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首页> 外文期刊>Military Medicine: Official Journal of AMSUS, The Society of the Federal Health Agencies >Subjective sleep disturbance in veterans receiving care in the veterans affairs Polytrauma system following blast-related mild traumatic brain injury
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Subjective sleep disturbance in veterans receiving care in the veterans affairs Polytrauma system following blast-related mild traumatic brain injury

机译：爆炸相关的轻度颅脑损伤后在退伍军人事务多创伤系统中接受护理的退伍军人的主观睡眠障碍

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摘要

Objectives: This investigation sought to characterize prevalence and factors associated with subjective sleep disturbance (SSD) in a clinical sample of veterans with blast-related mild traumatic brain injury (mTBI). Methods: Adult veterans with history of blast-related mTBI were enrolled in a cross-sectional study. Data on demographics, injury, and current symptoms, including SSD, were obtained. Descriptive and univariate analyses investigated prevalence of SSD and associated factors. Results: Participants were 114 veterans with blast-related mTBI (96% male; mean age = 31 years, SD = 8; mean number of days since injury =1,044, SD = 538). 78% screened positive for posttraumatic stress disorder and 77% reported SSD. Loss of consciousness at time of injury, current nightmares, depression, headache, fatigue, and positive screen for post-traumatic stress disorder were significantly associated with SSD (p < 0.05). Conclusions: SSD was pervasive in this clinical sample and was significantly associated with multiple modifiable emotional symptoms as well as headache and fatigue; this is consistent with previous literature including samples with history of nonblast-related mTBI. Future research incorporating objective measurement of SSD and associated symptoms is needed to inform evidence-based screening, assessment, and treatment efforts for veterans with history of mTBI.
机译：目的：本研究旨在鉴定与爆炸相关的轻度颅脑损伤（mTBI）的退伍军人临床样本中的患病率和与主观睡眠障碍（SSD）相关的因素。方法：将具有爆炸相关mTBI病史的成年退伍军人纳入横断面研究。获得了有关人口统计，伤害和当前症状（包括SSD）的数据。描述性和单因素分析调查了SSD的患病率和相关因素。结果：参与者为114名与爆炸相关的mTBI的退伍军人（男性96％;平均年龄= 31岁，SD = 8;受伤后平均天数= 1,044，SD = 538）。 78％的人在创伤后应激障碍筛查中呈阳性，而77％的人报告SSD。受伤时意识丧失，当前的噩梦，抑郁，头痛，疲劳和创伤后应激障碍阳性筛查与SSD显着相关（p <0.05）。结论：SSD在该临床样本中普遍存在，并且与多种可改变的情绪症状以及头痛和疲劳密切相关。这与以前的文献一致，包括具有非胚芽相关性mTBI病史的样本。未来需要结合客观测量SSD和相关症状的研究来为具有mTBI历史的退伍军人提供基于证据的筛查，评估和治疗方法。

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