Chronic frontal neurobehavioural symptoms in combat-deployed military personnel with and without a history of blast-related mild traumatic brain injury.
Chronic frontal neurobehavioural symptoms in combat-deployed military personnel with and without a history of blast-related mild traumatic brain injury.
复制标题
有或没有爆炸相关轻度创伤性脑损伤史的战斗部署军事人员的慢性额神经行为症状。
DOI：
10.1080/02699052.2023.2209740
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发表时间：
2023
期刊：
影响因子：
1.9
通讯作者：
MacDonald,ChristineL
中科院分区：
文献类型：
--
作者：
Parsey,CarolynM;Kang,HyunJin;Eaton,JessicaC;McGrath,MargaretE;Barber,Jason;Temkin,NancyR;MacDonald,ChristineL
这项研究通过FrSBe自我报告评估了有和没有爆炸相关轻度创伤性脑损伤史的军事人员的额叶行为症状（轻度TBI）。方法利用1年和5年的人口统计学和随访临床结果数据对战斗部署服务成员进行前瞻性观察队列研究。结果爆炸性轻度TBI组（n= 164）显示出更大的额叶行为症状，包括在5年的随访中，与一组没有轻度TBI史或爆炸暴露史的战斗部署对照组（n= 107）相比，临床上冷漠、去抑制和执行功能障碍升高。我们还探讨了变化inbehaviourall症状超过4年的跨度，这表明临床上显着增加的去抑制在爆炸轻度TBI组，而对照组并没有表现出显着增加的症状随着时间的推移.ConclusionOur研究结果增加了越来越多的证据表明，一个比例的个人谁持续轻度TBI的经验持久的行为症状。我们还提供了一个示范的新用途的FrSBe作为一种工具，纵向症状监测在军事轻度TBI人口。
ObjectiveThis study evaluated frontal behavioural symptoms, via the FrSBe self-report, in military personnel with and without a history of blast-related mild traumatic brain injury (mild TBI).MethodsProspective observational cohort study of combat-deployed service members leveraging 1-year and 5-year demographic and follow up clinical outcome data.ResultsThe blast mild TBI group (n= 164) showed greater frontal behavioural symptoms, including clinically elevated apathy, disinhibition, and executive dysfunction, during a 5-year follow-up, compared to a group of combat-deployed controls (n= 107) without mild TBI history or history of blast exposure. We also explored changes inbehaviourall symptoms over a 4-year span, which showed clinically significant increases in disinhibition in the blast mild TBI group, whereas the control group did not show significant increases in symptoms over time.ConclusionOur findings add to the growing evidence that a proportion of individuals who sustain mild TBI experience persistent behavioural symptoms. We also offer a demonstration of a novel use of the FrSBe as a tool for longitudinal symptom monitoring in a military mild TBI population.