Journal of Rehabilitation Research & Development (JRRD)

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Volume 49 Number 5, 2012
   Pages 789 — 812

Abstract — Review: Managing posttraumatic stress disorder in combat veterans with comorbid traumatic brain injury

Bruce Capehart, MD, MBA;1* Dale Bass, PhD2
1Durham Department of Veterans Affairs Medical Center, OEF/OIF Program and Mental Health Service Line, Durham, NC; and Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC; 2Department of Biomedical Engineering, Pratt School of Engineering, Duke University, Durham, NC

Abstract–Military deployments to Afghanistan and Iraq have been associated with elevated prevalence of both posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) among combat veterans. The diagnosis and management of PTSD when a comorbid TBI may also exist presents a challenge to interdisciplinary care teams at Department of Veterans Affairs (VA) and civilian medical facilities, particularly when the patient reports a history of blast exposure. Treatment recommendations from VA and Department of Defense–s (DOD) recently updated VA/DOD Clinical Practice Guideline for Management of Post-Traumatic Stress are considered from the perspective of simultaneously managing comorbid TBI.

Key words: chronic pain, cognitive rehabilitation, comorbidity, posttraumatic stress disorder, psychopharmacology, psychotherapy, substance use disorders, traumatic brain injury, VA/DOD clinical practice guidelines, veterans.


View HTML  ¦  View PDF  ¦  Contents Vol. 49, No. 5
This article and any supplementary material should be cited as follows:
Capehart B, Bass D. Review: Managing posttraumatic stress disorder in combat veterans with comorbid traumatic brain injury. J Rehabil Res Dev. 2012;49(5):789–812.
http://dx.doi.org/10.1682/JRRD.2011.10.0185
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Last Reviewed or Updated  Wednesday, July 18, 2012 9:26 AM

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