Consistency of Self-Reported Neurocognitive Symptoms, Post-Traumatic Stress Disorder Symptoms, and Concussive Events From End of First Deployment to Veteran Health Administration Comprehensive Traumatic Brain Injury Evaluation by Operations Enduring Freedom/Iraqi Freedom/New Dawn Veterans.
|Abstract||This study examined the consistency of self-reported symptoms and concussive events in combat veterans who reported experiencing concussive events.|
Symptom validity test performance and consistency of self-reported memory functioning of Operation Enduring Freedom/Operation Iraqi freedom veterans with positive Veteran Health Administration Comprehensive Traumatic Brain Injury evaluations.
|Journal Title||archives of clinical neuropsychology : the official journal of the national academy of neuropsychologists|
|Publication Year Start||2017-01-01|
PMID- 28365745 OWN - NLM STAT- MEDLINE DA - 20170402 DCOM- 20170412 LR - 20170412 IS - 1873-5843 (Electronic) IS - 0887-6177 (Linking) VI - 32 IP - 2 DP - 2017 Mar 01 TI - Consistency of Self-Reported Neurocognitive Symptoms, Post-Traumatic Stress Disorder Symptoms, and Concussive Events From End of First Deployment to Veteran Health Administration Comprehensive Traumatic Brain Injury Evaluation by Operations Enduring Freedom/Iraqi Freedom/New Dawn Veterans. PG - 184-197 LID - 10.1093/arclin/acw093 [doi] AB - Objective: This study examined the consistency of self-reported symptoms and concussive events in combat veterans who reported experiencing concussive events. Method: One hundred and forty, single deployed, Operation Enduring Freedom, Operation Iraqi Freedom and Operation New Dawn combat veterans with Veteran Health Administration (VHA) Comprehensive Traumatic Brain Injury Evaluations (CTBIE) and no post-deployment head injury were examined to assess consistency of self-reported (a) traumatic brain injury (TBI)-related symptoms, (b) post-traumatic stress disorder (PTSD)-related symptoms, and (c) TBI-related concussive events from soon after deployment to time of VHA CTBIE. Results: Compared to their self-report of symptoms and traumatic events at the time of their Post-Deployment Health Assessment, at the time of their comprehensive VHA evaluation, subjects reported significantly greater impairment in concentration, decision making, memory, headache, and sleep. In addition, although half the subjects denied any PTSD symptoms post-deployment, approximately three quarters reported experiencing all four PTSD screening symptoms near the time of the VHA CTBIEs. At the latter time, subjects also reported significantly more TBI-related concussive events, as well as more post-concussive sequelae such as loss of consciousness immediately following these concussive events. Finally, although 84% reported a level of impairment so severe as to render all but the simplest activity doable, the vast majority simultaneously reported working and/or attending college. Conclusions: These findings raise questions regarding the accuracy of veteran self-report of both near and distant traumatic events, and argue for the inclusion of contemporaneous Department of Defense (DOD) records in veteran assessment and treatment planning. FAU - Russo, Arthur C AU - Russo AC AD - Psychology Department, VA New York Harbor Healthcare System, Brooklyn Campus, Brooklyn, NY, USA. FAU - Fingerhut, Esther C AU - Fingerhut EC AD - Fordham University, Bronx, NY, USA. LA - eng PT - Journal Article PL - United States TA - Arch Clin Neuropsychol JT - Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists JID - 9004255 SB - IM MH - Adult MH - Afghan Campaign 2001- MH - Brain Injuries, Traumatic/*complications/*psychology MH - *Cognition Disorders/diagnosis/etiology/psychology MH - Female MH - Humans MH - Iraq War, 2003-2011 MH - Male MH - Middle Aged MH - Neuropsychological Tests MH - Retrospective Studies MH - *Self Report MH - Stress Disorders, Post-Traumatic/*complications/*psychology MH - United States MH - United States Department of Veterans Affairs MH - Veterans MH - Young Adult OTO - NOTNLM OT - Assessment OT - PTSD OT - Traumatic brain injury OT - Veterans EDAT- 2017/04/04 06:00 MHDA- 2017/04/13 06:00 CRDT- 2017/04/03 06:00 PHST- 2016/10/04 [accepted] AID - 2374922 [pii] AID - 10.1093/arclin/acw093 [doi] PST - ppublish SO - Arch Clin Neuropsychol. 2017 Mar 1;32(2):184-197. doi: 10.1093/arclin/acw093.
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