Traumatic brain injury and coextensive psychopathology

New evidence from the 2016 Nationwide Emergency Department Sample (NEDS)

Katherine J. Holzer, Jason T. Carbone, Matt DeLisi, Michael George Vaughn

Research output: Contribution to journalArticle

Abstract

Traumatic brain injury (TBI) is a significant public health issue associated with increased medical comorbidity and economic burden. The majority of studies of TBI among clinical populations are geographically limited and rely on small samples. As such, the current study seeks to examine the prevalence and psychosocial correlates of TBI in a nationally representative emergency department (ED) sample. Using the 2016 Nationwide Emergency Department Sample, logistic regression was employed to examine the relationship between TBI history, sociodemographic factors and mental health disorders. An estimated 179,986 adults age 18 and older were admitted to United States EDs in 2016 with a personal history of TBI. The majority of patients were male (69.71%), ages 50 years or older (50.92%) with Medicare (44.30%) or Medicaid (28.65%) insurance. Diagnoses of posttraumatic stress disorder (AOR = 3.99), affective disorders (AOR = 2.97), anxiety disorders (AOR = 1.68), personality and behavior disorders (AOR = 2.77), and schizophrenia (AOR = 2.80) were significantly associated with history of TBI. These results provide insight into the developmental pathogenesis of TBI and its comorbid psychiatric consequences.

Original languageEnglish
Pages (from-to)149-152
Number of pages4
JournalJournal of Psychiatric Research
Volume114
DOIs
Publication statusPublished - 2019 Jul 1

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Psychopathology
Hospital Emergency Service
Mental Disorders
Medical Economics
Personality Disorders
Medicaid
Post-Traumatic Stress Disorders
Medicare
Traumatic Brain Injury
Insurance
Anxiety Disorders
Mood Disorders
Psychiatry
Comorbidity
Schizophrenia
Mental Health
Public Health
Logistic Models
Population

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

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Traumatic brain injury and coextensive psychopathology : New evidence from the 2016 Nationwide Emergency Department Sample (NEDS). / Holzer, Katherine J.; Carbone, Jason T.; DeLisi, Matt; Vaughn, Michael George.

In: Journal of Psychiatric Research, Vol. 114, 01.07.2019, p. 149-152.

Research output: Contribution to journalArticle

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