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Associations between executive functioning, coping, and psychosocial functioning after acquired brain injury
Gisela Wolters Gregório1,2, Rudolf W H M Ponds1,3, Sanne M J Smeets1
1Faculty of Health, Medicine and Life Sciences, Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, The Netherlands.
The British Journal of Clinical Psychology
|January 15, 2015
Summary
Individuals with executive functioning difficulties after acquired brain injury (ABI) often use passive coping, leading to lower quality of life and more depression. Targeting these coping styles is key for treatment.
Area of Science:
- Neuroscience
- Psychology
- Rehabilitation Medicine
Background:
- Acquired brain injury (ABI) can lead to persistent neuropsychiatric symptoms.
- Executive functioning deficits are common after ABI and impact daily life.
- Understanding the interplay between executive function, coping, and psychosocial outcomes is crucial for effective rehabilitation.
Purpose of the Study:
- To investigate the relationships between executive functioning, coping strategies, depressive symptoms, and quality of life in individuals post-ABI.
- To identify potential targets for therapeutic interventions to improve psychosocial well-being after ABI.
Main Methods:
- A cross-sectional study involving 93 individuals with ABI (post-acute/chronic phase) and 58 significant others.
- Utilized standardized measures including the Trail Making Test, Stroop Colour Word Test, and questionnaires for executive function, coping, depression, and life satisfaction.
- Analyzed data using multiple regression analyses to explore associations between variables.
Main Results:
- Self-reported executive dysfunction was significantly associated with increased use of passive coping styles.
- Passive coping was strongly linked to lower quality of life and higher levels of depressive symptoms.
- Problem-focused coping was associated with higher quality of life, but only in individuals with better executive functioning.
Conclusions:
- Individuals reporting executive functioning difficulties post-ABI tend to adopt maladaptive passive coping styles, highlighting a target for clinical intervention.
- Problem-focused coping may be beneficial for those with intact executive abilities, while others might benefit from seeking social support or acceptance.
- Coping strategies significantly mediate the relationship between executive functioning and psychosocial outcomes in the ABI population.
Keywords:
adaptationbrain injuriesexecutive functionneuropsychological testspsychologicalquality of lifeMore Related Videos
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