Villanova University, M. Louise Fitzpatrick College of Nursing, Villanova, PA; Corporal Michael J. Crescenz Veterans Affairs Medical Center, Nursing Service, Philadelphia, PA.
University of Pennsylvania, Perelman School of Medicine, Department of Physical Medicine and Rehabilitation, Philadelphia, PA; Corporal Michael J. Crescenz Veterans Affairs Medical Center, Rehabilitation Medicine Service, Philadelphia, PA.
Nurs Outlook. 2021 Mar-Apr;69(2):167-181. doi: 10.1016/j.outlook.2020.11.003. Epub 2021 Feb 17.
Many United States veterans and active military with a history of traumatic brain injury (TBI) also experience challenges from comorbid posttraumatic stress disorder (PTSD), yet the additional burden of PTSD is not clear.
To address this knowledge gap, this study examined the relationship of PTSD to cognitive, social, and physical functioning and depressive symptoms in veterans recently diagnosed with TBI.
Veterans were recruited from a VA rehabilitation clinic. The Patient Competency Rating Scale and Center for Epidemiologic Studies Depression Scale measured functioning and depression, respectively. Chart review captured PTSD diagnosis.
In the sample of 83 veterans, 65% had a current PTSD diagnosis. After controlling for sociodemographic variables and TBI severity, PTSD was a significant predictor of lower cognitive, social, and physical functioning and higher depressive symptomatology.
Clinicians should incorporate PTSD assessment in their work with veterans with TBI. Integrated behavioral health and rehabilitation interventions that provide strategies for veterans to manage TBI symptoms and PTSD are critical.
许多经历过创伤性脑损伤 (TBI) 的美国退伍军人和现役军人也患有共病创伤后应激障碍 (PTSD)，但 PTSD 的额外负担尚不清楚。
为了弥补这一知识空白，本研究调查了 PTSD 与认知、社会和身体功能以及抑郁症状在最近被诊断为 TBI 的退伍军人中的关系。
退伍军人是从退伍军人事务部康复诊所招募的。患者能力评定量表和流行病学研究中心抑郁量表分别衡量功能和抑郁。病历审查记录 PTSD 诊断。
在 83 名退伍军人样本中，65%的人有当前的 PTSD 诊断。在控制社会人口统计学变量和 TBI 严重程度后，PTSD 是认知、社会和身体功能下降以及抑郁症状加重的显著预测因素。
临床医生应该在对 TBI 退伍军人的工作中纳入 PTSD 评估。提供策略以帮助退伍军人管理 TBI 症状和 PTSD 的综合行为健康和康复干预措施至关重要。
