Skip to main content
×
×
Home

Long-term consequences of mild traumatic brain injury

  • Roberto J. Rona (a1)
Summary

A debate has ensued about the long-term consequences of mild traumatic brain injury, the ‘signature injury’ of the Iraq and Afghanistan Wars. Most epidemiological studies have found that mild traumatic brain injury is unrelated to unspecific post-concussion symptoms based on self-reported symptoms. A longitudinal study, in this issue of the Journal, using objective tests has demonstrated that mild traumatic brain injury has limited lasting neuropsychological consequences.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Long-term consequences of mild traumatic brain injury
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Long-term consequences of mild traumatic brain injury
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Long-term consequences of mild traumatic brain injury
      Available formats
      ×
Copyright
References
Hide All
1 Tanielian, T, Jaycox, LH (eds). Invisible Wounds of War: Psychological and cognitive Injuries, their Consequences, and Services to Assist Recovery. RAND Corporation, 2008.
2 Jones, E, Fear, NT, Wessely, S. Shell shock and mild traumatic brain injury: a historical review. Am J Psychiatry 2007; 164: 1641–5.
3 Carlson, KF, Kehle, SM, Meis, LA, Greer, N, MacDonald, R, Rutks, I, et al. Prevalence, assessment, and treatment of mild traumatic brain injury and posttraumatic stress disorder: a systematic review of the evidence. J Head Trauma Rehabil 2011; 26: 106–15.
4 Hoge, CW, McGurk, D, Thomas, JL, Cox, AL, Engel, CC, Castro, CA. Mild traumatic brain injury in U.S. Soldiers returning from Iraq. N Engl J Med 2008; 358: 453–63.
5 Rona, RJ, Jones, M, Fear, NT, Hull, L, Murphy, D, Machell, L, et al. Mild traumatic brain injury in UK military personnel returning from Afghanistan and Iraq: cohort and cross–sectional analyses J Head Trauma Rehabil 2012; 27: 3344.
6 Fear, NT, Jones, M, Murphy, D, Hull, L, Iversen, A, Coker, B, et al. What are the consequences of deployment to Iraq and Afghanistan on the mental health of the UK Armed Forces? A cohort study. Lancet 2010; 375: 1783–97.
7 Lange, RT, Iverson, GL, Rose, A. Depression strongly influences post–concussion symptom reporting following mild traumatic brain injury. J Head Trauma Rehabil 2011; 26: 127–37.
8 Hoge, CW, Goldberg, HM, Castro, CA. Care of war veterans with mild traumatic brain injury – flawed perspectives. N Engl J Med 2009; 360: 1588–91.
9 MacDonald, CL, Johnson, AM, Cooper, D, Nelson, EC, Werner, NJ, Shimony, JS, et al. Detection of blast–related traumatic brain injury in US military personnel. New Engl J Med 2011; 364: 2091–100.
10 Hoge, CW, Castro, CA. Blast related Traumatic Brain Injury in US military personnel (letter). New Engl J Med 2011; 365: 860.
11 McCrea, MA. Mild Traumatic Brain Injury and Postconcussion Syndrome. The New Evidence Base for Diagnosis and Treatment (Oxford Workshop Series: American Academy of Clinical Neuropsychology). Oxford University Press, 2008.
12 Polusny, MA, Kehle, SM, Nelson, NW, Erbes, CR, Arbisi, PA, Thuras, P. Longitudinal effects of mild traumatic brain injury and posttraumatic stress disorder comorbidity on postdeployment outcomes in National Guard soldiers deployed to Iraq. Arch Gen Psychiatry 2011; 68: 7989.
13 Brenner, LA, Ivins, BI, Schwab, K, Warden, D, Nelson, LA, Jaffee, M, et al. Traumatic brain injury, posttraumatic stress disorder, and postconcussive symptom reporting among troops returning from Iraq. J Head Trauma Rehabil 2010; 25: 307–12.
14 Vasterling, JJ, Brailey, K, Proctor, SP, Kane, R, Heeren, T, Franz, M. Neuropsychological outcomes of mild traumatic brain injury, post–traumatic stress disorder and depression in Iraq–deployed US Army soldiers. Br J Psychiatry 2012; 201: 186–92.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 9
Total number of PDF views: 138 *
Loading metrics...

Abstract views

Total abstract views: 573 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 17th August 2018. This data will be updated every 24 hours.

Long-term consequences of mild traumatic brain injury

  • Roberto J. Rona (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *