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Posttraumatic stress disorder mediates the relationship between mild traumatic brain injury and health and psychosocial functioning in veterans of Operations Enduring Freedom and Iraqi Freedom.
J Nerv Ment Dis. 2009 Oct; 197(10):748-53.JN

Abstract

This study evaluated whether posttraumatic stress disorder (PTSD) mediated the relationship between mild traumatic brain injury (MTBI) and general health ratings, psychosocial functioning, and perceived barriers to receiving mental healthcare 2 years following return from deployment in veterans of Operations Enduring Freedom and Iraqi Freedom (OEF/OIF). A total of 277 OEF/OIF veterans completed the Connecticut OEF/OIF Veterans Needs Assessment Survey; 18.8% of the sample screened positive for MTBI. Compared with respondents who screened negative for MTBI, respondents who screened positive for MTBI were younger, more likely to have PTSD, more likely to report fair/poor overall health and unmet medical and psychological needs, and scored higher on measures of psychosocial difficulties and perceived barriers to mental healthcare. Injuries involving loss of consciousness were associated with greater work-related difficulties and unmet psychological needs. PTSD mediated the relationship between MTBI and all of these outcomes. These results underscore the importance of assessing PTSD in OEF/OIF veterans who screen positive for MTBI.

Authors+Show Affiliations

Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. robert.pietrzak@yale.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19829203

Citation

Pietrzak, Robert H., et al. "Posttraumatic Stress Disorder Mediates the Relationship Between Mild Traumatic Brain Injury and Health and Psychosocial Functioning in Veterans of Operations Enduring Freedom and Iraqi Freedom." The Journal of Nervous and Mental Disease, vol. 197, no. 10, 2009, pp. 748-53.
Pietrzak RH, Johnson DC, Goldstein MB, et al. Posttraumatic stress disorder mediates the relationship between mild traumatic brain injury and health and psychosocial functioning in veterans of Operations Enduring Freedom and Iraqi Freedom. J Nerv Ment Dis. 2009;197(10):748-53.
Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009). Posttraumatic stress disorder mediates the relationship between mild traumatic brain injury and health and psychosocial functioning in veterans of Operations Enduring Freedom and Iraqi Freedom. The Journal of Nervous and Mental Disease, 197(10), 748-53. https://doi.org/10.1097/NMD.0b013e3181b97a75
Pietrzak RH, et al. Posttraumatic Stress Disorder Mediates the Relationship Between Mild Traumatic Brain Injury and Health and Psychosocial Functioning in Veterans of Operations Enduring Freedom and Iraqi Freedom. J Nerv Ment Dis. 2009;197(10):748-53. PubMed PMID: 19829203.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Posttraumatic stress disorder mediates the relationship between mild traumatic brain injury and health and psychosocial functioning in veterans of Operations Enduring Freedom and Iraqi Freedom. AU - Pietrzak,Robert H, AU - Johnson,Douglas C, AU - Goldstein,Marc B, AU - Malley,James C, AU - Southwick,Steven M, PY - 2009/10/16/entrez PY - 2009/10/16/pubmed PY - 2009/10/30/medline SP - 748 EP - 53 JF - The Journal of nervous and mental disease JO - J Nerv Ment Dis VL - 197 IS - 10 N2 - This study evaluated whether posttraumatic stress disorder (PTSD) mediated the relationship between mild traumatic brain injury (MTBI) and general health ratings, psychosocial functioning, and perceived barriers to receiving mental healthcare 2 years following return from deployment in veterans of Operations Enduring Freedom and Iraqi Freedom (OEF/OIF). A total of 277 OEF/OIF veterans completed the Connecticut OEF/OIF Veterans Needs Assessment Survey; 18.8% of the sample screened positive for MTBI. Compared with respondents who screened negative for MTBI, respondents who screened positive for MTBI were younger, more likely to have PTSD, more likely to report fair/poor overall health and unmet medical and psychological needs, and scored higher on measures of psychosocial difficulties and perceived barriers to mental healthcare. Injuries involving loss of consciousness were associated with greater work-related difficulties and unmet psychological needs. PTSD mediated the relationship between MTBI and all of these outcomes. These results underscore the importance of assessing PTSD in OEF/OIF veterans who screen positive for MTBI. SN - 1539-736X UR - https://www.unboundmedicine.com/medline/citation/19829203/Posttraumatic_stress_disorder_mediates_the_relationship_between_mild_traumatic_brain_injury_and_health_and_psychosocial_functioning_in_veterans_of_Operations_Enduring_Freedom_and_Iraqi_Freedom_ L2 - https://doi.org/10.1097/NMD.0b013e3181b97a75 DB - PRIME DP - Unbound Medicine ER -