Self-reported psychosocial health among adults with traumatic brain injury

Arch Phys Med Rehabil. 2006 Jul;87(7):953-61. doi: 10.1016/j.apmr.2006.03.007.


Objective: To measure the subjective psychosocial health of a population-based sample of adults with traumatic brain injury (TBI).

Design: Retrospective, cohort study involving a 1-year postinjury interview.

Setting: Sixty-two acute care, nonfederal hospitals in South Carolina.

Participants: Persons (> or =15y) hospitalized with TBI.

Interventions: Not applicable.

Main outcome measure: The psychosocial health scales of the Medical Outcomes Study 36-Item Short-Form Health Survey.

Results: Of the 7612 participants, 29% reported poor psychosocial health. Factors associated with poor psychosocial well-being included younger age, female sex, Medicaid coverage, no health insurance, inadequate or moderate social support, comorbidities (eg, a preinjury substance abuse problem), cognitive complaints, and some or a lot of limitation with activities of daily living. Only 36% of participants who reported poor psychosocial health reported receiving any mental health services.

Conclusions: A substantial proportion of persons hospitalized with TBI reported poor psychosocial health at 1 year postinjury. To optimize recovery, clinicians need to ensure that patients' psychosocial health needs are addressed during the postacute period.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Brain Injuries / psychology*
  • Brain Injuries / rehabilitation
  • Chi-Square Distribution
  • Female
  • Humans
  • Interviews as Topic
  • Logistic Models
  • Male
  • Middle Aged
  • Quality of Life
  • Retrospective Studies
  • Self-Assessment*
  • Sickness Impact Profile*