Disability in veterans with PTSD, mTBI, and dual PTSD-mTBI disorder

Objective Multidomain functional impairment is very common in veterans with post = traumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI). These disrders can significantly complicate the process of readaptation and resocialization and should be a target for interventions, especially...

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Bibliographic Details
Published in:Journal of psychosomatic research 2022-06, Vol.157, p.110867, Article 110867
Main Authors: Khaustova, O., Smashna, O.
Format: Article
Language:English
Subjects:
Cognition
Disability
Functional impairment
Intervention
Mobility
Post traumatic stress disorder
Rehabilitation
Self care
Therapeutic applications
Traumatic brain injury
Veterans
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Summary:Objective Multidomain functional impairment is very common in veterans with post = traumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI). These disrders can significantly complicate the process of readaptation and resocialization and should be a target for interventions, especially psychological therapies. Methods We surveyed 329 veterans, including those with PTSD (n = 109), mTBI (n = 112), and dual PTSD-mTBI disorder (n = 108). The WHODAS 2.0 scale defined the level of functioning in six domains: Cognition (CW); Mobility (MW); Self-care (SW); Getting along (RW); Life activities (LW); Participation (PW); general level of functioning (WHO). Results In patients with PTSD, the most evident impairments were in CW, RW, PW, and LW domains. A similar trend occurred in PTSD-mTBI and mTBI groups. PTSD group had significantly (p ≤ 0.032) higher scores on all domains compared to the mTBI group. However, compared with the PTSD-mTBI group, the PTSD group had significantly lower scores (p ≤ 0.003) for the LW domain and whole score. The PTSD-mTBI group had significantly higher rates for all domains except MW and SW. The mTBI group had a significantly Conclusion According to WHODAS 2.0 test, multidomain functional impairment is much more evident in patients with PTSD in comparison to patients with mTBI. However, the overall level of impairment in PTSD-mTBI patients was even more pronounced than in PTSD. So, target domains for therapeutic interventions might be Cognition (CW), Getting along (RW), Life activities (LW), and Participation (PW). The most complicated for therapy and rehabilitation might be the PTSD-mTBI group.
ISSN:0022-3999
1879-1360
DOI:10.1016/j.jpsychores.2022.110867