Neuropsychological outcomes in OEF/OIF veterans with self-report of blast exposure: associations with mental health, but not MTBI.

作者: Mieke Verfaellie , Ginette Lafleche , Avron Spiro , Kathryn Bousquet

DOI: 10.1037/NEU0000027

关键词: Depression (differential diagnoses)PsychiatryInjury preventionPoison controlNeuropsychologyDistressTraumatic brain injuryPsychologyMental healthEffects of sleep deprivation on cognitive performance

摘要: OBJECTIVE: To examine neuropsychological outcomes in veterans of Operations Enduring and Iraqi Freedom (OEF/OIF) with self-reported histories blast exposure determine the contribution deployment-related mild traumatic brain injury (mTBI), posttraumatic stress disorder (PTSD) depression to performance. The effect number exposures distance from was also assessed. METHOD: OEF/OIF who reported underwent structured interviews were assigned no-TBI (n = 39), mTBI without loss consciousness (LOC; n 53), or LOC 35) groups. They administered tests executive function, memory, motor function at least 6 months after index event. RESULTS: Neuropsychological did not differ as a group. Blast load affect Both PTSD symptoms significantly associated outcomes. CONCLUSIONS: A history during deployment does contribute objective cognitive impairment chronic phase post injury. In contrast, are performance decrements. This finding is thought reflect part impact psychiatric distress on (PsycINFO Database Record (c) 2013 APA, all rights reserved). Language: en

参考文章(62)
Douglas B. Cooper, Janyna M. Mercado-Couch, Edan Critchfield, Jan Kennedy, Rodney D. Vanderploeg, Carita DeVillibis, Kathryn M. Gaylord, Factors influencing cognitive functioning following mild traumatic brain injury in OIF/OEF burn patients. NeuroRehabilitation. ,vol. 26, pp. 233- 238 ,(2010) , 10.3233/NRE-2010-0559
Kristen H. Walter, Patrick A. Palmieri, John Gunstad, More than symptom reduction: Changes in executive function over the course of PTSD treatment Journal of Traumatic Stress. ,vol. 23, pp. 292- 295 ,(2010) , 10.1002/JTS.20506
Thomas A. Campbell, Lonnie A. Nelson, Robin Lumpkin, Ruth E. Yoash-Gantz, Treven C. Pickett, Cortney L. McCormick, Neuropsychological Measures of Processing Speed and Executive Functioning in Combat Veterans with PTSD, TBI, and Comorbid TBI/PTSD Psychiatric Annals. ,vol. 39, pp. 796- 803 ,(2009) , 10.3928/00485713-20090728-01
Grant L Iverson, Outcome from mild traumatic brain injury. Current Opinion in Psychiatry. ,vol. 18, pp. 301- 317 ,(2005) , 10.1097/01.YCO.0000165601.29047.AE
Lonnie A. Nelson, Ruth E. Yoash-Gantz, Treven C. Pickett, Thomas A. Campbell, Relationship between processing speed and executive functioning performance among OEF/OIF veterans: implications for postdeployment rehabilitation. Journal of Head Trauma Rehabilitation. ,vol. 24, pp. 32- 40 ,(2009) , 10.1097/HTR.0B013E3181957016
Mark W. Gilbertson, Lynn A. Paulus, Stephanie K. Williston, Tamara V. Gurvits, Natasha B. Lasko, Roger K. Pitman, Scott P. Orr, Neurocognitive function in monozygotic twins discordant for combat exposure: relationship to posttraumatic stress disorder. Journal of Abnormal Psychology. ,vol. 115, pp. 484- 495 ,(2006) , 10.1037/0021-843X.115.3.484
Harvey S. Levin, Elisabeth Wilde, Maya Troyanskaya, Nancy J. Petersen, Randall Scheibel, Mary Newsome, Majdi Radaideh, Trevor Wu, Ragini Yallampalli, Zili Chu, Xiaoqi Li, Diffusion tensor imaging of mild to moderate blast-related traumatic brain injury and its sequelae. Journal of Neurotrauma. ,vol. 27, pp. 683- 694 ,(2010) , 10.1089/NEU.2009.1073
T Buckley, Information processing and PTSD: a review of the empirical literature. Clinical Psychology Review. ,vol. 20, pp. 1041- 1065 ,(2000) , 10.1016/S0272-7358(99)00030-6
Suzanne T. Witt, David W. Lovejoy, Godfrey D. Pearlson, Michael C. Stevens, Decreased prefrontal cortex activity in mild traumatic brain injury during performance of an auditory oddball task Brain Imaging and Behavior. ,vol. 4, pp. 232- 247 ,(2010) , 10.1007/S11682-010-9102-3