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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Executive function and coping at one-year post traumatic brain injury.

Katherine M Krpan1, Brian Levine, Donald T Stuss

  • 1Kunin-Lunenfeld Applied Research Unit, Baycrest, University of Toronto, Toronto, Canada.

Journal of Clinical and Experimental Neuropsychology
|December 13, 2006
PubMed
Summary

Executive function impacts coping strategies after traumatic brain injury (TBI). Better executive function correlates with adaptive, problem-focused coping, while poorer function links to maladaptive, emotion-focused coping in TBI survivors.

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Area of Science:

  • Neuroscience
  • Psychology
  • Rehabilitation Medicine

Background:

  • Traumatic brain injury (TBI) can significantly impair cognitive abilities, including executive function.
  • Coping mechanisms are crucial for adaptation following TBI, but their relationship with cognitive deficits remains incompletely understood.

Purpose of the Study:

  • To investigate the association between executive function and coping strategies one year after TBI.
  • To determine if executive function predicts adaptive versus maladaptive coping mechanisms post-TBI.

Main Methods:

  • A cohort of individuals with TBI and a matched control group were assessed.
  • Participants completed a coping questionnaire and a battery of neuropsychological tests measuring executive function.
  • Hierarchical regression analysis was employed to examine the predictive value of executive function.

Main Results:

  • In the TBI group, higher executive function scores were associated with increased use of problem-focused coping strategies.
  • Lower executive function scores in the TBI group correlated with greater reliance on emotion-focused coping strategies.
  • Executive function significantly predicted problem-focused coping, independent of pre-morbid intelligence and injury severity.

Conclusions:

  • Executive function plays a significant role in determining coping strategy selection after TBI.
  • Findings suggest that cognitive rehabilitation targeting executive functions may enhance adaptive coping in TBI survivors.
  • Interventions aimed at improving executive function could facilitate more effective coping mechanisms post-injury.