Journal of the International Neuropsychological Society



Patterns of alcohol use 1 year after traumatic brain injury: A population-based, epidemiological study


MICHAEL DAVID  HORNER  a1 a2 c1 , PAMELA L.  FERGUSON  a3 , ANBESAW W.  SELASSIE  a3 , LAWRENCE A.  LABBATE  a1 a2 , KATHRYN  KNIELE  a2 and JOHN D.  CORRIGAN  a4
a1 Mental Health Service, Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, SC
a2 Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC
a3 Department of Biometry and Epidemiology, Medical University of South Carolina, Charleston, SC
a4 Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus, OH

Article author query
horner md   [PubMed][Google Scholar] 
ferguson pl   [PubMed][Google Scholar] 
selassie aw   [PubMed][Google Scholar] 
labbate la   [PubMed][Google Scholar] 
kniele k   [PubMed][Google Scholar] 
corrigan jd   [PubMed][Google Scholar] 

Abstract

This study delineated patterns of alcohol use 1 year after traumatic brain injury (TBI) in a large, population-based, epidemiological, nonclinical sample, and identified predictors of heavy alcohol use in these individuals. Participants were 1,606 adults identified by review of a South Carolina statewide hospital discharge data set, on the basis of satisfying the Centers for Disease Control case definition of TBI, and were interviewed by telephone 1 year after TBI-related discharge. Alcohol use in the month prior to interview was classified according to categories from the Quantity–Frequency–Variability Index; heavy drinking was defined as nearly daily use with [greater-than-or-equal] 5 drinks at least occasionally, or at least three occasions with [greater-than-or-equal] 5 drinks. A polychotomous logistic regression with 3 response levels (heavy, moderate, and abstinent/infrequent/light drinking) was used to identify predictors of heavy drinking. Heavy drinking in the month prior to interview was reported by 15.4% of participants, while 14.3% reported moderate drinking and 70.3% reported abstinence or light/infrequent drinking. Risk factors for heavy drinking included male gender, younger age, history of substance abuse prior to TBI, diagnosis of depression since TBI, fair/moderate mental health, and better physical functioning. There was no association between drinking patterns and TBI severity. (JINS, 2005, 11, 322–330.)

(Received April 27 2004)
(Revised January 3 2005)
(Accepted January 6 2005)


Key Words: Alcohol abuse; Alcohol drinking; Alcoholism; Epidemiological studies; Follow-up studies; Substance abuse; Traumatic brain injury.

Correspondence:
c1 Reprint requests to: Michael David Horner, Ph.D., Mental Health Service (116), Ralph H. Johnson VA Medical Center, 109 Bee St., Charleston, SC 29401-5799. E-mail: hornermd@musc.edu


Related Content