Multisensory impairment reported by veterans with and without mild traumatic brain injury history
With the use of Veterans Health Administration and Department of Defense databases of veterans who completed a Department of Veterans Affairs comprehensive traumatic brain injury (TBI) evaluation, the objectives of this study were to (1) identify the co-occurrence of self-reported auditory, visual,...
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| Veröffentlicht in: | Journal of rehabilitation research and development 2012-01, Vol.49 (7), p.971-984 |
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| container_title | Journal of rehabilitation research and development |
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| creator | Pogoda, Terri K Hendricks, Ann M Iverson, Katherine M Stolzmann, Kelly L Krengel, Maxine H Baker, Errol Meterko, Mark Lew, Henry L |
| description | With the use of Veterans Health Administration and Department of Defense databases of veterans who completed a Department of Veterans Affairs comprehensive traumatic brain injury (TBI) evaluation, the objectives of this study were to (1) identify the co-occurrence of self-reported auditory, visual, and vestibular impairment, referred to as multisensory impairment (MSI), and (2) examine demographic, deployment-related, and mental health characteristics that were potentially predictive of MSI. Our sample included 13,746 veterans with either a history of deployment-related mild TBI (mTBI) (n = 9,998) or no history of TBI (n = 3,748). The percentage of MSI across the sample was 13.9%, but was 17.4% in a subsample with mTBI history that experienced both nonblast and blast injuries. The factors that were significantly predictive of reporting MSI were older age, being female, lower rank, and etiology of injury. Deployment-related mTBI history, posttraumatic stress disorder, and depression were also significantly predictive of reporting MSI, with mTBI history the most robust after adjusting for these conditions. A better comprehension of impairments incurred by deployed servicemembers is needed to fully understand the spectrum of blast and nonblast dysfunction and may allow for more targeted interventions to be developed to address these issues. |
| doi_str_mv | 10.1682/JRRD.2011.06.0099 |
| format | Article |
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Our sample included 13,746 veterans with either a history of deployment-related mild TBI (mTBI) (n = 9,998) or no history of TBI (n = 3,748). The percentage of MSI across the sample was 13.9%, but was 17.4% in a subsample with mTBI history that experienced both nonblast and blast injuries. The factors that were significantly predictive of reporting MSI were older age, being female, lower rank, and etiology of injury. Deployment-related mTBI history, posttraumatic stress disorder, and depression were also significantly predictive of reporting MSI, with mTBI history the most robust after adjusting for these conditions. A better comprehension of impairments incurred by deployed servicemembers is needed to fully understand the spectrum of blast and nonblast dysfunction and may allow for more targeted interventions to be developed to address these issues.</description><identifier>ISSN: 0748-7711</identifier><identifier>EISSN: 1938-1352</identifier><identifier>DOI: 10.1682/JRRD.2011.06.0099</identifier><identifier>PMID: 23341273</identifier><identifier>CODEN: JRRDDB</identifier><language>eng</language><publisher>United States: Department of Veterans Affairs</publisher><subject>Adolescent ; Adult ; Afghan Campaign 2001 ; Brain damage ; Brain Injuries - diagnosis ; Brain Injuries - epidemiology ; Brain Injuries - psychology ; Brain research ; Comorbidity ; Female ; Head injuries ; Health services ; Hearing Disorders - epidemiology ; Humans ; Iraq War, 2003-2011 ; Logistic Models ; Male ; Mass Screening - statistics & numerical data ; Mental disorders ; Mental Health ; Middle Aged ; Rehabilitation ; Retrospective Studies ; Self Report ; Sex Distribution ; Socioeconomic Factors ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - psychology ; United States - epidemiology ; United States Department of Veterans Affairs ; Vertigo ; Vestibular Diseases - epidemiology ; Veterans ; Veterans - psychology ; Vision Disorders - epidemiology ; Young Adult</subject><ispartof>Journal of rehabilitation research and development, 2012-01, Vol.49 (7), p.971-984</ispartof><rights>COPYRIGHT 2012 Department of Veterans Affairs</rights><rights>Copyright Superintendent of Documents 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c586t-f4399f0d4cf158e91616860d08ca9a4669402405b88381fd1da29d81f82ba30d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23341273$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pogoda, Terri K</creatorcontrib><creatorcontrib>Hendricks, Ann M</creatorcontrib><creatorcontrib>Iverson, Katherine M</creatorcontrib><creatorcontrib>Stolzmann, Kelly L</creatorcontrib><creatorcontrib>Krengel, Maxine H</creatorcontrib><creatorcontrib>Baker, Errol</creatorcontrib><creatorcontrib>Meterko, Mark</creatorcontrib><creatorcontrib>Lew, Henry L</creatorcontrib><title>Multisensory impairment reported by veterans with and without mild traumatic brain injury history</title><title>Journal of rehabilitation research and development</title><addtitle>J Rehabil Res Dev</addtitle><description>With the use of Veterans Health Administration and Department of Defense databases of veterans who completed a Department of Veterans Affairs comprehensive traumatic brain injury (TBI) evaluation, the objectives of this study were to (1) identify the co-occurrence of self-reported auditory, visual, and vestibular impairment, referred to as multisensory impairment (MSI), and (2) examine demographic, deployment-related, and mental health characteristics that were potentially predictive of MSI. Our sample included 13,746 veterans with either a history of deployment-related mild TBI (mTBI) (n = 9,998) or no history of TBI (n = 3,748). The percentage of MSI across the sample was 13.9%, but was 17.4% in a subsample with mTBI history that experienced both nonblast and blast injuries. The factors that were significantly predictive of reporting MSI were older age, being female, lower rank, and etiology of injury. Deployment-related mTBI history, posttraumatic stress disorder, and depression were also significantly predictive of reporting MSI, with mTBI history the most robust after adjusting for these conditions. A better comprehension of impairments incurred by deployed servicemembers is needed to fully understand the spectrum of blast and nonblast dysfunction and may allow for more targeted interventions to be developed to address these issues.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Afghan Campaign 2001</subject><subject>Brain damage</subject><subject>Brain Injuries - diagnosis</subject><subject>Brain Injuries - epidemiology</subject><subject>Brain Injuries - psychology</subject><subject>Brain research</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Head injuries</subject><subject>Health services</subject><subject>Hearing Disorders - epidemiology</subject><subject>Humans</subject><subject>Iraq War, 2003-2011</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Mass Screening - statistics & numerical data</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Rehabilitation</subject><subject>Retrospective Studies</subject><subject>Self Report</subject><subject>Sex Distribution</subject><subject>Socioeconomic Factors</subject><subject>Stress Disorders, Post-Traumatic - 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Academic</collection><jtitle>Journal of rehabilitation research and development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pogoda, Terri K</au><au>Hendricks, Ann M</au><au>Iverson, Katherine M</au><au>Stolzmann, Kelly L</au><au>Krengel, Maxine H</au><au>Baker, Errol</au><au>Meterko, Mark</au><au>Lew, Henry L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multisensory impairment reported by veterans with and without mild traumatic brain injury history</atitle><jtitle>Journal of rehabilitation research and development</jtitle><addtitle>J Rehabil Res Dev</addtitle><date>2012-01-01</date><risdate>2012</risdate><volume>49</volume><issue>7</issue><spage>971</spage><epage>984</epage><pages>971-984</pages><issn>0748-7711</issn><eissn>1938-1352</eissn><coden>JRRDDB</coden><abstract>With the use of Veterans Health Administration and Department of Defense databases of veterans who completed a Department of Veterans Affairs comprehensive traumatic brain injury (TBI) evaluation, the objectives of this study were to (1) identify the co-occurrence of self-reported auditory, visual, and vestibular impairment, referred to as multisensory impairment (MSI), and (2) examine demographic, deployment-related, and mental health characteristics that were potentially predictive of MSI. Our sample included 13,746 veterans with either a history of deployment-related mild TBI (mTBI) (n = 9,998) or no history of TBI (n = 3,748). The percentage of MSI across the sample was 13.9%, but was 17.4% in a subsample with mTBI history that experienced both nonblast and blast injuries. The factors that were significantly predictive of reporting MSI were older age, being female, lower rank, and etiology of injury. Deployment-related mTBI history, posttraumatic stress disorder, and depression were also significantly predictive of reporting MSI, with mTBI history the most robust after adjusting for these conditions. A better comprehension of impairments incurred by deployed servicemembers is needed to fully understand the spectrum of blast and nonblast dysfunction and may allow for more targeted interventions to be developed to address these issues.</abstract><cop>United States</cop><pub>Department of Veterans Affairs</pub><pmid>23341273</pmid><doi>10.1682/JRRD.2011.06.0099</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| source | U.S. Government Documents; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adolescent Adult Afghan Campaign 2001 Brain damage Brain Injuries - diagnosis Brain Injuries - epidemiology Brain Injuries - psychology Brain research Comorbidity Female Head injuries Health services Hearing Disorders - epidemiology Humans Iraq War, 2003-2011 Logistic Models Male Mass Screening - statistics & numerical data Mental disorders Mental Health Middle Aged Rehabilitation Retrospective Studies Self Report Sex Distribution Socioeconomic Factors Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - psychology United States - epidemiology United States Department of Veterans Affairs Vertigo Vestibular Diseases - epidemiology Veterans Veterans - psychology Vision Disorders - epidemiology Young Adult |
| title | Multisensory impairment reported by veterans with and without mild traumatic brain injury history |
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