Article

OBJECTIVE: To determine whether racial/ethnic disparities occur in depression,
anxiety, and satisfaction with life at 1 and 2 years postdischarge. DESIGN: A
prospective, longitudinal, multicenter study of individuals with traumatic brain
injury (TBI) participating in the National Institute on Disability and
Rehabilitation Research Traumatic Brain Injury Model Systems project. Medical,
demographic, and outcome data were obtained from the Model Systems database at
baseline, as well as 1 and 2 years postdischarge. SETTING: A total of 16 TBI
Model Systems hospitals in the United States. PARTICIPANTS: Individuals with
moderate or severe TBI (N=1662) aged 16 years or older consecutively discharged
between January 2008 and June 2011 from acute care and comprehensive inpatient
rehabilitation at a Model Systems hospital. INTERVENTION: Not applicable. MAIN
OUTCOME MEASURES: The Patient Health Questionnaire-9, Generalized Anxiety
Disorder 7-item scale, and Satisfaction with Life Scale assessed depression,
anxiety, and satisfaction with life at 1 and 2-year follow-ups. RESULTS: 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. CONCLUSIONS: Mental health
trajectories of individuals with TBI differed as a function of race/ethnicity
across the first 2 years postdischarge, providing the first longitudinal evidence
of racial/ethnic disparities in mental health after TBI during this time period.
Further research will be required to understand the complex factors underlying
these differences.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS