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Post-traumatic stress disorder symptom severity in service members returning from Iraq and Afghanistan with different types of injuries

机译：从伊拉克和阿富汗返回并遭受不同类型伤害的服务人员的创伤后应激障碍症状严重程度

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Introduction. Risk for post-traumatic stress disorder (PTSD) varies in part due to the nature of the traumatic event involved. Both injury and return from combat pose high risk of PTSD symptoms. How different injuries may predispose towards PTSD is less well understood. Methods. A retrospective record review was conducted from 1402 service members who had returned to Naval Medical Center San Diego from Iraq or Afghanistan and who had completed the PTSD Checklist as part of their post-deployment screening. Rates of PTSD were examined in relation to mechanism of injury. Results. Of those without injury, 8% met Diagnostic and Statistical Manual criteria for PTSD. Thirteen percent of those with a penetrating injury, 29% with blunt trauma, and 33% with combination injuries met criteria for PTSD. PTSD severity scores varied significantly according to type of injury. Discussion. The World War I concept of "shell shock" implied that blast-related injuries were more likely to result in psychological symptoms than were other injuries. These data may support that idea. Circumstance of injury, population differences, and reporting bias could also have influenced the results. Conclusion. These results suggest that service members with blunt or combination injuries merit particular attention when screening for PTSD.
机译：介绍。创伤后应激障碍（PTSD）的风险部分地由于所涉及的创伤事件的性质而变化。受伤和退役都构成PTSD症状的高风险。人们不太了解不同的伤害可能导致PTSD的倾向。方法。对从伊拉克或阿富汗返回圣地亚哥海军医学中心并已完成PTSD检查表作为部署后筛选工作的1402名服务人员进行了回顾性记录审查。检查了创伤后应激障碍的发生率与损伤机制的关系。结果。在没有受伤的人中，有8％符合《 PTSD诊断和统计手册》的标准。符合创伤后应激障碍标准的患者中，有13％的穿透伤，29％的钝伤和33％的合并伤。 PTSD严重程度得分根据伤害类型而有很大差异。讨论。第一次世界大战中“炮弹冲击”的概念意味着与爆炸有关的伤害比其他伤害更有可能导致心理症状。这些数据可能支持该想法。受伤情况，人口差异和报告偏见也可能影响结果。结论。这些结果表明，在进行PTSD筛查时，具有钝伤或合并伤的服务成员应格外注意。

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