美国退伍军人脑震荡与战斗史、心理健康和自杀意念的关系——一项初步研究。

IF 2.7 3区 医学 Q3 NEUROSCIENCES
Scott L Bruce, Michael R Cooper, Carly Farmer, Audrey Folsom, Melanie Fulton, Jana Haskins, Cheryl Knight, Carlitta M Moore, Amy Shollenbarger, Rashele Wade, Stacy Walz, Rachel Wilkins, Rebbecca Wellborn, Eric West, Kendall Youngman
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引用次数: 0

摘要

背景/目的:美国退伍军人的自杀率高得惊人,这是由心理健康问题、战斗暴露和轻度创伤性脑损伤(mTBI)/脑震荡史等因素造成的。本研究旨在探讨退伍军人脑震荡史、战斗经历及其对心理健康问题和自杀意念的影响。此外,本研究还探讨了创伤后应激障碍(PTSD)对这些变量的影响。方法:78名退伍军人(男62名,女16名)参与本研究。参与者完成了一项人口统计调查和全球幸福指数(GWI),以评估脑震荡病史和残留症状。一名持证社工对退伍军人进行抑郁问卷(PHQ-9)、焦虑问卷(GAD-7)和自杀意念哥伦比亚自杀严重程度评定量表(C-SSRS)的调查。一项2 × 2交叉表分析检验了脑震荡史、战斗经历与焦虑、抑郁和自杀意念结果之间的关系。PTSD也被评估为预测因素和结果。统计分析得出95%置信区间(CI)的比值比(OR)、卡方和克莱默V (V)相关性以及相关的p值。结果:脑震荡病史和战斗经历的结合对焦虑、抑郁或自杀意念有很强的预测作用(or = 7.97, 95% CI: 1.70, 37.44;V = 0.334, (p = 0.003)),比单独的任何因素都多。战斗经历是PTSD的最强预测因子(OR = 11.12, 95% CI: 3.30, 37.47;V = 0.485, p≤0.001)。PTSD强烈影响心理健康问题和自杀意念(OR = 8.16, 95% CI: 1.74, 38.25;V = 0.339, p = 0.003)。PTSD状态(积极或消极)的分层影响自变量和因变量之间的关系。尽管观察到一些统计学上显著的Fisher精确检验结果,但小细胞计数导致一些or的95% CI宽。使用关键先验区间(CPI)度量的可信度分析证实了结果的内在可信度。结论:本研究揭示了退伍军人脑震荡史、战斗经历及其对心理健康问题和自杀意念的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Relationship Between Concussion and Combat History and Mental Health and Suicide Ideation Among United States Military Veterans-A Pilot Study.

Background/Objectives: Suicides among U.S. military veterans are alarmingly high, driven by factors such as mental health issues, combat exposure, and history of mild traumatic brain injury (mTBI)/concussion. This study aims to examine the relationship between concussion history, combat experience, and their effects on mental health issues and suicide ideation among military veterans. Additionally, this study investigates the impact of post-traumatic stress disorder (PTSD) on these variables. Methods: A total of 78 veterans (62 males, 16 females) participated in this study. Participants completed a demographic survey and the Global Well-being Index (GWI) to assess concussion history and residual symptoms. A licensed social worker interviewed the veterans using the 9-Item Patient Health Questionnaire (PHQ-9) for depression, the Generalized Anxiety Disorder survey (7 Items) (GAD-7) for anxiety, and the Columbia-Suicide Severity Rating Scale (C-SSRS) for suicide ideation. A 2 × 2 cross-tabulation analysis examined the relationships between concussion history, combat experience, and outcomes of anxiety, depression, and suicide ideation. PTSD was also assessed as both a predictor and an outcome. Statistical analyses yielded odds ratios (OR) with 95% confidence intervals (CI), Chi-square, and Cramer's V (V) correlations along with associated p-values. Results: The combination of concussion history and combat experience strongly predicted either anxiety, depression, or suicide ideation (OR = 7.97, 95% CI: 1.70, 37.44; V = 0.334, (p = 0.003)), more than either factor alone. Combat experience was the strongest predictor of PTSD (OR = 11.12, 95% CI: 3.30, 37.47; V = 0.485, p ≤ 0.001), both individually and when combined with concussion history. PTSD strongly influenced mental health issues and suicide ideation (OR = 8.16, 95% CI: 1.74, 38.25; V = 0.339, p = 0.003). Stratification by PTSD status (positive or negative) affected the relationships between independent and dependent variables. Small cell counts resulted in a wide 95% CI for some ORs, though some statistically significant Fisher's Exact Test results were observed. Credibility analysis using the critical prior interval (CPI) metric confirmed the intrinsic credibility of the results. Conclusions: This study provides insights into the relationships between concussion history, combat experience, and their impacts on mental health issues and suicide ideation among military veterans.

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来源期刊
Brain Sciences
Brain Sciences Neuroscience-General Neuroscience
CiteScore
4.80
自引率
9.10%
发文量
1472
审稿时长
18.71 days
期刊介绍: Brain Sciences (ISSN 2076-3425) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes and short communications in the areas of cognitive neuroscience, developmental neuroscience, molecular and cellular neuroscience, neural engineering, neuroimaging, neurolinguistics, neuropathy, systems neuroscience, and theoretical and computational neuroscience. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Electronic files or software regarding the full details of the calculation and experimental procedure, if unable to be published in a normal way, can be deposited as supplementary material.
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