跨学科密集门诊项目治疗战斗相关创伤性脑损伤和心理健康状况的疗效 - 表3

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• 源站标题：Table_3_Efficacy of an Interdisciplinary Intensive Outpatient Program in Treating Combat-Related Traumatic Brain Injury and Psychological Health Conditions.docx
• DOI：10.3389/fneur.2020.580182.s004
• 发布日期：2021-01-18
• 文件数：1 个
• 文件总体积：23.98 KB
• 源站页面：https://frontiersin.figshare.com/articles/dataset/Table_3_Efficacy_of_an_Interdisciplinary_Intensive_Outpatient_Program_in_Treating_Combat-Related_Traumatic_Brain_Injury_and_Psychological_Health_Conditions_docx/13603151

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• Table_3_Efficacy of an Interdisciplinary Intensive Outpatient Program in Treating Combat-Related Traumatic Brain Injury and Psychological Health Condi.docx（23.98 KB）

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数据说明

Background: Since 2000, over 413,000 US service members (SM) experienced at least one traumatic brain injury (TBI), and 40% of those with in-theater TBIs later screened positive for comorbid psychological health (PH) conditions, including post-traumatic stress disorder (PTSD), depression, and anxiety. Many SMs with these persistent symptoms fail to achieve a recovery that results in a desirable quality of life or return to full duty. Limited information exists though to guide treatment for SMs with a history of mild TBI (mTBI) and comorbid PH conditions. This report presents the methods and outcomes of an interdisciplinary intensive outpatient program (IOP) in the treatment of SMs with combat-related mTBI and PH comorbidities. The IOP combines conventional rehabilitation therapies and integrative medicine techniques with the goal of reducing morbidity in multiple neurological and behavioral health domains and enhancing military readiness.
Methods: SMs (n = 1,456) with residual symptoms from mTBI and comorbid PH conditions were treated in a 4-week IOP at the National Intrepid Center of Excellence (NICoE) at Walter Reed National Military Medical Center (WRNMMC). The IOP uses an interdisciplinary, holistic, and patient-centric rehabilitative care model. Interdisciplinary teams provide a diagnostic workup of neurological, psychiatric, and existential injuries, and from these assessments, individualized care plans are developed. Treatment response was assessed using the Neurobehavioral Symptom Inventory (NSI), PTSD Checklist—Military Version (PCL-M), Satisfaction With Life Scale (SWLS), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Epworth Sleepiness Scale (ESS), and Headache Impact Test-6 (HIT-6) and administered at admission, discharge, and at 1, 3, and 6 months post-discharge.
Findings: Following treatment in the IOP, the symptomatic patients had statistically significant and clinically meaningful improvements across all outcome measures. The largest effect size was seen with GAD-7 (r = 0.59), followed by PHQ-8 (r = 0.56), NSI (r = 0.55), PCL-M (r = 0.52), ESS (r = 0.50), SWLS (r = 0.49), and HIT-6 (r = 0.42). In cross-sectional f

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引用

学术使用请引用 DOI 10.3389/fneur.2020.580182.s004（source: https://frontiersin.figshare.com/articles/dataset/Table_3_Efficacy_of_an_Interdisciplinary_Intensive_Outpatient_Program_in_Treating_Combat-Related_Traumatic_Brain_Injury_and_Psychological_Health_Conditions_docx/13603151）。