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

Perrin, Paul B.; Krch, Denise; Sutter, Megan; Snipes, Daniel J.; Arango‐Lasprilla, Juan Carlos; Kolakowsky-Hayner, Stephanie A.; Wright, Jerry

doi:10.1016/j.apmr.2014.07.409

Cited by 43 publications

(21 citation statements)

References 48 publications

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“…Age,8,15 race,8,86 less independence in functional tasks after injury,11,15,87–89 engaging in maladaptive coping,90,91 and sleep disturbance or fatigue46,92,93 were all associated with PTD. Furthermore, being unemployed or impoverished at the time of injury or substance abuse before or at the time of injury also conferred a higher likelihood of developing PTD 8,12,13,15,94.…”

Section: Discussionmentioning

confidence: 96%

A narrative literature review of depression following traumatic brain injury: prevalence, impact, and management challenges

Juengst¹,

Kumar²,

Wagner³

2017

PRBM

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Depression is one of the most common conditions to emerge after traumatic brain injury (TBI), and despite its potentially serious consequences it remains undertreated. Treatment for post-traumatic depression (PTD) is complicated due to the multifactorial etiology of PTD, ranging from biological pathways to psychosocial adjustment. Identifying the unique, personalized factors contributing to the development of PTD could improve long-term treatment and management for individuals with TBI. The purpose of this narrative literature review was to summarize the prevalence and impact of PTD among those with moderate to severe TBI and to discuss current challenges in its management. Overall, PTD has an estimated point prevalence of 30%, with 50% of individuals with moderate to severe TBI experiencing an episode of PTD in the first year after injury alone. PTD has significant implications for health, leading to more hospitalizations and greater caregiver burden, for participation, reducing rates of return to work and affecting social relationships, and for quality of life. PTD may develop directly or indirectly as a result of biological changes after injury, most notably post-injury inflammation, or through psychological and psychosocial factors, including pre injury personal characteristics and postinjury adjustment to disability. Current evidence for effective treatments is limited, although the strongest evidence supports antidepressants and cognitive behavioral interventions. More personalized approaches to treatment and further research into unique therapy combinations may improve the management of PTD and improve the health, functioning, and quality of life for individuals with TBI.

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Section: Discussionmentioning

confidence: 96%

A narrative literature review of depression following traumatic brain injury: prevalence, impact, and management challenges

Juengst¹,

Kumar²,

Wagner³

2017

PRBM

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“…The findings from this study add to the literature examining formerly incarcerated African American male prisoners. As there are cultural factors that could influence how mental health problems are identified by individuals and health professionals among African American, male ex-offenders (Perrin et al, 2014), future studies are needed that focus specifically on the mental health of this population. These factors include the dependency of African American men on their families and communities to survive after incarceration, as well as the need to protect the health of the community to which they return (Freudenberg, 2001; Freudenberg et al, 2005; Hattery & Smith, 2014).…”

Section: Resultsmentioning

confidence: 99%

Life After: Examining the Relationship Between Sociobehavioral Factors and Mental Health Among African American Ex-Offenders

Mahaffey

Stevens‐Watkins

Leukefeld

2018

Int J Offender Ther Comp Criminol

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Mental health problems are 3 times higher among prisoners than the general population. After release, reentry barriers and other factors can exacerbate mental problems. This study of 250 African American ex-offenders examines the relationship between sociobehavioral factors and mental health. Independent variables included self-reported health, alcohol use, employment, and history of mental problems before prison. Covariates included the number of immediate family with mental problems and the number of serious conflicts with family members or friends. Analyses revealed that men who had serious conflicts, used alcohol more often, reported less than excellent health, and not employed were more likely to report being troubled by mental problems. Family mental health history was not statistically significant. The current study adds to the literature by identifying selected factors associated with the mental health of African American male, ex-offenders. Findings from this study can inform interventions to address mental health issues and reduce recidivism.

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“…However, all these approaches require supervising the individuals affected by mTBI in clinical or research laboratory settings, which may hinder time-sensitive symptom assessment, as individuals affected by mTBI may not seek proper screening or not recognize their symptoms post-injury (Seabury et al, 2018). From the ethnic perspective, evidence is available showing that several Asian groups, including Pacific Islanders (Tauafiafi, 2014), have a higher incidence rate and poorer outcomes of TBIs, including mental health post-injury, as well as a lower compliance in home-based treatment, compared to non-Hispanic Whites (Dams-O’Connor et al, 2013; McQuistion et al, 2016; Perrin et al, 2014; Staudenmayer et al, 2007). In view of these findings, our new real-time mHealth system can offer a possibility of reliable and accurate home-based monitoring for racial minority groups who have had an mTBI.…”

Section: Discussionmentioning

confidence: 99%

Proof-of-Concept Testing of a Real-Time mHealth Measure to Estimate Postural Control During Walking: A Potential Application for Mild Traumatic Brain Injuries

Lee

Salado

et al. 2018

Asian Pac Isl Nurs J

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Background: Most individuals with mild traumatic brain injury (mTBI) experience post-injury deficits in postural control. Currently available measures of postural control are lab-based or supervised, which may hinder timely symptom assessment for individuals with mTBI, including Asian populations, who do not seek initial screening post-injury. In this proof-of-concept testing study, we introduce a real-time mobile health (mHealth) system to measure postural control during walking. The proposed mHealth system can be used for home-based symptom assessment and management of mTBI. Methods: In our proposed mHealth system, a smartwatch, a smartphone, and a cloud server communicate to measure, collect, and store body balance data in real time. Specifically, we focus on the rotation vector data that have been reported to be the most effective in terms of differentiating balance control during walking across different participants. Results: Constant motion change in four participants (two females and two males; three healthy participants, and one individual with reduced physical mobility) was collected and analyzed. The results of our data analysis show that, compared to healthy participants, the individual was reduced physical mobility had a wider range of motion between right and left, up and down, and forward and backward while walking. We also found that female participants had narrower ranges of right-to-left and up-and-down motions than their male counterparts. Conclusions: Our results highlight the potential of the proposed real-time mHealth system for home-based symptom assessment and management of mTBI, which may benefit Asian and other nonwhite racial minority groups that appear to be more reluctant to access post-acute rehabilitation services.

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

Cited by 43 publications

References 48 publications

A narrative literature review of depression following traumatic brain injury: prevalence, impact, and management challenges

A narrative literature review of depression following traumatic brain injury: prevalence, impact, and management challenges

Life After: Examining the Relationship Between Sociobehavioral Factors and Mental Health Among African American Ex-Offenders

Proof-of-Concept Testing of a Real-Time mHealth Measure to Estimate Postural Control During Walking: A Potential Application for Mild Traumatic Brain Injuries

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