Journal of Rehabilitation Research & Development (JRRD)

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Volume 49 Number 8, 2012
   Pages 1197 — 1208

Abstract — Postdeployment symptom changes and traumatic brain injury and/or posttraumatic stress disorder in men

Caroline A. Macera, PhD;1 Hilary J. Aralis, MS;1* Andrew J. MacGregor, PhD;2 Mitchell J. Rauh, PhD, PT, MPH;1 Michael R. Galarneau, MS2

1Warfighter Performance Department and 2Medical Modeling, Simulation and Mission Support Department, Naval Health Research Center, San Diego, CA

Abstract–In Operation Iraqi Freedom and Operation Enduring Freedom, blast-related injuries associated with combat are frequent and can result in traumatic brain injury (TBI) symptoms that may be difficult to distinguish from psychological problems. Using data from the Post-Deployment Health Assessment and Reassessment, we identified 12,046 male U.S. Navy sailors and Marines with reported combat exposure from 2008 to 2009. Symptoms potentially associated with blast-related TBI and posttraumatic stress disorder (PTSD) that were reported immediately after deployment were compared with symptoms present several months later. Our study supports others that have found that subjects with blast-related injuries may experience the development or worsening of symptoms during the months following deployment. Additionally, our study found that those who screened positive for PTSD and TBI formed a unique group, with the presence of TBI exacerbating development of PTSD symptoms at reassessment. Providers should recognize the late development of symptoms, consider the possibility of comorbidity, and be prepared to treat multiple symptoms rather than a specific diagnostic category.

Key words: blasts, deployment, males, military, odds ratio, percent change, Post-Deployment Health Assessment, posttraumatic stress disorder, symptoms, traumatic brain injury.


View HTML  ¦  View PDF  ¦  Contents Vol. 49, No. 8
This article and any supplementary material should be cited as follows:
Macera CA, Aralis HJ, MacGregor AJ, Rauh MJ, Galarneau MR. Postdeployment symptom changes and traumatic brain injury and/or posttraumatic stress disorder in men. J Rehabil Res Dev. 2012;49(8):1197–1208.
http://dx.doi.org/10.1682/ JRRD.2011.07.0131
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Last Reviewed or Updated  Tuesday, December 11, 2012 9:32 AM

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