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Relationship of screen-based symptoms for mild traumatic brain injury and mental health problems in Iraq and Afghanistan veterans: Distinct or overlapping symptoms?
J Rehabil Res Dev. 2012; 49(7):1115-26.JR

Abstract

This study used factor analytic techniques to differentiate distinct from overlapping screen-based symptoms of traumatic brain injury (TBI), posttraumatic stress disorder (PTSD), and depression in Iraq and Afghanistan veterans. These symptoms were derived from screen results of 1,549 veterans undergoing Department of Veterans Affairs postdeployment screening between April 2007 and January 2010. Veterans with positive TBI screens were approximately twice as likely to also screen positive for depression and PTSD (adjusted relative risks = 1.9 and 2.1, respectively). Irritability was a shared symptom between TBI and PTSD, and emotional numbing was a shared symptom between PTSD and depression. Symptoms unique to TBI included dizziness, headaches, memory problems, and light sensitivity. Four separate constructs emerged: TBI, PTSD, depression, and a fourth construct consisting of hypervigilance and sleep problems. These findings illuminate areas of overlap between TBI and common postdeployment mental health problems. Discriminating symptoms of TBI from mental health problems may facilitate diagnosis, triage to specialty care, and targeted symptom management. The emergence of a fourth factor consisting of sleep problems and hypervigilance highlights the need to attend to specific symptoms in the postdeployment screening process.

Authors+Show Affiliations

San Francisco VA Medical Center, 4150 Clement St 116-P, San Francisco, CA 94121, USA. Shira.Maguen@va.govNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

23341283

Citation

Maguen, Shira, et al. "Relationship of Screen-based Symptoms for Mild Traumatic Brain Injury and Mental Health Problems in Iraq and Afghanistan Veterans: Distinct or Overlapping Symptoms?" Journal of Rehabilitation Research and Development, vol. 49, no. 7, 2012, pp. 1115-26.
Maguen S, Lau KM, Madden E, et al. Relationship of screen-based symptoms for mild traumatic brain injury and mental health problems in Iraq and Afghanistan veterans: Distinct or overlapping symptoms? J Rehabil Res Dev. 2012;49(7):1115-26.
Maguen, S., Lau, K. M., Madden, E., & Seal, K. (2012). Relationship of screen-based symptoms for mild traumatic brain injury and mental health problems in Iraq and Afghanistan veterans: Distinct or overlapping symptoms? Journal of Rehabilitation Research and Development, 49(7), 1115-26.
Maguen S, et al. Relationship of Screen-based Symptoms for Mild Traumatic Brain Injury and Mental Health Problems in Iraq and Afghanistan Veterans: Distinct or Overlapping Symptoms. J Rehabil Res Dev. 2012;49(7):1115-26. PubMed PMID: 23341283.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationship of screen-based symptoms for mild traumatic brain injury and mental health problems in Iraq and Afghanistan veterans: Distinct or overlapping symptoms? AU - Maguen,Shira, AU - Lau,Karen M, AU - Madden,Erin, AU - Seal,Karen, PY - 2013/1/24/entrez PY - 2013/1/24/pubmed PY - 2013/8/13/medline SP - 1115 EP - 26 JF - Journal of rehabilitation research and development JO - J Rehabil Res Dev VL - 49 IS - 7 N2 - This study used factor analytic techniques to differentiate distinct from overlapping screen-based symptoms of traumatic brain injury (TBI), posttraumatic stress disorder (PTSD), and depression in Iraq and Afghanistan veterans. These symptoms were derived from screen results of 1,549 veterans undergoing Department of Veterans Affairs postdeployment screening between April 2007 and January 2010. Veterans with positive TBI screens were approximately twice as likely to also screen positive for depression and PTSD (adjusted relative risks = 1.9 and 2.1, respectively). Irritability was a shared symptom between TBI and PTSD, and emotional numbing was a shared symptom between PTSD and depression. Symptoms unique to TBI included dizziness, headaches, memory problems, and light sensitivity. Four separate constructs emerged: TBI, PTSD, depression, and a fourth construct consisting of hypervigilance and sleep problems. These findings illuminate areas of overlap between TBI and common postdeployment mental health problems. Discriminating symptoms of TBI from mental health problems may facilitate diagnosis, triage to specialty care, and targeted symptom management. The emergence of a fourth factor consisting of sleep problems and hypervigilance highlights the need to attend to specific symptoms in the postdeployment screening process. SN - 1938-1352 UR - https://www.unboundmedicine.com/medline/citation/23341283/Relationship_of_screen_based_symptoms_for_mild_traumatic_brain_injury_and_mental_health_problems_in_Iraq_and_Afghanistan_veterans:_Distinct_or_overlapping_symptoms L2 - https://www.rehab.research.va.gov/jour/2012/497/pdf/page1115.pdf DB - PRIME DP - Unbound Medicine ER -