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Evidence-Based Intervention Strategies for Veterans and Military Personnel with Traumatic Brain Injury and Co-Morbid Mental Health Conditions: A Systematic Review

机译:循证干预策略的退伍军人和军事人员患有颅脑损伤和合并病态的心理健康状况:系统评价

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摘要

Traumatic brain injury (TBI) is prevalent among veterans and military personnel. These individuals present with increased rates of co-morbid mental health conditions and are at increased risk for suicide. Evidence-based treatments are needed to serve this population. A systematic review was conducted in order to determine the state of the science with respect to interventions aimed at improving mental health outcomes among veterans and military personnel. Results indicate that only three published articles exist that met inclusion criteria for this systematic review. All three study designs were observational in nature. Significant risk of bias was noted. The body of evidence was rated according to the GRADE approach. Although the published work marks an important starting point in evaluating evidence-based treatments for veterans and military personnel with TBI, the overall quality of evidence was determined to be very low. Implications for both future research and current practice are discussed.
机译:颅脑外伤(TBI)在退伍军人和军事人员中普遍存在。这些人的合并精神疾病的患病率增加,自杀风险增加。需要以证据为基础的治疗服务于该人群。为了确定旨在改善退伍军人和军事人员心理健康状况的干预措施的科学状况,进行了系统的审查。结果表明,只有三篇已发表的文章符合该系统评价的纳入标准。所有三个研究设计本质上都是观察性的。注意到存在明显的偏见风险。根据GRADE方法对证据主体进行评级。尽管已发表的著作是评估对TBI的退伍军人和军事人员进行循证治疗的重要起点,但整体证据质量却很低。讨论了对未来研究和当前实践的影响。

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