Interactive effects of cumulative lifetime traumatic brain injuries and combat exposure on posttraumatic stress among deployed military personnel

被引:3
作者
Albanese, Brian J. [1 ]
Macatee, Richard J. [1 ]
Stentz, Lauren A. [1 ]
Schmidt, Norman B. [1 ]
Bryan, Craig J. [2 ,3 ]
机构
[1] Florida State Univ, Dept Psychol, Tallahasssee, FL USA
[2] Natl Ctr Vet Studies, Salt Lake City, UT 84112 USA
[3] Univ Utah, Dept Psychol, Salt Lake City, UT 84112 USA
关键词
Traumatic brain injury; posttraumatic stress disorder; combat exposure; military; PSYCHOMETRIC PROPERTIES; AFGHANISTAN; IRAQ; TBI; ASSOCIATION; SYMPTOMS; VALIDITY; DUTY; RISK; RELIABILITY;
D O I
10.1080/16506073.2018.1478446
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Growing research links Traumatic Brain Injury (TBI) with greater posttraumatic stress disorder (PTSD) symptoms. Much of this research has focused on the influence of the presence or severity of a single TBI while neglecting the potential cumulative effects of multiple TBIs incurred across an individual's lifetime on combat-related PTSD. The present study addressed this gap using a sample of 157 military service members and 4 civilian contractors who underwent structured TBI interviews at a military hospital in Iraq and completed the Combat Experiences Scale (CES) and Posttraumatic Checklist - Military (PCL-M). Results indicated that a greater number of lifetime TBIs were associated with greater PTSD symptoms when accounting for the presence and severity of a recent, deployment-related TBI. Additionally, a significant interaction of number of lifetime TBIs and combat exposure emerged, indicating that exposure to combat yielded greater PTSD symptoms among those with multiple lifetime TBIs compared to those with one or zero lifetime TBIs. These data suggest that incurring multiple TBIs may amplify the link between combat exposure and PTSD and underscore the need to screen for lifetime TBI history.
引用
收藏
页码:77 / 88
页数:12
相关论文
共 33 条
[1]   Interactive effects of cumulative lifetime traumatic brain injuries and combat exposure on posttraumatic stress among deployed military personnel [J].
Albanese, Brian J. ;
Macatee, Richard J. ;
Stentz, Lauren A. ;
Schmidt, Norman B. ;
Bryan, Craig J. .
COGNITIVE BEHAVIOUR THERAPY, 2019, 48 (01) :77-88
[2]   Interactive Effects of Anxiety Sensitivity and Attentional Control on Posttraumatic Stress in Community and Clinical Populations [J].
Albanese, Brian J. ;
Macatee, Richard J. ;
Allan, Nicholas P. ;
Short, Nicole A. ;
Norr, Aaron M. ;
Schmidt, Norman B. .
PSYCHIATRY-INTERPERSONAL AND BIOLOGICAL PROCESSES, 2018, 81 (01) :71-84
[3]   Interactive Effects of Traumatic Brain Injury and Anxiety Sensitivity Cognitive Concerns on Post-traumatic Stress Among Active Duty Soldiers [J].
Albanese, Brian J. ;
Macatee, Richard J. ;
Schmidt, Norman B. ;
Leeson, Bruce ;
Clemans, Tracy A. ;
Mintz, Jim ;
Rudd, M. David ;
Bryan, Craig J. .
COGNITIVE THERAPY AND RESEARCH, 2017, 41 (06) :902-910
[4]  
[Anonymous], 2018, The ICD-11 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines
[5]   A population survey found an association between self-reports of traumatic brain injury and increased psychiatric symptoms [J].
Anstey, KJ ;
Butterworth, P ;
Jorm, AF ;
Christensen, H ;
Rodgers, B ;
Windsor, TD .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2004, 57 (11) :1202-1209
[6]   Executive function and PTSD: Disengaging from trauma [J].
Aupperle, Robin L. ;
Melrose, Andrew J. ;
Stein, Murray B. ;
Paulus, Martin P. .
NEUROPHARMACOLOGY, 2012, 62 (02) :686-694
[7]   Emotional Distress Intolerance, Experiential Avoidance, and Anxiety Sensitivity: The Buffering Effect of Attentional Control on Associations with Posttraumatic Stress Symptoms [J].
Bardeen, Joseph R. ;
Fergus, Thomas A. .
JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT, 2016, 38 (02) :320-329
[8]   Attentional control as a prospective predictor of posttraumatic stress syrnptomatology [J].
Bardeen, Joseph R. ;
Fergus, Thomas A. ;
Orcutt, Holly K. .
PERSONALITY AND INDIVIDUAL DIFFERENCES, 2015, 81 :124-128
[9]   Psychometric properties of the PTSD checklist (PCL) [J].
Blanchard, EB ;
JonesAlexander, J ;
Buckley, TC ;
Forneris, CA .
BEHAVIOUR RESEARCH AND THERAPY, 1996, 34 (08) :669-673
[10]   Reliability and Predictive Validity of the Ohio State University TBI Identification Method With Prisoners [J].
Bogner, Jennifer ;
Corrigan, John D. .
JOURNAL OF HEAD TRAUMA REHABILITATION, 2009, 24 (04) :279-291