Deployment-related concussion and long-term health-related quality of life among US military personnel.
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| Title: | Deployment-related concussion and long-term health-related quality of life among US military personnel. |
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| Authors: | MacGregor, Andrew J. (AUTHOR), Casachahua, John D. (AUTHOR), Walton, Samuel R. (AUTHOR), Harbertson, Judith (AUTHOR), Jurick, Sarah M. (AUTHOR), Dougherty, Amber L. (AUTHOR), McCabe, Cameron T. (AUTHOR), Watrous, Jessica R. (AUTHOR), Fraser, John J. (AUTHOR) |
| Source: | Quality of Life Research. Jul2023, Vol. 32 Issue 7, p1971-1980. 10p. 3 Charts. |
| Subjects: | Quality of life, Military personnel, Brain concussion, United States armed forces, Post-traumatic stress disorder, Mental health surveys |
| Abstract: | Purpose: To examine the relationship between deployment-related concussion and long-term health-related quality of life (HRQoL) among injured US military personnel. Methods: The study sample included 810 service members with deployment-related injuries between 2008 and 2012 who responded to a web-based longitudinal health survey. Participants were categorized into three injury groups: concussion with loss of consciousness (LOC; n = 247), concussion without LOC (n = 317), or no concussion (n = 246). HRQoL was measured using the 36-Item Short Form Health Survey physical and mental component summary (PCS and MCS) scores. Current post-traumatic stress disorder (PTSD) and depression symptoms were examined. Multivariable linear regression models assessed the effects of concussion on PCS and MCS scores, while controlling for covariates. Results: A lower PCS score was observed in participants with concussion with LOC (B = − 2.65, p = 0.003) compared with those with no history of concussion. Symptoms of PTSD (PCS: B = − 4.84, p < 0.001; MCS: B = − 10.53, p < 0.001) and depression (PCS: B = − 2.85, p < 0.001; MCS: B = − 10.24, p < 0.001) were the strongest statistically significant predictors of lower HRQoL. Conclusion: Concussion with LOC was significantly associated with lower HRQoL in the physical domain. These findings affirm that concussion management should integrate physical and psychological care to improve long-term HRQoL and warrant a more detailed examination of causal and mediating mechanisms. Future research should continue to incorporate patient-reported outcomes and long-term follow-up of military service members to further define the lifelong impact of deployment-related concussion. [ABSTRACT FROM AUTHOR] |
| Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 164108025 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Deployment-related concussion and long-term health-related quality of life among US military personnel. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22MacGregor%2C+Andrew+J%2E%22">MacGregor, Andrew J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Casachahua%2C+John+D%2E%22">Casachahua, John D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Walton%2C+Samuel+R%2E%22">Walton, Samuel R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Harbertson%2C+Judith%22">Harbertson, Judith</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jurick%2C+Sarah+M%2E%22">Jurick, Sarah M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dougherty%2C+Amber+L%2E%22">Dougherty, Amber L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McCabe%2C+Cameron+T%2E%22">McCabe, Cameron T.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Watrous%2C+Jessica+R%2E%22">Watrous, Jessica R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fraser%2C+John+J%2E%22">Fraser, John J.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Quality+of+Life+Research%22">Quality of Life Research</searchLink>. Jul2023, Vol. 32 Issue 7, p1971-1980. 10p. 3 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Military+personnel%22">Military personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+concussion%22">Brain concussion</searchLink><br /><searchLink fieldCode="DE" term="%22United+States+armed+forces%22">United States armed forces</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+surveys%22">Mental health surveys</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: To examine the relationship between deployment-related concussion and long-term health-related quality of life (HRQoL) among injured US military personnel. Methods: The study sample included 810 service members with deployment-related injuries between 2008 and 2012 who responded to a web-based longitudinal health survey. Participants were categorized into three injury groups: concussion with loss of consciousness (LOC; n = 247), concussion without LOC (n = 317), or no concussion (n = 246). HRQoL was measured using the 36-Item Short Form Health Survey physical and mental component summary (PCS and MCS) scores. Current post-traumatic stress disorder (PTSD) and depression symptoms were examined. Multivariable linear regression models assessed the effects of concussion on PCS and MCS scores, while controlling for covariates. Results: A lower PCS score was observed in participants with concussion with LOC (B = − 2.65, p = 0.003) compared with those with no history of concussion. Symptoms of PTSD (PCS: B = − 4.84, p < 0.001; MCS: B = − 10.53, p < 0.001) and depression (PCS: B = − 2.85, p < 0.001; MCS: B = − 10.24, p < 0.001) were the strongest statistically significant predictors of lower HRQoL. Conclusion: Concussion with LOC was significantly associated with lower HRQoL in the physical domain. These findings affirm that concussion management should integrate physical and psychological care to improve long-term HRQoL and warrant a more detailed examination of causal and mediating mechanisms. Future research should continue to incorporate patient-reported outcomes and long-term follow-up of military service members to further define the lifelong impact of deployment-related concussion. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=164108025 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s11136-023-03367-4 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 1971 Subjects: – SubjectFull: Quality of life Type: general – SubjectFull: Military personnel Type: general – SubjectFull: Brain concussion Type: general – SubjectFull: United States armed forces Type: general – SubjectFull: Post-traumatic stress disorder Type: general – SubjectFull: Mental health surveys Type: general Titles: – TitleFull: Deployment-related concussion and long-term health-related quality of life among US military personnel. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: MacGregor, Andrew J. – PersonEntity: Name: NameFull: Casachahua, John D. – PersonEntity: Name: NameFull: Walton, Samuel R. – PersonEntity: Name: NameFull: Harbertson, Judith – PersonEntity: Name: NameFull: Jurick, Sarah M. – PersonEntity: Name: NameFull: Dougherty, Amber L. – PersonEntity: Name: NameFull: McCabe, Cameron T. – PersonEntity: Name: NameFull: Watrous, Jessica R. – PersonEntity: Name: NameFull: Fraser, John J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 09629343 Numbering: – Type: volume Value: 32 – Type: issue Value: 7 Titles: – TitleFull: Quality of Life Research Type: main |
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