PRIMARY OBJECTIVES: To establish pre-morbid alcohol and drug use in persons with TBI, relative to controls, investigate how patterns of substance use change over time following TBI and identify factors associated with heavy post-injury substance use. METHODS AND PROCEDURES: The Alcohol Use Disorders Identification test (AUDIT) and Drug Abuse Screening Test (DAST) was completed by 121 hospital inpatients with TBI, documenting pre-injury alcohol and drug use, and 133 demographically similar controls. Participants with TBI completed these measures and the Hospital Anxiety and Depression Scale (HADS) again 1 and 2 years post-injury and 76 also completed them at 3 years. RESULTS: Participants with TBI showed similar levels of drug and alcohol use to controls pre-injury, with 31.4% of the TBI group and 29.3% of controls drinking at hazardous levels. Alcohol and drug use declined in the first year post-injury, but increased by 2 years post-injury, with only 21.4% of participants with TBI reporting abstinence from alcohol and 25.4% drinking at hazardous levels. Only 9% showed a drug problem, but 24% had returned to some drug use. Those showing heavy alcohol use post-injury were young, male and heavy drinkers pre-injury. Drug and alcohol use was similar at 3 years post-injury. CONCLUSIONS: More active intervention is needed to reduce alcohol and drug use following TBI.
PRIMARY OBJECTIVES: To establish pre-morbid alcohol and drug use in persons with TBI, relative to controls, investigate how patterns of substance use change over time following TBI and identify factors associated with heavy post-injury substance use. METHODS AND PROCEDURES: The Alcohol Use Disorders Identification test (AUDIT) and Drug Abuse Screening Test (DAST) was completed by 121 hospital inpatients with TBI, documenting pre-injury alcohol and drug use, and 133 demographically similar controls. Participants with TBI completed these measures and the Hospital Anxiety and Depression Scale (HADS) again 1 and 2 years post-injury and 76 also completed them at 3 years. RESULTS:Participants with TBI showed similar levels of drug and alcohol use to controls pre-injury, with 31.4% of the TBI group and 29.3% of controls drinking at hazardous levels. Alcohol and drug use declined in the first year post-injury, but increased by 2 years post-injury, with only 21.4% of participants with TBI reporting abstinence from alcohol and 25.4% drinking at hazardous levels. Only 9% showed a drug problem, but 24% had returned to some drug use. Those showing heavy alcohol use post-injury were young, male and heavy drinkers pre-injury. Drug and alcohol use was similar at 3 years post-injury. CONCLUSIONS: More active intervention is needed to reduce alcohol and drug use following TBI.
Authors: Joel Grossbard; Carol A Malte; Gwen Lapham; Kathleen Pagulayan; Aaron P Turner; Anna D Rubinsky; Katharine A Bradley; Andrew J Saxon; Eric J Hawkins Journal: Psychiatr Serv Date: 2016-08-01 Impact factor: 3.084
Authors: Paul E Rapp; Brenna M Rosenberg; David O Keyser; Dominic Nathan; Kevin M Toruno; Christopher J Cellucci; Alfonso M Albano; Scott A Wylie; Douglas Gibson; Adele M K Gilpin; Theodore R Bashore Journal: Front Neurol Date: 2013-07-22 Impact factor: 4.003
Authors: Jacques P Mayeux; Sophie X Teng; Paige S Katz; Nicholas W Gilpin; Patricia E Molina Journal: Behav Brain Res Date: 2014-11-10 Impact factor: 3.332
Authors: Sophie X Teng; Paige S Katz; John K Maxi; Jacques P Mayeux; Nicholas W Gilpin; Patricia E Molina Journal: Brain Behav Immun Date: 2014-12-06 Impact factor: 7.217
Authors: Rachel Sayko Adams; Mary Jo Larson; John D Corrigan; Grant A Ritter; Thomas V Williams Journal: Subst Use Misuse Date: 2013-07 Impact factor: 2.164