Evaluation of clinical outcomes and employment status in veterans with dual diagnosis of traumatic brain injury and spinal cord injury.
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| Title: | Evaluation of clinical outcomes and employment status in veterans with dual diagnosis of traumatic brain injury and spinal cord injury. |
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| Authors: | Clark, Jillian M. R. (AUTHOR), Ozturk, Erin D. (AUTHOR), Chanfreau-Coffinier, Catherine (AUTHOR), Merritt, Victoria C. (AUTHOR) |
| Source: | Quality of Life Research. Jan2024, Vol. 33 Issue 1, p229-239. 11p. |
| Subjects: | United States. Veterans Health Administration, Brain injuries, Spinal cord injuries, Health outcome assessment, United States. Dept. of Veterans Affairs, Dual diagnosis, Veterans |
| Abstract: | Purpose: To examine clinical outcomes and employment status in Veterans with and without a dual diagnosis of traumatic brain injury (TBI) and spinal cord injury (SCI). Methods: This cross-sectional study examined a national sample of Veterans enrolled in the VA Million Veteran Program who completed the Comprehensive TBI Evaluation (CTBIE) as part of the Veterans Health Administration's TBI Screening and Evaluation Program. Veterans (N = 12,985) were classified into the following TBI/SCI groups using CTBIE data: those with a dual diagnosis of TBI and SCI (TBI+/SCI+); those with a history of TBI but no SCI (TBI+/SCI−); and those with no history of TBI or SCI (TBI−/SCI−; i.e., the control group). CTBIE-derived outcomes included neurobehavioral symptoms, comorbid psychiatric symptoms, pain and pain interference, and employment status. Results: Chi-square analyses showed significant associations between TBI/SCI group and all clinical outcomes evaluated (all p's <.001; V = 0.07–0.11). In general, the TBI+/SCI+ and TBI +/SCI− groups endorsed comparable levels of neurobehavioral symptoms, psychiatric symptoms, and pain, but significantly greater rates of symptoms and pain relative to the TBI−/SCI− group. Effect sizes for all pairwise comparisons were small (φ = 0.01–0.11). Finally, there was no significant association between TBI/SCI group and employment status (p =.170; V = 0.02), with all three groups showing relatively comparable rates of unemployment. Conclusions: Regardless of SCI status, Veterans with TBI history endorsed poorer clinical outcomes than Veterans without TBI and SCI. However, rates of unemployment were similarly high across all three groups. Findings suggest that any Veteran completing the CTBIE may be at risk for poor clinical and employment outcomes. [ABSTRACT FROM AUTHOR] |
| Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 174761648 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Evaluation of clinical outcomes and employment status in veterans with dual diagnosis of traumatic brain injury and spinal cord injury. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Clark%2C+Jillian+M%2E+R%2E%22">Clark, Jillian M. R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ozturk%2C+Erin+D%2E%22">Ozturk, Erin D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chanfreau-Coffinier%2C+Catherine%22">Chanfreau-Coffinier, Catherine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Merritt%2C+Victoria+C%2E%22">Merritt, Victoria C.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Quality+of+Life+Research%22">Quality of Life Research</searchLink>. Jan2024, Vol. 33 Issue 1, p229-239. 11p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22United+States%2E+Veterans+Health+Administration%22">United States. Veterans Health Administration</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+injuries%22">Brain injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Spinal+cord+injuries%22">Spinal cord injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%2E+Dept%2E+of+Veterans+Affairs%22">United States. Dept. of Veterans Affairs</searchLink><br /><searchLink fieldCode="DE" term="%22Dual+diagnosis%22">Dual diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Veterans%22">Veterans</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: To examine clinical outcomes and employment status in Veterans with and without a dual diagnosis of traumatic brain injury (TBI) and spinal cord injury (SCI). Methods: This cross-sectional study examined a national sample of Veterans enrolled in the VA Million Veteran Program who completed the Comprehensive TBI Evaluation (CTBIE) as part of the Veterans Health Administration's TBI Screening and Evaluation Program. Veterans (N = 12,985) were classified into the following TBI/SCI groups using CTBIE data: those with a dual diagnosis of TBI and SCI (TBI+/SCI+); those with a history of TBI but no SCI (TBI+/SCI−); and those with no history of TBI or SCI (TBI−/SCI−; i.e., the control group). CTBIE-derived outcomes included neurobehavioral symptoms, comorbid psychiatric symptoms, pain and pain interference, and employment status. Results: Chi-square analyses showed significant associations between TBI/SCI group and all clinical outcomes evaluated (all p's <.001; V = 0.07–0.11). In general, the TBI+/SCI+ and TBI +/SCI− groups endorsed comparable levels of neurobehavioral symptoms, psychiatric symptoms, and pain, but significantly greater rates of symptoms and pain relative to the TBI−/SCI− group. Effect sizes for all pairwise comparisons were small (φ = 0.01–0.11). Finally, there was no significant association between TBI/SCI group and employment status (p =.170; V = 0.02), with all three groups showing relatively comparable rates of unemployment. Conclusions: Regardless of SCI status, Veterans with TBI history endorsed poorer clinical outcomes than Veterans without TBI and SCI. However, rates of unemployment were similarly high across all three groups. Findings suggest that any Veteran completing the CTBIE may be at risk for poor clinical and employment outcomes. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s11136-023-03518-7 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 229 Subjects: – SubjectFull: United States. Veterans Health Administration Type: general – SubjectFull: Brain injuries Type: general – SubjectFull: Spinal cord injuries Type: general – SubjectFull: Health outcome assessment Type: general – SubjectFull: United States. Dept. of Veterans Affairs Type: general – SubjectFull: Dual diagnosis Type: general – SubjectFull: Veterans Type: general Titles: – TitleFull: Evaluation of clinical outcomes and employment status in veterans with dual diagnosis of traumatic brain injury and spinal cord injury. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Clark, Jillian M. R. – PersonEntity: Name: NameFull: Ozturk, Erin D. – PersonEntity: Name: NameFull: Chanfreau-Coffinier, Catherine – PersonEntity: Name: NameFull: Merritt, Victoria C. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 09629343 Numbering: – Type: volume Value: 33 – Type: issue Value: 1 Titles: – TitleFull: Quality of Life Research Type: main |
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