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Mental and physical health, and long-term quality of life among service members injured on deployment
BACKGROUND: More than 52,000 casualties have been documented in post-9/11 conflicts. Service members with extremity injuries (EIs) or traumatic brain injury (TBI) may be at particular risk for long-term deficits in mental and physical health functioning compared with service members with other injur...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8447792/ https://www.ncbi.nlm.nih.gov/pubmed/34530831 http://dx.doi.org/10.1186/s12955-021-01852-3 |
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author | McCabe, Cameron T. Watrous, Jessica R. Eskridge, Susan L. Galarneau, Michael R. |
author_facet | McCabe, Cameron T. Watrous, Jessica R. Eskridge, Susan L. Galarneau, Michael R. |
author_sort | McCabe, Cameron T. |
collection | PubMed |
description | BACKGROUND: More than 52,000 casualties have been documented in post-9/11 conflicts. Service members with extremity injuries (EIs) or traumatic brain injury (TBI) may be at particular risk for long-term deficits in mental and physical health functioning compared with service members with other injuries. METHODS: The present study combined medical records with patient reports of mental health and health-related quality of life (HRQOL) for 2,537 service members injured in overseas contingency operations who participated in the Wounded Warrior Recovery Project. Combined parallel-serial mediation models were tested to examine the pathways through which injury is related to mental and physical health conditions, and long-term HRQOL. RESULTS: Results revealed that injury was indirectly related to long-term HRQOL via its associations with physical health complications and mental health symptoms. Relative to TBI, EI was associated with a higher likelihood for a postinjury diagnosis for a musculoskeletal condition, which were related to lower levels of later posttraumatic stress disorder (PTSD) symptoms, and higher levels of physical and mental HRQOL. Similarly, EI was related to a lower likelihood for a postinjury PTSD diagnosis, and lower levels of subsequent PTSD symptoms, and therefore higher physical and mental HRQOL relative to those with TBI. Despite this, the prevalence of probable PTSD among those with EI was high (35%). Implications for intervention, rehabilitation, and future research are discussed. |
format | Online Article Text |
id | pubmed-8447792 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-84477922021-09-20 Mental and physical health, and long-term quality of life among service members injured on deployment McCabe, Cameron T. Watrous, Jessica R. Eskridge, Susan L. Galarneau, Michael R. Health Qual Life Outcomes Research BACKGROUND: More than 52,000 casualties have been documented in post-9/11 conflicts. Service members with extremity injuries (EIs) or traumatic brain injury (TBI) may be at particular risk for long-term deficits in mental and physical health functioning compared with service members with other injuries. METHODS: The present study combined medical records with patient reports of mental health and health-related quality of life (HRQOL) for 2,537 service members injured in overseas contingency operations who participated in the Wounded Warrior Recovery Project. Combined parallel-serial mediation models were tested to examine the pathways through which injury is related to mental and physical health conditions, and long-term HRQOL. RESULTS: Results revealed that injury was indirectly related to long-term HRQOL via its associations with physical health complications and mental health symptoms. Relative to TBI, EI was associated with a higher likelihood for a postinjury diagnosis for a musculoskeletal condition, which were related to lower levels of later posttraumatic stress disorder (PTSD) symptoms, and higher levels of physical and mental HRQOL. Similarly, EI was related to a lower likelihood for a postinjury PTSD diagnosis, and lower levels of subsequent PTSD symptoms, and therefore higher physical and mental HRQOL relative to those with TBI. Despite this, the prevalence of probable PTSD among those with EI was high (35%). Implications for intervention, rehabilitation, and future research are discussed. BioMed Central 2021-09-16 /pmc/articles/PMC8447792/ /pubmed/34530831 http://dx.doi.org/10.1186/s12955-021-01852-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research McCabe, Cameron T. Watrous, Jessica R. Eskridge, Susan L. Galarneau, Michael R. Mental and physical health, and long-term quality of life among service members injured on deployment |
title | Mental and physical health, and long-term quality of life among service members injured on deployment |
title_full | Mental and physical health, and long-term quality of life among service members injured on deployment |
title_fullStr | Mental and physical health, and long-term quality of life among service members injured on deployment |
title_full_unstemmed | Mental and physical health, and long-term quality of life among service members injured on deployment |
title_short | Mental and physical health, and long-term quality of life among service members injured on deployment |
title_sort | mental and physical health, and long-term quality of life among service members injured on deployment |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8447792/ https://www.ncbi.nlm.nih.gov/pubmed/34530831 http://dx.doi.org/10.1186/s12955-021-01852-3 |
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