The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Mild Traumatic Brain Injury (Concussion), Posttraumatic Stress Disorder, and Depression in U.S. Soldiers Involved in Combat Deployments: Association With Postdeployment Symptoms
Abstract
OBJECTIVES: Several studies have examined the relationship between concussion/mild traumatic brain injury (mTBI), posttraumatic stress disorder (PTSD), depression, and postdeployment symptoms. These studies indicate that the multiple factors involved in postdeployment symptoms are not accounted for in the screening processes of the Department of Defense/Veteran's Affairs months after concussion injuries. This study examined the associations of single and multiple deployment-related mTBIs on postdeployment health. METHODS: A total of 1502 U.S. Army soldiers were administered anonymous surveys 4 to 6 months after returning from deployment to Iraq or Afghanistan assessing history of deployment-related concussions, current PTSD, depression, and presence of postdeployment physical and neurocognitive symptoms. RESULTS: Of these soldiers, 17% reported an mTBI during their previous deployment. Of these, 59% reported having more than one. After adjustment for PTSD, depression, and other factors, loss of consciousness was significantly associated with three postconcussive symptoms, including headaches (odds ratio [OR] = 1.5, 95% confidence interval [CI] = 1.1-2.3). However, these symptoms were more strongly associated with PTSD and depression than with a history of mTBI. Multiple mTBIs with loss of consciousness increased the risk of headache (OR = 4.0, 95% CI = 2.4-6.8) compared with a single occurrence, although depression (OR = 4.2, 95% CI = 2.6-6.8) remained as strong a predictor. CONCLUSIONS: These data indicate that current screening tools for mTBI being used by the Department of Defense/Veteran's Affairs do not optimally distinguish persistent postdeployment symptoms attributed to mTBI from other causes such as PTSD and depression. Accumulating evidence strongly supports the need for multidisciplinary collaborative care models of treatment in primary care to collectively address the full spectrum of postwar physical and neurocognitive health concerns.
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Spitzer, R. L. (1999) · JAMA · doi:10.1001/jama.282.18.1737 · Cited by 9,802
Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040603 · Cited by 4,778
Self-citationMild traumatic brain injury in U.S. soldiers returning from Iraq
Hoge, C. W., McGurk, D., Thomas, J. L., Cox, A. L., Engel, C. C., & Castro, C. A. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa072972 · Cited by 2,775
Self-citation“Diagnosis Threat”: The Effect of Negative Expectations on Cognitive Performance in Head Injury
Suhr, J. A., & Gunstad, J. (2002) · Journal of Clinical and Experimental Neuropsychology · doi:10.1076/jcen.24.4.448.1039 · Cited by 229
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Traumatic Brain Injury and Posttraumatic Stress Disorder
Bahraini, N. H., Breshears, R. E., Hernández, T. D., Schneider, A. L., Forster, J. E., & Brenner, L. A. (2014) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2013.11.002 · Cited by 70
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Iljazi, A., Ashina, H., Al-Khazali, H. M., Lipton, R. B., Ashina, M., Schytz, H. W., & Ashina, S. (2020) · Neurological Sciences · doi:10.1007/s10072-020-04458-7 · Cited by 62
Walker, W. C., Hirsch, S., Carne, W., Nolen, T., Cifu, D. X., Wilde, E. A., Levin, H. S., Brearly, T. W., Eapen, B. C., & Williams, R. (2018) · Brain Injury · doi:10.1080/02699052.2018.1479041 · Cited by 48
Eakman, A. M., Schelly, C., & Henry, K. L. (2016) · American Journal of Occupational Therapy · doi:10.5014/ajot.2016.016519 · Cited by 35
Ciarlone, S. L., Statz, J. K., Goodrich, J. A., Norris, J. N., Goforth, C. W., Ahlers, S. T., & Tschiffely, A. E. (2020) · Journal of Neuroscience Research · doi:10.1002/jnr.24604 · Cited by 16
The additional burden of PTSD on functioning and depression in veterans with traumatic brain injury
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Metadata
- Authors
- Wilk, J. E., Herrell, R. K., Wynn, G. H., Riviere, L. A., & Hoge, C. W.
- Venue
- Psychosomatic Medicine
- Published
- 2012-04
- Volume
- 74
- Issue
- 3
- Pages
- 249-257
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W1982069217
- Cited by
- 172
- References
- 4
- FWCI
- 12.71
- Type
- journal article
- Language
- en
- Open access
- closed
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