Article

PTSD and traumatic brain injury: folklore and fact? Brain Inj

Community Head Injury Service, The Camborne Centre, Bedgrove, Aylesbury, Bucks, UK.
Brain Injury (Impact Factor: 1.86). 02/2008; 22(1):1-5. DOI: 10.1080/02699050701829696
Source: PubMed

ABSTRACT A number of controversies and debates have arisen over the years surrounding the dual diagnosis of post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI). Many of these have centred around the around the degree of protection provided by TBI against developing the disorder. The following is brief review of the literature in this area to help resolve some of these issues and to address a number of specific challenges which arise when working with this patient group.

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    • "It has been proposed that persistent postconcussive symptoms may also be iatrogenic phenomena in some patients (i.e., that diagnosis threat, diagnostic misinformation, or treatment context might contribute to symptom maintenance; Howe, 2009). The interaction between PTSD and history of mTBI has been described as " mutually exacerbating " (King, 2008, p. 3). Extending the notion of mutual symptom exacerbation in PTSD and mTBI, Brenner, Vanderploeg, and Terrio (2009) proposed a model of cumulative disadvantage for understanding the complex clinical presentation and increased risk of poor outcomes when the conditions co-occur. "
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