美国退伍军人的轻度脑外伤:全国退伍军人健康和复原力研究》的结果。

IF 2.7 4区 医学 Q2 PSYCHIATRY
Sarah Meshberg-Cohen, Joan M Cook, Ian C Fischer, Robert H Pietrzak
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引用次数: 0

摘要

目的:本研究提供了美国退伍军人中轻度创伤性脑损伤(mTBI)的患病率、风险因素、相关心理健康和功能结果的全国代表性数据:本研究就美国退伍军人中轻度创伤性脑损伤(mTBI)的患病率、风险因素、相关心理健康和功能结果提供了具有全国代表性的数据:方法:分析了全国退伍军人健康与复原力研究(NHRVS)的数据(N = 4,069)。分析估算了mTBI患病率、不同mTBI伤害的暴露程度以及过去一周的mTBI症状(即持续性脑震荡后症状[PCS])。对有和没有 mTBI+PCS 的退伍军人的社会人口、军事、创伤和精神特征进行了比较。研究还考察了 mTBI+PCS 与认知、精神和社会心理功能测量之间的关联:总体而言,43.7%的人在退伍军人事务局的轻度创伤性脑损伤筛查和评估工具中认可可能发生过轻度创伤性脑损伤事件,10.0%的人筛查出轻度创伤性脑损伤阳性。将自我报告的脑震荡/创伤性脑损伤/创伤性脑损伤(5.8%)的医疗保健专业诊断与 mTBI 筛查阳性结果相结合后,mTBI+PCS 的患病率为 3.0%。具有特定创伤特征(如不良童年事件)、服兵役(如战斗)和终生患有精神病的退伍军人更有可能患有 mTBI+PCS。mTBI+PCS 与当前创伤后应激障碍、重度抑郁障碍、广泛性焦虑障碍和药物使用障碍的几率增加有关。这些退伍军人在认知、精神和社会心理功能方面的得分也明显较低:总体而言,3.0% 的退伍军人患有 mTBI+PCS,这表明虽然 mTBI 在这一人群中可能很普遍,但大多数人很可能会康复而不会出现慢性症状。与没有mTBI+PCS的退伍军人相比,患有mTBI+PCS的退伍军人合并精神病诊断和社会心理功能较差的风险很大,早期有针对性的识别可能有助于预防残疾和康复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mild Traumatic Brain Injury in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study.

Objective: This study provides nationally representative data on the prevalence, risk factors, and associated mental health and functional outcomes of mild traumatic brain injury (mTBI) in U.S. military veterans.

Methods: Data (N = 4,069) were analyzed from the National Health and Resilience in Veterans Study (NHRVS). Analyses estimated mTBI prevalence, exposure to different mTBI injuries, and past-week mTBI symptoms (i.e. persistent post-concussive symptoms [PCS]). Comparisons were made between veterans with and without mTBI+PCS on sociodemographic, military, trauma, and psychiatric characteristics. Associations between mTBI+PCS and measures of cognitive, mental, and psychosocial functioning were examined.

Results: Overall, 43.7% endorsed a possible mTBI event on the Veterans Affairs' Mild TBI Injury Screening and Evaluation tool, and 10.0% screened positive for mTBI. After combining a self-reported healthcare professional diagnosis of concussion/mTBI/TBI (5.8%) with a positive mTBI screen, the prevalence of mTBI+PCS was 3.0%. Veterans with specific trauma characteristics (e.g. adverse childhood events), military service (e.g. combat), and lifetime psychiatric conditions were more likely to have mTBI+PCS. mTBI+PCS was associated with increased odds of current posttraumatic stress disorder, major depressive disorder, generalized anxiety disorder, and drug use disorder. These veterans also scored significantly lower on cognitive, mental, and psychosocial functioning.

Conclusions: Overall, 3.0% of veterans had mTBI+PCS, suggesting that while mTBI may be prevalent in this population, the majority will likely recover without developing chronic symptoms. Those with mTBI+PCS are at significant risk for comorbid psychiatric diagnoses and poorer psychosocial functioning relative to those without mTBI+PCS, and early targeted identification may assist in prevention of disability and recovery.

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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
48
审稿时长
>12 weeks
期刊介绍: Internationally recognized, Psychiatry has responded to rapid research advances in psychiatry, psychology, neuroscience, trauma, and psychopathology. Increasingly, studies in these areas are being placed in the context of human development across the lifespan, and the multiple systems that influence individual functioning. This journal provides broadly applicable and effective strategies for dealing with the major unsolved problems in the field.
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