• Login
    View Item 
    •   UMB Digital Archive
    • School, Graduate
    • Theses and Dissertations All Schools
    • View Item
    •   UMB Digital Archive
    • School, Graduate
    • Theses and Dissertations All Schools
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Appraisal, coping, social support, and posttraumatic stress of trauma patients one week following accidental injury

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Find Full text
    Author
    Tsay, Shiow-Luan
    Advisor
    McCrone, Susan Hillman
    Date
    1997
    Type
    dissertation
    
    Metadata
    Show full item record
    Abstract
    The purposes of the study are to test relationships among injury appraisals, coping, social support and outcomes of coping efficacy, mood states, and post-traumatic stress; and to test the interaction effects of coping and social support on the relationship of stress and outcomes in the traumatically injured individual one week following accidental injury. The conceptual model for the study is primary derived from the stress and coping theory which includes major components of stress appraisals, coping, social support, and outcomes. A sample of 152 hospitalized trauma patients a week following accidental injury were recruited from two trauma centers. The measures included the injury appraisal of perceived stressor, perceived stressfulness, perceived controllability, and perceived injury severity; the modified Ways of Coping Scale (WCS); the brief Social Support Questionnaire (SSQ); the brief Profile of Mood State (POMS); the Impact of Event Scale (IES); and selected demographic and injury related variables.;Data were analyzed by multivariate statistics. The results indicated that perceived controllability (beta=.17, p<.01), satisfaction with social support (beta=.27, p<.01), wishful thinking (beta=-.33, p<.01), and problem-focused coping (beta=.23, p<.01), were the significant predictors for coping efficacy; perceived stressfulness (beta=.33, p<.01), problem-focused coping (beta=-.19, p<.01), and wishful thinking (beta=.47, p<.01),explained a significant amount of variance in mood states; and avoidance coping (beta=.42, p<.01), and wishful thinking (beta=.23, p<.01), were the significant predictors for post-traumatic stress. The moderating effects of emotion-focused coping at high and medium levels were identified as the underlying mechanism that affects coping efficacy by enhancing negative effect of stress on outcome. No buffering effects of social support were identified in the study. These findings can be used to identify traumatically injured patients who are at risk for mood disturbance and post-traumatic stress in the trauma center. Nursing interventions to address these factors can be developed and tested. Longitudinal studies are needed for understanding the mechanism of relationships among appraisals, coping, social support and outcomes of coping efficacy, mood states, and post-traumatic stress.
    Description
    University of Maryland, Baltimore. Nursing. Ph.D. 1997
    Keyword
    Health Sciences, Nursing
    Psychology, Clinical
    Psychology, Cognitive
    Stress Disorders, Post-Traumatic
    Wounds and Injuries--psychology
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/1363
    Collections
    Theses and Dissertations All Schools
    Theses and Dissertations School of Nursing

    entitlement

     
    DSpace software (copyright © 2002 - 2022)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.