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Updated: May 23, 2026

Controlled Cortical Impact Model for Traumatic Brain Injury
Published on: August 5, 2014
Alexithymia and avoidance coping following traumatic brain injury
Rodger Ll Wood1, Caitríona Doughty
1Brain Injury Research Group, Department of Psychology, School of Human and Health Sciences, Swansea University, Swansea, Wales, United Kingdom. r.l.wood@swansea.ac.uk
Traumatic brain injury (TBI) survivors with alexithymia, characterized by difficulty identifying feelings, show higher psychological distress and maladaptive coping. Early screening for alexithymia can guide interventions to mitigate distress.
Area of Science:
- Neuroscience
- Psychology
- Rehabilitation Medicine
Background:
- Maladaptive coping styles after traumatic brain injury (TBI) are linked to emotional expression difficulties and psychological distress.
- Alexithymia, characterized by challenges in emotional processing, is frequently observed post-TBI.
Purpose of the Study:
- To investigate the interrelations between coping styles, alexithymia, and psychological distress in individuals with TBI.
- To compare these factors between TBI patients and healthy controls.
Main Methods:
- Seventy-one TBI patients and 54 healthy controls participated.
- Standardized measures included the Toronto Alexithymia Scale-20, Estonian COPE-D Inventory, Beck Depression Inventory-II, and Beck Anxiety Inventory.
Main Results:
- TBI patients demonstrated higher rates of alexithymia and psychological distress, alongside reduced task-oriented coping compared to controls.
- TBI patients with alexithymia exhibited increased avoidance coping and psychological distress.
- Difficulty identifying feelings significantly predicted psychological distress in TBI survivors.
Conclusions:
- Screening for alexithymia post-TBI is crucial for identifying individuals prone to maladaptive coping.
- Early identification facilitates timely rehabilitation interventions, potentially reducing long-term psychological distress.
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