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在从伊拉克和阿富汗返回后接受轻度创伤性脑损伤筛查的非临床士兵样本中,自动神经心理评估指标的表现:描述性分析。

Performance on the Automated Neuropsychological Assessment Metrics in a nonclinical sample of soldiers screened for mild TBI after returning from Iraq and Afghanistan: a descriptive analysis.

作者信息

Ivins Brian J, Kane Robert, Schwab Karen A

机构信息

Defense and Veterans Brain Injury Center, Washington, DC 20012, USA.

出版信息

J Head Trauma Rehabil. 2009 Jan-Feb;24(1):24-31. doi: 10.1097/HTR.0b013e3181957042.

Abstract

PURPOSE

To characterize cognitive test performance in a sample of US Army soldiers who had served in Iraq and Afghanistan and were tested after returning to their home base. To determine whether if a self-reported history of deployment-related traumatic brain injury (TBI), lifetime history of TBI, and the current postconcussive symptom status affected cognitive test performance.

METHODS

A convenience sample of 956 soldiers was administered the Automated Neuropsychological Assessment Metrics (ANAM) test battery as well as questionnaires asking about deployment-related TBI, lifetime TBI history, and current TBI-related symptoms.

RESULTS

Consistent with past mild TBI (MTBI) research, having a history of deployment-related MTBI up to 2 years prior to cognitive testing was not associated with poor ANAM performance after deployment. There also were no associations between poor ANAM performance and the number of lifetime TBIs, and injury severity and the number of problematic postconcussive symptoms.

CONCLUSIONS

A history of self-reported MTBI or current postconcussive symptoms does not increase the risk of cognitive impairment in service members returning from Iraq and Afghanistan.

摘要

目的

对曾在伊拉克和阿富汗服役并返回基地后接受测试的美国陆军士兵样本的认知测试表现进行特征描述。确定自我报告的与部署相关的创伤性脑损伤(TBI)病史、TBI终生病史以及当前脑震荡后症状状态是否会影响认知测试表现。

方法

对956名士兵的便利样本进行了自动神经心理评估指标(ANAM)测试组以及关于与部署相关的TBI、TBI终生病史和当前TBI相关症状的问卷调查。

结果

与过去轻度TBI(MTBI)研究一致,在认知测试前长达2年有与部署相关的MTBI病史与部署后ANAM表现不佳无关。ANAM表现不佳与TBI终生次数、损伤严重程度以及有问题的脑震荡后症状数量之间也没有关联。

结论

自我报告的MTBI病史或当前脑震荡后症状不会增加从伊拉克和阿富汗返回的军人出现认知障碍的风险。

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