Evidence map›Paper›PMID 28520674›Full record

ArticleThe Journal of head trauma rehabilitation

Relationship Stability After Traumatic Brain Injury Among Veterans and Service Members: A VA TBI Model Systems Study.

Lillian Flores Stevens, Yanna Lapis, Xinyu Tang, Angelle M Sander, Laura E Dreer, Flora M Hammond, Jeffrey S Kreutzer, Therese M OʼNeil-Pirozzi, Risa Nakase-Richardson

Abstract readMulticenter Study
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lillian Flores StevensHunter Holmes McGuire Veterans Affairs Medical Center, Richmond, Virginia (Drs Stevens and Lapis); Departments of Psychology (Dr Stevens) and Physical Medicine and Rehabilitation (Drs Stevens, Lapis, and Kreutzer), Virginia Commonwealth University, Richmond; Defense and Veterans Brain Injury Center (DVBIC), Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, Virginia (Dr Stevens); Biostatistics Program, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock (Dr Tang); Department of Physical Medicine & Rehabilitation & Beth K. and Stuart C. Yudofsky Division of Neuropsychiatry, and Department of Psychiatry, Baylor College of Medicine & Harris Health System, Houston, Texas (Dr Sander); Brain Injury Research Center, TIRR Memorial Hermann, Houston, Texas (Dr Sander); Departments of Physical Medicine and Rehabilitation & Ophthalmology, The University of Alabama at Birmingham (Dr Dreer); Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis (Dr Hammond); Spaulding Rehabilitation Hospital Department of Physical Medicine & Rehabilitation and Northeastern University Department of Communication Sciences and Disorders, Boston, Massachusetts (Dr O'Neil-Pirozzi); MHBS, James A. Haley Veterans Hospital, Tampa, Florida (Dr Nakase-Richardson); VA HSR&D Center of Innovation in Disability Rehabilitation and Research (CINDRR), James A. Haley Veterans Hospital, Tampa, Florida (Dr Nakase-Richardson); Defense and Veterans Brain Injury Center (DVBIC), James A. Haley Veterans Hospital, Tampa, Florida (Dr Nakase-Richardson); and Department of Internal Medicine, University of South Florida, Tampa (Dr Nakase-Richardson).
Yanna Lapis
Xinyu Tang
Angelle M Sander
Laura E Dreer
Flora M Hammond
Jeffrey S Kreutzer
Therese M OʼNeil-Pirozzi
Risa Nakase-Richardson

Funding

Health Promotion and Disease Prevention Research Center*U48DP000060 · DP · SAINT LOUIS UNIVERSITY · PI BAKER, ELIZABETH A · 2004 to 2008
$6.1M
Promotion of Physical Activity in the Latino CommunityU48DP000036 · DP · SAN DIEGO STATE UNIVERSITY · PI ELDER, JOHN P. · 2004 to 2008
$2.5M
Kentucky Prevention Research CenterU48DP000039 · DP · UNIVERSITY OF KENTUCKY · PI DIGNAN, MARK B · 2005 to 2008
$2.5M
Prevention Research Center-University at Albany, SUNYU48DP000028 · DP · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI STROGATZ, DAVID STANTON · 2005 to 2008
$2.2M
Center of Innovation on Disability and Rehabilitation Research (CIDRR)I50HX001233 · VA · VETERANS HEALTH ADMINISTRATION · PI MANN, WILLIAM C. · 2015 to 2015
–
ACL HHS 90DP0036HSRD VA I50 HX001233NCCDPHP CDC HHS U48 DP000028NCCDPHP CDC HHS U48 DP000036NCCDPHP CDC HHS U48 DP000039NCCDPHP CDC HHS U48 DP000060
6 · The paper itself

Abstract

objectiveTo explore stability of relationships and predictors of change in relationship status 2 years following TBI/polytrauma.

settingFive Department of Veterans Affairs Polytrauma Rehabilitation Centers (VA PRCs).

participantsA total of 357 active duty service members and Veterans enrolled in the Veterans Affairs Polytrauma Rehabilitation Centers Traumatic Brain Injury Model Systems database with complete marital status information at 2 years postinjury.

designProspective, longitudinal, multisite. MAIN MEASURES: Relationship status change was defined as change in marital status (single/never married; married; divorced/separated) at 2-year follow-up, compared with status at enrollment.

resultsAt the time of enrollment, 134 participants (38%) were single/never married; 151 (42%) were married, and 72 (20%) were divorced/separated. Of those married at enrollment, 78% remained married at year 2 while 22% underwent negative change. Multivariable analyses revealed that age and education at the time of injury and mental health utilization prior to injury were significant predictors of relationship change. Among those who were single/divorced/separated at the time of enrollment, 87% remained so at year 2 while 13% underwent positive change. Injury during deployment significantly predicted positive relationship change.

conclusionsThe unmalleable, preinjury characteristics identified may be used as potential triggers for education, prevention, surveillance, and couples therapy, if needed.

Indexed as

Marital StatusMilitary PersonnelVeteransAdultBrain Injuries, TraumaticDatasets as TopicFemaleHumansLongitudinal StudiesMaleMiddle AgedMultiple TraumaProspective StudiesRehabilitation CentersSocial BehaviorUnited States

Identifiers

PMID28520674
PMCPMC5839478

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.