Objectives: Evaluate the psychometric properties of indices of lifetime exposure to traumatic brain injury (TBI) among prisoners.
Participants: Convenience samples recruited from male (N = 105) and female (N = 105) state prison facilities.
Design: Assess test/retest reliability and criterion-related validity.
Primary Measures: Summary indices of the number, severity, timing, and effects of lifetime exposure to TBI calculated from data elicited via a structured interview.
Results: Test/retest reliability ranged from acceptable to high. Factor analysis showed that indices of lifetime exposure could be characterized by (1) age of onset (especially childhood onset), (2) combinations of number and likely severity of injuries, and (3) number of symptoms and functional effects. Age at injury, number of TBIs with loss of consciousness, and symptoms persisting contributed independently to the prediction of common cognitive and behavioral consequences of TBI.
Conclusion: These results provide further support for the reliability and validity of summary indices of lifetime exposure to TBI when elicited via a structured interview.
Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus.
Corresponding Author: Jennifer Bogner, PhD, Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus, OH 43210 (firstname.lastname@example.org).
Preparation of this manuscript was supported by a grant from the National Center for Injury Prevention and Control at the Centers for Disease Control and Prevention grant U49/CE000359-01.
This project had the benefit of significant assistance from multiple sources: from the National Center for Injury Prevention and Control at the Centers for Disease Control and Prevention, Jean Langlois, Marlena Wald, and Wesley Rutland-Brown; from the Ohio Department of Rehabilitation and Correction, Rod Woods, who saved this project several times; from the Ohio Department of Rehabilitation and Correction, Wardens Pat Andrews and Jim Irwin, Elizabeth Wright, Jeffrey Noble, Bev LaRue, Joseph Cooper, and Kevin Birchfield; from the Ohio Department of Alcohol and Drug Addiction Services, Michael Roth, Martha Spohn, and George Wharton; and from The Ohio State University, Elizabeth Windisch, Calvin Cunningham, Tina Pollock, Gary Lamb-Hart, Julie Stephens, and Lianbo Yu.