O'Neil Maya E, Carlson Kathleen F, Storzbach Daniel, Brenner Lisa A, Freeman Michele, Quiñones Ana R, Motu'apuaka Makalapua, Kansagara Devan
Portland VA Medical Center, Portland, Oregon.
Psychiatry, Oregon Health & Science University, Portland, Oregon.
J Int Neuropsychol Soc. 2014 Mar;20(3):249-261. doi: 10.1017/S135561771300146X.
A history of mild traumatic brain injury (mTBI) is common among military members who served in Operations Enduring Freedom, Iraqi Freedom, and New Dawn (OEF/OIF/OND). We completed a systematic review to describe the cognitive, mental health, physical health, functional, social, and cost consequences of mTBI in Veteran and military personnel. Of 2668 reviewed abstracts, the 31 included studies provided very low strength evidence for the questions of interest. Cognitive, physical, and mental health symptoms were commonly reported by Veterans/military members with a history of mTBI. On average, these symptoms were not significantly more common in those with a history of mTBI than in those without, although a lack of significant mean differences does not preclude the possibility that some individuals could experience substantial effects related to mTBI history. Evidence of potential risk or protective factors moderating mTBI outcomes was unclear. Although the overall strength of evidence is very low due to methodological limitations of included studies, our findings are consistent with civilian studies. Appropriate re-integration services are needed to address common comorbid conditions, such as treatment for post-traumatic stress disorder, substance use disorders, headaches, and other difficulties that Veterans and members of the military may experience after deployment regardless of mTBI history. (, 2014, , 1-13).
在“持久自由行动”“伊拉克自由行动”和“新黎明行动”（OEF/OIF/OND）中服役的军人中，轻度创伤性脑损伤（mTBI）病史很常见。我们完成了一项系统综述，以描述退伍军人和军事人员中mTBI在认知、心理健康、身体健康、功能、社会和成本方面的后果。在2668篇综述摘要中，纳入的31项研究为感兴趣的问题提供了非常低强度的证据。有mTBI病史的退伍军人/军事人员普遍报告有认知、身体和心理健康症状。平均而言，这些症状在有mTBI病史的人群中并不比没有该病史的人群更常见，尽管缺乏显著的平均差异并不排除一些个体可能会经历与mTBI病史相关的实质性影响的可能性。调节mTBI结果的潜在风险或保护因素的证据尚不清楚。尽管由于纳入研究的方法学局限性，证据的总体强度非常低，但我们的研究结果与 civilian 研究一致。需要适当的重新融入服务来解决常见的共病情况，例如创伤后应激障碍、物质使用障碍、头痛的治疗，以及退伍军人和军事人员在部署后可能经历的其他困难，无论其是否有mTBI病史。（，2014，，1 - 13）
原文中“civilian”一词似乎有误，结合语境推测可能是“ civilian”，但不确定，你可根据实际情况确认并修改。
