Mental Illness in the 2 Years Prior to Pregnancy in a Population With Traumatic Brain Injury: A Cross-Sectional Study: La maladie mentale dans les deux ans précédant une grossesse dans une population souffrant de lésion cérébrale traumatique : une étude transversale-Reference-Cited by-同舟云学术

Mental Illness in the 2 Years Prior to Pregnancy in a Population With Traumatic Brain Injury: A Cross-Sectional Study: La maladie mentale dans les deux ans précédant une grossesse dans une population souffrant de lésion cérébrale traumatique : une étude transversale

Published:2024-04-25 Issue:8 Volume:69 Page:607-617
ISSN:0706-7437
Container-title:The Canadian Journal of Psychiatry
language:en
Short-container-title:Can J Psychiatry

Author:

Brown Hilary K.¹²³⁴^ORCID,Strauss Rachel⁴,Fung Kinwah⁴,Mataruga Andrea⁴,Chan Vincy⁵⁶^ORCID,Mollayeva Tatyana⁵⁶,Urbach Natalie⁷,Colantonio Angela⁵⁶⁸,Cohen Eyal⁴⁹¹⁰¹¹¹²,Dennis Cindy-Lee¹³¹⁴^ORCID,Ray Joel G.⁴⁹¹⁵,Saunders Natasha⁴⁹¹⁰¹¹¹²^ORCID,Vigod Simone N.³⁴⁹¹⁶

Affiliation:

1. Department of Health & Society, University of Toronto Scarborough, Toronto, ON, Canada

2. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

3. Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada

4. ICES, Toronto, ON, Canada

5. KITE Research Institute-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada

6. Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada

7. School of Medicine, Queen's University, Kingston, ON, Canada

8. Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada

9. Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada

10. Hospital for Sick Children, Toronto, ON, Canada

11. Edwin SH Leong Centre for Healthy Children, University of Toronto, Toronto, ON, Canada

12. Department of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada

13. Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada

14. Lunenfeld-Tannenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, Canada

15. Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada

16. Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada

Abstract

Objective Existing studies, in mostly male samples such as veterans and athletes, show a strong association between traumatic brain injury (TBI) and mental illness. Yet, while an understanding of mental health before pregnancy is critical for informing preconception and perinatal supports, there are no data on the prevalence of active mental illness before pregnancy in females with TBI. We examined the prevalence of active mental illness ≤2 years before pregnancy (1) in a population with TBI, and (2) in subgroups defined by sociodemographic, health, and injury-related characteristics, all compared to those without TBI. Method This population-based cross-sectional study was completed in Ontario, Canada, from 2012 to 2020. Modified Poisson regression generated adjusted prevalence ratios (aPRs) of active mental illness ≤2 years before pregnancy in 15,585 females with TBI versus 846,686 without TBI. We then used latent class analysis to identify subgroups with TBI according to sociodemographic, health, and injury-related characteristics and subsequently compared them to females without TBI on their outcome prevalence. Results Females with TBI had a higher prevalence of active mental illness ≤2 years before pregnancy than those without TBI (44.1% vs. 25.9%; aPR 1.46, 95% confidence interval, 1.43 to 1.49). There were 3 TBI subgroups, with Class 1 (low-income, past assault, recent TBI described as intentional and due to being struck by/against) having the highest outcome prevalence. Conclusions Females with TBI, and especially those with a recent intentional TBI, have a high prevalence of mental illness before pregnancy. They may benefit from mental health screening and support in the post-injury, preconception, and perinatal periods. Plain Language Title Mental illness in the 2 years before pregnancy in a population with traumatic brain injury

Funder

Canadian Institutes of Health Research

Canada Research Chairs Program

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/07067437241249957

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