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ORIGINAL ARTICLE Longitudinal Effects of Mild Traumatic Brain Injury and Posttraumatic Stress Disorder Comorbidity on Postdeployment Outcomes in National Guard Soldiers Deployed to Iraq Melissa A. Polusny, PhD; Shannon M. Kehle, PhD; Nathaniel W. Nelson, PhD; Christopher R. Erbes, PhD; Paul A. Arbisi, PhD; Paul Thuras, PhD Context: Troops deployed to Iraq and Afghanistan are assessed using mailed surveys sent to the homes of US at high risk for exposure to combat events resulting in National Guard service members. mild traumatic brain injury (MTBI) or concussion and posttraumatic stress disorder (PTSD). The longer-term Main Outcome Measures: Postconcussive, depres- impact of combat-related concussion/MTBI and sion, and physical symptoms; alcohol use; social func- comorbid PTSD on troops’ health and well-being is tioning; and quality of life assessed at time 2 using valid unknown. clinical instruments. Objective: To assess longitudinal associations be- Results: The rate of self-reported concussion/MTBI dur- tween concussion/MTBI and PTSD symptoms reported ing deployment was 9.2% at time 1 and 22.0% at time 2. in theater and longer-term psychosocial outcomes in com- Soldiers with a history of concussion/MTBI were more bat-deployed National Guard soldiers. likely than those without to report postdeployment post- concussive symptoms and poorer psychosocial out- Design:
JAMA Psychiatry – American Medical Association
Published: Jan 1, 2011
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