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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：创伤后应激障碍症状在伊拉克和阿富汗返回的服务成员患者与不同类型的伤害

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摘要

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。由于所涉及的创伤事件的性质，创伤后应激障碍（PTSD）的风险部分变化。伤害和战斗返回造成重症症状的高风险。如何促使PTSD的不同损伤程度不太了解。方法。回顾性记录审查是从伊拉克或阿富汗返回的海军医疗中心圣地亚哥的1402名服务会员进行了回顾性审查，并作为部署后筛选的一部分完成了PTSD清单。对受伤害机制进行检查的PTSD率。结果。在没有伤害的情况下，8％的诊断和统计手动标准适用于应激障碍。 13％的患者患有渗透性损伤，29％与钝的创伤，33％，组合伤害符合应激障碍标准。根据伤害的类型，可行的严重程度分数显着变化。讨论。世界大战我的“贝壳休克”的概念暗示，爆炸相关的伤害更有可能导致心理症状而不是其他伤害。这些数据可能支持该想法。伤害的情况，人口差异和报告偏见也可能影响结果。结论。这些结果表明，在筛选PTSD时，具有钝或组合损伤的服务成员特别关注。

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  • 来源
    《CNS spectrums》 |2012年第1期|共5页
  • 作者

    McLayR.N.; Webb-MurphyJ.; HammerP.; VolkertS.; KlamW.;

  • 作者单位

    Naval Medical Center San Diego Department of Mental Health 34800 Bob Wilson Drive San Diego CA;

    Naval Center for Combat and Operational Stress Control San Diego CA United States;

    Naval Center for Combat and Operational Stress Control San Diego CA United States;

    Naval Medical Center San Diego Department of Mental Health 34800 Bob Wilson Drive San Diego CA;

    Naval Medical Center San Diego Department of Mental Health 34800 Bob Wilson Drive San Diego CA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 神经病学与精神病学;
  • 关键词

    Afghanistan; Epidemiology; Injury; Iraq; PTSD; Traumatic brain injury;

    机译：阿富汗;流行病学;伤害;伊拉克;PTSD;创伤性脑损伤;

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