Center for Chronic Disease Outcomes Research, VA Medical Center, and Department of Medicine, University of Minnesota Medical School, Minneapolis, MN 55417, USA.
J Trauma Stress. 2010 Feb;23(1):17-24. doi: 10.1002/jts.20483.
The authors examined psychiatric diagnoses in administrative records for 13,201 United States military veterans who were screened for traumatic brain injury (TBI) in Department of Veterans Affairs facilities. Over 80% of the veterans with positive TBI screens had psychiatric diagnoses. Compared to veterans with negative TBI screens, those with positive screens, but without confirmed TBI status, were three times more likely to have a posttraumatic stress disorder (PTSD) diagnosis and were two times more likely to have depression and substance-related diagnoses. Among veterans with positive TBI screens, those with clinically confirmed TBI status were more likely than those without confirmed TBI status to have diagnoses for PTSD, anxiety, and adjustment disorders. These findings have implications for health care delivery and provider education.
作者在退伍军人事务部设施中对 13201 名接受创伤性脑损伤 (TBI) 筛查的美国退伍军人的行政记录中检查了精神科诊断。超过 80%的 TBI 筛查阳性退伍军人有精神科诊断。与 TBI 筛查阴性的退伍军人相比，TBI 筛查阳性但无确诊 TBI 状态的退伍军人患创伤后应激障碍 (PTSD) 的可能性高三倍，患抑郁和物质相关诊断的可能性高二倍。在 TBI 筛查阳性的退伍军人中，有临床确诊 TBI 状态的退伍军人比无确诊 TBI 状态的退伍军人更有可能被诊断为 PTSD、焦虑和适应障碍。这些发现对医疗保健的提供和提供者的教育有影响。
