Model System:

TBI

Reference Type:

Journal

Accession No.:

J70221

Journal:


Archives of Physical Medicine and Rehabilitation

Year, Volume, Issue, Page(s):

, 95, 12, 2288-2295

Publication Website:

Abstract:

Study examined racial/ethnic disparities differences in depression, anxiety, and satisfaction with life among individuals with traumatic brain injury (TBI) participating in the National Institute on Disability and Rehabilitation Research TBI Model Systems project. Participants were 1,662 individuals with moderate or severe TBI, aged 16 years or older, who were discharged between January 2008 and June 2011 from acute care and comprehensive inpatient rehabilitation at a Model Systems hospital. Medical, demographic, and outcome data were obtained from the Model Systems database at baseline, as well as 1 and 2 years after discharge. The Patient Health Questionnaire-9, Generalized Anxiety Disorder 7-item scale, and Satisfaction with Life Scale assessed depression, anxiety, and satisfaction with life, respectively, at 1- and 2-year follow-ups. After controlling for all possible covariates, hierarchal linear models found that Black individuals had elevated depression across the 2 time points relative to White individuals. Asian/Pacific Islanders’ depression increased over time in comparison to the decreasing depression in those of Hispanic origin, which was a greater decrease than in White individuals. Black individuals had lower life satisfaction than did White and Hispanic individuals, but only marginally greater anxiety over time than did White individuals and similar levels of anxiety as did Asian/Pacific Islanders and Hispanic individuals. This study provides evidence of racial/ethnic disparities in mental health after TBI during the first 2 years following discharge. Further research is need to understand the complex factors underlying these differences.

Author(s):


Perrin, Paul B., Krch, Denise, Sutter, Megan, Snipes, Daniel J., Arango-Lasprilla, Juan C., Kolakowsky-Hayner, Stephanie A., Wright, Jerry, Lequerica, Anthony

Participating Centers: