Deployment-related TBI, persistent postconcussive symptoms, PTSD, and depression in OEF/OIF veterans.
Deployment-related TBI, persistent postconcussive symptoms, PTSD, and depression in OEF/OIF veterans.
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OEF/OIF 退伍军人中与部署相关的 TBI、持续性脑震荡后症状、PTSD 和抑郁症。
DOI：
10.1037/a0025462
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发表时间：
2011
影响因子：
2.7
通讯作者：
Gulliver,SuzyBird
中科院分区：
文献类型：
--
作者：
Morissette,SandraB;Woodward,Matthew;Kimbrel,NathanA;Meyer,EricC;Kruse,MarcI;Dolan,Sara;Gulliver,SuzyBird
目标 参加过持久自由行动 (OEF) 和伊拉克自由行动 (OIF) 的超过 200 万军人中，很大一部分经历过创伤性脑损伤 (TBI)。由于脑震荡后症状 (PCS) 的非特异性性质以及 TBI、创伤后应激障碍 (PTSD) 和抑郁症同时发生的高比例，了解 TBI 的长期影响变得复杂。本研究的目的是检查回归的 OEF/OIF 退伍军人中 TBI、持续性 PCS 以及 PTSD 和抑郁症状之间的关系。方法 213 名 OEF/OIF 退伍军人（87% 男性）完成了半结构化筛选访谈，评估与服役相关的 TBI 和当前持续性 PCS。参与者还完成了战斗暴露以及当前 PTSD 和抑郁症症状的自我报告测量。结果 近一半 (46%) 的抽样退伍军人筛查出 TBI 呈阳性，其中大多数 (85%) 在去除与 PTSD 和抑郁症重叠的 PCS 后报告至少有一种持续性 PCS。患有与服役相关的创伤性脑损伤 (TBI) 的退伍军人报告称，战斗暴露程度较高，并且出现创伤后应激障碍 (PTSD) 和抑郁症症状。使用结构方程模型来评估 TBI、战斗暴露、持续性 PCS、PTSD 和抑郁之间关系的 3 个模型的拟合度。与假设一致，最合适的模型是 TBI 对 PTSD 和抑郁症的影响完全由非重叠的持续性 PCS 介导。结论这些发现强调了解决持续性 PCS 的重要性，以促进返回的战争退伍军人的功能恢复。（PsycINFO 数据库记录 (c) 2017 APA，保留所有权利）
ObjectiveA substantial proportion of the more than 2 million service members who have served in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) have experienced a traumatic brain injury (TBI). Understanding the long-term impact of TBI is complicated by the nonspecific nature of postconcussive symptoms (PCSs) and the high rates of co-occurrence among TBI, posttraumatic stress disorder (PTSD), and depression. The goal of the present research was to examine the relations among TBI, persistent PCSs, and symptoms of PTSD and depression among returning OEF/OIF veterans.Method213 OEF/OIF veterans (87% male) completed a semistructured screening interview assessing deployment-related TBI and current, persistent PCSs. Participants also completed self-report measures of combat exposure and current symptoms of PTSD and depression.ResultsNearly half (46%) of sampled veterans screened positive for TBI, the majority of whom (85%) reported at least one persistent PCS after removing PCSs that overlapped with PTSD and depression. Veterans with deployment-related TBI reported higher levels of combat exposure and symptoms of PTSD and depression. Structural equation modeling was used to assess the fit of 3 models of the relationships among TBI, combat exposure, persistent PCSs, PTSD, and depression. Consistent with hypotheses, the best-fitting model was one in which the effects of TBI on both PTSD and depression were fully mediated by nonoverlapping persistent PCSs.ConclusionsThese findings highlight the importance of addressing persistent PCSs in order to facilitate the functional recovery of returning war veterans.(PsycINFO Database Record (c) 2017 APA, all rights reserved)