Journal of psychosomatic research · 2025
Mental health service use among individuals with traumatic brain injury: Exploring the role of social support, employment, and insurance.
СтатьяПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
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Saadi Altaf, Cruz-Gonzalez Mario, Zhang Lulu, Alegría Margarita
Аннотация
INTRODUCTION: This study assessed 1) differences in mental health service use among those with and without traumatic brain injury (TBI), 2) whether social supports, employment, and insurance moderated the TBI-mental health service use relationship, and 3) racial and ethnic differences in these associations.
METHODS: In an analytic sample of 1018 participants, we used propensity score matching and inverse probability of treatment weighting to assess differences in both lifetime and past 12-month mental health service use among those with and without TBI. We used a logistic regression model for the moderation analyses.
RESULTS: Those with TBI reported greater depressive, anxiety, and PTSD symptoms than those without TBI, as well as higher probability of both lifetime and past 12-month mental health service use. After adjusting for the propensity score, those with TBI were about 10.5 % more likely to use mental health services compared to those without TBI. Higher levels of social support were associated with a three-fold increase in the odds of using mental health services in individuals with TBI. Employment and insurance did not significantly moderate the TBI-mental health service use relationship, but insurance was independently associated with grater odds of both lifetime and past 12-month mental health service use.
CONCLUSION: Greater psychiatric symptoms in individuals with TBI, along with their increased use of mental health services, highlight the need for a multidisciplinary approach to TBI care. Interventions could also target social relationships, as lower social support represents a potential pathway for differences in mental health service use for those with TBI.
METHODS: In an analytic sample of 1018 participants, we used propensity score matching and inverse probability of treatment weighting to assess differences in both lifetime and past 12-month mental health service use among those with and without TBI. We used a logistic regression model for the moderation analyses.
RESULTS: Those with TBI reported greater depressive, anxiety, and PTSD symptoms than those without TBI, as well as higher probability of both lifetime and past 12-month mental health service use. After adjusting for the propensity score, those with TBI were about 10.5 % more likely to use mental health services compared to those without TBI. Higher levels of social support were associated with a three-fold increase in the odds of using mental health services in individuals with TBI. Employment and insurance did not significantly moderate the TBI-mental health service use relationship, but insurance was independently associated with grater odds of both lifetime and past 12-month mental health service use.
CONCLUSION: Greater psychiatric symptoms in individuals with TBI, along with their increased use of mental health services, highlight the need for a multidisciplinary approach to TBI care. Interventions could also target social relationships, as lower social support represents a potential pathway for differences in mental health service use for those with TBI.