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Titre : | Anxiety Trajectories the First 10 Years After a Traumatic Brain Injury (TBI): A TBI Model Systems Study (2022) |
Auteurs : | Dawn Neumann ; Shannon B. Juengst ; Charles H. Bombardier ; Jacob A. Finn ; Shannon R. Miles ; Yue Zhang ; Richard Kennedy ; Amanda R. Rabinowitz ; Amber Thomas ; Laura E. Dreer |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 11, 2022) |
Article en page(s) : | p. 2105-2113 |
Note générale : | https://doi.org/10.1016/j.apmr.2022.07.002 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Affect ; Anxiété ; Lésions encéphaliques ; Réadaptation ; Santé mentale |
Résumé : |
Objective
Determine anxiety trajectories and predictors up to 10 years posttraumatic brain injury (TBI). Design Prospective longitudinal, observational study. Setting Inpatient rehabilitation centers. Participants 2836 participants with moderate to severe TBI enrolled in the TBI Model Systems National Database who had ≥2 anxiety data collection points (N=2836). Main Outcome Measure Generalized Anxiety Disorder-7 (GAD-7) at 1, 2, 5, and 10-year follow-ups. Results Linear mixed models showed higher GAD-7 scores were associated with Black race (P<.001 public insurance pre-injury mental health treatment additional tbis with loss of consciousness violent injury and more years post-tbi an interaction between follow-up year age was also related to gad-7 scores a latent class mixed model identified anxiety trajectories: low-stable high-increasing high-decreasing the groups had mild or higher up years. compared group likely be black have prior> Conclusions A substantial minority of participants had anxiety symptoms that either increased (10%) or decreased (13%) over 10 years but never decreased below mild anxiety. Risk factors of anxiety included indicators of socioeconomic disadvantage (public insurance) and racial inequities (Black race) as well as having had pre-injury mental health treatment and 2 prior TBIs. Awareness of these risk factors may lead to identifying and proactively referring susceptible individuals to mental health services. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322005299 |