Disparities in mental health symptoms recovery across race/ethnicity and education level following mild traumatic brain injury.
Dialogues Health
; 1: 100048, 2022 Dec.
Article
em En
| MEDLINE
| ID: mdl-38515877
ABSTRACT
Purpose:
The purpose of this study was to investigate the relationship between race/ethnicity and post-concussive mental health (i.e., depressive, post-traumatic stress disorder [PTSD]) and neurobehavioral symptoms among service members, and whether this association differed by education level.Methods:
The study sample consisted of 524 patients from a multidisciplinary US military outpatient treatment facility for post-concussive symptoms. Poisson regression with robust error variance was utilized to investigate outcome (i.e., clinically-elevated depressive [Patient Health Questionnaire-8â¯≥15], PTSD [PTSD Checklist, DSM 5â¯≥38] and neurobehavioral [Neurobehavioral Symptom Inventory >75th percentile] symptoms at admission and last follow-up in this cohort study. Modification by education level (low [no college degree] vs. high [associate's degree or higher]) was additionally evaluated.Results:
The relationship between race/ethnicity and mental health/neurobehavioral symptoms varied by education level (p-interaction depressive symptomsâ¯=â¯0.002, PTSD symptomsâ¯=â¯0.035, neurobehavioral symptomsâ¯=â¯0.040). Specifically, non-Whites were at a significantly higher prevalence for clinically-elevated depressive symptoms post-treatment than Whites, but only among those with higher education level (PRâ¯=â¯2.22, CIâ¯=â¯1.37-3.59). A similar trend was demonstrated for PTSD and neurobehavioral symptoms.Conclusion:
Military healthcare may need to increase depression-focused treatment options that are acceptable for racial/ethnic minority patients, particularly those with higher education, while they are recovering from comorbid traumatic brain injury.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article