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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.
PMID
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Authors

Mayor MeshTerms

Cognition Disorders

Self Report

Keywords

Assessment

PTSD

Traumatic brain injury

Veterans

Journal Title archives of clinical neuropsychology : the official journal of the national academy of neuropsychologists
Publication Year Start




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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