Patterns of alcohol use 1 year after traumatic brain injury: A population-based, epidemiological study

被引:67
作者
Horner, MD
Ferguson, PL
Selassie, AW
Labbate, LA
Kniele, K
Corrigan, JD
机构
[1] Ralph H Johnson Dept VA Med Ctr, Mental Hlth Serv, Charleston, SC USA
[2] Med Univ S Carolina, Dept Psychiat & Behav Sci, Charleston, SC 29425 USA
[3] Med Univ S Carolina, Dept Biometry & Epidemiol, Charleston, SC USA
[4] Ohio State Univ, Dept Phys Med & Rehabil, Columbus, OH USA
关键词
alcohol abuse; alcohol drinking; alcoholism; epidemiological studies; follow-up studies; substance abuse; traumatic brain injury;
D O I
10.1017/S135561770505037X
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This study delineated patterns of alcohol use 1 year after traumatic brain injury (TBI) in a large, population-based, epidemiological, nonclinical sample, and identified predictors of heavy alcohol use in these individuals. Participants were 1,606 adults identified by review of a South Carolina statewide hospital discharge data set, on the basis of satisfying the Centers for Disease Control case definition of TBI, and were interviewed by telephone 1 year after TBI-related discharge. Alcohol use in the month prior to interview was classified according to categories from the Quantity-Frequency-Variability Index; heavy drinking was defined as nearly daily use with >= 5 drinks at least occasionally, or at least three occasions with >= 5 drinks. A polychotomous logistic regression with 3 response levels (heavy, moderate, and abstinent/infrequent/light drinking) was used to identify predictors of heavy drinking. Heavy drinking in the month prior to interview was reported by 15.4% of participants, while 14.3% reported moderate drinking and 70.3% reported abstinence or light/infrequent drinking. Risk factors for heavy drinking included male gender, younger age, history of substance abuse prior to TBI, diagnosis of depression since TBI, fair/moderate mental health, and better physical functioning. There was no association between drinking patterns and TBI severity.
引用
收藏
页码:322 / 330
页数:9
相关论文
共 38 条
[1]  
[Anonymous], 1995, Guidelines for surveillance of central nervous system injury
[2]  
[Anonymous], ABBR INJ SCAL 1990 R
[3]   The magnitude and correlates of alcohol and drug use before traumatic brain injury [J].
Bombardier, CH ;
Rimmele, CT ;
Zintel, H .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2002, 83 (12) :1765-1773
[4]  
Burnett DM, 2000, BRAIN INJURY, V14, P713
[5]  
CAHALAN D, 1968, Q J STUD ALCOHOL, V29, P642
[6]  
CAHALAN D, 1968, Q J STUD ALCOHOL, V29, P130
[7]  
CDC, 2003, BEH RISK FACT SURV S
[8]  
Corrigan J. D., 1999, REHABILITATION ADULT
[9]   SUBSTANCE-ABUSE AS A MEDIATING FACTOR IN OUTCOME FROM TRAUMATIC BRAIN INJURY [J].
CORRIGAN, JD .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1995, 76 (04) :302-309
[10]   Outcomes in the first 5 years after traumatic brain injury [J].
Corrigan, JD ;
Smith-Knapp, K ;
Granger, CV .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1998, 79 (03) :298-305