Better with age? A comparison of geriatric and non-geriatric trauma patients’ psychological outcomes 6 months post-injury

Brittney L. Culp, Jacob W. Roden-Foreman, Estrella V. Thomas, Evan Elizabeth McShan, Monica M. Bennett, Katherine Riley Martin, Mark Powers, Michael L. Foreman, Laura B. Petrey, Ann Marie Warren

Research output: Contribution to journalArticle

Abstract

This is the first study to compare both physical and psychological outcomes in geriatric and non-geriatric patients (n = 268) at baseline and 6 months post-trauma. Demographic, clinical, and psychological data, including screens for alcohol use, depressive symptoms, and post-traumatic stress symptoms (PTSS) were collected from 67 geriatric patients (70.7 ± 8.0 years) and 201 non-geriatric patients (40.2 ± 12.8 years) admitted to a Level I trauma center for ≥ 24 h. Geriatric patients were significantly less likely to screen positive for alcohol use at baseline, and depression, PTSS, and alcohol use at follow-up. When not controlling for discharge to rehabilitation or nursing facility, geriatric patients had significantly lower odds of alcohol use at follow-up. There was no significant difference in injury severity, resilience, or pre-trauma psychological status between the two groups. Results indicate that geriatric trauma patients fare better than their younger counterparts at 6 months post-trauma on measures of alcohol use, depression, and PTSS. Screenings and interventions for both age groups could improve psychological health post-trauma, but younger patients may require additional attention.

Original languageEnglish (US)
Pages (from-to)406-418
Number of pages13
JournalCognitive Behaviour Therapy
Volume48
Issue number5
DOIs
StatePublished - Sep 3 2019

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Geriatrics
Psychology
Wounds and Injuries
Alcohols
Depression
Rehabilitation Nursing
Trauma Centers
Age Groups
Demography
Health

Keywords

  • Geriatric
  • alcohol use
  • depression
  • injury
  • post-traumatic stress

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

Culp, B. L., Roden-Foreman, J. W., Thomas, E. V., McShan, E. E., Bennett, M. M., Martin, K. R., ... Warren, A. M. (2019). Better with age? A comparison of geriatric and non-geriatric trauma patients’ psychological outcomes 6 months post-injury. Cognitive Behaviour Therapy, 48(5), 406-418. https://doi.org/10.1080/16506073.2018.1533578

Better with age? A comparison of geriatric and non-geriatric trauma patients’ psychological outcomes 6 months post-injury. / Culp, Brittney L.; Roden-Foreman, Jacob W.; Thomas, Estrella V.; McShan, Evan Elizabeth; Bennett, Monica M.; Martin, Katherine Riley; Powers, Mark; Foreman, Michael L.; Petrey, Laura B.; Warren, Ann Marie.

In: Cognitive Behaviour Therapy, Vol. 48, No. 5, 03.09.2019, p. 406-418.

Research output: Contribution to journalArticle

Culp, BL, Roden-Foreman, JW, Thomas, EV, McShan, EE, Bennett, MM, Martin, KR, Powers, M, Foreman, ML, Petrey, LB & Warren, AM 2019, 'Better with age? A comparison of geriatric and non-geriatric trauma patients’ psychological outcomes 6 months post-injury', Cognitive Behaviour Therapy, vol. 48, no. 5, pp. 406-418. https://doi.org/10.1080/16506073.2018.1533578
Culp, Brittney L. ; Roden-Foreman, Jacob W. ; Thomas, Estrella V. ; McShan, Evan Elizabeth ; Bennett, Monica M. ; Martin, Katherine Riley ; Powers, Mark ; Foreman, Michael L. ; Petrey, Laura B. ; Warren, Ann Marie. / Better with age? A comparison of geriatric and non-geriatric trauma patients’ psychological outcomes 6 months post-injury. In: Cognitive Behaviour Therapy. 2019 ; Vol. 48, No. 5. pp. 406-418.
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