Associations between health-related behaviors and self-reported cognitive symptoms in US military personnel injured on deployment

被引:2
作者
Jurick, Sarah M. [1 ,2 ,6 ]
McCabe, Cameron T. [1 ,2 ,3 ]
Watrous, Jessica R. [1 ,2 ]
MacGregor, Andrew J. [2 ]
Walton, Samuel R. [4 ]
Stewart, Ian J. [3 ]
Walker, Lauren E. [5 ]
Galarneau, Michael R. [2 ]
机构
[1] Leidos, 4161 Campus Point Ct, San Diego, CA 92121 USA
[2] Naval Hlth Res Ctr, 140 Sylvester Rd, San Diego, CA 92106 USA
[3] Uniformed Serv Univ Hlth Sci, 4301 Jones Bridge Rd, Bethesda, MD 20814 USA
[4] Virginia Commonwealth Univ, Sch Med Phys Med & Rehabil, 1201 E Marshall St 4-100, Richmond, VA 23298 USA
[5] David Grant USAF Med Ctr, 101 Bodin Circle,Bldg 777, Travis AFB, CA 94535 USA
[6] 140 Sylvester Rd, San Diego, CA 92101 USA
关键词
Mild traumatic brain injury; PTSD; Depression; Physical activity; Cognitive functioning; Sleep; TRAUMATIC BRAIN-INJURY; POSTTRAUMATIC-STRESS-DISORDER; IDENTIFICATION TEST AUDIT; ALCOHOL-RELATED PROBLEMS; SLEEP QUALITY INDEX; ACTIVE-DUTY; PHYSICAL-ACTIVITY; BINGE DRINKING; RISK-FACTORS; OF-LIFE;
D O I
10.1016/j.jpsychires.2023.07.001
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Health behaviors may be core contributors to cognition and mental health following mild traumatic brain injury (TBI). The aims of the present study examined: (1) whether health behaviors including sleep duration, alcohol use, and physical activity differed in injured military personnel with and without deployment-related mild TBI history and (2) the relative contributions of health behaviors and deployment-related mild TBI history to selfreported cognitive, posttraumatic stress disorder (PTSD), and depressive symptoms. Participants included 3076 military personnel injured on deployment participating in the Wounded Warrior Recovery Project, an ongoing web-based study. Military personnel with deployment-related mild TBI history reported similar rates of physical activity and levels of alcohol problems as those without, but were less likely to report receiving the recommended duration of sleep. When adjusting for demographic and injury variables, all three health behaviors were associated with cognitive, PTSD, and depressive symptoms. Alcohol problems demonstrated significant but small effects across all outcomes measures (& eta;p2=.01) whereas physical activity was associated with slightly larger effects albeit still within the small range (& eta;p2=.02-0.04). Duration of sleep bordered a medium effect for cognitive symptoms (& eta;p2=.05) and was in the medium range for PTSD and depressive symptoms (& eta;p2=.06). Although deployment-related mild TBI history was significant in all models, effect sizes were small (& eta;p2=.01). Findings from the present study provide support that health behaviors have stronger effects with regard to cognitive, PTSD, and depressive symptoms compared to deployment-related mild TBI history in military personnel and, given their modifiable nature, may represent treatment targets in this population.
引用
收藏
页码:48 / 55
页数:8
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