Posttraumatic Stress Disorder and Traumatic Brain Injury in Current Military Populations
Posttraumatic Stress Disorder and Traumatic Brain Injury in Current Military Populations
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当前军人的创伤后应激障碍和创伤性脑损伤
DOI：
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发表时间：
2012
影响因子：
2
通讯作者：
P. Wall
中科院分区：
文献类型：
--
作者：
P. Wall
背景资料：非常规武器的使用，加上死亡率的降低和军人在多次部署期间暴露于激烈的地面战斗，增加了军人生活在创伤性脑损伤（TBI）和战斗操作压力后果中的风险。目的：本文的目的是进行批判性分析的文献，以确定目前的共病率创伤后应激障碍（PTSD）和创伤性脑损伤的军事和退伍军人的人口谁曾在伊拉克或阿富汗和他们的综合影响持续脑震荡后症状。设计图：使用关键词检索Pubmed、奥维德/Medline、Cochran数据库、Embase、Scopus、CINAHL和PsychInfo中2001年以后发表的关于军人和退伍军人的文献。结果：20项研究符合纳入标准。文献检索得出的PTSD、TBI和共病率结果不一。结论：有证据表明PTSD和TBI共病比单独的PTSD和TBI导致更多的脑震荡后神经病学报告。局限性包括缺乏一致性的测量，抽样偏差，缺乏实验设计，这些值得进一步探讨。未来的研究需要减少研究结果的变异性，并阐明这些疾病及其对持续性脑震荡后神经病学的影响之间的关系。
Background: The use of unconventional weaponry combined with decreased mortality rates and servicemembers being exposed to intense ground combat during multiple deployments has increased the risk of servicemembers living with the consequences of traumatic brain injuries (TBI) and combat operational stress. Objective: The purpose of this article is to perform a critical analysis of the literature to identify current rates of comorbid posttraumatic stress disorder (PTSD) and TBI in military and veteran populations who have served in Iraq or Afghanistan and their combined effects on persistent postconcussive symptoms. Design: A search of the literature with military and veteran populations published after 2001 in Pubmed, OVID/Medline, Cochran Database, Embase, Scopus, CINAHL, and PsychInfo was conducted using keywords. Results: Twenty studies met inclusion criteria. The literature search yielded mixed results for rates of PTSD, TBI, and comorbid conditions. Conclusions: There is some evidence that comorbid PTSD and TBI result in greater reports of postconcussive symptomology than either condition alone. Limitations include lack of consistency of measurements, sampling biases, and lack of experimental design, and these warrant further exploration. Future research is needed to decrease variability in study findings and elucidate relationships between these disorders and their effects on persistent postconcussive symptomology.
影响因子：
4.2
作者：
Levin, Harvey S.;Wilde, Elisabeth;Li, Xiaoqi
通讯作者：
Li, Xiaoqi