Service needs and neurobehavioral functioning following traumatic brain injury in U.S. military personnel.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL

Rehabilitation Psychology Pub Date : 2025-02-01 Epub Date: 2024-05-23 DOI:10.1037/rep0000556

Rael T Lange, Louis M French, Sara M Lippa, Alicia A Rogers, Kelly Gillow, Corie E Tippett, Jason M Bailie, Lars Hungerford, Jan Kennedy, Tracey A Brickell

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引用次数: 0

Abstract

Objective: The purpose of this study was to (a) identify the prevalence and barriers of self-reported service needs in a military sample with and without traumatic brain injury (TBI), (b) evaluate the influence of the number of service needs on overall neurobehavioral functioning, and (c) examine the longitudinal trajectories of service needs over time.

Method: Participants were 941 U.S. service members and veterans (SMVs) prospectively enrolled into four groups: uncomplicated mild TBI (MTBI; n = 455); complicated mild, moderate, severe, and penetrating TBI combined (STBI; n = 164); injured controls (IC, n = 138); and noninjured controls (NIC, n = 184). Participants completed a battery of neurobehavioral measures, as well as a self-reported service need interview, 12 or more month's postinjury. In addition, a longitudinal cohort (n = 553) was included using a subset of participants who had completed two or more evaluations.

Results: When examining the total number of self-reported service needs, there was a greater proportion of the MTBI and STBI groups that had a higher number of service needs compared to the NIC and IC groups (p < .001). In the MTBI and STBI groups, as the number of service needs increased, worse scores were found on all neurobehavioral measures. In the longitudinal cohort, the STBI group reported the highest number of service needs that persisted or developed over time (six needs), followed by the MTBI (three needs), IC (one need), and NIC (zero need) groups.

Conclusions: These findings call for the need to enhance the provision of information given to service members and veterans following TBI regarding available services. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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美国军人脑外伤后的服务需求和神经行为功能。

研究目的本研究的目的是：(a) 确定有无脑外伤（TBI）的军人样本中自我报告的服务需求的普遍性和障碍；(b) 评估服务需求数量对整体神经行为功能的影响；(c) 研究服务需求随时间变化的纵向轨迹：参与者为 941 名美国军人和退伍军人（SMVs），他们被前瞻性地分为四组：无并发症轻度 TBI（MTBI；n = 455）；并发症轻度、中度、重度和穿透性 TBI 合并（STBI；n = 164）；受伤对照组（IC，n = 138）；非受伤对照组（NIC，n = 184）。参与者在受伤后 12 个月或更长时间内完成了一系列神经行为测量以及自我服务需求访谈。此外，还利用完成两次或两次以上评估的参与者子集纳入了一个纵向队列（n = 553）：在检查自我报告的服务需求总数时，与 NIC 组和 IC 组相比，MTBI 组和 STBI 组中有更大比例的人需要更多的服务（p < .001）。在 MTBI 组和 STBI 组中，随着服务需求数量的增加，所有神经行为测量的得分都会降低。在纵向队列中，STBI 组报告的随时间推移而持续或发展的服务需求数量最多（6 项需求），其次是 MTBI 组（3 项需求）、IC 组（1 项需求）和 NIC 组（0 项需求）：结论：这些研究结果表明，有必要加强向发生创伤性脑损伤后的军人和退伍军人提供有关可用服务的信息。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.