Long-term physical and mental health outcomes associated with traumatic brain injury severity in post-9/11 veterans

A retrospective cohort study

Alicia A. Swan, Megan E. Amuan, Sandra B. Morissette, Erin Finley Garcia, Blessen C. Eapen, Carlos A. Jaramillo, Mary Jo Pugh

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: To examine long-term outcomes of self-reported physical and mental health among Post-9/11 Veterans stratified by traumatic brain injury (TBI) severity, we hypothesized that more severe TBI would be associated with significantly poorer outcomes. Methods: A prospective longitudinal survey of physical and mental health status was conducted with a national cohort of Post-9/11 Veterans. We then used generalized linear models (GLM) to assess the unique contribution of TBI severity on long-term outcomes after controlling for socio-demographic characteristics, comorbidity phenotypes, and deployment experiences. Results: TBI of any severity was associated with significantly poorer outcomes relative to the No TBI group. However, the manifestation of these outcomes identified in our study differed meaningfully by TBI severity level. Conclusions: Veterans with any TBI exposure experience poorer long-term outcomes than those with no TBI even when covariates are considered. In particular, measures of somatization, PTSD symptom distress, and depression indicate pervasive and long-term health concerns among individuals with TBI. Additional research is required to fully explicate what appear to be complex relationships among TBI severity, physical and mental well-being, combat exposures, and socioeconomic resources in this population.

Original languageEnglish (US)
JournalBrain Injury
DOIs
StateAccepted/In press - Jan 1 2018
Externally publishedYes

Fingerprint

Veterans
Mental Health
Cohort Studies
Retrospective Studies
Traumatic Brain Injury
Post-Traumatic Stress Disorders
Health Status
Longitudinal Studies
Comorbidity
Linear Models
Demography
Depression
Phenotype
Health

Keywords

  • Comorbidity
  • health status
  • mental health
  • self report
  • stress disorders

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Developmental and Educational Psychology
  • Clinical Neurology

Cite this

Swan, A. A., Amuan, M. E., Morissette, S. B., Finley Garcia, E., Eapen, B. C., Jaramillo, C. A., & Pugh, M. J. (Accepted/In press). Long-term physical and mental health outcomes associated with traumatic brain injury severity in post-9/11 veterans: A retrospective cohort study. Brain Injury. https://doi.org/10.1080/02699052.2018.1518539

Long-term physical and mental health outcomes associated with traumatic brain injury severity in post-9/11 veterans : A retrospective cohort study. / Swan, Alicia A.; Amuan, Megan E.; Morissette, Sandra B.; Finley Garcia, Erin; Eapen, Blessen C.; Jaramillo, Carlos A.; Pugh, Mary Jo.

In: Brain Injury, 01.01.2018.

Research output: Contribution to journalArticle

Swan, Alicia A. ; Amuan, Megan E. ; Morissette, Sandra B. ; Finley Garcia, Erin ; Eapen, Blessen C. ; Jaramillo, Carlos A. ; Pugh, Mary Jo. / Long-term physical and mental health outcomes associated with traumatic brain injury severity in post-9/11 veterans : A retrospective cohort study. In: Brain Injury. 2018.
@article{2f23e9c926e14f64ad0875810643f825,
title = "Long-term physical and mental health outcomes associated with traumatic brain injury severity in post-9/11 veterans: A retrospective cohort study",
abstract = "Objectives: To examine long-term outcomes of self-reported physical and mental health among Post-9/11 Veterans stratified by traumatic brain injury (TBI) severity, we hypothesized that more severe TBI would be associated with significantly poorer outcomes. Methods: A prospective longitudinal survey of physical and mental health status was conducted with a national cohort of Post-9/11 Veterans. We then used generalized linear models (GLM) to assess the unique contribution of TBI severity on long-term outcomes after controlling for socio-demographic characteristics, comorbidity phenotypes, and deployment experiences. Results: TBI of any severity was associated with significantly poorer outcomes relative to the No TBI group. However, the manifestation of these outcomes identified in our study differed meaningfully by TBI severity level. Conclusions: Veterans with any TBI exposure experience poorer long-term outcomes than those with no TBI even when covariates are considered. In particular, measures of somatization, PTSD symptom distress, and depression indicate pervasive and long-term health concerns among individuals with TBI. Additional research is required to fully explicate what appear to be complex relationships among TBI severity, physical and mental well-being, combat exposures, and socioeconomic resources in this population.",
keywords = "Comorbidity, health status, mental health, self report, stress disorders",
author = "Swan, {Alicia A.} and Amuan, {Megan E.} and Morissette, {Sandra B.} and {Finley Garcia}, Erin and Eapen, {Blessen C.} and Jaramillo, {Carlos A.} and Pugh, {Mary Jo}",
year = "2018",
month = "1",
day = "1",
doi = "10.1080/02699052.2018.1518539",
language = "English (US)",
journal = "Brain Injury",
issn = "0269-9052",
publisher = "Informa Healthcare",

}

TY - JOUR

T1 - Long-term physical and mental health outcomes associated with traumatic brain injury severity in post-9/11 veterans

T2 - A retrospective cohort study

AU - Swan, Alicia A.

AU - Amuan, Megan E.

AU - Morissette, Sandra B.

AU - Finley Garcia, Erin

AU - Eapen, Blessen C.

AU - Jaramillo, Carlos A.

AU - Pugh, Mary Jo

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Objectives: To examine long-term outcomes of self-reported physical and mental health among Post-9/11 Veterans stratified by traumatic brain injury (TBI) severity, we hypothesized that more severe TBI would be associated with significantly poorer outcomes. Methods: A prospective longitudinal survey of physical and mental health status was conducted with a national cohort of Post-9/11 Veterans. We then used generalized linear models (GLM) to assess the unique contribution of TBI severity on long-term outcomes after controlling for socio-demographic characteristics, comorbidity phenotypes, and deployment experiences. Results: TBI of any severity was associated with significantly poorer outcomes relative to the No TBI group. However, the manifestation of these outcomes identified in our study differed meaningfully by TBI severity level. Conclusions: Veterans with any TBI exposure experience poorer long-term outcomes than those with no TBI even when covariates are considered. In particular, measures of somatization, PTSD symptom distress, and depression indicate pervasive and long-term health concerns among individuals with TBI. Additional research is required to fully explicate what appear to be complex relationships among TBI severity, physical and mental well-being, combat exposures, and socioeconomic resources in this population.

AB - Objectives: To examine long-term outcomes of self-reported physical and mental health among Post-9/11 Veterans stratified by traumatic brain injury (TBI) severity, we hypothesized that more severe TBI would be associated with significantly poorer outcomes. Methods: A prospective longitudinal survey of physical and mental health status was conducted with a national cohort of Post-9/11 Veterans. We then used generalized linear models (GLM) to assess the unique contribution of TBI severity on long-term outcomes after controlling for socio-demographic characteristics, comorbidity phenotypes, and deployment experiences. Results: TBI of any severity was associated with significantly poorer outcomes relative to the No TBI group. However, the manifestation of these outcomes identified in our study differed meaningfully by TBI severity level. Conclusions: Veterans with any TBI exposure experience poorer long-term outcomes than those with no TBI even when covariates are considered. In particular, measures of somatization, PTSD symptom distress, and depression indicate pervasive and long-term health concerns among individuals with TBI. Additional research is required to fully explicate what appear to be complex relationships among TBI severity, physical and mental well-being, combat exposures, and socioeconomic resources in this population.

KW - Comorbidity

KW - health status

KW - mental health

KW - self report

KW - stress disorders

UR - http://www.scopus.com/inward/record.url?scp=85054358849&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85054358849&partnerID=8YFLogxK

U2 - 10.1080/02699052.2018.1518539

DO - 10.1080/02699052.2018.1518539

M3 - Article

JO - Brain Injury

JF - Brain Injury

SN - 0269-9052

ER -