+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Health outcomes associated with military deployment: mild traumatic brain injury, blast, trauma, and combat associations in the Florida National Guard

Health outcomes associated with military deployment: mild traumatic brain injury, blast, trauma, and combat associations in the Florida National Guard

Archives of Physical Medicine and Rehabilitation 93(11): 1887-1895

To determine the association between specific military deployment experiences and immediate and longer-term physical and mental health effects, as well as examine the effects of multiple deployment-related traumatic brain injuries (TBIs) on health outcomes. Online survey of cross-sectional cohort. Odds ratios were calculated to assess the association between deployment-related factors (ie, physical injuries, exposure to potentially traumatic deployment experiences, combat, blast exposure, and mild TBI) and current health status, controlling for potential confounders, demographics, and predeployment experiences. Nonclinical. Members (N=3098) of the Florida National Guard (1443 deployed, 1655 not deployed). Not applicable. Presence of current psychiatric diagnoses and health outcomes, including postconcussive and non-postconcussive symptoms. Surveys were completed an average of 31.8 months (SD=24.4, range=0-95) after deployment. Strong, statistically significant associations were found between self-reported military deployment-related factors and current adverse health status. Deployment-related mild TBI was associated with depression, anxiety, posttraumatic stress disorder (PTSD), and postconcussive symptoms collectively and individually. Statistically significant increases in the frequency of depression, anxiety, PTSD, and a postconcussive symptom complex were seen comparing single to multiple TBIs. However, a predeployment TBI did not increase the likelihood of sustaining another TBI in a blast exposure. Associations between blast exposure and abdominal pain, pain on deep breathing, shortness of breath, hearing loss, and tinnitus suggested residual barotrauma. Combat exposures with and without physical injury were each associated not only with PTSD but also with numerous postconcussive and non-postconcussive symptoms. The experience of seeing others wounded or killed or experiencing the death of a buddy or leader was associated with indigestion and headaches but not with depression, anxiety, or PTSD. Complex relationships exist between multiple deployment-related factors and numerous overlapping and co-occurring current adverse physical and psychological health outcomes. Various deployment-related experiences increased the risk for postdeployment adverse mental and physical health outcomes, individually and in combination. These findings suggest that an integrated physical and mental health care approach would be beneficial to postdeployment care.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 036452814

Download citation: RISBibTeXText

PMID: 22705240

DOI: 10.1016/j.apmr.2012.05.024

Related references

Influence of combat blast-related mild traumatic brain injury acute symptoms on mental health and service discharge outcomes. Journal of Neurotrauma 30(16): 1391-1397, 2013

A multisite study of the relationships between blast exposures and symptom reporting in a post-deployment active duty military population with mild traumatic brain injury. Journal of Neurotrauma 31(23): 1899-1906, 2014

Frequent binge drinking after combat-acquired traumatic brain injury among active duty military personnel with a past year combat deployment. Journal of Head Trauma Rehabilitation 27(5): 349-360, 2013

Suicidal Ideation among Florida National Guard Members: Combat Deployment and Non-Deployment Risk and Protective Factors. Archives of Suicide Research 19(4): 453-471, 2015

Blast-related mild traumatic brain injury is associated with a decline in self-rated health amongst US military personnel. Injury 43(12): 1990-1995, 2012

Blast-related mild traumatic brain injury: a Bayesian random-effects meta-analysis on the cognitive outcomes of concussion among military personnel. Neuropsychology Review 24(4): 428-444, 2014

Prevalence of mental health conditions after military blast exposure, their co-occurrence, and their relation to mild traumatic brain injury. Brain Injury 29(13-14): 1581-1588, 2015

Neuropsychological outcome from blast versus non-blast: mild traumatic brain injury in U.S. military service members. Journal of the International Neuropsychological Society 18(3): 595-605, 2012

Longitudinal effects of mild traumatic brain injury and posttraumatic stress disorder comorbidity on postdeployment outcomes in national guard soldiers deployed to Iraq. Archives of General Psychiatry 68(1): 79-89, 2011

Combat-related blast exposure and traumatic brain injury influence brain glucose metabolism during REM sleep in military veterans. Neuroimage 99: 207-214, 2014

Challenges associated with post-deployment screening for mild traumatic brain injury in military personnel. Clinical Neuropsychologist 23(8): 1299-1314, 2009

Findings of mild traumatic brain injury in combat veterans with PTSD and a history of blast concussion. Journal of Neuropsychiatry and Clinical Neurosciences 10(3): 308-313, 1998

Hearing Loss and Tinnitus in Military Personnel with Deployment-Related Mild Traumatic Brain Injury. U.S. Army Medical Department Journal .(3-16): 52-63, 2017

The Chaos of Combat: An Overview of Challenges in Military Mild Traumatic Brain Injury Research. Frontiers in Psychiatry 7: 85, 2016

Role of Pre-Morbid Factors and Exposure to Blast Mild Traumatic Brain Injury on Post-Traumatic Stress in United States Military Personnel. Journal of Neurotrauma 33(19): 1796-1801, 2016