학술논문

Is lifetime traumatic brain injury a risk factor for mild cognitive impairment in veterans compared to non-veterans?
Document Type
article
Source
European Journal of Psychotraumatology, Vol 15, Iss 1 (2024)
Subject
Traumatic brain injury
mild cognitive impairment
veterans
non-veterans
ageing population
Traumatismo encéfalocraneano
Psychiatry
RC435-571
Language
English
ISSN
20008066
2000-8066
Abstract
ABSTRACTBackground: Traumatic brain injury (TBI) is prevalent in veterans and may occur at any stages of their life (before, during, or after military service). This is of particular concern, as previous evidence in the general population has identified TBI as a strong risk factor for mild cognitive impairment (MCI), a known precursor of dementia.Objectives: This study aimed to investigate whether exposure to at least one TBI across the lifetime was a risk factor for MCI in ageing UK veterans compared to non-veterans.Method: This cross-sectional study comprised of data from PROTECT, a cohort study comprising UK veterans and non-veterans aged ≥ 50 years at baseline. Veteran and TBI status were self-reported using the Military Service History Questionnaire (MSHQ) and the Brain Injury Screening Questionnaire (BISQ), respectively. MCI was the outcome of interest, and was defined as subjective cognitive impairment and objective cognitive impairment.Results: The sample population comprised of veterans (n = 701) and non-veterans (n = 12,389). TBI was a significant risk factor for MCI in the overall sample (OR = 1.21, 95% CI 1.11–1.31) compared to individuals without TBI. The prevalence of TBI was significantly higher in veterans compared to non-veterans (69.9% vs 59.5%, p