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Prevalence and characteristics of driving difficulties in Operation Iraqi Freedom/Operation Enduring Freedom combat returnees. Henry L. Lew, MD, PhD; Malissa Kraft, PsyD; Terri K. Pogoda, PhD; Melissa M. Amick, PhD; Patricia Woods, RN, MSN; David X. Cifu, MD. Study Aims
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Prevalence and characteristics of driving difficulties in Operation Iraqi Freedom/Operation Enduring Freedom combat returnees Henry L. Lew, MD, PhD; Malissa Kraft, PsyD;Terri K. Pogoda, PhD; Melissa M. Amick, PhD; Patricia Woods, RN, MSN; David X. Cifu, MD
Study Aims • Document driving difficulties reported by Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans. • Determine association between driving difficulties and traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD). • Relevance • Motor vehicle crashes are the . . . • Leading cause of military injuries and deaths. • Leading cause of death among recently returned veterans.
Methods • We used a brief driving questionnaire and chart reviews to assess prevalence and characteristics of driving difficulties in 4 OIF/OEF veteran groups: • TBI only. • PTSD only. • TBI + PTSD. • Neither TBI nor PTSD.
Findings Compared with before deployment, 93% of veterans reported more difficulties with driving. Veterans with PTSD (with or without TBI) reported most significant difficulties. Veterans with only TBI reported difficulties similar to veterans with neither diagnosis.
Conclusions • Postdeployment driving difficulties are real, especially for veterans with PTSD. • Appropriate prevention, assessment, and treatment programs are needed. • e.g., Soldiers may need to be retaught safe, civilian driving skills and anger management upon return. • Issue must be further addressed to help veterans transition safely and smoothly from deployment to home.