A Systematic Review and Meta-analysis on PTSD Following TBI Among Military/Veteran and Civilian Populations
Conclusions: TBI diagnosis and military setting represent greater risks for PTSD. The dual diagnosis of TBI and PTSD requires interdisciplinary collaboration, as physical and psychological traumas are closely intertwined. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2020 Category: Neurology Tags: TBI in the Military 2020 Source Type: research

Emotional Suppression and Hypervigilance in Military Caregivers: Relationship to Negative and Positive Affect
Conclusions: Caregivers with high emotional suppression and/or vigilance are more likely to show emotional distress and less likely to have positive affect than caregivers with lower levels of emotional suppression and vigilance. A combination of education and individual counseling targeting coping with negative emotions and TBI-related problems may be beneficial. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2020 Category: Neurology Tags: TBI in the Military 2020 Source Type: research

Brain Amygdala Volume Increases in Veterans and Active-Duty Military Personnel With Combat-Related Posttraumatic Stress Disorder and Mild Traumatic Brain Injury
Objective: To identify amygdalar volumetric differences associated with posttraumatic stress disorder (PTSD) in individuals with comorbid mild traumatic brain injury (mTBI) compared with those with mTBI-only and to examine the effects of intracranial volume (ICV) on amygdala volumetric measures. Setting: Marine Corps Base and VA Healthcare System. Participants: A cohort of veterans and active-duty military personnel with combat-related mTBI (N = 89). Design: Twenty-nine participants were identified with comorbid PTSD and mTBI. The remaining 60 formed the mTBI-only control group. Structural images of brains were ...
Source: The Journal of Head Trauma Rehabilitation - January 1, 2020 Category: Neurology Tags: TBI in the Military 2020 Source Type: research

Pharmacotherapy for Treatment of Cognitive and Neuropsychiatric Symptoms After mTBI
Conclusions: There is the most support in the literature for the neurostimulant methylphenidate for treatment of mild TBI–related cognitive dysfunction, and the selective serotonin reuptake inhibitor, sertraline, for the treatment of postinjury depression. There is clearly a need for more well-designed studies to guide clinicians in selecting the appropriate medication and dose. Without clear guidance from the literature, a cautious approach of starting low and titrating slowly is recommended. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2020 Category: Neurology Tags: Special Feature Source Type: research

How Much Can We Ask of Molecular Biomarkers? An Opinion on Pattinson et al, “Elevated Tau in Military Personnel Relates to Chronic Symptoms Following Traumatic Brain Injury”
No abstract available (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2020 Category: Neurology Tags: Commentary Source Type: research

Elevated Tau in Military Personnel Relates to Chronic Symptoms Following Traumatic Brain Injury
Conclusions: Elevations in tau are associated with symptom severity after TBI, while NFL levels are elevated in those with a history of repetitive TBIs and in military personnel and veterans. This study shows the utility of measuring biomarkers chronically postinjury. Furthermore, there is a critical need for studies of biomarkers longitudinally following TBI. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2020 Category: Neurology Tags: TBI in the Military 2020 Source Type: research

Neuropsychiatric Outcomes in UK Military Veterans With Mild Traumatic Brain Injury and Vestibular Dysfunction
Conclusion: Vestibular dysfunction is common after combined blunt and blast mTBI and singularly predictive of poor long-term mental health. From a treatment perspective, vestibular rehabilitation may provide relief from postconcussive symptoms other than dizziness and imbalance. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2020 Category: Neurology Tags: TBI in the Military 2020 Source Type: research

Long-Term Correlates of Mild Traumatic Brain Injury on Postconcussion Symptoms After Deployment to Iraq and Afghanistan in the UK Military
Conclusions: Mild traumatic brain injury reported in 2007-2009 was associated with dizziness and possibly with loss of concentration 7 years later but not with most PCS. The prevalence of most PCS increased over time independently of mTBI. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2020 Category: Neurology Tags: TBI in the Military 2020 Source Type: research

Differences in Posttraumatic Stress Disorder, Depression, and Attribution of Symptoms in Service Members With Combat Versus Noncombat Mild Traumatic Brain Injury
Conclusions: This research contributes to our understanding of the complex interplay between mTBI and PTSD in both combat and noncombat injuries within the military population and the importance of addressing both simultaneously. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2020 Category: Neurology Tags: TBI in the Military 2020 Source Type: research

The Association of Lifetime and Deployment-Acquired Traumatic Brain Injury With Postdeployment Binge and Heavy Drinking
Objective: To investigate associations of lifetime traumatic brain injury (LT-TBI) prior to an index deployment, and/or deployment-acquired TBI (DA-TBI), with postdeployment binge and heavy drinking. Setting: Soldiers from 3 Brigade Combat Teams deployed to Afghanistan in 2012. Participants: A total of 4645 soldiers who participated in the Army STARRS Pre/Post Deployment Study and completed 4 assessments: T0 (1-2 months predeployment), T1 (upon return to United States), T2 (3 months postdeployment), and T3 (9 months postdeployment). Design: Prospective, longitudinal study controlling for baseline binge drinking....
Source: The Journal of Head Trauma Rehabilitation - January 1, 2020 Category: Neurology Tags: TBI in the Military 2020 Source Type: research

Associations of Lifetime Traumatic Brain Injury Characteristics With Prospective Suicide Attempt Among Deployed US Army Soldiers
Conclusions: Among the lifetime TBI characteristics evaluated at predeployment baseline, only past-month postconcussive/post-TBI symptoms were prospectively associated with an increased risk of suicide attempt following deployment. Detection of postconcussive/post-TBI symptoms could facilitate targeting of Army suicide prevention programs. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2020 Category: Neurology Tags: TBI in the Military 2020 Source Type: research

Prevalence and Severity of Psychiatric Disorders and Suicidal Behavior in Service Members and Veterans With and Without Traumatic Brain Injury: Systematic Review
Conclusions: Service members and Veterans with TBI history have higher prevalence and possibly severity of selected psychiatric conditions. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2020 Category: Neurology Tags: TBI in the Military 2020 Source Type: research

Mobile Ecological Momentary Assessment of Postconcussion Symptoms and Recovery Outcomes
Objective: Evaluate mobile ecological momentary assessment (mEMA) as an approach to measure sport-related concussion (SRC) symptoms, explore the relationships between clinical outcomes and mEMA, and determine whether mEMA was advantageous for predicting recovery outcomes compared to traditional symptom report. Setting: Outpatient concussion clinic. Participants: 20 athletes aged 12 to 19 years with SRC. Methods: Prospective study of mEMA surveys assessing activity and symptoms delivered via mobile application (3 time blocks daily) and clinical assessment at visit 1 ( (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - November 1, 2019 Category: Neurology Tags: Original Articles Source Type: research

The Relations Among Depression, Cognition, and Brain Volume in Professional Boxers: A Preliminary Examination Using Brief Clinical Measures
Conclusion: Clinical depression is associated with volumetric and cognitive changes occasioning RHI exposure, and even minimal depressive symptoms may moderate the relations between exposure and brain volumes in key regions. Longitudinally, there is preliminary evidence that depression precedes cognitive changes. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - November 1, 2019 Category: Neurology Tags: Original Articles Source Type: research

Corticostriatal Hyperactivation to Reward Presentation in Individuals With TBI With High Depressive Symptomatology: A Pilot Study
Conclusions: Current findings provide the first evidence of differences in neural mechanisms underlying outcome processing between individuals with TBI with and without depression. The results suggest that depressive symptomatology might have a different effect on individuals with TBI than what is typically observed in individuals without TBI reporting with depression, with the possibility of rewards becoming more reinforcing as depressive symptomatology increases. Future studies should explore the potential implications of behavioral responses to rewards and punishments in TBI and how they can affect rehabilitation appr...
Source: The Journal of Head Trauma Rehabilitation - November 1, 2019 Category: Neurology Tags: Original Articles Source Type: research