Understanding adjustment following traumatic brain injury: Is the Goodness-of-Fit coping hypothesis useful?

Kendall, Elizabeth and Terry, Deborah J. (2008) Understanding adjustment following traumatic brain injury: Is the Goodness-of-Fit coping hypothesis useful?. Social Science and Medicine, 67 8: 1217-1224. doi:10.1016/j.socscimed.2008.05.033


Author Kendall, Elizabeth
Terry, Deborah J.
Title Understanding adjustment following traumatic brain injury: Is the Goodness-of-Fit coping hypothesis useful?
Journal name Social Science and Medicine   Check publisher's open access policy
ISSN 0277-9536
1873-5347
Publication date 2008-10
Sub-type Article (original research)
DOI 10.1016/j.socscimed.2008.05.033
Volume 67
Issue 8
Start page 1217
End page 1224
Total pages 8
Place of publication Kidlington, Oxford, United Kingdom
Publisher Pergamon
Language eng
Abstract Coping efforts have been recognised as an important aspect of resilience following traumatic brain injury, but little is known about what constitutes effective coping in this population. This longitudinal research examined the usefulness of the Goodness-of-Fit hypothesis, drawn from the Lazarus and Folkman [(1984). Stress, appraisal and coping. NY: Springer.] theory of stress and coping, as a way of understanding coping effectiveness. The hypothesis suggests that the nature and success of specific coping strategies will be associated with the controllability of the event. If an event is relatively uncontrollable, then emotion-focused or perception-focused coping may be more effective than problem-focused coping. In contrast, a controllable event may be best managed through problem-focused coping. Ninety people with traumatic brain injury, drawn from the inpatient rehabilitation unit of a major metropolitan hospital in Australia, and their relatives participated in this longitudinal study. No support was found for the Goodness-of-Fit model, either in the short term or the long term. Although the use of problem-focused coping strategies was positively associated with short-term and long-term role functioning, it was not associated with long-term emotional well-being if the situation was perceived to be controllable. The findings suggest that the persistent use of problem-focused coping in response to the difficulties created by traumatic brain injury can be associated with emotional distress in the long term. Reasons for this finding are explored and its implications are discussed.
Keyword Traumatic brain injury
Goodness-of-Fit hypothesis
Coping
Psychosocial adjustment
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Psychology Publications
 
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Created: Thu, 03 Sep 2009, 09:21:06 EST by Mr Andrew Martlew on behalf of School of Psychology