Mental health consequences of traumatic brain injury

2021 ◽  
Author(s):  
Jonathon R. Howlett ◽  
Lindsay D. Nelson ◽  
Murray B. Stein
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Consequences

scholarly journals Exploring the intersection of traumatic brain injury and mental health in survivors of intimate partner violence

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Danielle Toccalino ◽  
Amy Moore ◽  
Sophia Chuon Gutierrez ◽  
Angela Colantonio ◽  
Christine M. Wickens ◽  
...  
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Intimate Partner Violence ◽  
Brain Injury ◽  
Partner Violence ◽  
The United States ◽  
Intimate Partner ◽  
Future Research ◽  
Heterosexual Relationships ◽  
Economic Implications

Introduction: One in four Canadian women experience intimate partner violence (IPV) in their lifetime. The COVID-19 pandemic has significantly increased rates of IPV globally and the level of violence encountered, exposing IPV survivors to greater risk of physical injury, including traumatic brain injury (TBI). Up to 75% of survivors are suspected of sustaining a TBI and 50-75% experience mental health or substance use challenges (MHSU) as a result of IPV, resulting in extensive personal, social, and economic implications. Objective: The objective of this scoping review was to synthesize what is currently known in the literature about MHSU and TBI among survivors of IPV and identify gaps. Methods: MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane, Scopus, and Web of Science were searched for relevant articles using a search strategy including text words and subject headings related to TBI, IPV, and MHSU. Two reviewers independently assessed articles for inclusion. Results: The search identified 399 unique articles, 34 of which were included in this study. Of these, 11 articles reported on MHSU in IPV-related TBI and 9 articles reported on both TBI and MHSU in IPV but did not discuss the groups together. The remainder were reviews or theses that noted MHSU in IPV-related TBI. Included articles predominantly focused on cis-gendered women in heterosexual relationships and were conducted in the United States. Only three articles focused on the experiences of Black or Indigenous women and none of the included studies discussed implications of co-occurring TBI and MHSU on survivor’s healthcare-related needs or access to care. Conclusions: Despite the high rates of co-occurring TBI and MHSU among survivors of IPV, there is little research on this intersection and no investigation of the impacts on the health system. Future research should focus on identifying the healthcare-related needs of survivors and identifying and mitigating barriers to access.

scholarly journals Understanding the relationship between cognitive performance and function in daily life after traumatic brain injury

2020 ◽  
pp. jnnp-2020-324492
Author(s):  
Lindsay Wilson ◽  
Lindsay Horton ◽  
Kevin Kunzmann ◽  
Barbara J Sahakian ◽  
Virginia FJ Newcombe ◽  
...  
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Performance ◽  
Processing Speed ◽  
Daily Life ◽  
Short Form ◽  
Analysis Of Covariance ◽  
Effect Sizes ◽  
Different Levels

ObjectiveCognitive impairment is a key cause of disability after traumatic brain injury (TBI) but relationships with overall functioning in daily life are often modest. The aim is to examine cognition at different levels of function and identify domains associated with disability.Methods1554 patients with mild-to-severe TBI were assessed at 6 months post injury on the Glasgow Outcome Scale—Extended (GOSE), the Short Form-12v2 and a battery of cognitive tests. Outcomes across GOSE categories were compared using analysis of covariance adjusting for age, sex and education.ResultsOverall effect sizes were small to medium, and greatest for tests involving processing speed (ηp2 0.057–0.067) and learning and memory (ηp2 0.048–0.052). Deficits in cognitive performance were particularly evident in patients who were dependent (GOSE 3 or 4) or who were unable to participate in one or more major life activities (GOSE 5). At higher levels of function (GOSE 6–8), cognitive performance was surprisingly similar across categories. There were decreases in performance even in patients reporting complete recovery without significant symptoms. Medium to large effect sizes were present for summary measures of cognition (ηp2 0.111), mental health (ηp2 0.131) and physical health (ηp2 0.252).ConclusionsThis large-scale study provides novel insights into cognitive performance at different levels of disability and highlights the importance of processing speed in function in daily life. At upper levels of outcome, any influence of cognition on overall function is markedly attenuated and differences in mental health are salient.

scholarly journals Suicidality, Bullying and Other Conduct and Mental Health Correlates of Traumatic Brain Injury in Adolescents

PLoS ONE ◽  
2014 ◽  
Vol 9 (4) ◽  
pp. e94936 ◽  
Author(s):  
Gabriela Ilie ◽  
Robert E. Mann ◽  
Angela Boak ◽  
Edward M. Adlaf ◽  
Hayley Hamilton ◽  
...  
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Brain Injury

Postrehabilitation Mental Health Treatment Utilization in Veterans With Traumatic Brain Injury

2018 ◽  
Vol 33 (4) ◽  
pp. E1-E9 ◽  
Author(s):  
Jacob A. Finn ◽  
Greg J. Lamberty ◽  
Xinyu Tang ◽  
Marie E. Saylors ◽  
Lillian Flores Stevens ◽  
...  
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mental Health Treatment ◽  
Treatment Utilization ◽  
Health Treatment

scholarly journals Systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictions

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027534 ◽  
Author(s):  
Vincy Chan ◽  
Danielle Toccalino ◽  
Angela Colantonio
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Services ◽  
Healthcare Access ◽  
Barriers And Facilitators ◽  
Cochrane Central Register ◽  
Registration Number ◽  
Scientific Meetings

IntroductionIn the most populous province of Canada, one in five adults and one in six students report a lifetime history of traumatic brain injury (TBI). These individuals were also more likely to report elevated psychological distress and use illicit substances compared with those without TBI. The need for integrated health services has been recognised globally, yet efforts to develop more comprehensive and effective care for TBI and mental health and/or addictions (MHA) continue to be challenged by the siloing of the two systems. This protocol is for a systematic review that describes the current types of integrated care for TBI and MHA and identifies the barriers and facilitators to integrating healthcare for these populations.Methods and analysisThis review will systematically search MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, Sociological Abstracts, and Dissertations & Theses Global. References of eligible articles will also be searched for additional relevant studies. The search strategy will include the use of text words and subject headings relevant to the concepts ‘TBI,’ ‘substance abuse, gambling, or mental health,’ ‘integrated healthcare,’ ‘barriers and facilitators,’ and ‘healthcare access.’ Two reviewers will independently screen all articles based on predetermined inclusion and exclusion criteria and perform quality assessment on eligible studies. A narrative synthesis will be conducted using the data abstracted by the two reviewers.Ethics and disseminationFindings from the systematic review will be published in peer-reviewed journals, presented at scientific meetings, and summarised for key stakeholders in the field of TBI and/or MHA. This protocol will form a systematic review that holds the potential to impact policy and planning in the development of integrated person-centred care for TBI and MHA and addresses a recognised gap in TBI care.Trial registration numberCRD42018108343

scholarly journals Research to Integrate Services for Individuals with Traumatic Brain Injury, Mental Health, and Addictions: Proceedings of a MultiDisciplinary Workshop

2020 ◽  
Vol 39 (1) ◽  
pp. 133-150
Author(s):  
Catherine Wiseman-Hakes ◽  
Angela Colantonio ◽  
Hyun Ryu ◽  
Danielle Toccalino ◽  
Robert Balogh ◽  
...  
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Lived Experience ◽  
Partner Violence ◽  
Service Providers ◽  
Knowledge Exchange ◽  
Translation Research ◽  
Knowledge To Action ◽  
Services And Supports

We present the findings from a one-day, multidisciplinary meeting to gather feedback for an integrated knowledge translation research project addressing the integration of health services and supports for individuals with traumatic brain injury, mental health, and/or addictions; especially those who experience homelessness/vulnerably housed, intersect with the criminal justice system, and are survivors of intimate partner violence. This meeting brought together persons with lived experience, service providers, decision makers, and researchers, who provided feedback that further refined the research methodology and highlighted existing gaps. This event was successful in inviting collaboration, knowledge exchange and dissemination, and advancing an important knowledge-to-action cycle for this research.

scholarly journals Introduction to Special Issue: State of the Art Reviews on Mental Health in Traumatic Brain Injury

2013 ◽  
Vol 14 (1) ◽  
pp. 1-1
Author(s):  
Grahame K. Simpson ◽  
Robyn Tate
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Guest Editorial ◽  
Mental Health Problems ◽  
State Of The Art ◽  
Health Issues ◽  
Special Issue ◽  
Mental Health Issues ◽  
Key Issues

Addressing mental health issues is a core concern in the treatment of people with traumatic brain injury (TBI) and their families. Mental health issues are widespread after TBI and arise whether the injury was sustained in civilian or conflict contexts. In the Guest Editorial, Simon Fleminger outlines key issues and conundrums that arise in the intertwining of mental health problems and TBI, as well as the importance of integrating the treatment of mental health conditions into neurorehabilitation.

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