Posttraumatic stress disorder in OEF/OIF veterans with and without traumatic brain injury |
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| Affiliation: | 1. Center for Integrated Healthcare, VA Western New York Healthcare System, Buffalo, NY, United States;2. Department of Counseling, School, and Educational Psychology, University at Buffalo, State University of New York, Buffalo, NY, United States;3. Behavioral Health Careline, VA Western New York Healthcare System, Buffalo, NY, United States;4. Behavioral Health Careline, Canandaigua VA Medical Center, Canandaigua, NY, United States;5. Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, United States;6. VA Center of Excellence for Suicide Prevention, Canandaigua VA Medical Center, Canandaigua, NY, United States;7. Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, United States;1. Mental Health Service Line, Jesse Brown VA Medical Center, 820 S. Damen Ave., Chicago, IL 60612, USA;2. College of Health and Human Services, Governors State University, 1 University Parkway, University Park, IL 60484, USA;3. Department of Psychiatry, University of Illinois at Chicago, 1747 Roosevelt Road, Chicago, IL 60608, USA |
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| Abstract: | Veterans of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) are presenting with high rates of co-occurring posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI). The purpose of this study was to compare the clinical presentations of combat-veterans with PTSD and TBI (N = 40) to those with PTSD only (N = 56). Results suggest that the groups present two distinct clinical profiles, with the PTSD + TBI group endorsing significantly higher PTSD scores, higher overall anxiety, and more functional limitations. The higher PTSD scores found for the PTSD + TBI group appeared to be due to higher symptom intensity, but not higher frequency, across PTSD clusters and symptoms. Groups did not differ on additional psychopathology or self-report of PTSD symptoms or executive functioning. Further analysis indicated PTSD severity, and not TBI, was responsible for group differences, suggesting that treatments implicated for PTSD would likely be effective for this population. |
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| Keywords: | Posttraumatic stress disorder Traumatic brain injury OEF/OIF Veteran |
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