与部署相关的轻度创伤性脑损伤的神经心理概况:一个LIMBIC-CENC研究
Nicola L de Souza1, Hannah M Lindsey1, Katherine Dorman1
1From the Department of Rehabilitation and Human Performance (N.L.D., K.D., C.E.), Icahn School of Medicine at Mount Sinai, New York, NY; Traumatic Brain Injury and Concussion Center (H.M.L., E.L.D., D.F.T., E.A.W.), Department of Neurology, University of Utah School of Medicine, Salt Lake City; George E. Wahlen VA Salt Lake City Healthcare System (H.M.L., E.L.D., D.F.T., E.A.W.), UT; VA Salt Lake City Health Care System (E.K., M.J.V.P.), Informatics, Decision-Enhancement and Analytic Sciences Center, UT; Department of Medicine (E.K., M.J.V.P.), Division of Epidemiology, University of Utah School of Medicine, Salt Lake City; Michael E. DeBakey VA Medical Center (D.S.M., R.S.S., M.T.), Houston, TX; The Menninger Psychiatric and Behavioral Services Department (D.S.M.), Baylor College of Medicine, Houston, TX; Department of Interdisciplinary Studies (J.S.P., Y.J.), School of Health Professions, Rutgers Biomedical and Health Sciences, Newark, NJ; Department of Physical Medicine and Rehabilitation (W.C.W., D.X.C.), School of Medicine, Virginia Commonwealth University, Richmond; Physical Medicine and Rehabilitation Service (W.C.W., D.X.C.), Richmond Veterans Affairs Medical Center, VA; Traumatic Brain Injury Center of Excellence (J.M.B.), Bethesda, MD; Naval Hospital Camp Pendleton (J.M.B.), Camp Pendleton, CA; General Dynamics Information Technology (J.M.B.), Fairfax, VA; Minneapolis VA Health Care System (N.D.D.), MN; Department of Psychiatry and Behavioral Sciences (N.D.D., S.R.S.), University of Minnesota, Minneapolis; Research and Academic Affairs Service Line (S.L.M., J.A.R.), W. G. (Bill) Hefner VA Healthcare System, Salisbury, NC; Department of Translational Neuroscience (S.L.M., J.A.R.), Wake Forest School of Medicine, Winston-Salem, NC; VA Portland Health Care System (M.O.), Portland, OR; Oregon Health & Science University (M.O.), Department of Psychiatry and Department of Medicine Informatics and Clinical Epidemiology, Portland; Mid-Atlantic (VISN-6) Mental Illness Research, Education, and Clinical Center (MIRECC) (S.L.M., J.A.R.), Durham, NC; Department of Neurobiology and Anatomy (J.A.R.), Wake Forest School of Medicine, Winston-Salem, NC; H. Ben Taub Department of Physical Medicine and Rehabilitation (R.S.S., M.T.), Baylor College of Medicine, Houston, TX; Minneapolis VA Health Care System (S.R.S.), MN.
服务人员和经历轻度创伤性脑损伤 (mTBI) 和创伤后应激障碍 (PTSD) 的退伍军人表现出不同的神经心理特征. 了解这些形状,受损伤背景和PTSD并发症的影响,对于有针对性的治疗和改善康复结果至关重要.
科学领域:
- 神经科学是一个神经科学.
- 军事医学 军事医学
- 心理创伤学 心理创伤学
背景情况:
- 创伤性脑损伤 (TBI) 对美国服务人员和退伍军人 (SMV) 造成了重大健康问题,往往导致各种心理和认知挑战.
- 识别与轻度TBI (mTBI) 和创伤后应激障碍 (PTSD) 相关的独特神经心理特征对于理解这一群体中异质结果至关重要.
研究的目的:
- 在一大群美国服务人员和退伍军人 (SMV) 中识别和描述神经心理资料,这些人患有轻度TBI (mTBI) 和/或创伤后应激障碍 (PTSD).
- 检查人口统计学变量,mTBI特征和PTSD症状与已识别的症状概况之间的关联.
主要方法:
- 分析了一项前性纵向研究中1,659个SMV的横截面基线数据.
- 潜伏特征分析利用35个指标,包括身体症状,抑郁,生活质量,睡眠,脑震荡后症状和认知表现,以独立于mTBI和PTSD状态来识别症状特征.
- 随后检查了人口因素,mTBI史 (与部署相关的与非部署相关的) 和可能的PTSD与个人资料成员之间的关联.
主要成果:
- 一个6个配置文件的模型证明了最适合,根据自我报告的功能 (高,中等,低) 和认知表现 (高,低) 来分类SMV.
- 与部署相关的mTBI的SMV更有可能处于较低的功能配置文件中,并且符合可能的PTSD标准.
- 相反,没有mTBI或与部署无关的mTBI的SMV主要具有更高的功能概况,患PTSD的可能性较低.
结论:
- 在SMV人群中存在不同的神经心理特征,受伤的背景和可能的PTSD存在的影响.
- 功能和认知的全面评估可以揭示与mTBI和PTSD相关的微妙差异,有助于确定这些概况.
- 根据已识别的神经心理特征定制早期治疗策略,可以提高SMV的预后并促进SMV的康复.
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