de Kruijff LGM, et al. - Researchers examined Dutch service members with combat-related injuries sustained during operation Task Force Uruzgan for change over time concerning coping, mobility, level of participation and health-related quality of life (HRQOL). They administered the lower extremity functional scale, the cognitive emotion regulation questionnaire, the assessment of life habits short version and the EuroQol-5D, measuring HRQOL, to Dutch service members in 2010 and 2014 with the response rate of 53% (28/53). The analysis revealed a significant increase in the score on the coping strategy self-blame over time with low scores on both occasions. The highest scores were evident for the coping strategies positive reappraisal and acceptance. Mobility, the level of participation or HRQOL showed no significant change. Findings thereby suggest that service members with combat-related injuries remain steady in the level of activity and participation and HRQOL in time and they utilize adaptive coping strategies.