Naval Health Research Center, San Diego, California 92106, USA.
J Head Trauma Rehabil. 2010 Jan-Feb;25(1):1-8. doi: 10.1097/HTR.0b013e3181c2993d.
To describe the prevalence and psychological correlates of traumatic brain injury (TBI) among injured male combatants in the Iraq conflict.
A total of 781 men injured during military combat between September 2004 and February 2005.
Mental health diagnosis (ICD-9 290-319), particularly posttraumatic stress disorder and mood/anxiety disorders, assigned through November 2006.
15.8% met criteria for TBI (13.4% mild, 2.4% moderate-severe TBI), 35.0% other head injury, and 49.2% non-head injury. Multivariate logistic regression suggested lower rates of posttraumatic stress disorder and mood/anxiety disorders among those with mild and moderate-severe TBI.
These findings could reflect a problem with differential diagnosis or, conversely, a low rate of self-presentation for symptoms. Further research is needed to elucidate the psychological consequences, clinical implications, and overall impact of TBI among military combat veterans.
描述伊拉克冲突中受伤男性战斗人员创伤性脑损伤（TBI）的患病率和心理相关性。
共有 781 名在 2004 年 9 月至 2005 年 2 月间军事战斗中受伤的男性。
心理健康诊断（ICD-9 290-319），特别是创伤后应激障碍和情绪/焦虑障碍，通过 2006 年 11 月进行评估。
15.8%的人符合 TBI 标准（13.4%轻度，2.4%中重度 TBI），35.0%有其他头部损伤，49.2%无头部损伤。多变量逻辑回归表明，轻度和中重度 TBI 患者的创伤后应激障碍和情绪/焦虑障碍发生率较低。
这些发现可能反映了诊断差异的问题，或者相反，自我表现症状的低发生率。需要进一步研究阐明军事战斗退伍军人中 TBI 的心理后果、临床意义和总体影响。
