治疗创伤后应激障碍、物质使用障碍和创伤性脑损伤。
Combat posttraumatic stress disorder, substance use disorders, and traumatic brain injury.
机构信息
From the Department of Psychiatry (K.T.B., S.E.B., M.E.S.), and Mental Health Service Line (K.T.B., P.T., H.M.), Ralph H. Johnson VA Medical Center, Medical University of South Carolina, Charleston, SC; and PTSD Clinical Team (A.E.W.), San Francisco VAMC, University of California, San Francisco, CA.
出版信息
J Addict Med. 2009 Dec;3(4):179-88. doi: 10.1097/ADM.0b013e3181aa244f.
Abstract
Among both civilian and veteran populations, substance use disorders (SUDs) and anxiety disorders frequently co-occur. One of the most common comorbid anxiety disorder is posttraumatic stress disorder (PTSD), a condition which may develop after exposure to traumatic events, such as military combat. In comparison with the general population, rates of both SUDs and PTSD are elevated among veterans. Recent data show that soldiers returning from Iraq and Afghanistan demonstrate high rates of co-occurring SUDs, PTSD, and traumatic brain injury. Careful assessment of these conditions is critical and may be complicated by symptom overlap. More research targeting integrated interventions for these conditions is needed to establish optimal treatments.
摘要
在平民和退伍军人群体中，物质使用障碍（SUDs）和焦虑障碍经常同时发生。最常见的共病焦虑障碍之一是创伤后应激障碍（PTSD），这种疾病可能是在经历创伤事件后发展而来的，例如军事战斗。与普通人群相比，退伍军人中 SUDs 和 PTSD 的发病率都较高。最近的数据显示，从伊拉克和阿富汗返回的士兵表现出 SUDs、PTSD 和创伤性脑损伤共病的高发病率。对这些病症进行仔细评估至关重要，但可能会因症状重叠而变得复杂。需要更多针对这些病症的综合干预措施的研究，以确定最佳治疗方法。
相似文献
1
Combat posttraumatic stress disorder, substance use disorders, and traumatic brain injury.治疗创伤后应激障碍、物质使用障碍和创伤性脑损伤。
J Addict Med. 2009 Dec;3(4):179-88. doi: 10.1097/ADM.0b013e3181aa244f.
3
Deployment of personnel to military operations: impact on mental health and social functioning.人员部署到军事行动中：对心理健康和社会功能的影响。
Campbell Syst Rev. 2018 Jun 1;14(1):1-127. doi: 10.4073/csr.2018.6. eCollection 2018.
4
PTSD, combat injury, and headache in Veterans Returning from Iraq/Afghanistan.创伤后应激障碍、战斗伤害和从伊拉克/阿富汗归来的退伍军人的头痛。
Headache. 2009 Oct;49(9):1267-76. doi: 10.1111/j.1526-4610.2009.01517.x.
5
Preliminary findings of a novel measure of driving behaviors in Veterans with comorbid TBI and PTSD.对患有创伤性脑损伤（TBI）和创伤后应激障碍（PTSD）共病的退伍军人驾驶行为新测量方法的初步研究结果。
J Rehabil Res Dev. 2016;53(6):827-838. doi: 10.1682/JRRD.2015.09.0172.
6
Combat duty in Iraq and Afghanistan, mental health problems and barriers to care.在伊拉克和阿富汗的战斗任务、心理健康问题及护理障碍。
US Army Med Dep J. 2008 Jul-Sep:7-17.
7
Posttraumatic Stress Disorder Symptom Network Analysis in U.S. Military Veterans: Examining the Impact of Combat Exposure.美国退伍军人创伤后应激障碍症状网络分析：探究战斗暴露的影响
Front Psychiatry. 2018 Nov 20;9:608. doi: 10.3389/fpsyt.2018.00608. eCollection 2018.
8
Critical concerns in Iraq/Afghanistan war veteran-forensic interface: combat-related postdeployment criminal violence.伊拉克/阿富汗战争退伍军人-法医接口的关键问题：与战斗相关的部署后犯罪暴力。
J Am Acad Psychiatry Law. 2013;41(2):263-73.
9
Substance use disorders and PTSD: an exploratory study of treatment preferences among military veterans.物质使用障碍与创伤后应激障碍：对退伍军人治疗偏好的探索性研究。
Addict Behav. 2014 Feb;39(2):369-73. doi: 10.1016/j.addbeh.2013.09.017. Epub 2013 Oct 5.
10
Prevalence of mental health problems and functional impairment among active component and National Guard soldiers 3 and 12 months following combat in Iraq.伊拉克战争中现役部队和国民警卫队士兵在战斗3个月和12个月后心理健康问题及功能障碍的患病率。
Arch Gen Psychiatry. 2010 Jun;67(6):614-23. doi: 10.1001/archgenpsychiatry.2010.54.
引用本文的文献
1
Evaluation of clinical outcomes and employment status in veterans with dual diagnosis of traumatic brain injury and spinal cord injury.创伤性脑损伤和脊髓损伤双重诊断退伍军人的临床结局和就业状况评估。
Qual Life Res. 2024 Jan;33(1):229-239. doi: 10.1007/s11136-023-03518-7. Epub 2023 Oct 19.
2
The Impact of Exercise and Virtual Reality Executive Function Training on Cognition Among Heavy Drinking Veterans With Traumatic Brain Injury: A Pilot Feasibility Study.运动与虚拟现实执行功能训练对重度饮酒的创伤性脑损伤退伍军人认知的影响：一项初步可行性研究。
Front Behav Neurosci. 2022 Mar 22;16:802711. doi: 10.3389/fnbeh.2022.802711. eCollection 2022.
3
Current state of the literature on mental health in Liberia: A systematic review.利比里亚心理健康文献的现状：一项系统综述
S Afr J Psychiatr. 2020 Oct 26;26:1502. doi: 10.4102/sajpsychiatry.v26i0.1502. eCollection 2020.
4
Prevalence of Lifetime History of Traumatic Brain Injury among Older Male Veterans Compared with Civilians: A Nationally Representative Study.老年男性退伍军人与平民一生中创伤性脑损伤史的患病率比较：一项全国代表性研究。
J Neurotrauma. 2020 Dec 15;37(24):2680-2685. doi: 10.1089/neu.2020.7062. Epub 2020 Aug 26.
5
A randomized pilot trial of topiramate for alcohol use disorder in veterans with traumatic brain injury: Effects on alcohol use, cognition, and post-concussive symptoms.一项针对创伤性脑损伤退伍军人酒精使用障碍的托吡酯随机先导试验：对酒精使用、认知和脑震荡后症状的影响。
Drug Alcohol Depend. 2020 Sep 1;214:108149. doi: 10.1016/j.drugalcdep.2020.108149. Epub 2020 Jul 2.
6
Alcohol Use Disorder and Traumatic Brain Injury.酒精使用障碍与创伤性脑损伤
Alcohol Res. 2018;39(2):171-180.
7
The influence of traumatic brain injury on treatment outcomes of Concurrent Treatment for PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) in veterans.创伤性脑损伤对退伍军人使用延长暴露疗法同时治疗创伤后应激障碍和物质使用障碍（COPE）的治疗结果的影响。
Compr Psychiatry. 2017 Oct;78:48-53. doi: 10.1016/j.comppsych.2017.07.004. Epub 2017 Jul 17.
8
Updates and Current Perspectives of Psychiatric Assessments after Traumatic Brain Injury: A Systematic Review.创伤性脑损伤后精神科评估的更新与当前观点：一项系统综述
Front Psychiatry. 2016 Jun 14;7:95. doi: 10.3389/fpsyt.2016.00095. eCollection 2016.
9
Combat-Acquired Traumatic Brain Injury, Posttraumatic Stress Disorder, and Their Relative Associations With Postdeployment Binge Drinking.战斗所致创伤性脑损伤、创伤后应激障碍及其与部署后酗酒的相对关联。
J Head Trauma Rehabil. 2016 Jan-Feb;31(1):13-22. doi: 10.1097/HTR.0000000000000082.
10
Alcohol Use after Combat-Acquired Traumatic Brain Injury: What We Know and Don't Know.战斗所致创伤性脑损伤后的酒精使用：我们所知道的和不知道的
J Soc Work Pract Addict. 2012;12(1):28-51. doi: 10.1080/1533256X.2012.647580. Epub 2012 Feb 20.
本文引用的文献
1
An update on substance use and treatment following traumatic brain injury.创伤性脑损伤后物质使用与治疗的最新情况
Ann N Y Acad Sci. 2008 Oct;1141:148-62. doi: 10.1196/annals.1441.029.
2
A pilot trial of the alpha-1 adrenergic antagonist, prazosin, for alcohol dependence.α-1肾上腺素能拮抗剂哌唑嗪用于酒精依赖的一项试点试验。
Alcohol Clin Exp Res. 2009 Feb;33(2):255-63. doi: 10.1111/j.1530-0277.2008.00807.x. Epub 2008 Oct 21.
3
The alpha1 adrenergic receptor antagonist prazosin reduces heroin self-administration in rats with extended access to heroin administration.α1肾上腺素能受体拮抗剂哌唑嗪可减少长期接触海洛因的大鼠的海洛因自我给药行为。
Pharmacol Biochem Behav. 2009 Jan;91(3):295-302. doi: 10.1016/j.pbb.2008.07.012. Epub 2008 Jul 23.
4
Substance use disorders and clinical management of traumatic brain injury and posttraumatic stress disorder.物质使用障碍与创伤性脑损伤及创伤后应激障碍的临床管理
JAMA. 2008 Aug 13;300(6):720-1. doi: 10.1001/jama.300.6.720.
5
Psychometric properties of the IES-R in traumatized substance dependent individuals with and without PTSD.创伤后应激障碍患者与非创伤后应激障碍患者中，创伤事件影响量表修订版（IES-R）在受创伤的物质依赖个体中的心理测量特性。
Addict Behav. 2008 Aug;33(8):1039-47. doi: 10.1016/j.addbeh.2008.04.006. Epub 2008 Apr 14.
6
Disentangling mild traumatic brain injury and stress reactions.区分轻度创伤性脑损伤和应激反应。
N Engl J Med. 2008 Jan 31;358(5):525-7. doi: 10.1056/NEJMe078235. Epub 2008 Jan 30.
7
Mild traumatic brain injury in U.S. Soldiers returning from Iraq.从伊拉克回国的美国士兵中的轻度创伤性脑损伤。
N Engl J Med. 2008 Jan 31;358(5):453-63. doi: 10.1056/NEJMoa072972. Epub 2008 Jan 30.
8
New onset and persistent symptoms of post-traumatic stress disorder self reported after deployment and combat exposures: prospective population based US military cohort study.部署和经历战斗暴露后自我报告的创伤后应激障碍新发病例及持续症状：基于美国军事队列人群的前瞻性研究
BMJ. 2008 Feb 16;336(7640):366-71. doi: 10.1136/bmj.39430.638241.AE. Epub 2008 Jan 15.
9
A neuropsychiatric perspective on traumatic brain injury.创伤性脑损伤的神经精神病学视角。
J Rehabil Res Dev. 2007;44(7):951-62. doi: 10.1682/jrrd.2007.01.0009.
10
Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war.对从伊拉克战争归来的现役和预备役士兵心理健康问题的纵向评估。
JAMA. 2007 Nov 14;298(18):2141-8. doi: 10.1001/jama.298.18.2141.
Zotero 插件