Publication

Executive Functioning in Relation to Coping in Mild Versus Moderate-Severe Traumatic Brain Injury

Rakers, S. E., Scheenen, M. E., Westerhof-Evers, H. J., de Koning, M. E., van der Horn, H. J., van der Naalt, J. & Spikman, J. M., 2018, In : Neuropsychology. 32, 2, p. 213-219 7 p.

Research output: Contribution to journalArticleAcademicpeer-review

Copy link to clipboard

Documents

  • Executive Functioning

    Final publisher's version, 132 KB, PDF-document

DOI

OBJECTIVE: To examine associations between executive functioning (EF) and coping styles, separately for mild and moderate-severe traumatic brain injury (TBI) in the chronic phase postinjury.

METHOD: Patients with mild (n = 47) and moderate-severe TBI (n = 59) were included, in addition to healthy controls (HCs; n = 51). Assessment consisted of EF tests (Trail Making Test, Zoo Map Test, Controlled Oral Word Association Test) and questionnaires examining EF (Dysexecutive Questionnaire) and coping styles (Utrecht Coping List).

RESULTS: Moderate-severe TBI patients showed significant more EF deficits, lower active coping and higher passive coping than mild TBI patients and HCs, whereas mild TBI patients did not differ from HCs. In the moderate-severe TBI group, a higher number of self-reported EF problems was related to lower levels of active coping, r = -.43, p < .01 and higher levels of passive coping, r = .58, p < .001, with proxy-reports relating to lower levels of active coping, r = -.33, p < .05. For mild TBI, a higher amount of self-reported EF problems was related to lower levels of active coping, r = -.38, p < .05 and higher levels of passive coping, r = .55, p < .001, with proxy-reports relating to higher levels of passive coping, r = .39, p < .05. Except for mental flexibility, EF performances were not associated with coping.

CONCLUSIONS: This study shows strong associations between reported EF problems in daily life and coping styles. For moderate-severe TBI, proxy-reports may reflect EF impairments that complicate active problem-solving. However, reported EF problems by mild and moderate-severe TBI patients are also likely to reflect a psychological distress related to the way patients are inclined to deal with stressing situations that put a demand on their executive abilities. (PsycINFO Database Record

Original languageEnglish
Pages (from-to)213-219
Number of pages7
JournalNeuropsychology
Volume32
Issue number2
Early online date16-Oct-2017
Publication statusPublished - 2018

    Keywords

  • Executive functioning, Coping, Traumatic Brain Injury, Injury Severity, STRESS, HEALTH, COGNITIVE IMPAIRMENT, ECOLOGICAL VALIDITY, SELF-AWARENESS, PERSPECTIVE, PREDICTORS, SYMPTOMS, PATTERNS, SEQUELAE

View graph of relations

ID: 48318485