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Health symptoms after war zone deployment-related mild traumatic brain injury: contributions of mental disorders and lifetime brain injuries.

Publication ,  Journal Article
McDonald, SD; Walker, WC; Cusack, SE; Yoash-Gantz, RE; Pickett, TC; Cifu, DX; Mid-Atlantic Mirecc Workgroup, V; Tupler, LA
Published in: Brain Inj
September 19, 2021

PRIMARY OBJECTIVE: To gain a better understanding of the complex relationship between combat deployment-related mild traumatic brain injury (mTBI) and persistent post-concussive symptoms (PPCSs), taking into consideration a wide range of potentially mediating and confounding factors. RESEARCH DESIGN: Cross-sectional. METHODS AND PROCEDURES: Subjects were 613 U. S. military Veterans and Service Members who served during operations Enduring Freedom, Iraqi Freedom, or New Dawn (OEF/OIF/OND) and completed a structured interview of mental disorders and a battery of questionnaires. Hierarchical binary logistic regression analyses were used to test the hypotheses. MAIN OUTCOMES AND RESULTS: After accounting for mental disorders, lifetime mTBIs outside of OEF/OIF/OND deployment, medical conditions, and injury/demographic characteristics, deployment-related mTBI continued to be associated with several PPCSs (headaches, sleep disturbance, and difficulty making decisions). Deployment-related mTBI was also associated with two symptoms not normally associated with mTBI (nausea/upset stomach and numbness/tingling). CONCLUSIONS: After adjusting for a wide range of factors, OEF/OIF/OND deployment-related mTBI was still associated with PPCSs on average 10 years after the injury. These findings suggest that mTBI sustained during OEF/OIF/OND deployment may have enduring negative health effects. More studies are needed that prospectively and longitudinally track health and mental health outcomes after TBI.

Duke Scholars

Published In

Brain Inj

DOI

EISSN

1362-301X

Publication Date

September 19, 2021

Volume

35

Issue

11

Start / End Page

1338 / 1348

Location

England

Related Subject Headings

  • Veterans
  • Stress Disorders, Post-Traumatic
  • Rehabilitation
  • Mental Disorders
  • Humans
  • Cross-Sectional Studies
  • Brain Injuries
  • Brain Concussion
  • Afghan Campaign 2001-
  • 5203 Clinical and health psychology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
McDonald, S. D., Walker, W. C., Cusack, S. E., Yoash-Gantz, R. E., Pickett, T. C., Cifu, D. X., … Tupler, L. A. (2021). Health symptoms after war zone deployment-related mild traumatic brain injury: contributions of mental disorders and lifetime brain injuries. Brain Inj, 35(11), 1338–1348. https://doi.org/10.1080/02699052.2021.1959058
McDonald, Scott D., William C. Walker, Shannon E. Cusack, Ruth E. Yoash-Gantz, Treven C. Pickett, David X. Cifu, Va Mid-Atlantic Mirecc Workgroup, and Larry A. Tupler. “Health symptoms after war zone deployment-related mild traumatic brain injury: contributions of mental disorders and lifetime brain injuries.Brain Inj 35, no. 11 (September 19, 2021): 1338–48. https://doi.org/10.1080/02699052.2021.1959058.
McDonald SD, Walker WC, Cusack SE, Yoash-Gantz RE, Pickett TC, Cifu DX, et al. Health symptoms after war zone deployment-related mild traumatic brain injury: contributions of mental disorders and lifetime brain injuries. Brain Inj. 2021 Sep 19;35(11):1338–48.
McDonald, Scott D., et al. “Health symptoms after war zone deployment-related mild traumatic brain injury: contributions of mental disorders and lifetime brain injuries.Brain Inj, vol. 35, no. 11, Sept. 2021, pp. 1338–48. Pubmed, doi:10.1080/02699052.2021.1959058.
McDonald SD, Walker WC, Cusack SE, Yoash-Gantz RE, Pickett TC, Cifu DX, Mid-Atlantic Mirecc Workgroup V, Tupler LA. Health symptoms after war zone deployment-related mild traumatic brain injury: contributions of mental disorders and lifetime brain injuries. Brain Inj. 2021 Sep 19;35(11):1338–1348.

Published In

Brain Inj

DOI

EISSN

1362-301X

Publication Date

September 19, 2021

Volume

35

Issue

11

Start / End Page

1338 / 1348

Location

England

Related Subject Headings

  • Veterans
  • Stress Disorders, Post-Traumatic
  • Rehabilitation
  • Mental Disorders
  • Humans
  • Cross-Sectional Studies
  • Brain Injuries
  • Brain Concussion
  • Afghan Campaign 2001-
  • 5203 Clinical and health psychology