OBJECTIVE Examine factors associated with recovery from posttraumatic stress disorder (PTSD) and evaluate the role of deployment mild traumatic brain injury (mTBI) in the relationship between PTSD recovery and functional outcomes. METHOD Post 9/11 combat veterans with lifetime history of PTSD (N = 124, 84.7% male) completed the Mid-Atlantic MIRECC Assessment of Traumatic Brain Injury (MMA-TBI), Salisbury Blast Interview (SBI), Clinician Administered PTSD scale (CAPS-5), cognitive assessment battery, and measures of depression, PTSD symptoms, neurobehavioral symptoms, sleep quality, pain interference, and quality of life. RESULTS Analyses of variance (ANOVA) results revealed significant differences in most behavioral health outcomes based on PTSD recovery, with participants who have recovered from PTSD showing less severe neurobehavioral and depressive symptoms, better sleep quality, less functional pain interference, and higher quality of life. No differences were found in cognitive functioning between those who have recovered from PTSD and those who have not. History of deployment mTBI did not significantly moderate the relationship between PTSD recovery and most functional and cognitive outcomes with the exception of 2 measures of processing speed. Specifically, among participants with history of deployment mTBI, those who have recovered from PTSD displayed better cognitive functioning than those who have not. Additionally, participants who have not recovered from PTSD had higher levels of blast exposure during military service. CONCLUSIONS PTSD recovery was associated with better psychological functioning and higher quality of life, but not with objective cognitive functioning. Deployment mTBI history moderated only the relationship between PTSD recovery status and tests of processing speed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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与退伍军人创伤后应激障碍恢复相关的因素：部署轻度创伤性脑损伤（mTBI）的作用。

目的 检查与创伤后应激障碍 (PTSD) 恢复相关的因素，并评估部署轻度创伤性脑损伤 (mTBI) 在 PTSD 恢复和功能结果之间的关系中的作用。方法 终生有 PTSD 病史的 9/11 战争退伍军人（N = 124，84.7% 男性）完成了中大西洋 MIRECC 创伤性脑损伤评估 (MMA-TBI)、索尔兹伯里爆炸访谈 (SBI)、临床医生管理的 PTSD 量表 ( CAPS-5）、认知评估电池以及抑郁症、PTSD 症状、神经行为症状、睡眠质量、疼痛干扰和生活质量的测量。结果方差分析 (ANOVA) 结果显示，大多数基于 PTSD 恢复的行为健康结果存在显着差异，从 PTSD 恢复的参与者表现出较轻的神经行为和抑郁症状、更好的睡眠质量、更少的功能性疼痛干扰和更高的生活质量。从创伤后应激障碍中恢复过来的人和没有恢复过来的人之间的认知功能没有差异。除处理速度的 2 个指标外，mTBI 的部署历史并未显着调节 PTSD 恢复与大多数功能和认知结果之间的关系。具体来说，在有 mTBI 部署史的参与者中，那些从 PTSD 中恢复的人比那些没有恢复的人表现出更好的认知功能。此外，尚未从创伤后应激障碍中恢复的参与者在服兵役期间接触爆炸的程度更高。结论 创伤后应激障碍的恢复与更好的心理功能和更高的生活质量相关，但与客观认知功能无关。部署 mTBI 历史仅调节 PTSD 恢复状态和处理速度测试之间的关系。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。