The Prevalence of Traumatic Brain Injury Among People With Co-Occurring Mental Health and Substance Use Disorders
| Autor: | Robert E. Drake, Jennifer Bogner, Sachiko Donley, Sarah R Krassenbaum, John D. Corrigan, Gregory J. McHugo |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Substance-Related Disorders Poison control Physical Therapy Sports Therapy and Rehabilitation Comorbidity Ambulatory Care Facilities Severity of Illness Index Stress Disorders Post-Traumatic Young Adult 03 medical and health sciences Sex Factors 0302 clinical medicine Prevalence of mental disorders Brain Injuries Traumatic medicine Humans Prospective Studies 030212 general & internal medicine Psychiatry Borderline personality disorder business.industry Incidence Mental Disorders Antisocial personality disorder Rehabilitation Age Factors Middle Aged Prognosis medicine.disease Mental health United States Substance abuse Cross-Sectional Studies Mood disorders Female Self Report Neurology (clinical) business 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Journal of Head Trauma Rehabilitation. 32:E65-E74 |
| ISSN: | 0885-9701 |
| DOI: | 10.1097/htr.0000000000000249 |
| Popis: | OBJECTIVE: To estimate the rate and severity of traumatic brain injury (TBI) among people with co-occurring mental health and substance use disorders and to compare demographic, diagnostic, and institutionalization differences between those who screen positive or negative. Setting: Outpatient community mental health center in Washington, District of Columbia. Participants: A total of 295 people with co-occurring mental health and substance use disorders enrolled in a prospective study of integrated treatment of substance abuse. Design: Cross-sectional baseline assessment. Main Measures: The Ohio State University TBI Identification Method. Standardized measures assessed psychiatric diagnoses, symptom severity, current and lifetime substance use, and history of institutionalization. Results: Eighty percent screened positive for TBI, and 25% reported at least 1 moderate or severe TBI. TBI was associated with current alcohol use and psychiatric symptom severity and with lifetime institutionalization and homelessness. It was more common among participants with posttraumatic stress disorder, borderline personality disorder, and antisocial personality disorder. Men (vs women) and participants with psychotic disorders (vs those with mood disorders) had an earlier age of first TBI with loss of consciousness. Conclusion: TBI is common among people with co-occurring mental health and substance use disorders. Repeated and serious TBIs are common in this population. Failure to detect TBI in people with co-occurring disorders who are seeking integrated treatment could lead to misdiagnosis and inappropriately targeted treatment and rehabilitation. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved. Language: en |
| Databáze: | OpenAIRE |
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