ArticleArchives of physical medicine and rehabilitation2020
Interrelationships Between Post-TBI Employment and Substance Abuse: A Cross-lagged Structural Equation Modeling Analysis.
Article in Archives of physical medicine and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed.
- Distinct clinical phenotypes and their neuroanatomic correlates in chronic traumatic brain injury.medRxiv : the preprint server for health sciences · 2025Article
- Distinct clinical phenotypes and their neuroanatomic correlates in chronic traumatic brain injury.Brain communications · 2025Article
- Interrelationships among workload, illness severity, and function on return to work following acute respiratory distress syndrome.Australian critical care : official journal of the Confederation of Australian Critical Care Nurses · 2023Article
- Does Traumatic Brain Injury Cause Risky Substance Use or Substance Use Disorder?Biological psychiatry · 2022Review
- The Traumatic Brain Injury Model Systems National Database: A Review of Published Research.Neurotrauma reports · 2021Review
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo describe the interrelationship of postinjury employment and substance abuse (SA) among individuals with traumatic brain injury.
designStructural equation model (SEM) and logistic regression analytic approach using a merged database of the National Trauma Data Bank (NTDB) and Traumatic Brain Injury Model Systems (TBIMS) National Database, with acute care and rehabilitation hospitalization data and 1, 2, and 5 year follow-up data.
settingUnited States Level I/II trauma centers and inpatient rehabilitation centers with telephone follow-up.
participantsIndividuals in the TBIMS National Database successfully matched to their NTDB data, aged 18-59 years, with trauma severity, age, sex, employment, and SA data at 1, 2, and/or 5 years postinjury (N=2890).
interventionsNot applicable.
main outcome measureEmployment status (employed/unemployed) and SA (present/absent) at year 1, year 2, and year 5 postinjury.
resultsSEM analysis showed older age at injury predicted lower likelihood of employment at all time points postinjury (β
conclusionsEmployment and SA have unique longitudinal interrelationships and are additionally influenced by age, sex, and ISS. The present work suggests the need for more research on causal, confounding, and mediating factors and appropriate screening and intervention tools that minimize SA and facilitate successful employment-related outcomes.
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