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Behavioral and Health Outcomes Associated With Deployment and Nondeployment Acquisition of Traumatic Brain Injury in Iraq and Afghanistan Veterans.

Publication ,  Journal Article
Martindale, SL; Epstein, EL; Taber, KH; VA Mid-Atlantic MIRECC Workgroup, ; Rowland, JA
Published in: Arch Phys Med Rehabil
December 2018

OBJECTIVE: To characterize behavioral and health outcomes in veterans with traumatic brain injury (TBI) acquired in nondeployment and deployment settings. DESIGN: Cross-sectional assessment evaluating TBI acquired during and outside of deployment, mental and behavioral health symptoms, and diagnoses. SETTING: Veterans Affairs Medical Centers. PARTICIPANTS: Iraq and Afghanistan veterans who were deployed to a warzone (N=1399). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Comprehensive lifetime TBI interview, Structured Clinical Interview for DSM-IV Disorders, Combat Exposure Scale, and behavioral and health measures. RESULTS: There was a main effect of deployment TBI on depressive symptoms, posttraumatic stress symptoms, poor sleep quality, substance use, and pain. Veterans with deployment TBI were also more likely to have a diagnosis of bipolar, major depressive, alcohol use, and posttraumatic stress disorders than those who did not have a deployment TBI. CONCLUSIONS: TBIs acquired during deployment are associated with different behavioral and health outcomes than TBI acquired in nondeployment environments. The presence of TBI during deployment is associated with poorer behavioral outcomes, as well as a greater lifetime prevalence of behavioral and health problems in contrast to veterans without deployment TBI. These results indicate that problems may persist chronically after a deployment TBI and should be considered when providing care for veterans. Veterans with deployment TBI may require treatment alterations to improve engagement and outcomes.

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Published In

Arch Phys Med Rehabil

DOI

EISSN

1532-821X

Publication Date

December 2018

Volume

99

Issue

12

Start / End Page

2485 / 2495

Location

United States

Related Subject Headings

  • War-Related Injuries
  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Substance-Related Disorders
  • Stress Disorders, Post-Traumatic
  • Rehabilitation
  • Pain
  • Occupational Injuries
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Martindale, S. L., Epstein, E. L., Taber, K. H., VA Mid-Atlantic MIRECC Workgroup, ., & Rowland, J. A. (2018). Behavioral and Health Outcomes Associated With Deployment and Nondeployment Acquisition of Traumatic Brain Injury in Iraq and Afghanistan Veterans. Arch Phys Med Rehabil, 99(12), 2485–2495. https://doi.org/10.1016/j.apmr.2018.04.029
Martindale, Sarah L., Erica L. Epstein, Katherine H. Taber, Katherine H. VA Mid-Atlantic MIRECC Workgroup, and Jared A. Rowland. “Behavioral and Health Outcomes Associated With Deployment and Nondeployment Acquisition of Traumatic Brain Injury in Iraq and Afghanistan Veterans.Arch Phys Med Rehabil 99, no. 12 (December 2018): 2485–95. https://doi.org/10.1016/j.apmr.2018.04.029.
Martindale SL, Epstein EL, Taber KH, VA Mid-Atlantic MIRECC Workgroup, Rowland JA. Behavioral and Health Outcomes Associated With Deployment and Nondeployment Acquisition of Traumatic Brain Injury in Iraq and Afghanistan Veterans. Arch Phys Med Rehabil. 2018 Dec;99(12):2485–95.
Martindale, Sarah L., et al. “Behavioral and Health Outcomes Associated With Deployment and Nondeployment Acquisition of Traumatic Brain Injury in Iraq and Afghanistan Veterans.Arch Phys Med Rehabil, vol. 99, no. 12, Dec. 2018, pp. 2485–95. Pubmed, doi:10.1016/j.apmr.2018.04.029.
Martindale SL, Epstein EL, Taber KH, VA Mid-Atlantic MIRECC Workgroup, Rowland JA. Behavioral and Health Outcomes Associated With Deployment and Nondeployment Acquisition of Traumatic Brain Injury in Iraq and Afghanistan Veterans. Arch Phys Med Rehabil. 2018 Dec;99(12):2485–2495.
Journal cover image

Published In

Arch Phys Med Rehabil

DOI

EISSN

1532-821X

Publication Date

December 2018

Volume

99

Issue

12

Start / End Page

2485 / 2495

Location

United States

Related Subject Headings

  • War-Related Injuries
  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Substance-Related Disorders
  • Stress Disorders, Post-Traumatic
  • Rehabilitation
  • Pain
  • Occupational Injuries
  • Male