Symptom Complaints Following Reports of Blast Versus Non-Blast Mild TBI: Does Mechanism of Injury Matter?

被引：85

作者：

Belanger, Heather G. ^{[1
,2
,5
]}

Proctor-Weber, Zoe ^{[4
]}

Kretzmer, Tracy ^{[1
]}

Kim, Michelle ^{[1
]}

French, Louis M. ^{[5
,6
,7
]}

Vanderploeg, Rodney D. ^{[1
,2
,3
,5
]}

机构：

[1] James A Haley VA, Dept Mental Hlth & Behav Sci, Tampa, FL USA

[2] Univ S Florida, Dept Psychol, Tampa, FL 33620 USA

[3] Univ S Florida, Dept Psychiat, Tampa, FL USA

[4] Bay Pines VA Healthcare Syst, Dept Mental Hlth & Behav Sci, Bay Pines, FL USA

[5] Def & Vet Brain Injury Ctr, Washington, DC USA

[6] Walter Reed Army Med Ctr, Dept Orthoped & Rehabil, Washington, DC 20307 USA

[7] Uniformed Serv Univ Hlth Sci, Dept Neurol, Bethesda, MD 20814 USA

来源：

CLINICAL NEUROPSYCHOLOGIST | 2011年 / 25卷 / 05期

关键词：

TBI; Mild TBI; Post-traumatic stress disorder; Post-concussion syndrome; Blast; TRAUMATIC BRAIN-INJURY; POSTTRAUMATIC-STRESS-DISORDER; PERSISTENT POSTCONCUSSIVE SYMPTOMS; NEUROPSYCHOLOGICAL PERFORMANCE; COGNITIVE DEFICITS; WAR VETERANS; HEAD-INJURY; IRAQ; AFGHANISTAN; CONCUSSION;

D O I：

10.1080/13854046.2011.566892

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Patients with a reported history of mild traumatic brain injury (mild TBI) due to blast (n = 298) or non-blast (n = 92) mechanisms were asked to complete the Neurobehavioral Symptom Inventory (NSI) and the Post-traumatic Stress Disorder Checklist (PCL). Mechanism of injury did not account for a significant amount of variance in post-concussion symptom reporting overall, nor did severity of mild TBI (i.e., brief loss of consciousness versus only an alteration of consciousness). Symptom reporting was greater in those injured more than 1 month ago compared to those injured less than 1 month ago and in those reporting higher levels versus lower levels of PTSD symptoms. When examining specific symptoms, the only symptom that significantly varied between groups was hearing difficulty (with the blast-injured group reporting more severe difficulty with hearing). Findings suggest that greater symptom reporting is most strongly related to emotional distress.

引用

页码：702 / 715

页数：14

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