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

Rutterford, Neil A. and Wood, Rodger Ll. (2006) Evaluating a theory of stress and adjustment when predicting long term psychosocial outcome after brain injury. Journal of the International Neuropsychological Society, 12 (3). pp. 359-367. ISSN 1469-7661

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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.

Item Type: Article
Faculty \ School: Faculty of Social Sciences > School of Social Work and Psychology (former - to 2012)
Faculty of Social Sciences > School of Psychology
Depositing User: Katherine Humphries
Date Deposited: 20 Dec 2010 10:56
Last Modified: 10 Aug 2023 16:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/18440
DOI: 10.1017/S1355617706060450

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