Neurocognition, psychiatric symptoms, and lifetime homelessness among veterans with a history of traumatic brain injury

Psychiatry Res. 2019 Jan:271:167-170. doi: 10.1016/j.psychres.2018.11.049. Epub 2018 Nov 20.


We retrospectively investigated archival clinical data, including correlates of lifetime homelessness, in 503 Veterans with a history of traumatic brain injuries (86.5% mild) who completed neuropsychological evaluations and passed performance validity tests. The 471 never-homeless and 32 ever-homeless Veterans were compared on demographic factors, TBI severity, psychiatric diagnosis, subjective symptoms, and neuropsychological functioning. Homelessness history was significantly associated with unemployment, lower disability income, more severe depressive, anxiety, posttraumatic stress disorder, and postconcussive symptoms, and lower performances on two of fifteen neurocognitive tests. In a multiple logistic regression model, current unemployment and substance use disorder remained significantly associated with lifetime homelessness.

Keywords: Cognition; Homeless persons; Mental disorders.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Afghan Campaign 2001-
  • Brain Injuries, Traumatic / psychology*
  • Female
  • Humans
  • Ill-Housed Persons / psychology
  • Ill-Housed Persons / statistics & numerical data*
  • Iraq War, 2003-2011
  • Male
  • Neuropsychological Tests
  • Occupational Diseases / psychology*
  • Post-Concussion Syndrome / epidemiology
  • Post-Concussion Syndrome / psychology
  • Retrospective Studies
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Stress Disorders, Post-Traumatic / psychology
  • Unemployment / psychology
  • Unemployment / statistics & numerical data
  • United States
  • Veterans / psychology*