VA Rocky Mountain Mental Illness Research Education and Clinical Center.
Institute for Behavioral Health.
Rehabil Psychol. 2019 Nov;64(4):398-406. doi: 10.1037/rep0000286. Epub 2019 Aug 1.
To describe and characterize the lifetime history of traumatic brain injury (TBI) among active duty soldiers returning from deployment to Afghanistan or Iraq.
Data were extracted from a larger parent study that was conducted at two large United States Army bases between 2009 and 2014 during Post-Deployment Health Assessment. The sample included 1,060 soldiers who sustained at least one TBI during their lifetime.
The Ohio State University TBI-Identification Method interview was administered to characterize individuals' total lifetime history of TBI. Soldiers reported sustaining a median of 2 lifetime TBIs. Slightly more than half of the sample without a most recent deployment-related TBI still reported a history of a lifetime TBI (some of which occurred during previous deployments). Most lifetime injuries reported were of mild severity; however, 6% of individuals reported a history of moderate/severe TBI. Blast was the most frequent mechanism associated with recent deployment-related mild TBIs.
Findings suggest that soldiers who screened positive, as well as those who screened negative, for a history of TBI during their recent deployment still endorsed a lifetime history of TBI. Future research is needed to explore the functional impact of multiple TBIs over one's lifetime to help inform screening, assessment, and treatment among military personnel. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
描述和描述从阿富汗或伊拉克部署归来的现役士兵创伤性脑损伤 (TBI) 的终生史。
从 2009 年至 2014 年在部署后健康评估期间在两个美国陆军基地进行的一项更大的母研究中提取数据。该样本包括 1060 名在其一生中至少遭受过一次 TBI 的士兵。
对俄亥俄州立大学 TBI 识别方法进行了访谈,以描述个体的 TBI 终生史。士兵报告中位数有 2 次 TBI。超过一半的没有最近与部署相关的 TBI 病史的样本仍报告有 TBI 病史(其中一些发生在以前的部署中)。报告的大多数终生伤害为轻度;然而,6%的人报告有中度/重度 TBI 病史。爆炸是与最近与部署相关的轻度 TBI 最常见的相关机制。
研究结果表明,在最近的部署期间,对 TBI 病史进行筛查阳性和阴性的士兵仍然有 TBI 的终生病史。需要进一步研究来探索一生中多次 TBI 的功能影响,以帮助为军事人员提供筛查、评估和治疗。(PsycINFO 数据库记录(c)2019 APA,保留所有权利)。