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Titre : | Depression, Anxiety, and Suicidality in Individuals With Chronic Traumatic Brain Injury Before and During the COVID-19 Pandemic: A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study (2023) |
Auteurs : | Sheryl Katta-Charles ; Leah M. Adams ; Nancy D. Chiaravalloti ; Flora M. Hammond ; Paul B. Perrin ; Amanda R. Rabinowitz ; Umesh M. Venkatesan ; Alan H. Weintraub ; Charles H. Bombardier |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 4, 2023) |
Article en page(s) : | p. 619-630 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anxiété ; COVID-19 ; Dépression ; Lésions encéphaliques ; Pandémies ; Réadaptation |
Résumé : | Objective To examine the prevalence, severity, and correlates of depression, anxiety, and suicidal ideation in people with traumatic brain injury (TBI) assessed before and during the COVID-19 pandemic. Design Retrospective cohort study using data collected through the Traumatic Brain Injury Model Systems (TBIMS) network at 1, 2, 5, 10, 15, 20, 25, or 30 years post TBI. Setting United States?based TBIMS rehabilitation centers with telephone assessment of community residing participants. Participants Adults (72.4% male; mean age, 47.2 years) who enrolled in the TBIMS National Database and completed mental health questionnaires prepandemic (January 1, 2017 to February 29, 2020; n=5000) or during pandemic (April 1, 2022 to June 30, 2021; n=2009) (N=7009). Interventions Not applicable. Main Outcome Measures Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 questionnaire. Results Separate linear and logistic regressions were constructed with demographic, psychosocial, injury-related, and functional characteristics, along with a binary indicator of COVID-19 pandemic period (prepandemic vs during pandemic), as predictors of mental health outcomes. No meaningful differences in depression, anxiety, or suicidal ideation were observed before vs during the COVID-19 pandemic. Correlations between predictors and mental health outcomes were similar before and during the pandemic. Conclusions Contrary to our predictions, the prevalence, severity, and correlates of mental health conditions were similar before and during the COVID-19 pandemic. Results may reflect generalized resilience and are consistent with the most recent findings from the general population that indicate only small, transient increases in psychological distress associated with the pandemic. While unworsened, depression, anxiety, and suicidal ideation remain prevalent and merit focused treatment and research efforts. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323000291 |