Clinical and Methodological Challenges With Assessing Mild Traumatic Brain Injury in the Military

被引:25
作者
Iverson, Grant L. [1 ,2 ]
机构
[1] Univ British Columbia, Dept Psychiat, Vancouver, BC V6T 2A1, Canada
[2] British Columbia Mental Hlth & Addict Serv, Vancouver, BC, Canada
关键词
brain injury; concussion; epidemiology; screening; surveillance; POSTTRAUMATIC-STRESS-DISORDER; POSTCONCUSSION-SYNDROME; DISSOCIATIVE SYMPTOMS; FOOTBALL PLAYERS; CHRONIC PAIN; HEAD-INJURY; CONCUSSION; IRAQ; DEPRESSION; DEPLOYMENT;
D O I
10.1097/HTR.0b013e3181d6f9bd
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: A vast majority of traumatic brain injuries sustained by military personnel are mild in severity. In 2008, the United States Department of Defense officially mandated a screening program designed to identify deployment-related mild traumatic brain injuries and associated residual symptoms. Objective: This article reviews this screening program, illustrates the clinical and methodological challenges associated with screening, and makes recommendations for improving the process of screening for mild traumatic brain injuries and related symptoms.
引用
收藏
页码:313 / 319
页数:7
相关论文
共 43 条
[1]  
*ARM FORC HLTH SUR, 2008, MED SURVEILL MON REP, V10, P2
[2]   Symptom complaints following combat-related traumatic brain injury: Relationship to traumatic brain injury severity and posttraumatic stress disorder [J].
Belanger, Heather G. ;
Kretzmer, Tracy ;
Vanderploeg, Rodney D. ;
French, Louis M. .
JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2010, 16 (01) :194-199
[3]   The predictive power of peritraumatic dissociation and acute stress symptoms for posttraumatic stress symptoms:: A three-month prospective study [J].
Birmes, P ;
Brunet, A ;
Carreras, D ;
Ducassé, JL ;
Charlet, JP ;
Lauque, D ;
Sztulman, H ;
Schmitt, L .
AMERICAN JOURNAL OF PSYCHIATRY, 2003, 160 (07) :1337-1339
[4]  
CARDENA E, 1993, AM J PSYCHIAT, V150, P474
[5]   Concussion history and postconcussion neurocognitive performance and symptoms in collegiate athletes [J].
Covassin, Tracey ;
Stearne, David ;
Elbin, Robert, III .
JOURNAL OF ATHLETIC TRAINING, 2008, 43 (02) :119-124
[6]   Long-term electrophysiological changes in athletes with a history of multiple concussions [J].
De Beaumont, Louis ;
Brisson, Benoit ;
Lassonde, Maryse ;
Jolicoeur, Pierre .
BRAIN INJURY, 2007, 21 (06) :631-644
[7]  
Defense and Veterans Brain Injury Center, TBI NUMB
[8]   Concussions during the 1997 Canadian Football League season [J].
Delaney, JS ;
Lacroix, VJ ;
Leclerc, S ;
Johnston, KM .
CLINICAL JOURNAL OF SPORT MEDICINE, 2000, 10 (01) :9-14
[9]   Symptoms of post-concussional syndrome are non-specifically related to mild traumatic brain injury in UK Armed Forces personnel on return from deployment in Iraq: an analysis of self-reported data [J].
Fear, N. T. ;
Jones, E. ;
Groom, M. ;
Greenberg, N. ;
Hull, L. ;
Hodgetts, T. J. ;
Wessely, S. .
PSYCHOLOGICAL MEDICINE, 2009, 39 (08) :1379-1387
[10]  
FREINKEL A, 1994, AM J PSYCHIAT, V151, P1335