Prevalence and Psychological Correlates of Traumatic Brain Injury in Operation Iraqi Freedom
Prevalence and Psychological Correlates of Traumatic Brain Injury in Operation Iraqi Freedom
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DOI：
10.1097/htr.0b013e3181c2993d
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发表时间：
2010-01-01
影响因子：
2.4
通讯作者：
Corson, Karen S.
中科院分区：
文献类型：
--
作者：
MacGregor, Andrew J.;Shaffer, Richard A.;Corson, Karen S.
目的：了解在伊拉克战争中受伤的男性战斗人员中创伤性脑损伤(TBI)的患病率及其心理相关性。参与者：2004年9月至2005年2月期间共有781名男子在军事战斗中受伤。主要观察指标：精神健康诊断(ICD-9290-319)，特别是创伤后应激障碍和情绪/焦虑障碍，截至2006年11月。结果：符合颅脑损伤标准的占15.8%，其中轻型占13.4%，中重型占2.4%，其他颅脑损伤占35.0%，非颅脑损伤占49.2%。多因素Logistic回归分析显示，轻度和中重度颅脑损伤患者的创伤后应激障碍和情绪/焦虑障碍的发生率较低。结论：这些发现可能反映了鉴别诊断的问题，或者相反，症状的自我表现率较低。需要进一步的研究来阐明颅脑损伤对退伍军人的心理后果、临床意义和整体影响。
Objective: To describe the prevalence and psychological correlates of traumatic brain injury (TBI) among injured male combatants in the Iraq conflict. Participants: A total of 781 men injured during military combat between September 2004 and February 2005. Main Outcome Measures: Mental health diagnosis (ICD-9 290-319), particularly posttraumatic stress disorder and mood/anxiety disorders, assigned through November 2006. Results: 15.8% met criteria for TBI (13.4% mild, 2.4% moderate-severe TBI), 35.0% other head injury, and 49.2% non-head injury. Multivariate logistic regression suggested lower rates of posttraumatic stress disorder and mood/anxiety disorders among those with mild and moderate-severe TBI. Conclusions: These findings could reflect a problem with differential diagnosis or, conversely, a low rate of self-presentation for symptoms. Further research is needed to elucidate the psychological consequences, clinical implications, and overall impact of TBI among military combat veterans.