Relationships between Changes in Coping Strategies and Community Integration Status at 6 and 12 Months after Traumatic Brain Injury

The purpose of this prospective cohort study was to determine the relationships between changes in coping strategies and community integration at 6 and 12 months post traumatic brain injury (TBI). Seventy-one participants were adult significant others (SOs) (family members/friends) of people with TBI. SOs, proxies for TBI patients, completed coping and community integration questionnaire to describe TBI patients’pre-injury status immediately post-injury as baseline information. Followed-up interviewed were completed at 6 and 12 months. Results showed that increased emotional preoccupation coping from baseline to 6 months were significantly associated with decreased productive activities and decreased social integration at 6 months and 12 months and modestly associated with decreased home integration at 12 months. Multivariable regressions showed that changes in emotional preoccupation coping from baseline to 6 months contributed significantly to social integration and productive activities above and beyond demographic factors and injury severity. Implications for cognitive rehabilitation are discussed.MAS