U.S. vs. Foreign Nativity and 10-Year Trajectories of Mental Health after Traumatic Brain Injury: A Model Systems Study
Background: Previous research has found racial and ethnic disparities in life satisfaction, depression, and anxiety after traumatic brain injury (TBI). However, limited studies have examined differences in these variables between U.S.- and foreign-born individuals with TBI. The purpose of this study...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/12/3/867 |
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| author | Chimdindu Ohayagha Kritzia Merced Paul B. Perrin Juan Carlos Arango-Lasprilla Daniel W. Klyce Shawn C. T. Jones |
| author_facet | Chimdindu Ohayagha Kritzia Merced Paul B. Perrin Juan Carlos Arango-Lasprilla Daniel W. Klyce Shawn C. T. Jones |
| author_sort | Chimdindu Ohayagha |
| collection | DOAJ |
| description | Background: Previous research has found racial and ethnic disparities in life satisfaction, depression, and anxiety after traumatic brain injury (TBI). However, limited studies have examined differences in these variables between U.S.- and foreign-born individuals with TBI. The purpose of this study was to examine whether differences exist in mental health outcomes between U.S.- and foreign-born individuals with TBI at 1, 2, 5, and 10 years after injury, as well as examine whether demographic and injury-related characteristics account for these differences. Method: Participants were 8289 individuals with TBI who identified as U.S.-born and 944 who identified as born outside the U.S. in the TBI Model Systems study. Participants completed measures of mental health outcomes at 1, 2, 5, and 10 years after injury. Results: Foreign-born individuals with TBI had comparable levels of depression and anxiety trajectories to U.S.-born individuals, yet higher life satisfaction trajectories, even after controlling for demographic and injury-related variables. Conclusion: Rehabilitation professionals should consider in their clinical work the mechanisms that likely influence mental health outcomes among foreign-born individuals, including family-based values that increase resilience, as well as the possible under-reporting of mental health symptoms along the lines of cultural norms. |
| first_indexed | 2024-03-11T09:39:27Z |
| format | Article |
| id | doaj.art-f691240e02894a269eaa515170d52886 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T09:39:27Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-f691240e02894a269eaa515170d528862023-11-16T17:08:19ZengMDPI AGJournal of Clinical Medicine2077-03832023-01-0112386710.3390/jcm12030867U.S. vs. Foreign Nativity and 10-Year Trajectories of Mental Health after Traumatic Brain Injury: A Model Systems StudyChimdindu Ohayagha0Kritzia Merced1Paul B. Perrin2Juan Carlos Arango-Lasprilla3Daniel W. Klyce4Shawn C. T. Jones5Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USADepartment of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USACentral Virginia Veterans Affairs Health Care System, Richmond, VA 23249, USADepartment of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USADepartment of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USADepartment of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USABackground: Previous research has found racial and ethnic disparities in life satisfaction, depression, and anxiety after traumatic brain injury (TBI). However, limited studies have examined differences in these variables between U.S.- and foreign-born individuals with TBI. The purpose of this study was to examine whether differences exist in mental health outcomes between U.S.- and foreign-born individuals with TBI at 1, 2, 5, and 10 years after injury, as well as examine whether demographic and injury-related characteristics account for these differences. Method: Participants were 8289 individuals with TBI who identified as U.S.-born and 944 who identified as born outside the U.S. in the TBI Model Systems study. Participants completed measures of mental health outcomes at 1, 2, 5, and 10 years after injury. Results: Foreign-born individuals with TBI had comparable levels of depression and anxiety trajectories to U.S.-born individuals, yet higher life satisfaction trajectories, even after controlling for demographic and injury-related variables. Conclusion: Rehabilitation professionals should consider in their clinical work the mechanisms that likely influence mental health outcomes among foreign-born individuals, including family-based values that increase resilience, as well as the possible under-reporting of mental health symptoms along the lines of cultural norms.https://www.mdpi.com/2077-0383/12/3/867traumatic brain injurynativitydisparitiesmental health outcomes |
| spellingShingle | Chimdindu Ohayagha Kritzia Merced Paul B. Perrin Juan Carlos Arango-Lasprilla Daniel W. Klyce Shawn C. T. Jones U.S. vs. Foreign Nativity and 10-Year Trajectories of Mental Health after Traumatic Brain Injury: A Model Systems Study Journal of Clinical Medicine traumatic brain injury nativity disparities mental health outcomes |
| title | U.S. vs. Foreign Nativity and 10-Year Trajectories of Mental Health after Traumatic Brain Injury: A Model Systems Study |
| title_full | U.S. vs. Foreign Nativity and 10-Year Trajectories of Mental Health after Traumatic Brain Injury: A Model Systems Study |
| title_fullStr | U.S. vs. Foreign Nativity and 10-Year Trajectories of Mental Health after Traumatic Brain Injury: A Model Systems Study |
| title_full_unstemmed | U.S. vs. Foreign Nativity and 10-Year Trajectories of Mental Health after Traumatic Brain Injury: A Model Systems Study |
| title_short | U.S. vs. Foreign Nativity and 10-Year Trajectories of Mental Health after Traumatic Brain Injury: A Model Systems Study |
| title_sort | u s vs foreign nativity and 10 year trajectories of mental health after traumatic brain injury a model systems study |
| topic | traumatic brain injury nativity disparities mental health outcomes |
| url | https://www.mdpi.com/2077-0383/12/3/867 |
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