FUNCTIONING DISORDERS IN VETERANS WITH POST-TRAUMATIC STRESS DISORDER AND MILD BRAIN INJURY
DOI:
https://doi.org/10.11603/1811-2471.2022.v.i3.13215Keywords:
PTSD, mTBI, dual PTSD-mTBI disorder, dysfunction, WHODAS 2.0, CAPS-5, tDCSAbstract
SUMMARY. Impaired functioning in various life domains is very common in veterans with post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), and combinations of these conditions. They significantly complicate the process of readaptation and resocialization, so they should be the targets of intervention, including transcranial electrical stimulation and psychotherapy.
The aim – to investigate the peculiarities of functioning in all spheres of life in patients with PTSD, PTSD and a combination of PTSD and PTSD in order to develop a differentiated approach to complex medical intervention.
Material and Methods. We surveyed 329 veterans, including those with PTSD (n=109), mTBI (n=112), and dual PTSD-mTBI disorder (n=108). The WHODAS 2.0 scale defined the level of functioning in six domains: Cognition (CW); Mobility (MW); Self-care (SW); Getting along (RW); Life activities (LW); Participation (PW); general level of functioning (WHO). The rank correlation between the individual criteria of the CAPS-5 scale and the domains of the WHODAS 2.0 test was also determined.
Results. The PTSD patient group was characterized by much more pronounced impairment in all spheres of life compared with patients with mTBI. The most pronounced in all groups were violations of the cognitive sphere, the sphere of relationships, social and daily activities. At the same time, the most pronounced general level of dysfunction was found in patients with dual PTSD-mTBI disorder.
Violation of separate domains of functioning according to the WHODAS 2.0 test correlated with the severity of certain separate criteria and symptoms on the CAPS scale, which further identified differentiated targets for transcranial direct current stimulation (tDCS) and psychotherapeutic intervention for patients of each clinical group.
Conclusions. Dysfunction in veterans with PTSD, TBI, and dual PTSD-mTBI disorder is closely related to the presence and severity of symptoms of PTSD, which allows for differentiated targeted therapy of separate clinical groups of patients.
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