Abstract
Objective
To evaluate psychometric properties of the Coping Inventory for Stressful Situations
(CISS) in individuals with traumatic brain injury (TBI).
Design
Archival study using Rasch analysis.
Setting
Postacute rehabilitation hospital.
Participants
Adults (N=331) 1 to 15 years after moderate to severe TBI, recruited consecutively.
Interventions
Not applicable.
Main Outcome Measure
CISS.
Results
Indices of unidimensionality and model fit supported the scale's proposed multidimensional
structure consisting of Task, Emotion, and Avoidant coping style; 3 unidimensional
scales showed better fit than a single combined scale. The 3 scales met Rasch expectations
of reliability and separation for persons and items, as well as adequate response
category functioning. The scales were generally well targeted but showed some evidence
of ceiling effect for Task, and floor effects for Emotion and Avoidant coping; item
difficulties did not fully capture extreme ranges demonstrated by some participants,
suggesting that measurement of coping after TBI on the CISS would be improved with
additional items at low and high ranges of difficulty. Results were generally equivalent
for cross-sectional groups representing short-term (1y), intermediate (2y), and long-term
(5–15y).
Conclusions
The CISS showed good psychometric properties as a measure of coping style among persons
with moderate to severe TBI in acute and chronic phases of recovery, and showed evidence
of multidimensionality as predicted by theory, consistent with 3 unidimensional scales.
Added items tapping broader (or more accessible, less cognitively complex) ranges
of coping responses would likely benefit the scale overall and improve correspondence
with the response needs of people with TBI.
Keywords
List of abbreviations:
CISS (Coping Inventory for Stressful Situations), TBI (traumatic brain injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: November 24, 2014
Footnotes
Supported by the National Institute on Disability and Rehabilitation Research (grant no. H133A020515-03) and Wayne State University Thesis Research Support.
Disclosures: none.
Identification
Copyright
© 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
