Complaints following Mild Traumatic Brain Injury (mTBI) and the role of Coping

Myrthe Scheenen, Myrthe de Koning, Harm van der Horn, Joukje van der Naalt, Jacoba Spikman

OnderzoeksoutputAcademic

Samenvatting

Background and aims: Although most mTBI patients recover fully, a minority has long-lasting complaints that interfere with resumption of previous activities. Experiencing substantial complaints early after trauma is commonly viewed as a precursor of a worse recovery. We hypothesized that coping plays a role in recovery and that patients with more complaints have less adequate coping strategies. Results: The questionnaires were completed by 788 patients (mean age of 39.9 (15.7) years, range 16-65) and GCS scores ranging from 13-15). At two weeks post trauma 53% of all patients reported having complaints. The most frequently reported complaints were headache, dizziness and increased fatigability. Patients with complaints were characterized by a significantly higher use of an inadequate passive coping style (t(672)= -3.7, p<.001), when compared to the patients without complaints. Methods: Multicenter prospective cohort study of mTBI patients admitted to the Emergency Department. Patients received a baseline questionnaire at two weeks post trauma covering complaints and coping styles. Having complaints was defined as reporting three or more complaints (with at least one in the cognitive- or social emotional domain). Coping profiles were divided in passive versus active coping styles. Conclusions: Early reporting of complaints has been viewed as a precursor of worse recovery following mTBI. Patients with complaints have a higher tendency of using passive coping styles which could be related to the development of long-lasting complaints. We conclude that coping style is an area of particular interest when it comes to the development of intervention strategies aimed at the prevention of long-lasting complaints following mTBI.
Originele taal-2English
StatusPublished - 3-jul-2015
Evenement5th INS/ASSBI Pacific Rim Conference 2015 - Sofitel Wentworth Hotel, Sydney, Australia
Duur: 1-jul-20154-jul-2015

Conference

Conference5th INS/ASSBI Pacific Rim Conference 2015
Land/RegioAustralia
StadSydney
Periode01/07/201504/07/2015

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