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Posttraumatic stress symptoms in OIF/OEF service members with blast-related and non-blast-related mild TBI.
NeuroRehabilitation. 2010; 26(3):223-31.N

Abstract

PURPOSE

To examine the proportion and severity of stress-related symptoms in U.S. service members with mild traumatic brain injuries (mTBI) received during deployment to Operation Iraqi Freedom (OIF) or Operation Enduring Freedom (OEF). Stress-related symptoms reported by service members with mTBI from explosive munitions are compared to symptoms reported by those with mTBI received from other mechanisms (i.e. falls, motor vehicle accidents).

METHODS

Posttraumatic stress, as measured by scores on the Posttraumatic Stress Disorder Checklist (PCL-C), for a sample of 586 OIF/OEF service members with blast-related mTBI was compared to a sample of 138 OIF/OEF service members with non-blast mTBI selected from retrospective review of research records.

RESULTS

Re-experiencing symptoms such as flashbacks and nightmares were higher for the blast mTBI group than for the non-blast mTBI group. Symptoms on other PTSD clusters and total score did not significantly differ between groups. Equivalent proportions of the blast and non-blast groups endorsed severe PTSD symptoms, with total PCL-C scores greater than or equal to 50.

CONCLUSIONS

Consistent with prior reports, high levels of posttraumatic stress symptoms occur in a substantial proportion of service members who experienced deployment-related blast and non-blast mTBI. Results suggest that the psychological rehabilitation of OIF/OEF service members with mTBI from explosive blast should include particular attention to addressing re-experiencing symptoms.

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Authors+Show Affiliations

Kennedy JE
Defense & Veterans Brain Injury center, San Antonio Military Medical Center, TX, USA. jan.kennedy@lackland.af.mil
Leal FO
No affiliation info available
Lewis JD
No affiliation info available
Cullen MA
No affiliation info available
Amador RR
No affiliation info available

MeSH

AdultAfghan Campaign 2001-Analysis of VarianceBlast InjuriesBrain InjuriesChecklistFemaleHumansIraq War, 2003-2011MaleMilitary PersonnelPsychiatric Status Rating ScalesRecovery of FunctionRetrospective StudiesStress Disorders, Post-TraumaticTime FactorsYoung Adult

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

20448312

Citation

Kennedy, Jan E., et al. "Posttraumatic Stress Symptoms in OIF/OEF Service Members With Blast-related and Non-blast-related Mild TBI." NeuroRehabilitation, vol. 26, no. 3, 2010, pp. 223-31.
Kennedy JE, Leal FO, Lewis JD, et al. Posttraumatic stress symptoms in OIF/OEF service members with blast-related and non-blast-related mild TBI. NeuroRehabilitation. 2010;26(3):223-31.
Kennedy, J. E., Leal, F. O., Lewis, J. D., Cullen, M. A., & Amador, R. R. (2010). Posttraumatic stress symptoms in OIF/OEF service members with blast-related and non-blast-related mild TBI. NeuroRehabilitation, 26(3), 223-31. https://doi.org/10.3233/NRE-2010-0558
Kennedy JE, et al. Posttraumatic Stress Symptoms in OIF/OEF Service Members With Blast-related and Non-blast-related Mild TBI. NeuroRehabilitation. 2010;26(3):223-31. PubMed PMID: 20448312.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Posttraumatic stress symptoms in OIF/OEF service members with blast-related and non-blast-related mild TBI. AU - Kennedy,Jan E, AU - Leal,Felix O, AU - Lewis,Jeffrey D, AU - Cullen,Maren A, AU - Amador,Ricardo R, PY - 2010/5/8/entrez PY - 2010/5/8/pubmed PY - 2010/8/13/medline SP - 223 EP - 31 JF - NeuroRehabilitation JO - NeuroRehabilitation VL - 26 IS - 3 N2 - PURPOSE: To examine the proportion and severity of stress-related symptoms in U.S. service members with mild traumatic brain injuries (mTBI) received during deployment to Operation Iraqi Freedom (OIF) or Operation Enduring Freedom (OEF). Stress-related symptoms reported by service members with mTBI from explosive munitions are compared to symptoms reported by those with mTBI received from other mechanisms (i.e. falls, motor vehicle accidents). METHODS: Posttraumatic stress, as measured by scores on the Posttraumatic Stress Disorder Checklist (PCL-C), for a sample of 586 OIF/OEF service members with blast-related mTBI was compared to a sample of 138 OIF/OEF service members with non-blast mTBI selected from retrospective review of research records. RESULTS: Re-experiencing symptoms such as flashbacks and nightmares were higher for the blast mTBI group than for the non-blast mTBI group. Symptoms on other PTSD clusters and total score did not significantly differ between groups. Equivalent proportions of the blast and non-blast groups endorsed severe PTSD symptoms, with total PCL-C scores greater than or equal to 50. CONCLUSIONS: Consistent with prior reports, high levels of posttraumatic stress symptoms occur in a substantial proportion of service members who experienced deployment-related blast and non-blast mTBI. Results suggest that the psychological rehabilitation of OIF/OEF service members with mTBI from explosive blast should include particular attention to addressing re-experiencing symptoms. SN - 1878-6448 UR - https://www.unboundmedicine.com/medline/citation/20448312/Posttraumatic_stress_symptoms_in_OIF/OEF_service_members_with_blast_related_and_non_blast_related_mild_TBI_ L2 - https://content.iospress.com/openurl?genre=article&id=doi:10.3233/NRE-2010-0558 DB - PRIME DP - Unbound Medicine ER -