Posttraumatic stress disorder in OEF/OIF veterans with and without traumatic brain injury

Ragsdale, Katie A.; Neer, Sandra M.; Beidel, Déborah C.; Frueh, B. Christopher; Stout, Jeremy W.

doi:10.1016/j.janxdis.2013.04.003

Cited by 58 publications

(21 citation statements)

References 37 publications

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“…Primarily, the present study provided additional data on the potential influence of past TBI on current psychiatric symptoms. This area of concern has received much attention in the literature over the years, including studies on the higher frequency of co-occurrence of diagnoses (Carlson et al, 2010;Hoge et al, 2008) as well as increased severity of symptoms of these diagnoses (Barnes et al, 2012;Ragsdale et al, 2013). The present findings supported previous findings that participants with head trauma with LOC had more severe affective symptoms across disorder and across assessor (self-report and clinician-rated) compared to control participants.…”

Section: Discussionsupporting

confidence: 86%

“…Despite the hypothesized deleterious effects of these three conditions in concert, no studies have investigated the three together. Based on the previous findings, we hypothesized that the presence of mTBI would be related to elevated physical health concerns, due to injuries related to the mTBI, as well as mildly elevated symptoms of PTSD and related conditions, as noted earlier, while controlling for demographic differences (Barnes et al, 2012;Ragsdale et al, 2013). The influence of mTBI on SUD is harder to predict, with the initial findings suggesting increased substance use over time (Adams et al, 2012;Parry-Jones et al, 2006).…”

Section: Introductionmentioning

confidence: 91%

“…For example, a positive screening of mTBI has been associated with higher rates of co-occurring posttraumatic stress disorder (PTSD) and depression (Carlson et al, 2010;Hoge at al., 2008), even after controlling for combat exposure (Hoge et al, 2008). In addition, some studies have found that veterans with PTSD with a history of mTBI demonstrate more severe PTSD symptoms than veterans with PTSD without a history of mTBI (Barnes et al, 2012;Ragsdale et al, 2013). Although these studies have not supported a direct relation between mTBI and the most severe psychiatric symptoms (e.g., suicide ideation) (Barnes et al, 2012), the higher likelihood of symptoms of PTSD and depression put veterans with a history of mTBI at high risk.…”

Section: Introductionmentioning

confidence: 97%

“…Over the course of the first 12 years of the OEF/ OIF/OND conflicts, nearly 250,000 cases of TBIs were reported among service members (Boyle et al, 2014). Of these cases, 75 % of TBIs were classified as mild (mTBI), characterized by confusion or disorientation for less than 24 h, loss of consciousness for up to 30 min, memory loss for less than 24 h, and normal brain imaging results (Ragsdale et al, 2013). Given the rates of TBI among veterans, the Department of Defense and Department of Veteran Affairs (VA) have made the identification, assessment, and treatment of veterans with TBI a major priority within their related treatment facilities (Barnes et al, 2012;Capehart and Bass, 2012).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Co-Occurring Traumatic Brain Injury, PTSD Symptoms, and Alcohol Use in Veterans

Grös

Korte

Horner

et al. 2015

J Psychopathol Behav Assess

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Traumatic brain injury (TBI) has been identified as a significant health problem among veterans. Recent research demonstrates the potential interaction and magnification of symptoms of posttraumatic stress disorder (PTSD) and substance use disorders (SUD) in veterans with a history of TBI; however, there is very limited research on the co-occurrence of the three conditions. Veterans (N = 115) with comorbid PTSD and SUD completed a baseline assessment for enrollment into a larger treatment study. As part of that assessment, participants completed a TBI screener as well as self-report measures for pain and physical health, affective symptoms, and substance use. Almost half of the sample (48 %) endorsed a history of a previous head trauma with loss of consciousness (LOC). Participants with and without head trauma with LOC were compared across various measures of functioning. Increased severity of physical health complaints and affective symptoms were reported by the TBI group compared to controls. However, the increases in affective symptoms were relatively small. No group differences were observed for alcohol use. Together, the findings suggest that treatment-seeking veterans with a history of head trauma with LOC may present with roughly equivalent symptoms of PTSD and SUD to those without said history.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Co-Occurring Traumatic Brain Injury, PTSD Symptoms, and Alcohol Use in Veterans

Grös

Korte

Horner

et al. 2015

J Psychopathol Behav Assess

View full text Add to dashboard Cite

show abstract

“…The participants from non-clinical samples were 417 men, only White-Caucasians, including 284 firemen aged 21-55 years (mean (M) = 33.96; standard deviation trauma in soldiers exposed to both, physical and emotional trauma in combat zones [4][5][6][7]. Some researchers suggest that temperament traits can play a significant role in responses to trauma both in emergency-services professionals as well as in soldiers.…”

Section: Participantsmentioning

confidence: 99%

Temperamental correlates of trauma symptoms in firemen, policemen and soldiers

Oniszczenko¹

2014

International Journal of Occupational Medicine and Environmental Health

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Objectives:The main goal of the research was to assess temperamental determinants of trauma symptoms in firemen, policemen and soldiers. The temperament traits which were considered were those postulated by the Regulative Theory of Temperament (briskness, perseveration, sensory sensitivity, emotional reactivity, endurance and activity). Material and Methods: A cross-sectional study was run on non-clinical samples. The participants were 417 men, White-Caucasian only: 284 firemen (aged 21-55), 58 policemen (aged 22-45), and 75 soldiers (aged 21-42). Temperament was assessed using the Formal Characteristics of Behavior -Temperament Inventory. Intensity of trauma symptoms was assessed with the PTSD-Factorial Version Inventory, a quantitative measure of trauma-related symptoms. The respondents were examined in their place of work. The study included only men reporting at least 1 traumatic event during the year before the trauma diagnosis. Results: Emotional reactivity had a significant positive effect on the intensity of trauma symptoms only in the group of firemen. Emotional reactivity accounted for 16% of the variance of trauma intensity symptoms in this occupational group. Negative significant effect on trauma symptoms was found for briskness only in the soldiers group (briskness explained 20% trauma intensity variance in this group). Conclusions: Emotional reactivity was conducive to the increased trauma symptoms intensity in firemen, whereas briskness tended to reduce symptoms intensity only in the group of soldiers.

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PTSD and mild traumatic brain injury

Bremner

2016

Posttraumatic Stress Disorder

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Posttraumatic stress disorder in OEF/OIF veterans with and without traumatic brain injury

Cited by 58 publications

References 37 publications

Co-Occurring Traumatic Brain Injury, PTSD Symptoms, and Alcohol Use in Veterans

Co-Occurring Traumatic Brain Injury, PTSD Symptoms, and Alcohol Use in Veterans

Temperamental correlates of trauma symptoms in firemen, policemen and soldiers

PTSD and mild traumatic brain injury

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