Romesser Jennifer, Shen Shuying, Reblin Maija, Kircher John, Allen Steven, Roberts Toni, Marchand William R
The George E. Wahlen Veterans Affairs Medical Center, 500 Foothill, Salt Lake City, UT 84148, USA.
Mil Med. 2011 Mar;176(3):246-52. doi: 10.7205/milmed-d-10-00056.
The aim of this study was to assess whether a diagnosis of concussion given at a Veterans Healthcare Administration secondary traumatic brain injury assessment impacted either posttraumatic stress disorder (PTSD) symptomatology or other variables at the time veterans sought treatment for PTSD. This retrospective study compared 61 male veterans with a history of military-related concussion and military-related PTSD to 83 male veterans with military-related PTSD but without a diagnosis of military-related concussion. There were no significant between-group differences in PTSD symptomatology. However, the cohort with a history of military concussion endorsed decreased ability to cope with PTSD symptoms, increased problems with physical health, and more pain complaints. If replicated, these results may guide the design of more effective interventions for veterans who receive diagnoses of PTSD and concussion.
本研究的目的是评估退伍军人医疗管理局二级创伤性脑损伤评估中给出的脑震荡诊断是否会在退伍军人寻求创伤后应激障碍（PTSD）治疗时影响PTSD症状或其他变量。这项回顾性研究将61名有军事相关脑震荡和军事相关PTSD病史的男性退伍军人与83名有军事相关PTSD但无军事相关脑震荡诊断的男性退伍军人进行了比较。两组在PTSD症状方面没有显著差异。然而，有军事脑震荡病史的队列认可应对PTSD症状的能力下降、身体健康问题增加以及更多的疼痛主诉。如果得到重复验证，这些结果可能会为接受PTSD和脑震荡诊断的退伍军人设计更有效的干预措施提供指导。
