Reporting of symptoms associated with concussion by OEF/OIF/OND Veterans: Comparison between research and clinical contexts.
Reporting of symptoms associated with concussion by OEF/OIF/OND Veterans: Comparison between research and clinical contexts.
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OEF/OIF/OND 退伍军人报告与脑震荡相关的症状：研究与临床背景之间的比较。
DOI：
10.1080/02699052.2017.1280740
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发表时间：
2017
期刊：
影响因子：
1.9
通讯作者：
McGlinchey,ReginaE
中科院分区：
文献类型：
--
作者：
Jackson,ColleenE;Nordstrom,Leslie;Fonda,JenniferR;Fortier,CatherineB;Milberg,WilliamP;McGlinchey,ReginaE
目的：最近军事冲突中的退伍军人经常报告与脑震荡相关的持续性症状，远远超过轻度创伤性脑损伤后预期的恢复期。这项研究考察了临床和研究环境中脑震荡相关症状报告的差异。方法：这项自然主义的比较包括91名来自持久自由行动(OEF)、伊拉克自由行动(OIF)和新黎明行动(OND)的退伍军人。所有参与者都参加了一项专注于创伤性脑损伤和应激相关障碍的纵向研究，并完成了VHA综合脑创伤评估。个人在研究和临床评估期间完成了神经行为症状问卷(NSI)；还为一部分参与者提供了额外的表现和症状有效性测量。结果：与研究环境相比，临床评估时NSI的平均总分和分量表得分显著高于研究环境，无论评估之间的顺序和持续时间如何。在临床评估中，NSI的过度报告率和操作效度测试失败率也较高。结论：临床医生和研究人员必须认识到上下文对报告通常与脑震荡相关的症状可能产生的影响。未来的研究需要确定和缓解影响背景对症状报告的影响的因素。
Objective: Veterans from recent military conflicts frequently report persisting symptoms associated with concussion well beyond the expected period of recovery following mild traumatic brain injury. This study examined differences in the reporting of symptoms associated with concussion between clinical and research contexts.Methods: This naturalistic comparison included 91 Veterans from Operations Enduring Freedom (OEF), Iraqi Freedom (OIF) and New Dawn (OND). All participants were enrolled in a longitudinal study focused on traumatic brain injury and stress-related disorders and had also completed a VHA Comprehensive TBI Evaluation. Individuals completed the Neurobehavioral Symptom Inventory (NSI) during their research and clinical evaluations; additional measures of performance and symptom validity were also available for a subset of participants.Results: NSI mean total and subscale scores were significantly higher when assessed in the clinical compared to the research setting, irrespective of the order and duration of time between evaluations. Rates of over-reporting on the NSI and performance validity test failure were also higher during the clinical evaluation.Conclusion: Clinicians and researchers must appreciate the possible effects of context on the reporting of symptoms commonly associated with concussion. Future research identifying and mitigating factors influencing the effect of context on symptom reporting is needed.