Longitudinal mental health outcomes of combat-injured service members.
Longitudinal mental health outcomes of combat-injured service members.
复制标题
DOI：
10.1002/brb3.2088
复制
发表时间：
2021-05
影响因子：
3.1
通讯作者：
Stewart IJ
中科院分区：
文献类型：
--
作者：
Walker LE;Watrous J;Poltavskiy E;Howard JT;Janak JC;Pettey WBP;Zarzabal LA;Sim A;Gundlapalli A;Stewart IJ
创伤性损伤与随后的心理健康诊断之间的关系尚不清楚，可能对患者筛查和临床干预具有重大影响。我们试图确定创伤性损伤与创伤后应激障碍（PTSD）、抑郁和焦虑的后续发展之间的调整关联。我们使用 2002 年 2 月至 2016 年 6 月期间国防部和退伍军人事务部的数据集，对 7,787 名战斗受伤的美国军人与战斗部署的未受伤军人进行了 1:1 匹配的回顾性队列研究。主要暴露是战斗伤害与非战斗伤害。结果是根据国际疾病分类第 9 版和第 10 版临床修改代码定义的 PTSD、抑郁症和焦虑症的诊断。与未受伤的军人相比，受伤的军人每 100 人年观察到的 PTSD（17.1 比 5.8）、抑郁（10.4 比 5.7）和焦虑（9.1 比 4.9）的发病率更高。调整后，战伤患者发生 PTSD（HR 2.92，95%CI 2.68-3.17）、抑郁（HR 1.47，95%CI 1.36-1.58）和焦虑（HR 1.34，95%CI 1.24-1.45）的风险增加。创伤性损伤与创伤后应激障碍、抑郁和焦虑的后续发展有关。这些发现强调了对遭受身体创伤的患者加强筛查、预防和干预的重要性。在这项对 7,787 名战斗受伤的美国军人进行的回顾性队列研究中，与未受伤的战斗部署军人进行 1:1 匹配，结果显示，与未受伤的军人相比，战斗受伤的军人每 100 人年的 PTSD（17.1 比 5.8）、抑郁症（10.4 比 5.7）和焦虑（9.1 比 4.9）的发病率更高。调整后，战伤患者发生 PTSD（HR 2.92，95%CI 2.68-3.17）、抑郁（HR 1.47，95%CI 1.36-1.58）和焦虑（HR 1.34，95%CI 1.24-1.45）的风险增加。这些发现强调了对遭受身体创伤的患者加强筛查、预防和干预的重要性。
The relationship between traumatic injury and subsequent mental health diagnoses is not well understood and may have significant implications for patient screening and clinical intervention. We sought to determine the adjusted association between traumatic injury and the subsequent development of post‐traumatic stress disorder (PTSD), depression, and anxiety. Using Department of Defense and Veterans Affairs datasets between February 2002 and June 2016, we conducted a retrospective cohort study of 7,787 combat‐injured United States service members matched 1:1 to combat‐deployed, uninjured service members. The primary exposure was combat injury versus no combat injury. Outcomes were diagnoses of PTSD, depression, and anxiety, defined by International Classification of Diseases 9th and 10th Revision Clinical Modification codes. Compared to noninjured service members, injured service members had higher observed incidence rates per 100 person‐years for PTSD (17.1 vs. 5.8), depression (10.4 vs. 5.7), and anxiety (9.1 vs. 4.9). After adjustment, combat‐injured patients were at increased risk of development of PTSD (HR 2.92, 95%CI 2.68–3.17), depression (HR 1.47, 95%CI 1.36–1.58), and anxiety (HR 1.34, 95%CI 1.24–1.45). Traumatic injury is associated with subsequent development of PTSD, depression, and anxiety. These findings highlight the importance of increased screening, prevention, and intervention in patients with exposure to physical trauma. In this retrospective cohort study of 7,787 combat‐injured United States service members matched 1:1 to combat‐deployed, uninjured service members, combat‐injured service members had higher incidence rates per 100 person‐years for PTSD (17.1 vs. 5.8), depression (10.4 vs. 5.7), and anxiety (9.1 vs. 4.9) when compared to uninjured service members. After adjustment, combat‐injured patients were at increased risk of development of PTSD (HR 2.92, 95%CI 2.68–3.17), depression (HR 1.47, 95%CI 1.36–1.58), and anxiety (HR 1.34, 95%CI 1.24–1.45). These findings highlight the importance of increased screening, prevention, and intervention in patients with exposure to physical trauma.
登录
查看更多内容
影响因子：
3.1
作者：
Higgins, Diana M.;Kerns, Robert D.;Goulet, Joseph L.
通讯作者：
Goulet, Joseph L.
DOI：
10.1097/01.ta.0000057151.02906.27
发表时间：
2003-05-01
影响因子：
--
作者：
Champion, HR;Bellamy, RF;Leppaniemi, A
通讯作者：
Leppaniemi, A
DOI：
10.1097/00005373-197403000-00001
发表时间：
1974-01-01
影响因子：
--
作者：
BAKER, SP;ONEILL, B;LONG, WB
通讯作者：
LONG, WB
影响因子：
5
作者：
Jaramillo, Carlos A.;Eapen, Blessen C.;Pugh, Mary Jo
通讯作者：
Pugh, Mary Jo
影响因子：
6.6
作者：
Copeland, Laurel A.;Zeber, John E.;Lawrence, Valerie A.
通讯作者：
Lawrence, Valerie A.