Functional Outcome and Mental Health Symptoms in Military Personnel and Veterans Pursuing Postsecondary Education After Traumatic Brain Injury: A VA TBI Model Systems Study

2019 ◽  
Vol 33 (1) ◽  
pp. 41-55
Author(s):  
Marc A. Silva ◽  
Christina Dillahunt-Aspillaga ◽  
Nitin Patel ◽  
Jeffrey S. Garofano ◽  
Kristina M. Martinez ◽  
...  
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Postsecondary Education ◽  
Military Personnel ◽  
Model Systems ◽  
Community Reintegration ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Severe Tbi

BackgroundTBI is a leading cause of disability among veterans and active duty military personnel, and presents an obstacle to community reintegration. Prior studies examining adult survivors of TBI pursuing postsecondary education have methodological flaws that limit the understanding the scope and severity of sequelae experienced by persons with TBI who attend college.ObjectiveTo describe (a) physical and cognitive functioning, and (b) postconcussion and mental health symptoms in veterans and military personnel (V/M) with traumatic brain injury (TBI) enrolled in postsecondary education programs after discharge from rehabilitation.MethodCross-sectional study. Participants were recruited from five Veterans Affairs (VA) Polytrauma Rehabilitation Centers, enrolled in the VA TBI Model Systems parent study, and attending school during follow-up (N= 155). Outcome measures included the Functional Independence Measure (FIM), Neurobehavioral Symptom Inventory (NSI), Post-traumatic Stress Disorder (PTSD) Checklist-Civilian version (PCL-C), Patient Health Questionnaire-Depression (PHQ-9), and Generalized Anxiety Disorder Questionnaire (GAD-7).FindingsParticipants were mostly male (92.9%) and White (81.4%), with mild (40.0%), moderate (11.5%), severe (34.5%), or very severe TBI (23.0%). Depression, anxiety, PTSD, and postconcussion symptoms were lowest in participants with very severe TBI and highest in those with mild TBI. There were no significant differences in FIM across TBI severity levels.ConclusionThis study supports the need for rehabilitation counselors, educators, and administrators to prepare future practitioners to deliver tailored services to student V/M with TBI. These services can facilitate successful community reintegration and transition into civilian school settings. Symptom profiling may inform personalized cognitive interventions to enhance these students’ academic success.

scholarly journals 685 Understanding mental health symptoms suffered by traumatic brain injury patients in Moshi, Tanzania

2016 ◽  
Vol 22 (Suppl 2) ◽  
pp. A246.1-A246
Author(s):  
João Ricardo Nickenig Vissoci ◽  
Joan Kwesigabo ◽  
Green Geffrey ◽  
Mark Mvungi ◽  
Catherine Staton
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mental Health Symptoms ◽  
Health Symptoms

scholarly journals Do Sleep Problems Mediate the Relationship between Traumatic Brain Injury and Development of Mental Health Symptoms after Deployment?

SLEEP ◽  
2013 ◽  
Vol 36 (1) ◽  
pp. 83-90 ◽  
Author(s):  
Caroline A. Macera ◽  
Hilary J. Aralis ◽  
Mitchell J. Rauh ◽  
Andrew J. MacGregor
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Sleep Problems ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
The Relationship

A-102 Performance Validity Testing in Telehealth Research: A VA Traumatic Brain Injury Model Systems Study

2021 ◽  
Vol 36 (6) ◽  
pp. 1151-1151
Author(s):  
Justin O'Rourke ◽  
Robert J Kanser ◽  
Marc A Silva
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Digit Span ◽  
Secondary Analysis ◽  
Primary Objective ◽  
Model Systems ◽  
Performance Validity ◽  
Cut Scores ◽  
Chi Square ◽  
Severe Tbi

Abstract Objective Studies on Performance Validity Tests (PVTs) for tele-neuropsychology (TeleNP) are sparse. Verbal PVTs appear to better translate to TeleNP, so the primary objective of this study was to provide initial data on two well-established, verbal PVTs administered via TeleNP for research participants with traumatic brain injury (TBI). Methods This secondary analysis of the Veterans Affairs TBI Model Systems data included 53 participants enrolled in a PVT module study (3/01/2020–09/20/2020) with documented moderate-to-severe TBI per Glasgow Coma Score (M = 6.5, SD = 4.4), posttraumatic amnesia duration (M = 42.7 days, SD = 47.1), and/or time to follow commands (M = 10.5 days, SD = 16.3). Participants completed two PVTs—Reliable Digit Span (RDS) and the 21-Item Test (21-IT)—alongside telephone-based cognitive assessment 1–7 years after TBI. Descriptive analyses were performed to compare PVT performances to previously established cut scores. Chi square analyses were employed to examine 21-IT and RDS as dichotomous outcomes (pass/fail) at selected cutoffs. Results RDS ranged from 5 to 16 (M = 10.5, SD = 2.4). 21-IT ranged from 7 to 21 (M = 16.4, SD = 3.1). For RDS, 9.8% were invalid with a cutscore of ≤7 and 19.6% using a cutscore of ≤8. For the 21-IT, 7.8% were in invalid using a cutscore of ≤11, and 13.7% using a cutscore of ≤12. Conclusion(s) Using previously established cut scores, telephone-administered RDS and 21-IT resulted in relatively low rates of invalid performance among individuals with moderate-to-severe TBI. These findings provide preliminary support for the RDS and 21-IT in TeleNP.

Racial/Ethnic Disparities in Mental Health Over the First 2 Years After Traumatic Brain Injury: A Model Systems Study

2014 ◽  
Vol 95 (12) ◽  
pp. 2288-2295 ◽  
Author(s):  
Paul B. Perrin ◽  
Denise Krch ◽  
Megan Sutter ◽  
Daniel J. Snipes ◽  
Juan Carlos Arango-Lasprilla ◽  
...  
Keyword(s):  
Mental Health ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Ethnic Disparities ◽  
Model Systems ◽  
Racial Ethnic

Reinjury After Moderate to Severe TBI: Rates and Risk Factors in the NIDILRR Traumatic Brain Injury Model Systems

2020 ◽  
Vol 36 (1) ◽  
pp. E50-E60
Author(s):  
Sarah M. Bannon ◽  
Raj G. Kumar ◽  
Jennifer Bogner ◽  
Therese M. O'Neil-Pirozzi ◽  
Lisa Spielman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Model Systems ◽  
Traumatic Brain Injury Model ◽  
Injury Model ◽  
Severe Tbi

Examining Driving and Participation 5 Years After Traumatic Brain Injury

2018 ◽  
Vol 38 (3) ◽  
pp. 143-150 ◽  
Author(s):  
Kimberly S. Erler ◽  
Shannon B. Juengst ◽  
Diane L. Smith ◽  
Therese M. O’Neil-Pirozzi ◽  
Thomas A. Novack ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Community Dwelling ◽  
Model Systems ◽  
National Database ◽  
Significant Independent Predictor ◽  
Independent Contribution ◽  
Functional Factors ◽  
Severe Tbi ◽  
Evidenced Based

Participation is often considered a primary goal of traumatic brain injury (TBI) rehabilitation, but little is known about the influence of driving on participation after TBI. The objective of this study was to examine the independent contribution of driving status to participation at 5 years post TBI, after controlling for demographic, psychosocial, and functional factors. Participants ( N = 2,456) were community-dwelling individuals with moderate to severe TBI, age 18 to 65 at time of injury, and enrolled in the TBI Model Systems (TBIMS) National Database (NDB). Hierarchical linear regressions for the dependent variable of participation at 5 years post TBI were performed. Findings showed that driving was a highly significant independent predictor of participation and was a stronger relative predictor of participation than FIM® Cognitive, FIM® Motor, and depression. The independent contribution of driving to participation suggests the need to develop evidenced-based occupational therapy assessments and interventions that facilitate safe engagement in the occupation of driving to address the long-term goal of improved participation.

Factors Associated with Mild Traumatic Brain Injury in Veterans and Military Personnel: A Systematic Review

2014 ◽  
Vol 20 (3) ◽  
pp. 249-261 ◽  
Author(s):  
Maya E. O'Neil ◽  
Kathleen F. Carlson ◽  
Daniel Storzbach ◽  
Lisa A. Brenner ◽  
Michele Freeman ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Military Personnel ◽  
Physical And Mental Health ◽  
Post Traumatic Stress ◽  
Military Members ◽  
History Of

AbstractA history of mild traumatic brain injury (mTBI) is common among military members who served in Operations Enduring Freedom, Iraqi Freedom, and New Dawn (OEF/OIF/OND). We completed a systematic review to describe the cognitive, mental health, physical health, functional, social, and cost consequences of mTBI in Veteran and military personnel. Of 2668 reviewed abstracts, the 31 included studies provided very low strength evidence for the questions of interest. Cognitive, physical, and mental health symptoms were commonly reported by Veterans/military members with a history of mTBI. On average, these symptoms were not significantly more common in those with a history of mTBI than in those without, although a lack of significant mean differences does not preclude the possibility that some individuals could experience substantial effects related to mTBI history. Evidence of potential risk or protective factors moderating mTBI outcomes was unclear. Although the overall strength of evidence is very low due to methodological limitations of included studies, our findings are consistent with civilian studies. Appropriate re-integration services are needed to address common comorbid conditions, such as treatment for post-traumatic stress disorder, substance use disorders, headaches, and other difficulties that Veterans and members of the military may experience after deployment regardless of mTBI history. (JINS, 2014,20, 1–13)

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