Postconcussive symptoms in OEF–OIF veterans: Factor structure and impact of posttraumatic stress.

Benge, Jared F.; Pastorek, Nicholas J.; Thornton, Gabriel

doi:10.1037/a0016736

Cited by 88 publications

(81 citation statements)

References 36 publications

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“…Those veterans with probable PTSD yielded significantly higher aggregate NSI scores than did those without. Another study by Benge et al echoed these findings by demonstrating that the presence of PTSD accounted for substantial variance (5%-38%) in postconcussive symptom reporting [4].…”

Section: Introductionmentioning

confidence: 60%

See 1 more Smart Citation

Psychometric study of the Neurobehavioral Symptom Inventory

King¹,

Donnelly²,

Donnelly³

et al. 2012

JRRD

205

113

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Abstract-The Department of Veterans Affairs (VA) uses the Neurobehavioral Symptom Inventory (NSI) to measure postconcussive symptoms in its comprehensive traumatic brain injury (TBI) evaluation. This study examined the NSI's item properties, internal consistency, and external validity. Data were obtained from a federally funded study of the experiences of combat veterans. Participants included 500 Operations Iraqi and Enduring Freedom veterans, 219 of whom sustained at least one TBI. Data were collected at five VA medical centers and one VA outpatient clinic across upstate New York. Measures included neuropsychological interview, NSI, Beck Anxiety Inventory, Beck Depression Inventory-II, and Posttraumatic Stress Disorder Checklist-Military Version. The NSI demonstrated high internal consistency (total alpha = 0.95; subscale alpha = 0.88 to 0.92). Subscale totals based on Caplan et al.'s factor analysis correlated highly with the NSI total score (r = 0.88 to 0.93). NSI scores differentiated veterans with TBI history from those without but were strongly influenced by variance associated with probable posttraumatic stress disorder, depression, and generalized anxiety. Results suggest that the NSI is a reliable and valid measure of postconcussive symptoms. Scale validity is evident in the differentiation of TBI and non-TBI classifications. The scale domain is not limited to TBI, however, and extends to detection of probable effects of additional affective disorders prevalent in the veteran population.

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Section: Introductionmentioning

confidence: 60%

“…Postconcussive symptoms, including affective, somatic, sensory, and cognitive complaints, commonly occur after mild traumatic brain injury (mTBI) [1][2][3][4]. However, these symptoms are not specific to mTBI.…”

Section: Introductionmentioning

confidence: 99%

Psychometric study of the Neurobehavioral Symptom Inventory

King¹,

Donnelly²,

Donnelly³

et al. 2012

JRRD

205

113

View full text Add to dashboard Cite

show abstract

“…Fatigue, headache, dizziness and other PCS are common in healthy [7,8] and non-TBI clinical samples [9]. Benge et al [10], for example, found that PCS endorsed on the Neurobehavioural Symptom Inventory (NSI [11]) were strongly associated with issues unrelated to brain injury, such as post-traumatic stress. Other researchers have also raised concern that PCS may be more reflective of PTSD and other mental health issues [3,4,12] than concussion itself.…”

Section: Introductionmentioning

confidence: 99%

Neuropsychological evaluation of blast-related concussion: Illustrating the challenges and complexities through OEF/OIF case studies

et al. 2011

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Background/objective: Soldiers of Operations Enduring Freedom (OEF) and Iraqi Freedom (OIF) sustain blast-related mild traumatic brain injury concussion) with alarming regularity. This study discusses factors in addition to concussion, such as co-morbid psychological difficulty (e.g. post-traumatic stress) and symptom validity concerns that may complicate neuropsychological evaluation in the late stage of concussive injury. Case report: The study presents the complexities that accompany neuropsychological evaluation of blast concussion through discussion of three case reports of OEF/OIF personnel. Discussion: The authors emphasize uniform assessment of blast concussion, the importance of determining concussion severity according to acute-injury characteristics and elaborate upon non-concussion-related factors that may impact course of cognitive limitation. The authors conclude with a discussion of the need for future research examining the impact of blast concussion (particularly recurrent concussion) and neuropsychological performance.

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“…Following mild TBI (mTBI), also called concussion, troops may report physical, sensory, cognitive, and behavioral/emotional changes (e.g., headaches, sleep disturbance, impaired vision, memory problems, and irritability) [12][13]. Symptoms typically resolve within days or weeks and significant improvement is often seen in 3 months [14][15].…”

Section: Introductionmentioning

confidence: 99%

Multisensory impairment reported by veterans with and without mild traumatic brain injury history

Pogoda¹,

Hendricks²,

Iverson³

et al. 2012

JRRD

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Abstract-With the use of Veterans Health Administration and Department of Defense databases of veterans who completed a Department of Veterans Affairs comprehensive traumatic brain injury (TBI) evaluation, the objectives of this study were to (1) identify the co-occurrence of self-reported auditory, visual, and vestibular impairment, referred to as multisensory impairment (MSI), and (2) examine demographic, deployment-related, and mental health characteristics that were potentially predictive of MSI. Our sample included 13,746 veterans with either a history of deployment-related mild TBI (mTBI) (n = 9,998) or no history of TBI (n = 3,748). The percentage of MSI across the sample was 13.9%, but was 17.4% in a subsample with mTBI history that experienced both nonblast and blast injuries. The factors that were significantly predictive of reporting MSI were older age, being female, lower rank, and etiology of injury. Deployment-related mTBI history, posttraumatic stress disorder, and depression were also significantly predictive of reporting MSI, with mTBI history the most robust after adjusting for these conditions. A better comprehension of impairments incurred by deployed servicemembers is needed to fully understand the spectrum of blast and nonblast dysfunction and may allow for more targeted interventions to be developed to address these issues.

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Postconcussive symptoms in OEF–OIF veterans: Factor structure and impact of posttraumatic stress.

Abstract: PTS is an important variable to account for when evaluating PCSx in veterans. Research and clinical implications for the measurement and interpretation of self-reported PCSx are discussed.

Cited by 88 publications

References 36 publications

Psychometric study of the Neurobehavioral Symptom Inventory

Psychometric study of the Neurobehavioral Symptom Inventory

Neuropsychological evaluation of blast-related concussion: Illustrating the challenges and complexities through OEF/OIF case studies

Multisensory impairment reported by veterans with and without mild traumatic brain injury history

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