Alcohol Abuse Disorders Among U.S. Service Members With Mild Traumatic Brain Injury
Abstract
Traumatic brain injury (TBI) has emerged as a preeminent injury in Iraq and Afghanistan. The relationship between TBI and post-injury alcohol use in military personnel has not been clearly defined. The aim of this study was to examine the prevalence of alcohol abuse disorders among combat-injured service members with mild TBI (MTBI). Male U.S. service members with combat injuries were identified from the Expeditionary Medical Encounter Database (n = 3,123). Diagnoses of alcohol abuse disorders were collected from the standard inpatient and ambulatory data records. Overall, a slightly higher proportion of service members with MTBI were diagnosed with an alcohol abuse disorder compared to those with other injury (6.1% vs. 4.9%). In a multivariate analysis, however, it was found that MTBI was not associated with higher levels of alcohol abuse (odds ratio, 1.24; 95% confidence interval, 0.90, 1.70). To better define the consequences of MTBI, future research should include other alcohol dependency measures along with comorbid mental health disorders.
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Comorbid conditions with mTBI include substance use disorders, PTSD, and depression.
“Comorbid conditions include substance use disorders, PTSD, and depression [66-68].”
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References 39 · Cited by 34
- Authors
- Heltemes, K. J., Dougherty, A. L., MacGregor, A. J., & Galarneau, M. R.
- Affiliations
- Naval Health Research Center (US)
- Venue
- Military Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-02
- Volume
- 176
- Issue
- 2
- Pages
- 147-150
- ISSN
- 0026-4075 (ISSN-L)
- 1930-613X
- OpenAlex
- W2005666574
- Cited by
- 34
- References
- 39
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 1 · 2013: 4 · 2012: 6
- FWCI
- 2.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Military Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Defense
- U.S. Navy
- Bureau of Medicine and Surgery (60808)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- mild traumatic brain injury, war injuries, military personnel, alcohol dependency, psychiatric comorbidity
- MeSH terms
- Adolescent, Adult, Alcoholism, Brain Injuries, Female, Humans, Male, Military Personnel, United States, Comorbidity, Young Adult
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