations. Archives of Clinical Neuropsychology, 7, 193–211.CrossRefGoogle ScholarPubMed
Grey, M., Berry, D. (2004). Coping skills training and problem solving in diabetes. Current Diabetes Report, 4, 126–131.CrossRefGoogle ScholarPubMed
Kashluba, S., Casey, J.E., Paniak, C. (2006). Evaluating the utility of ICD-10 diagnostic criteria for postconcussion syndrome following mild traumatic brain injury. Journal of the International Neuropsychological Society, 12, 111–118.CrossRefGoogle ScholarPubMed
Kay, T. (1992). Neuropsychological diagnosis: Disentangling the multiple determinants of functional disability after mild traumatic brain injury. Physical Medicine and Rehabilitation, 6, 109–127.Google Scholar
King, N.S., Crawford, S., Wenden, F.J., Caldwell, F.E., Wade, D.T. (1999). Early prediction of persisting post-concussion symptoms following mild and moderate head injuries. British Journal of Clinical Psychology, 38, 15–25.CrossRefGoogle ScholarPubMed
Landre, N., Poppe, C.J., Davis, N., Schmaus, B., Hobbs, S.E. (2006). Cognitive functioning and postconcussive symptoms in trauma patients with and without mild TBI. Archives of Clinical Neuropsychology, 21, 255–273.CrossRefGoogle ScholarPubMed
Langlois, J.A., Rutland-Brown, W., Thomas, K.E. (2006). Traumatic brain injury in the United States: Emergency department visits, hospitalizations, and deaths. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control.Google Scholar
Lazarus, R.S., Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer Publishing.Google Scholar
Light, R., Asarnow, R., Satz, P., Zucha, K., McCleary, C., Lewis, R. (1998). Mild closed-head injury in children and adolescents: Behavior problems and academic outcomes. Journal of Consulting and Clinical Psychology, 66, 1023–1029.CrossRefGoogle ScholarPubMed
Losoya, S., Eisenberg, N., Fabes, R.A. (1998). Developmental issues in the study of coping. International Journal of Behavioral Development, 22, 287–313.CrossRefGoogle Scholar
Malia, K., Powell, G., Torode, S. (1995). Coping and psychosocial function after brain injury. Brain Injury, 9, 607–618.CrossRefGoogle ScholarPubMed
Maillard-Wermelinger, A., Yeates, K.O., Taylor, H.G., Rusin, J., Bangert, J., Dietrich, A., Wright, M. (2009). Mild traumatic brain injury and executive functions in school-aged children. Developmental Neurorehabilitation, 12, 330–341.CrossRefGoogle ScholarPubMed
McCall, R.B., Appelbaum, M.I. (1973). Bias in the analysis of repeated-measures designs: Some alternative approaches. Child Development, 44, 401–415.CrossRefGoogle Scholar
Miller, K.S., Vannatta, K., Compas, B.E., Vasey, M., McGoron, K.D., Salley, C.G., Gerhardt, C.A. (2009). The role of coping and temperament in the adjustment of children with cancer. Journal of Pediatric Psychology, 34, 1135–1143.CrossRefGoogle ScholarPubMed
Mittenberg, W., Canyock, E.M., Condit, D., Patton, C. (2001). Treatment of post-concussion syndrome following mild head injury. Journal of Clinical and Experimental Neuropsychology, 23, 829–836.CrossRefGoogle ScholarPubMed
Mittenberg, W., Miller, L.J., Luis, C.A. (1997). Postconcussion syndrome persists in children. The Clinical Neuropsychologist, 11, 305.Google Scholar
Mittenberg, W., Wittner, M.S., Miller, L.J. (1997). Postconcussion syndrome occurs in children. Neuropsychology, 11, 447–452.CrossRefGoogle ScholarPubMed
Nacajauskaite, O., Endziniene, M., Jureniene, K., Schrader, H. (2006). The validity of post-concussion syndrome in children: A controlled historical cohort study. Brain and Development, 28, 507–514.CrossRefGoogle ScholarPubMed
Osler, T., Bakker, S.P., Long, W.A. (1997). A modification of the injury severity score that both improves accuracy and simplifies scoring. Journal of Trauma, 43, 922–925.CrossRefGoogle ScholarPubMed
Ponsford, J., Willmott, C., Rothwell, A., Cameron, P., Ayton, G., Nelms, R., Ng, K. (1999). Cognitive and behavioral outcome following mild traumatic head injury in children. Journal of Head Trauma Rehabilitation, 14, 360–372.CrossRefGoogle ScholarPubMed
Rollnik, J.D., Karst, M., Fink, M., Dengler, R. (2001). Coping strategies in episodic and chronic tension-type headaches. Headache, 41, 297–302.CrossRefGoogle Scholar
Satz, P., Zaucha, K., McCleary, C., Light, R., Asarnow, R. (1997). Mild head injury in children and adolescents: A review of studies (1970-1995). Psychological Bulletin, 122, 107–131.CrossRefGoogle ScholarPubMed
Stevens, G., Cho, J.H. (1985). Socioeconomic indexes and the new 1980 census occupational classification scheme. Social Science Research, 14, 142–168.CrossRefGoogle Scholar
Taylor, H.G., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Yeates, K.O. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology, 24, 148–159.CrossRefGoogle ScholarPubMed
Teasdale, G., Jennett, B. (1974). Assessment of coma and impaired consciousness: A practical scale. Lancet, 2, 81–84.CrossRefGoogle ScholarPubMed
Thompson, R.J., Gil, K.M., Burbach, D.J., Keith, B.R., Kinney, T.R. (1993). Role of child and maternal processes in the psychological adjustment of children with sickle cell disease. Journal of Consulting and Clinical Psychology, 61, 468–474.CrossRefGoogle ScholarPubMed
Tobin, D.L., Holroyd, K.A., Reynolds, R.V.C. (1984). User's manual for the Coping Strategies Inventory. Unpublished manuscript. Athens, OH: Ohio University.Google Scholar
Tobin, D.L., Holroyd, K.A., Reynolds, R.V.C., Wigal, J.K. (1989). The hierarchical factor structure of the Coping Strategies Inventory. Cognitive Therapy and Research, 13, 343–361.CrossRefGoogle Scholar
Van Zomeren, A.H., van den Burg, W. (1985). Residual complaints of patients two years after severe head injury. Journal of Neurology, Neurosurgery, and Psychiatry, 48, 21–28.CrossRefGoogle ScholarPubMed
Wood, R.L. (2004). Understanding the ‘miserable minority’: A diathesis-stress paradigm for post-concussional syndrome. Brain Injury, 18, 1135–1153.CrossRefGoogle Scholar
World Health Organization (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.Google Scholar
Yancey, A.K., Ortega, A.N., Kumanyika, S.K. (2006). Effective recruitment and retention of minority research participants. Annual Review of Public Health, 27, 1–28.CrossRefGoogle ScholarPubMed
Yeates, K.O., Luria, J., Bartkowski, H., Rusin, J., Martin, L., Bigler, E.D. (1999). Postconcussive symptoms in children with mild closed head injuries. Journal of Head Trauma Rehabilitation, 14, 337–350.CrossRefGoogle ScholarPubMed
Yeates, K.O., Taylor, H.G. (2005). Neurobehavioral outcomes of mild head injury in children and adolescents. Pediatric Rehabilitation, 8, 5–16.Google ScholarPubMed
Yeates, K.O., Taylor, H.G., Barry, C.T., Drotar, D., Wade, S.L., Stancin, T. (2001). Neurobehavioral symptoms in childhood closed-head injuries: Changes in prevalence and correlates during the first year post injury. Journal of Pediatric Psychology, 26, 79–91.CrossRefGoogle Scholar
Yeates, K.O., Taylor, H.G., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Jones, B.L. (2009). Longitudinal trajectories of post-concussive symptoms in children with mild traumatic brain injuries and their relationship to acute clinical status. Pediatrics, 123, 735–743.CrossRefGoogle ScholarPubMed