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Neuro-psychiatric symptoms in directly and indirectly blast exposed civilian survivors of urban missile attacks
Blast-explosion may cause traumatic brain injury (TBI), leading to post-concussion syndrome (PCS). In studies on military personnel, PCS symptoms are highly similar to those occurring in post-traumatic stress disorder (PTSD), questioning the overlap between these syndromes. In the current study we a...
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Published in: | BMC psychiatry 2023-06, Vol.23 (1), p.423-423, Article 423 |
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description | Blast-explosion may cause traumatic brain injury (TBI), leading to post-concussion syndrome (PCS). In studies on military personnel, PCS symptoms are highly similar to those occurring in post-traumatic stress disorder (PTSD), questioning the overlap between these syndromes. In the current study we assessed PCS and PTSD in civilians following exposure to rocket attacks. We hypothesized that PCS symptomatology and brain connectivity will be associated with the objective physical exposure, while PTSD symptomatology will be associated with the subjective mental experience.
Two hundred eighty nine residents of explosion sites have participated in the current study. Participants completed self-report of PCS and PTSD. The association between objective and subjective factors of blast and clinical outcomes was assessed using multivariate analysis. White-matter (WM) alterations and cognitive abilities were assessed in a sub-group of participants (n = 46) and non-exposed controls (n = 16). Non-parametric analysis was used to compare connectivity and cognition between the groups.
Blast-exposed individuals reported higher PTSD and PCS symptomatology. Among exposed individuals, those who were directly exposed to blast, reported higher levels of subjective feeling of danger and presented WM hypoconnectivity. Cognitive abilities did not differ between groups. Several risk factors for the development of PCS and PTSD were identified.
Civilians exposed to blast present higher PCS/PTSD symptomatology as well as WM hypoconnectivity. Although symptoms are sub-clinical, they might lead to the future development of a full-blown syndrome and should be considered carefully. The similarities between PCS and PTSD suggest that despite the different etiology, namely, the physical trauma in PCS and the emotional trauma in PTSD, these are not distinct syndromes, but rather represent a combined biopsychological disorder with a wide spectrum of behavioral, emotional, cognitive and neurological symptoms. |
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Two hundred eighty nine residents of explosion sites have participated in the current study. Participants completed self-report of PCS and PTSD. The association between objective and subjective factors of blast and clinical outcomes was assessed using multivariate analysis. White-matter (WM) alterations and cognitive abilities were assessed in a sub-group of participants (n = 46) and non-exposed controls (n = 16). Non-parametric analysis was used to compare connectivity and cognition between the groups.
Blast-exposed individuals reported higher PTSD and PCS symptomatology. Among exposed individuals, those who were directly exposed to blast, reported higher levels of subjective feeling of danger and presented WM hypoconnectivity. Cognitive abilities did not differ between groups. Several risk factors for the development of PCS and PTSD were identified.
Civilians exposed to blast present higher PCS/PTSD symptomatology as well as WM hypoconnectivity. Although symptoms are sub-clinical, they might lead to the future development of a full-blown syndrome and should be considered carefully. The similarities between PCS and PTSD suggest that despite the different etiology, namely, the physical trauma in PCS and the emotional trauma in PTSD, these are not distinct syndromes, but rather represent a combined biopsychological disorder with a wide spectrum of behavioral, emotional, cognitive and neurological symptoms.</description><identifier>ISSN: 1471-244X</identifier><identifier>EISSN: 1471-244X</identifier><identifier>DOI: 10.1186/s12888-023-04943-1</identifier><identifier>PMID: 37312064</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Blast ; Brain ; Brain Injuries, Traumatic - complications ; Civilians ; Cognitive ability ; Concussion ; Consent ; Diagnosis ; DTI ; Emotional behavior ; Explosions ; Humans ; Injuries ; Medical imaging ; Military air strikes ; Military personnel ; Multivariate analysis ; Neural networks ; Neuroimaging ; Neurology ; PCS ; Post traumatic stress disorder ; Post-concussion syndrome ; Postconcussional syndrome ; Psychiatry ; PTSD ; Questionnaires ; Risk factors ; Stress Disorders, Post-Traumatic - etiology ; Substantia alba ; Syndrome ; TBI/mTBI ; Trauma ; Traumatic brain injury</subject><ispartof>BMC psychiatry, 2023-06, Vol.23 (1), p.423-423, Article 423</ispartof><rights>2023. The Author(s).</rights><rights>COPYRIGHT 2023 BioMed Central Ltd.</rights><rights>2023. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c564t-1062c64dc4065ea6502a48ee200d649107555951ec9a3ccc054268ae8871fa2b3</citedby><cites>FETCH-LOGICAL-c564t-1062c64dc4065ea6502a48ee200d649107555951ec9a3ccc054268ae8871fa2b3</cites><orcidid>0000-0002-8098-1771</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10262527/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2827038560?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25732,27903,27904,36991,36992,44569,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37312064$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saar-Ashkenazy, R</creatorcontrib><creatorcontrib>Naparstek, S</creatorcontrib><creatorcontrib>Dizitzer, Y</creatorcontrib><creatorcontrib>Zimhoni, N</creatorcontrib><creatorcontrib>Friedman, A</creatorcontrib><creatorcontrib>Shelef, I</creatorcontrib><creatorcontrib>Cohen, H</creatorcontrib><creatorcontrib>Shalev, H</creatorcontrib><creatorcontrib>Oxman, L</creatorcontrib><creatorcontrib>Novack, V</creatorcontrib><creatorcontrib>Ifergane, G</creatorcontrib><title>Neuro-psychiatric symptoms in directly and indirectly blast exposed civilian survivors of urban missile attacks</title><title>BMC psychiatry</title><addtitle>BMC Psychiatry</addtitle><description>Blast-explosion may cause traumatic brain injury (TBI), leading to post-concussion syndrome (PCS). In studies on military personnel, PCS symptoms are highly similar to those occurring in post-traumatic stress disorder (PTSD), questioning the overlap between these syndromes. In the current study we assessed PCS and PTSD in civilians following exposure to rocket attacks. We hypothesized that PCS symptomatology and brain connectivity will be associated with the objective physical exposure, while PTSD symptomatology will be associated with the subjective mental experience.
Two hundred eighty nine residents of explosion sites have participated in the current study. Participants completed self-report of PCS and PTSD. The association between objective and subjective factors of blast and clinical outcomes was assessed using multivariate analysis. White-matter (WM) alterations and cognitive abilities were assessed in a sub-group of participants (n = 46) and non-exposed controls (n = 16). Non-parametric analysis was used to compare connectivity and cognition between the groups.
Blast-exposed individuals reported higher PTSD and PCS symptomatology. Among exposed individuals, those who were directly exposed to blast, reported higher levels of subjective feeling of danger and presented WM hypoconnectivity. Cognitive abilities did not differ between groups. Several risk factors for the development of PCS and PTSD were identified.
Civilians exposed to blast present higher PCS/PTSD symptomatology as well as WM hypoconnectivity. Although symptoms are sub-clinical, they might lead to the future development of a full-blown syndrome and should be considered carefully. The similarities between PCS and PTSD suggest that despite the different etiology, namely, the physical trauma in PCS and the emotional trauma in PTSD, these are not distinct syndromes, but rather represent a combined biopsychological disorder with a wide spectrum of behavioral, emotional, cognitive and neurological symptoms.</description><subject>Blast</subject><subject>Brain</subject><subject>Brain Injuries, Traumatic - complications</subject><subject>Civilians</subject><subject>Cognitive ability</subject><subject>Concussion</subject><subject>Consent</subject><subject>Diagnosis</subject><subject>DTI</subject><subject>Emotional behavior</subject><subject>Explosions</subject><subject>Humans</subject><subject>Injuries</subject><subject>Medical imaging</subject><subject>Military air strikes</subject><subject>Military personnel</subject><subject>Multivariate analysis</subject><subject>Neural networks</subject><subject>Neuroimaging</subject><subject>Neurology</subject><subject>PCS</subject><subject>Post traumatic stress disorder</subject><subject>Post-concussion syndrome</subject><subject>Postconcussional syndrome</subject><subject>Psychiatry</subject><subject>PTSD</subject><subject>Questionnaires</subject><subject>Risk factors</subject><subject>Stress Disorders, Post-Traumatic - etiology</subject><subject>Substantia alba</subject><subject>Syndrome</subject><subject>TBI/mTBI</subject><subject>Trauma</subject><subject>Traumatic brain injury</subject><issn>1471-244X</issn><issn>1471-244X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUk1v1DAQjRCIlsIf4IAiceGS4m87J1RVtFSq4AISN2viTLZekjjYyYr993i7Zeki5IM9M-89e8avKF5Tck6pUe8TZcaYijBeEVELXtEnxSkVmlZMiO9PH51PihcprQmh2kj6vDjhmlNGlDgtwmdcYqimtHV3HuboXZm2wzSHIZV-LFsf0c39toSxzfEhbHpIc4m_ppCwLZ3f-N7DWKYlbvwmxFSGrlxik1ODT8n3WMI8g_uRXhbPOugTvnrYz4pvVx-_Xn6qbr9c31xe3FZOKjFXlCjmlGidIEoiKEkYCIPICGmVqCnRUspaUnQ1cOcckYIpA2iMph2whp8VN3vdNsDaTtEPELc2gLf3iRBXFuLsXY8WiEHpFFON4EI5WlMjFdMgWp0LwmStD3utaWkGbB2Oc4T-SPS4Mvo7uwobSwlTTDKdFd49KMTwc8E02zwWh30PI4YlWWaYNKRWimfo23-g67DEMc9qh9KE58eRv6gV5A782IV8sduJ2gstWc2V4TSjzv-DyqvFwbswYpd_5pjA9gQXQ0oRu0OTlNid5-zeczZ7zt57zu5Ibx6P50D5YzL-G0Q30ZY</recordid><startdate>20230613</startdate><enddate>20230613</enddate><creator>Saar-Ashkenazy, R</creator><creator>Naparstek, S</creator><creator>Dizitzer, Y</creator><creator>Zimhoni, N</creator><creator>Friedman, A</creator><creator>Shelef, I</creator><creator>Cohen, H</creator><creator>Shalev, H</creator><creator>Oxman, L</creator><creator>Novack, V</creator><creator>Ifergane, G</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-8098-1771</orcidid></search><sort><creationdate>20230613</creationdate><title>Neuro-psychiatric symptoms in directly and indirectly blast exposed civilian survivors of urban missile attacks</title><author>Saar-Ashkenazy, R ; Naparstek, S ; Dizitzer, Y ; Zimhoni, N ; Friedman, A ; Shelef, I ; Cohen, H ; Shalev, H ; Oxman, L ; Novack, V ; Ifergane, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c564t-1062c64dc4065ea6502a48ee200d649107555951ec9a3ccc054268ae8871fa2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Blast</topic><topic>Brain</topic><topic>Brain Injuries, Traumatic - complications</topic><topic>Civilians</topic><topic>Cognitive ability</topic><topic>Concussion</topic><topic>Consent</topic><topic>Diagnosis</topic><topic>DTI</topic><topic>Emotional behavior</topic><topic>Explosions</topic><topic>Humans</topic><topic>Injuries</topic><topic>Medical imaging</topic><topic>Military air strikes</topic><topic>Military personnel</topic><topic>Multivariate analysis</topic><topic>Neural networks</topic><topic>Neuroimaging</topic><topic>Neurology</topic><topic>PCS</topic><topic>Post traumatic stress disorder</topic><topic>Post-concussion syndrome</topic><topic>Postconcussional syndrome</topic><topic>Psychiatry</topic><topic>PTSD</topic><topic>Questionnaires</topic><topic>Risk factors</topic><topic>Stress Disorders, Post-Traumatic - etiology</topic><topic>Substantia alba</topic><topic>Syndrome</topic><topic>TBI/mTBI</topic><topic>Trauma</topic><topic>Traumatic brain injury</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saar-Ashkenazy, R</creatorcontrib><creatorcontrib>Naparstek, S</creatorcontrib><creatorcontrib>Dizitzer, Y</creatorcontrib><creatorcontrib>Zimhoni, N</creatorcontrib><creatorcontrib>Friedman, A</creatorcontrib><creatorcontrib>Shelef, I</creatorcontrib><creatorcontrib>Cohen, H</creatorcontrib><creatorcontrib>Shalev, H</creatorcontrib><creatorcontrib>Oxman, L</creatorcontrib><creatorcontrib>Novack, V</creatorcontrib><creatorcontrib>Ifergane, G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saar-Ashkenazy, R</au><au>Naparstek, S</au><au>Dizitzer, Y</au><au>Zimhoni, N</au><au>Friedman, A</au><au>Shelef, I</au><au>Cohen, H</au><au>Shalev, H</au><au>Oxman, L</au><au>Novack, V</au><au>Ifergane, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuro-psychiatric symptoms in directly and indirectly blast exposed civilian survivors of urban missile attacks</atitle><jtitle>BMC psychiatry</jtitle><addtitle>BMC Psychiatry</addtitle><date>2023-06-13</date><risdate>2023</risdate><volume>23</volume><issue>1</issue><spage>423</spage><epage>423</epage><pages>423-423</pages><artnum>423</artnum><issn>1471-244X</issn><eissn>1471-244X</eissn><abstract>Blast-explosion may cause traumatic brain injury (TBI), leading to post-concussion syndrome (PCS). In studies on military personnel, PCS symptoms are highly similar to those occurring in post-traumatic stress disorder (PTSD), questioning the overlap between these syndromes. In the current study we assessed PCS and PTSD in civilians following exposure to rocket attacks. We hypothesized that PCS symptomatology and brain connectivity will be associated with the objective physical exposure, while PTSD symptomatology will be associated with the subjective mental experience.
Two hundred eighty nine residents of explosion sites have participated in the current study. Participants completed self-report of PCS and PTSD. The association between objective and subjective factors of blast and clinical outcomes was assessed using multivariate analysis. White-matter (WM) alterations and cognitive abilities were assessed in a sub-group of participants (n = 46) and non-exposed controls (n = 16). Non-parametric analysis was used to compare connectivity and cognition between the groups.
Blast-exposed individuals reported higher PTSD and PCS symptomatology. Among exposed individuals, those who were directly exposed to blast, reported higher levels of subjective feeling of danger and presented WM hypoconnectivity. Cognitive abilities did not differ between groups. Several risk factors for the development of PCS and PTSD were identified.
Civilians exposed to blast present higher PCS/PTSD symptomatology as well as WM hypoconnectivity. Although symptoms are sub-clinical, they might lead to the future development of a full-blown syndrome and should be considered carefully. The similarities between PCS and PTSD suggest that despite the different etiology, namely, the physical trauma in PCS and the emotional trauma in PTSD, these are not distinct syndromes, but rather represent a combined biopsychological disorder with a wide spectrum of behavioral, emotional, cognitive and neurological symptoms.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>37312064</pmid><doi>10.1186/s12888-023-04943-1</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-8098-1771</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Blast Brain Brain Injuries, Traumatic - complications Civilians Cognitive ability Concussion Consent Diagnosis DTI Emotional behavior Explosions Humans Injuries Medical imaging Military air strikes Military personnel Multivariate analysis Neural networks Neuroimaging Neurology PCS Post traumatic stress disorder Post-concussion syndrome Postconcussional syndrome Psychiatry PTSD Questionnaires Risk factors Stress Disorders, Post-Traumatic - etiology Substantia alba Syndrome TBI/mTBI Trauma Traumatic brain injury |
title | Neuro-psychiatric symptoms in directly and indirectly blast exposed civilian survivors of urban missile attacks |
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