Predicting emotional well-being following traumatic brain injury: a test of mediated and moderated models

Kendall, Elizabeth and Terry, Deborah (2009) Predicting emotional well-being following traumatic brain injury: a test of mediated and moderated models. Social Science and Medicine, 69 6: 947-954. doi:10.1016/j.socscimed.2009.06.021

Author Kendall, Elizabeth
Terry, Deborah
Title Predicting emotional well-being following traumatic brain injury: a test of mediated and moderated models
Journal name Social Science and Medicine   Check publisher's open access policy
ISSN 0277-9536
Publication date 2009-09-01
Sub-type Article (original research)
DOI 10.1016/j.socscimed.2009.06.021
Open Access Status Not Open Access
Volume 69
Issue 6
Start page 947
End page 954
Total pages 8
Place of publication Kidlington, Oxford, United Kingdom
Publisher Pergamon
Language eng
Subject 3306 Health (social science)
Formatted abstract
This study examined two models for predicting emotional well-being following traumatic brain injury (TBI), namely the Lazarus and Folkman (1984) mediated model of stress and coping and the stress-buffer hypothesis (Cohen & Edwards, 1988). The mediated model suggests that antecedent variables (i.e., personal and environmental resources) will predict emotional well-being, but their effect will be mediated through cognitive variables, such as appraisal and coping. In contrast, the moderated (buffer) hypothesis suggests that resources will protect individuals from the effects of stress, so will have different relationships with outcome at different levels of perceived stress. Ninety individuals with TBI were recruited from a major hospital in Brisbane, Australia. They and their relatives completed questionnaires at three time intervals: discharge, one month and nine months post-discharge, discharge being in 1998. Hierarchical regression was used to examine the relationships among the proposed predictors, mediators and outcomes. Support was found for some aspects of both models in the short-term. In the long-term, stress-buffer effects were no longer apparent. However, with the exception of family support, the predictors all influenced long-term adjustment through their impact on short-term adjustment. The role of family support as a direct predictor of emotional well-being in the long-term is highlighted. The findings have the potential to enable the identification of "at risk" individuals prior to discharge and can highlight important foci for rehabilitation. Specifically, the study has identified the importance of early psychological intervention to address appraisal and the need to engage families in rehabilitation.
Keyword Traumatic brain injury
Mediating role of appraisal
Moderating role of appraisal
Emotional well-being
Adjustment outcomes
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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Citation counts: TR Web of Science Citation Count  Cited 18 times in Thomson Reuters Web of Science Article | Citations
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