Review: Managing posttraumatic stress disorder in combat veterans with comorbid traumatic brain injury

Capehart, Bruce P.; Bass, David

doi:10.1682/jrrd.2011.10.0185

Cited by 32 publications

(29 citation statements)

References 164 publications

(171 reference statements)

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“…It is unclear for mild severities how to differentiate between bTBI and common, potentially comorbid, syndromes such as posttraumatic stress syndrome (PTSD) with similar symptomology [48].…”

Section: An Integrated Multiscale Approach For Understanding Traumatmentioning

confidence: 99%

The Mechanics of Traumatic Brain Injury: A Review of What We Know and What We Need to Know for Reducing Its Societal Burden

Meaney

Morrison

Bass

2014

Journal of Biomechanical Engineering

203

126

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Traumatic brain injury (TBI) is a significant public health problem, on pace to become the third leading cause of death worldwide by 2020. Moreover, emerging evidence linking repeated mild traumatic brain injury to long-term neurodegenerative disorders points out that TBI can be both an acute disorder and a chronic disease. We are at an important transition point in our understanding of TBI, as past work has generated significant advances in better protecting us against some forms of moderate and severe TBI. However, we still lack a clear understanding of how to study milder forms of injury, such as concussion, or new forms of TBI that can occur from primary blast loading. In this review, we highlight the major advances made in understanding the biomechanical basis of TBI. We point out opportunities to generate significant new advances in our understanding of TBI biomechanics, especially as it appears across the molecular, cellular, and whole organ scale.

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Section: An Integrated Multiscale Approach For Understanding Traumatmentioning

confidence: 99%

The Mechanics of Traumatic Brain Injury: A Review of What We Know and What We Need to Know for Reducing Its Societal Burden

Meaney

Morrison

Bass

2014

Journal of Biomechanical Engineering

203

126

View full text Add to dashboard Cite

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“…Some veterans have obvious disabilities such as blindness, amputations, or mobility impairments. The other not-so-obvious disabilities are PTSD, traumatic brain injury (TBI), or depression (Capehart & Bass, 2012). Under Title 38, Code of Federal Regulations, Chapter 31, assistance is available for veterans with service-connected disabilities (Gade & Wilkins, 2013) during and after the transition to civilian life through the VA vocational rehabilitation and employment programs (Sayer et al, 2011).…”

Section: International Journal Of Human Resource Studiesmentioning

confidence: 99%

Recruitment Strategies, Matrices, and Techniques Used in Hiring Veterans

Agard

2017

IJHRS

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Successful transition to civilian employment is a challenge for veterans. The purpose of this single case study was to explore critical aspects of hiring managers' decision-making process and to understand how these strategies and techniques affect the hiring of veterans. Tajfel and Turner's social identity theory and Lewin's organizational change model formed the conceptual framework for the study. The participants for this study were 8 hiring managers from a midsized company in the Upper Hudson Valley Region, New York. Data were collected using semi-structured interviews. The data were analyzed and coded and 4 themes emerged: strategies used to fill open positions, specific recruitment and interview protocols, veterans' skills from military training, and lack of experience with hiring veterans. The study results may contribute to veteran's awareness of the skills that employers are seeking that veterans may be able to fulfill. The results of the study could create an opportunity for hiring managers to recognize that veterans represent a trained, ready-made talent pool. The social impact of the study could help hiring managers identify and design the required job description criteria to include the transferable skills of veterans.

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“…However, researchers have expressed concerns regarding the possible additional effects of comorbid PTSD, a disorder found to be highly comorbid with SUD (McCauley et al, 2012) as well as negatively influencing the symptoms of TBI (as noted earlier) and SUD (Brady et al, 2009). Similar to recommendations for PTSD and TBI (Capehart and Bass, 2012), special considerations for providers also have been outlined to address the added challenges of the three co-occurring conditions (Brady et al, 2009;Corrigan and Cole, 2008). However, given the high rates of the mTBI, PTSD, and SUD in returning veterans, more research is needed on how these conditions may influence one another prior to implementing large-scale changes in well supported treatment protocols.…”

Section: Introductionmentioning

confidence: 95%

“…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%

“…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. In fact, specific treatment recommendations have been proposed for veterans with PTSD and mTBI to address the increased complexity and potential severity of symptoms in this population (Capehart and Bass, 2012)..…”

Section: Introductionmentioning

confidence: 99%

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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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Review: Managing posttraumatic stress disorder in combat veterans with comorbid traumatic brain injury

Abstract: Abstract-Military deployments to

Cited by 32 publications

References 164 publications

The Mechanics of Traumatic Brain Injury: A Review of What We Know and What We Need to Know for Reducing Its Societal Burden

The Mechanics of Traumatic Brain Injury: A Review of What We Know and What We Need to Know for Reducing Its Societal Burden

Recruitment Strategies, Matrices, and Techniques Used in Hiring Veterans

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

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