Tags

Type your tag names separated by a space and hit enter

Traumatic brain injury, posttraumatic stress disorder, and postconcussive symptom reporting among troops returning from iraq.
J Head Trauma Rehabil. 2010 Sep-Oct; 25(5):307-12.JH

Abstract

OBJECTIVES

Analyze the contribution of mild traumatic brain injury (mTBI) and/or posttraumatic stress disorder (PTSD) to the endorsement of postconcussive (PC) symptoms during Post Deployment Health Assessment. Determine whether a combination of mTBI and PTSD was more strongly associated with symptoms than either condition alone.

METHODS

Cross-sectional study design where both the exposure, mTBI and/or PTSD, and the outcomes of interest, PC symptoms, were ascertained after return from deployment. Subjects were injured soldiers (n = 1247) from one Fort Carson Brigade Combat Team (n = 3973).

MAIN OUTCOME MEASURES

Positive history of PC symptoms.

RESULTS

PTSD and mTBI together were more strongly associated with having PC symptoms (adjusted prevalence ratio 6.27; 95% CI: 4.13-9.43) than either mTBI alone (adjusted prevalence ratio = 4.03; 95% CI: 2.67-6.07) or PTSD alone (adjusted prevalence ratio = 2.74; 95% CI: 1.58-4.74) after adjusting for age, gender, education, rank, and Military Occupational Specialty.

CONCLUSIONS

In soldiers with histories of physical injury, mTBI and PTSD were independently associated with PC symptom reporting. Those with both conditions were at greater risk for PC symptoms than those with either PTSD, mTBI, or neither. Findings support the importance of continued screening for both conditions with the aim of early identification and intervention.

Links

Aggregator Full Text

Authors+Show Affiliations

Brenner LA
VA VISN 19 Mental Illness Research Education and Clinical Center, Denver, Colorado, USA. lisa.brenner@va.gov
Ivins BJ
No affiliation info available
Schwab K
No affiliation info available
Warden D
No affiliation info available
Nelson LA
No affiliation info available
Jaffee M
No affiliation info available
Terrio H
No affiliation info available

MeSH

AdolescentAdultBlast InjuriesBrain InjuriesCross-Sectional StudiesDisability EvaluationFemaleHumansIraq War, 2003-2011MaleMiddle AgedMilitary PersonnelPost-Concussion SyndromePrevalenceStress Disorders, Post-TraumaticUnited StatesYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20042982

Citation

Brenner, Lisa A., et al. "Traumatic Brain Injury, Posttraumatic Stress Disorder, and Postconcussive Symptom Reporting Among Troops Returning From Iraq." The Journal of Head Trauma Rehabilitation, vol. 25, no. 5, 2010, pp. 307-12.
Brenner LA, Ivins BJ, Schwab K, et al. Traumatic brain injury, posttraumatic stress disorder, and postconcussive symptom reporting among troops returning from iraq. J Head Trauma Rehabil. 2010;25(5):307-12.
Brenner, L. A., Ivins, B. J., Schwab, K., Warden, D., Nelson, L. A., Jaffee, M., & Terrio, H. (2010). Traumatic brain injury, posttraumatic stress disorder, and postconcussive symptom reporting among troops returning from iraq. The Journal of Head Trauma Rehabilitation, 25(5), 307-12. https://doi.org/10.1097/HTR.0b013e3181cada03
Brenner LA, et al. Traumatic Brain Injury, Posttraumatic Stress Disorder, and Postconcussive Symptom Reporting Among Troops Returning From Iraq. J Head Trauma Rehabil. 2010 Sep-Oct;25(5):307-12. PubMed PMID: 20042982.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Traumatic brain injury, posttraumatic stress disorder, and postconcussive symptom reporting among troops returning from iraq. AU - Brenner,Lisa A, AU - Ivins,Brian J, AU - Schwab,Karen, AU - Warden,Deborah, AU - Nelson,Lonnie A, AU - Jaffee,Michael, AU - Terrio,Heidi, PY - 2010/1/1/entrez PY - 2010/1/1/pubmed PY - 2011/1/7/medline SP - 307 EP - 12 JF - The Journal of head trauma rehabilitation JO - J Head Trauma Rehabil VL - 25 IS - 5 N2 - OBJECTIVES: Analyze the contribution of mild traumatic brain injury (mTBI) and/or posttraumatic stress disorder (PTSD) to the endorsement of postconcussive (PC) symptoms during Post Deployment Health Assessment. Determine whether a combination of mTBI and PTSD was more strongly associated with symptoms than either condition alone. METHODS: Cross-sectional study design where both the exposure, mTBI and/or PTSD, and the outcomes of interest, PC symptoms, were ascertained after return from deployment. Subjects were injured soldiers (n = 1247) from one Fort Carson Brigade Combat Team (n = 3973). MAIN OUTCOME MEASURES: Positive history of PC symptoms. RESULTS: PTSD and mTBI together were more strongly associated with having PC symptoms (adjusted prevalence ratio 6.27; 95% CI: 4.13-9.43) than either mTBI alone (adjusted prevalence ratio = 4.03; 95% CI: 2.67-6.07) or PTSD alone (adjusted prevalence ratio = 2.74; 95% CI: 1.58-4.74) after adjusting for age, gender, education, rank, and Military Occupational Specialty. CONCLUSIONS: In soldiers with histories of physical injury, mTBI and PTSD were independently associated with PC symptom reporting. Those with both conditions were at greater risk for PC symptoms than those with either PTSD, mTBI, or neither. Findings support the importance of continued screening for both conditions with the aim of early identification and intervention. SN - 1550-509X UR - https://www.unboundmedicine.com/medline/citation/20042982/Traumatic_brain_injury_posttraumatic_stress_disorder_and_postconcussive_symptom_reporting_among_troops_returning_from_iraq_ L2 - https://doi.org/10.1097/HTR.0b013e3181cada03 DB - PRIME DP - Unbound Medicine ER -