Volume 87, Issue 7 , Pages 953-961, July 2006
Self-Reported Psychosocial Health Among Adults With Traumatic Brain Injury
Abstract
McCarthy ML, Dikmen SS, Langlois JA, Selassie AW, Gu JK, Horner MD. Self-reported psychosocial health among adults with traumatic brain injury.
Objective
To measure the subjective psychosocial health of a population-based sample of adults with traumatic brain injury (TBI).
Design
Retrospective, cohort study involving a 1-year postinjury interview.
Setting
Sixty-two acute care, nonfederal hospitals in South Carolina.
Participants
Persons (≥15y) hospitalized with TBI.
Interventions
Not applicable.
Main Outcome Measure
The psychosocial health scales of the Medical Outcomes Study 36-Item Short-Form Health Survey.
Results
Of the 7612 participants, 29% reported poor psychosocial health. Factors associated with poor psychosocial well-being included younger age, female sex, Medicaid coverage, no health insurance, inadequate or moderate social support, comorbidities (eg, a preinjury substance abuse problem), cognitive complaints, and some or a lot of limitation with activities of daily living. Only 36% of participants who reported poor psychosocial health reported receiving any mental health services.
Conclusions
A substantial proportion of persons hospitalized with TBI reported poor psychosocial health at 1 year postinjury. To optimize recovery, clinicians need to ensure that patients’ psychosocial health needs are addressed during the postacute period.
Key Words: Brain injuries , Rehabilitation
Supported by the Division of Injury and Disability Outcomes and Programs, National Center for Injury Prevention and Control, and Centers for Disease Control and Prevention (cooperative agreement no. U17/CCU421926).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.
PII: S0003-9993(06)00285-1
doi:10.1016/j.apmr.2006.03.007
© 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
Volume 87, Issue 7 , Pages 953-961, July 2006
