Alcohol and drug use following traumatic brain injury: a prospective study.

Abstract:

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.

journal_name

Brain Inj

journal_title

Brain injury

authors

Ponsford J,Whelan-Goodinson R,Bahar-Fuchs A

doi

10.1080/02699050701796960

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

1385-92

issue

13-14

eissn

0269-9052

issn

1362-301X

pii

788256208

journal_volume

21

pub_type

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