Cognitive complaints after mild traumatic brain injury: Things are not always what they seem

Stulemeijer, Maja; Vos, Pieter E.; Bleijenberg, Gijs; Werf, S.P. van der

doi:10.1016/j.jpsychores.2007.06.023

Cited by 133 publications

(118 citation statements)

References 68 publications

(89 reference statements)

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“…Historically, Veterans returning from war have reported cognitive complaints, which, in the vast majority of cases, are not attributable to TBI [26][27]. Cognitive postconcussive symptoms often lack objective neurocognitive findings, and studies in civilians have shown that these symptoms occur at similar rates in persons with mTBI as in those with no TBI [28][29].…”

Section: Memory and Attentionmentioning

confidence: 99%

“…In fact, mTBI had only a very modest additional effect on cognitive impairment when it co-occurred with PTSD and depression. Self-reported cognitive symptoms following mTBI have been shown to be poorly associated with neuropsychological performance in combat Veterans [26][27]31]. Moreover, neuropsychological deficits following mTBI typically resolve in weeks to months following the injury [32].…”

Section: Memory and Attentionmentioning

confidence: 99%

See 1 more Smart Citation

Association between mild traumatic brain injury and mental health problems and self-reported cognitive dysfunction in Iraq and Afghanistan Veterans

Seal¹,

Bertenthal²,

Samuelson³

et al. 2016

J Rehabil Res Dev

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Abstract-The Department of Veterans Affairs traumatic brain injury (TBI) screening program is intended to detect and expedite treatment for TBI and postconcussive symptoms. Between April 14, 2007, and May 31, 2012, of 66,089 Iraq and Afghanistan Veterans who screened positive on first-level TBI screening and later completed comprehensive TBI evaluation that includes the Neurobehavioral Symptoms Inventory, 72% reported moderate to very severe cognitive impairment (problems with attention, concentration, memory, etc.) that interfered with daily activities. This included 42% who were found not to have sustained combat-related mild TBI (mTBI). In contrast, 70.0% received a posttraumatic stress disorder (PTSD) diagnosis and 45.8% received a depression diagnosis. Compared with Veterans without mTBI, PTSD, or depression diagnoses, the lowest risk for self-reported cognitive impairment was in Veterans with confirmed mTBI only; a greater risk was found in those with PTSD diagnoses, with the greatest risk in Veterans with PTSD, depression, and confirmed mTBI, suggesting only a weakly additive effect of mTBI. These findings suggest that Veterans with multiple mental health comorbidities, not just those with TBI, report moderate to very severe cognitive impairment. Mental health treatment for conditions such as PTSD and depression (with or without TBI) may result in improvements in cognitive functioning and/or include assessment and support for Veterans experiencing cognitive problems.

show abstract

Section: Memory and Attentionmentioning

confidence: 99%

Section: Memory and Attentionmentioning

confidence: 99%

Association between mild traumatic brain injury and mental health problems and self-reported cognitive dysfunction in Iraq and Afghanistan Veterans

Seal¹,

Bertenthal²,

Samuelson³

et al. 2016

J Rehabil Res Dev

View full text Add to dashboard Cite

show abstract

“…However, there was no relationship between subjective cognitive complaints and objective neuropsychological test results or the contents of patients' daily logs of functioning. Rather, subjective cognitive complaints were more related to poorer physical functioning, emotional distress, and lower educational levels [11]. Emotional distress, particularly mood, has been implicated by a number of other studies as being more influential in subjective reporting of cognitive dysfunction than objective test findings [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Subjective cognitive complaints and neuropsychological test performance following military-related traumatic brain injury

2014

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Abstract-This study examined the relation between neuropsychological test performance and self-reported cognitive complaints following traumatic brain injury (TBI). Participants were 109 servicemembers from the U.S. military who completed a neuropsychological evaluation within the first 2 yr following mild-severe TBI. Measures included the Personality Assessment Inventory (PAI), Posttraumatic Stress Disorder Symptom Checklist-Civilian version (PCL-C), Neurobehavioral Symptom Inventory (NSI), and 17 select measures from a larger neurocognitive test battery that corresponded to three self-reported cognitive complaints from the NSI (i.e., memory, attention/concentration, and processing speed/organization). Self-reported cognitive complaints were significantly correlated with psychological distress (PCL-C total: r = 0.50-0.58; half the PAI clinical scales: r = 0.40-0.58). In contrast, self-reported cognitive complaints were not significantly correlated with overall neurocognitive functioning (with the exception of five measures). There was a low rate of agreement between neurocognitive test scores and self-reported cognitive complaints. For the large minority of the sample (38.5%-45.9%), self-reported cognitive complaints were reported in the presence of neurocognitive test scores that fell within normal limits. In sum, self-reported cognitive complaints were not associated with neurocognitive test performance, but rather were associated with psychological distress. These results provide information to contextualize cognitive complaints following TBI.

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“…Reports of neuropsychiatric symptoms (LoBue et al, 2016) and cognitive impairments (Stulemeijer, Vos, Bleijenberg, & van der Werf, 2007) in mild TBI usually do not require an in hospital management (Barker-Collo et al, 2015). The perception of neuropsychiatric symptoms is often only referred by a third person, usually the caregiver, some days or months after the trauma and after the patient has been discharged of the Hospital.…”

Section: Discussionmentioning

confidence: 99%

DEVELOPING A SOCIAL COGNITION TASK FOR fMRI IN PATIENTS WITH MILD TRAUMATIC BRAIN INJURY

et al. 2017

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Cognitive complaints after mild traumatic brain injury: Things are not always what they seem

Cited by 133 publications

References 68 publications

Association between mild traumatic brain injury and mental health problems and self-reported cognitive dysfunction in Iraq and Afghanistan Veterans

Association between mild traumatic brain injury and mental health problems and self-reported cognitive dysfunction in Iraq and Afghanistan Veterans

Subjective cognitive complaints and neuropsychological test performance following military-related traumatic brain injury

DEVELOPING A SOCIAL COGNITION TASK FOR fMRI IN PATIENTS WITH MILD TRAUMATIC BRAIN INJURY

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