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Evaluating a theory of stress and adjustment when predicting long-term psychosocial outcome after brain injury

Published online by Cambridge University Press:  17 May 2006

NEIL A. RUTTERFORD  and
RODGER Ll. WOOD
NEIL A. RUTTERFORD
Affiliation:
Psychology Department, School of Human Sciences, University of Wales Swansea, United Kingdom
RODGER Ll. WOOD
Affiliation:
Psychology Department, School of Human Sciences, University of Wales Swansea, United Kingdom
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Abstract

Kendall and Terry (1996) include many psychosocial predictors in their theoretical model that explains individual differences in psychosocial adjustment (Lazarus & Folkman, 1984). The model depicts appraisal and coping variables as mediating relationships between situation factors, environmental and personal resources, and multidimensional outcome. The aim of this study was to explore these theoretical relationships at very late stages of recovery from traumatic brain injury. A total of 131 participants who were more than 10 years post-injury (mean = 15.31 years) completed several psychosocial measures relating to outcome dimensions comprising employment, community integration, life satisfaction, quality of life (QoL), and emotion. There was no evidence that appraisal and coping variables mediated relationships between psychosocial and any of the outcome variables. However, when appraisal and coping variables were combined with psychosocial variables as direct predictors of outcome, every outcome except employment status was reliably predicted, accounting for between 31 and 46% of the variance. Personality significantly influenced all predicted outcomes. Self-efficacy contributed to the prediction of all outcomes except QoL. Data did not support for the theory of stress and adjustment as a framework for explaining the nature of predictive relationships between psychosocial variables and very long-term, multidimensional outcome after brain injury. (JINS, 2006, 12, 359–367.)

Keywords

Psychosocial factorsBrain injuriesOutcome studiesPersonalityStressAdjustment
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 12 , Issue 3 , May 2006 , pp. 359 - 367
Copyright
© 2006 The International Neuropsychological Society

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