Examination of traumatic brain injury exposure among veterans with spinal cord injury
| Autor: | Lisa Ottomanelli, Eni Njoh, Lance L. Goetz, Maggi A. Budd, Scott D. Barnett, Thomas M. Dixon |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Traumatic brain injury medicine.medical_treatment Poison control Physical Therapy Sports Therapy and Rehabilitation Severity of Illness Index Occupational safety and health 03 medical and health sciences 0302 clinical medicine Brain Injuries Traumatic Severity of illness Injury prevention Humans Medicine Prospective Studies Spinal cord injury Spinal Cord Injuries Veterans Rehabilitation business.industry 030229 sport sciences Middle Aged medicine.disease Functional Independence Measure United States Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Physical therapy Female business 030217 neurology & neurosurgery |
| Zdroj: | Rehabilitation Psychology. 62:345-352 |
| ISSN: | 1939-1544 0090-5550 |
| Popis: | Objective The authors investigated lifetime exposure to traumatic brain injury (TBI) among veterans with spinal cord injury (SCI) in order to describe outcome differences as a function of self-reported TBI history. Design Cross sectional study, veterans with SCI (N = 857) completed the Ohio State University TBI Identification interview method (OSU-TBI); Veterans RAND 36-Item Health Survey (VR-36); Quick Inventory for Depressive Symptomatology, Self-Report (QIDS-SR); Patient Health Questionnaire-9; Satisfaction with Life Scale; Craig Handicap Assessment and Reporting Technique (CHART; along with clinician-rated Functional Independence Measure (FIM) Total, Motor, and Cognitive scores. Results Probable TBI exposure was described by 77.6% of participants, with 38% reporting sustaining more than one injury. Self-reported TBIs classified as moderate/severe comprised 49.5% of injuries. Participants with self-reported TBI obtained significantly lower scores on the FIM-Cognitive and CHART Cognitive Independence scales and reported more alcohol use. A history of multiple TBIs was additionally associated with lower mental well-being on the VR-36. Conclusions These findings highlight the need to consider more than co-occurring injuries and the potential utility of the OSU-TBI for this purpose. Recognizing lifetime exposure to TBI among veterans with SCI may help identify those with broader impairments and enhance the rehabilitation process. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
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