title: Self-reported psychosocial health among adults with traumatic brain injury.
abstract: OBJECTIVE
  To measure the subjective psychosocial health of a population-based sample of adults with traumatic brain injury (TBI).
  
  
  METHODS
  Retrospective, cohort study involving a 1-year postinjury interview.
  
  
  METHODS
  Sixty-two acute care, nonfederal hospitals in South Carolina.
  
  
  METHODS
  Persons (> or =15y) hospitalized with TBI.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  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.
authors.affiliation: Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21209, USA. mmccarth@jhmi.edu
authors.forename: Melissa L
authors.initials: ML
authors.lastname: McCarthy
authors.forename: Sureyya S
authors.initials: SS
authors.lastname: Dikmen
authors.forename: Jean A
authors.initials: JA
authors.lastname: Langlois
authors.forename: Anbesaw W
authors.initials: AW
authors.lastname: Selassie
authors.forename: Ja K
authors.initials: JK
authors.lastname: Gu
authors.forename: Michael D
authors.initials: MD
authors.lastname: Horner
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000523:psychology* / Q000534:rehabilitation; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D012647:Self-Assessment; D018434:Sickness Impact Profile