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Coping with burns: the role of coping self-efficacy in the recovery from traumatic stress following burn injuries.

Bosmans MW, Hofland HW, De Jong AE, Van Loey NE - J Behav Med (2015)

Bottom Line: CSE during initial admission was by far the strongest predictor of both initial PTSD symptoms and degree of symptom change with higher CSE levels associated with lower initial symptoms and a steeper decline of symptoms over time.Of the other variables only avoidant coping was associated with higher initial symptom levels, and only emotional expression associated with greater rate of recovery.Implications of findings are discussed.

View Article: PubMed Central - PubMed

Affiliation: INTERVICT, Tilburg University, Tilburg, The Netherlands, m.w.g.bosmans@tilburguniversity.edu.

ABSTRACT
We conducted a three-wave prospective study among patients with burns (N = 178) to examine the prospective influence of coping self-efficacy (CSE) perceptions on trajectories of posttraumatic stress symptoms in the first 12 months after burn injuries. Using linear growth curve modeling, we corrected for demographics, the number of surgeries during initial admittance, trait coping styles, and changing levels of health-related quality of life. CSE during initial admission was by far the strongest predictor of both initial PTSD symptoms and degree of symptom change with higher CSE levels associated with lower initial symptoms and a steeper decline of symptoms over time. Of the other variables only avoidant coping was associated with higher initial symptom levels, and only emotional expression associated with greater rate of recovery. Current findings suggest that CSE plays a pivotal role in recovery from posttraumatic stress after a burn injury, even when the role of burn-related impairments is taken into consideration. Implications of findings are discussed.

No MeSH data available.


Related in: MedlinePlus

Final model
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Fig1: Final model

Mentions: The final model which included CSE, coping styles, demographics and burn severity measured at T1 (Model 3, see Fig. 1) also had good overall fit χ2 (54, N = 178) = 80.238, p = .001, CFI = .881, TLI = .921, RMSEA = .062 [CI .039–.083]. Results (see Table 2) show that 26.2 % of variance in individual development of PTSD symptoms was explained in the model. Of the predictors, CSE is negatively associated with initial PTSD symptom levels (β = −.67 Z = −8.287, p < .001), and avoidant coping is positively associated with PTSD levels (β = .144 Z = 1.940, p = .052).2 None of the other demographic variables, number of surgeries, nor the remaining coping styles are significantly related to initial PTSD levels. When we look at the development of PTSD symptomatology over time, only CSE (β = .46 Z = 4.558, p < .001) and emotional expressive coping (β = .13 Z = 2.002, p = .045) have a significant impact on the slope of symptoms, with higher levels of CSE and higher levels of emotional expression associated with a greater slope of recovery. In other words, when correcting for demographics, number of surgeries and coping styles, only CSE perceptions and emotional expressive coping independently affect the rate of decline in PTSD symptoms. After adding the time-invariant predictors to the model, HRQOL at T1 is no longer significantly associated with PTSD symptom levels. For covariates in the final model see Table 3.Fig. 1


Coping with burns: the role of coping self-efficacy in the recovery from traumatic stress following burn injuries.

Bosmans MW, Hofland HW, De Jong AE, Van Loey NE - J Behav Med (2015)

Final model
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4496529&req=5

Fig1: Final model
Mentions: The final model which included CSE, coping styles, demographics and burn severity measured at T1 (Model 3, see Fig. 1) also had good overall fit χ2 (54, N = 178) = 80.238, p = .001, CFI = .881, TLI = .921, RMSEA = .062 [CI .039–.083]. Results (see Table 2) show that 26.2 % of variance in individual development of PTSD symptoms was explained in the model. Of the predictors, CSE is negatively associated with initial PTSD symptom levels (β = −.67 Z = −8.287, p < .001), and avoidant coping is positively associated with PTSD levels (β = .144 Z = 1.940, p = .052).2 None of the other demographic variables, number of surgeries, nor the remaining coping styles are significantly related to initial PTSD levels. When we look at the development of PTSD symptomatology over time, only CSE (β = .46 Z = 4.558, p < .001) and emotional expressive coping (β = .13 Z = 2.002, p = .045) have a significant impact on the slope of symptoms, with higher levels of CSE and higher levels of emotional expression associated with a greater slope of recovery. In other words, when correcting for demographics, number of surgeries and coping styles, only CSE perceptions and emotional expressive coping independently affect the rate of decline in PTSD symptoms. After adding the time-invariant predictors to the model, HRQOL at T1 is no longer significantly associated with PTSD symptom levels. For covariates in the final model see Table 3.Fig. 1

Bottom Line: CSE during initial admission was by far the strongest predictor of both initial PTSD symptoms and degree of symptom change with higher CSE levels associated with lower initial symptoms and a steeper decline of symptoms over time.Of the other variables only avoidant coping was associated with higher initial symptom levels, and only emotional expression associated with greater rate of recovery.Implications of findings are discussed.

View Article: PubMed Central - PubMed

Affiliation: INTERVICT, Tilburg University, Tilburg, The Netherlands, m.w.g.bosmans@tilburguniversity.edu.

ABSTRACT
We conducted a three-wave prospective study among patients with burns (N = 178) to examine the prospective influence of coping self-efficacy (CSE) perceptions on trajectories of posttraumatic stress symptoms in the first 12 months after burn injuries. Using linear growth curve modeling, we corrected for demographics, the number of surgeries during initial admittance, trait coping styles, and changing levels of health-related quality of life. CSE during initial admission was by far the strongest predictor of both initial PTSD symptoms and degree of symptom change with higher CSE levels associated with lower initial symptoms and a steeper decline of symptoms over time. Of the other variables only avoidant coping was associated with higher initial symptom levels, and only emotional expression associated with greater rate of recovery. Current findings suggest that CSE plays a pivotal role in recovery from posttraumatic stress after a burn injury, even when the role of burn-related impairments is taken into consideration. Implications of findings are discussed.

No MeSH data available.


Related in: MedlinePlus