Predictors of coping efficacy, negative moods and post-traumatic stress syndrome following major trauma

Authors: Tsay, Shiow-Luan1; Halstead, Marilyn Tuls2; McCrone, Susan3

Source: International Journal of Nursing Practice, Volume 7, Number 2, April 2001 , pp. 74-83(10)

Publisher: Blackwell Publishing

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Abstract:

Tsayut S-L, Tuls Halstead M, McCrone S. International Journal of Nursing Practice 2001; 7: 74-83

Predictors of coping efficacy, negative moods and post-traumatic stress syndrome following major trauma

The purpose of the study was to test relationships among injury appraisals, coping, social support and outcomes of coping efficacy, mood states and post-traumatic stress syndrome. A purposive sample of 152 hospitalized patients a week following major trauma was recruited from two trauma centres. The measures included the modified Ways of Coping Scale; the brief Social Support Questionnaire; the brief Profile of Mood State; the Impact of Event Scale; and selected demographic and injury related variables. Data were analyzed by multivariate statistics. The results indicated that perceived controllability, satisfaction with social support, wishful-thinking coping and problem-focused coping were the significant predictors for coping efficacy; perceived stressfulness, problem-focused coping and wishful thinking explained a significant amount of variance in mood states; avoidance coping and wishful-thinking coping were predictors for post-traumatic stress syndrome. The moderating effects of emotion-focused coping at high and medium levels were identified.

Keywords: coping efficacy; negative moods; PTSS; social support; trauma

Document Type: Research article

DOI: 10.1046/j.1440-172X.2001.00257.x

Affiliations: 1: Associate Professor, National Taipei College of Nursing, Taipei, Taiwan, Republic of China 2: Assistant Professor, Towson State University, Towson, Maryland, United States of America 3: Associate Professor, University of Maryland, Baltimore, Maryland, USA

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