Female Service Members and Symptom Reporting after Combat and Non-Combat-Related Mild Traumatic Brain Injury
Female Service Members and Symptom Reporting after Combat and Non-Combat-Related Mild Traumatic Brain Injury
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DOI：
10.1089/neu.2016.4403
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发表时间：
2017-01-15
影响因子：
4.2
通讯作者：
Lange, Rael T.
中科院分区：
文献类型：
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作者：
Brickell, Tracey A.;Lippa, Sara M.;Lange, Rael T.
女性往往被排除在军事相关的轻度创伤性脑损伤（mTBI）的研究，因为它在这一人群中的患病率相对较低。本研究的目的是关注女性服务人员与男性相比的mTBI结果。参与者是从一个更大的样本中选出的172名美国军人，他们都患有mTBI，并在受伤后24个月内（年龄：平均值=28.9，SD=8.1）在六个军事医疗中心之一进行了评估。86名女性与86名男性在9个关键变量上相匹配：TBI严重程度、损伤机制、身体损伤严重程度、受伤后天数、年龄、部署次数、受伤地点、服务分支和级别。参与者完成了神经行为症状量表（NSI）和创伤后应激障碍检查表（PCL-C）。在所有人口统计学和损伤相关变量中没有有意义的性别差异（p > 0.05）。NSI总分和所有四个NSI聚类得分存在显著的组间差异和中等效应量。受影响最大的症状与恶心、对光敏感、味觉/嗅觉变化、食欲变化、疲劳和睡眠不良有关。PCL-C总分和三个PCL-C聚类评分中的两个存在显著的组间差异和小-中等效应量。受影响最严重的症状与注意力不集中、难以记住压力事件以及令人不安的记忆/想法/图像有关。女性一直比男性经历更多的症状。随着女性在与战斗有关的部署中变得更加活跃，未来的研究更加重视这一重要的军事人口至关重要。
Females are often excluded from military-related mild traumatic brain injury (mTBI) research because of its relatively low prevalence in this population. The purpose of this study was to focus on outcome from mTBI in female service members, compared with males. Participants were 172 United States military service members selected from a larger sample that had sustained an mTBI, and were evaluated within 24 months of injury (Age: mean =28.9, SD=8.1) at one of six military medical centers. Eighty-six women were matched to 86 men on nine key variables: TBI severity, mechanism of injury, bodily injury severity, days post-injury, age, number of deployments, theater where wounded, branch of service, and rank. Participants completed the Neurobehavioral Symptom Inventory (NSI) and the Posttraumatic Stress Disorder Checklist (PCL-C). There were no meaningful gender differences across all demographic and injury-related variables (p > 0.05). There were significant group differences and medium effect sizes for the NSI total score and all four NSI cluster scores. Symptoms most affected related to nausea, sensitivity to light, change in taste/smell, change in appetite, fatigue, and poor sleep. There were significant group differences and small-medium effect sizes for the PCL-C total score and two of the three PCL-C cluster scores. Symptoms most affected related to poor concentration, trouble remembering a stressful event, and disturbing memories/thoughts/images. Females consistently experienced more symptoms than males. As females become more active in combat-related deployments, it is critical that future studies place more emphasis on this important military population.