This article and any supplementary material should be cited as follows: Maguen S, Lau KM, Madden E,...

This article and any supplementary material should be cited as follows: Maguen S, Lau KM, Madden E, Seal K. Relationship of screen-based symptoms for mild traumatic brain injury and mental health problems in Iraq and Afghanistan veterans: Distinct or overlapping symptoms? J Rehabil Res Dev. 2012;49(7):1115–26. http://dx.doi.org/10.1682/JRRD.2011.02.0015

Slideshow ProjectDOI:10.1682/JRRD.2011.02.0015JSP

Relationship of screen-based symptoms for mild traumatic brain injury and mental health problems in Iraq and Afghanistan veterans:

Distinct or overlapping symptoms?Shira Maguen, PhD; Karen M. Lau, MA;

Erin Madden, MPH; Karen Seal, MD, MPH



• Aim – Identify distinguishing features of traumatic brain injury

(TBI), posttraumatic stress disorder (PTSD), and depression to more accurately discriminate among them in Operations Iraqi and Enduring Freedom (OIF/OEF) veterans.

• Relevance– Separating symptoms of TBI from symptoms of mental

health problems (PTSD and depression) may facilitate diagnosis, triage to specialty care, and targeted symptom management.



Methods

• We used factor analytic techniques to differentiate distinct from overlapping screen-based symptoms of TBI, PTSD, and depression derived from screen results of OIF/OEF veterans between April 2007 and January 2010.



Results

• Four separate constructs emerged:– TBI.– PTSD.– Depression.– Hypervigilance/sleep problems.

• Symptoms unique to TBI included dizziness, headaches, memory problems, and light sensitivity.



Conclusion

• Emergence of hypervigilance/sleep problems as a fourth factor highlights need to attend to specific symptoms in postdeployment screening process.

• Discriminating symptoms of TBI from mental health problems may facilitate diagnosis, triage to specialty care, and targeted symptom management.

This article and any supplementary material should be cited as follows: Maguen S, Lau KM, Madden E,...

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