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首页> 外文期刊>The British journal of psychiatry : >Neuropsychological outcomes of mild traumatic brain injury, post-traumatic stress disorder and depression in Iraq-deployed US Army soldiers
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Neuropsychological outcomes of mild traumatic brain injury, post-traumatic stress disorder and depression in Iraq-deployed US Army soldiers

机译：伊拉克部署的美军士兵的轻度颅脑损伤，创伤后应激障碍和抑郁症的神经心理学结果

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Background: Traumatic brain injury (TBI) is a concern of contemporary military deployments. Whether milder TBI leads to enduring impairment remains controversial. Aims: To determine the influence of deployment TBI, and posttraumatic stress disorder (PTSD) and depression symptoms on neuropsychological and functional outcomes. Method: A sample of 760 US Army soldiers were assessed pre- and post-deployment. Outcomes included neuropsychological performances and subjective functional impairment. Results: In total, 9% of the participants reported (predominantly mild) TBI with loss of consciousness between pre- and post-deployment. At post-deployment, 17.6% of individuals with TBI screened positive for PTSD and 31.3% screened positive for depression. Before and after adjustment for psychiatric symptoms, TBI was significantly associated only with functional impairment. Both PTSD and depression symptoms adjusted for TBI were significantly associated with several neuropsychological performance deficits and functional impairment. Conclusions: Milder TBI reported by deployed service members typically has limited lasting neuropsychological consequences; PTSD and depression are associated with more enduring cognitive compromise.
机译：背景：颅脑外伤（TBI）是当代军事部署的关注点。较温和的TBI是否会导致持久的损伤仍存在争议。目的：确定部署TBI，创伤后应激障碍（PTSD）和抑郁症状对神经心理和功能结局的影响。方法：在部署前后对760名美国陆军士兵进行了评估。结果包括神经心理学表现和主观功能障碍。结果：总共有9％的参与者报告（主要是轻度的）TBI在部署前和部署后之间意识丧失。部署后，TBI患者中17.6％的PTSD筛查呈阳性，而31.3％的抑郁症筛查呈阳性。在调整精神症状之前和之后，TBI仅与功能障碍显着相关。 PTSD和经TBI调整后的抑郁症状均与数种神经心理功能障碍和功能障碍密切相关。结论：部署的服务成员报告的较轻的TBI通常具有有限的持久神经心理学后果; PTSD和抑郁症与更持久的认知妥协相关。

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