This is an application for a Mentored Patient-Oriented Research Career Development Award (K23). The candidate, a neuropsychiatrist, proposes to acquire specific skills and knowledge to become an independent investigator and leader in traumatic brain injury (TBI) psychiatric research. The candidate will conduct a prospective study on risk factors for post-TBI depression under the mentorship of Drs. C. G. Lykestos and J. Brandt, and with associated faculty including Drs. D. Schretlen, H. Armenian, K. Bandeen-Roche, C. Reynolds, R. Robinson, and J. Silver. The goals for this five year plan include: conduct a 1-year prospective cohort study of TBI patients; enhance research related skills; broaden knowledge; and publish regularly. These goals will be accomplished through conducting research on risk factors for post-TBI depression. Other activities that will contribute towards the goals include pursuit of a Masters of Health Sciences in Epidemiology degree at the Johns Hopkins School of Public Health, regular meetings with mentors and consultants, attendance at scientific meetings, and travel to other sites of TBI/neuropsychiatric research. The focus of the proposed research is the risk factors associated with post-TBI depression. TBI is a serious public health problem in the United States, with an annual incidence of 2 million per year. 25-50 % of people who sustain TBI develop depression. The pathogenesis of post-TBI depression is still unclear. The primary aim is to assess the rates of major depression in those with executive dysfunction at time of injury and at 1, 6, and 12 months post-injury. The hypothesis is that patients with executive dysfunction will have higher rates of depression than those without executive dysfunction. A secondary aim is to assess rates of depression in those with poor pre-injury social functioning. The hypothesis is that patients with poorer pre-injury social functioning will have higher rates of depression than those with better pre-injury functioning.
A third aim i s to compare the strength of these two risk factors. The hypothesis is that the effect of executive dysfunction will be larger than that of pre-injury social functioning. All three hypotheses will hold true at each time point, even when gender, personal past psychiatric history, family history, and alcohol/substance abuse/depedence are adjusted for in the analysis. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23MH066894-03
Application #
7101075
Study Section
Behavioral Genetics and Epidemiology Study Section (BGES)
Program Officer
Mayo, Donna J
Project Start
2004-08-01
Project End
2009-07-31
Budget Start
2006-08-01
Budget End
2007-07-31
Support Year
3
Fiscal Year
2006
Total Cost
$169,692
Indirect Cost
Name
Johns Hopkins University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
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Rao, Vani; McCann, Una; Han, Dingfen et al. (2014) Does acute TBI-related sleep disturbance predict subsequent neuropsychiatric disturbances? Brain Inj 28:20-6
Rao, Vani; McCann, Una; Bergey, Alyssa et al. (2013) Correlates of apathy during the first year after traumatic brain injury. Psychosomatics 54:403-4
Gracia-Garcia, Patricia; Mielke, Michelle M; Rosenberg, Paul et al. (2011) Personality changes in brain injury. J Neuropsychiatry Clin Neurosci 23:E14
Rao, Vani; Bergey, Alyssa; Hill, Hugh et al. (2011) Sleep disturbance after mild traumatic brain injury: indicator of injury? J Neuropsychiatry Clin Neurosci 23:201-5
Rao, Vani; Bertrand, Melaine; Rosenberg, Paul et al. (2010) Predictors of new-onset depression after mild traumatic brain injury. J Neuropsychiatry Clin Neurosci 22:100-4
Rao, Vani; Rosenberg, Paul; Bertrand, Melaine et al. (2009) Aggression after traumatic brain injury: prevalence and correlates. J Neuropsychiatry Clin Neurosci 21:420-9
Vaishnavi, Sandeep; Rao, Vani; Fann, Jesse R (2009) Neuropsychiatric problems after traumatic brain injury: unraveling the silent epidemic. Psychosomatics 50:198-205
Rao, Vani; Spiro, Jennifer; Vaishnavi, Sandeep et al. (2008) Prevalence and types of sleep disturbances acutely after traumatic brain injury. Brain Inj 22:381-6