Neuropsychological functioning of combat veterans with posttraumatic stress disorder and mild traumatic brain injury

Jason R. Soble, Lisa Spanierman, Julie Fitzgerald Smith

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

This study examined the neuropsychological performance of 125 outpatient Operation Enduring Freedom/Operation Iraqi Freedom combat veterans with posttraumatic stress disorder (PTSD) and nonacute mild traumatic brain injury (TBI) (n = 66) and PTSD (n = 59) across multiple cognitive domains to determine whether mild TBI results in greater impairment among those with PTSD. Profile analyses revealed that veterans with PTSD and mild TBI did not differ significantly from those with just PTSD across domains, suggesting that comorbid mild TBI does not result in an additive effect. A norms-based comparison also revealed that neither group demonstrated impaired performance on any of the objective neuropsychological measures examined. However, both groups endorsed moderately elevated symptoms of depression and anxiety, indicating that comorbid psychopathology may contribute to subjective cognitive complaints.

Original languageEnglish (US)
Pages (from-to)551-561
Number of pages11
JournalJournal of Clinical and Experimental Neuropsychology
Volume35
Issue number5
DOIs
StatePublished - Jun 1 2013
Externally publishedYes

Fingerprint

Brain Concussion
Veterans
Post-Traumatic Stress Disorders
2003-2011 Iraq War
Afghan Campaign 2001-
Psychopathology
Outpatients
Anxiety
Depression

Keywords

  • Mild traumatic brain injury
  • Neuropsychological assessment
  • Operation Enduring Freedom/Operation Iraqi Freedom combat veterans
  • Posttraumatic stress disorder

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Clinical Psychology

Cite this

Neuropsychological functioning of combat veterans with posttraumatic stress disorder and mild traumatic brain injury. / Soble, Jason R.; Spanierman, Lisa; Fitzgerald Smith, Julie.

In: Journal of Clinical and Experimental Neuropsychology, Vol. 35, No. 5, 01.06.2013, p. 551-561.

Research output: Contribution to journalArticle

@article{4e9770da026e43e3b62f158cf91a71f3,
title = "Neuropsychological functioning of combat veterans with posttraumatic stress disorder and mild traumatic brain injury",
abstract = "This study examined the neuropsychological performance of 125 outpatient Operation Enduring Freedom/Operation Iraqi Freedom combat veterans with posttraumatic stress disorder (PTSD) and nonacute mild traumatic brain injury (TBI) (n = 66) and PTSD (n = 59) across multiple cognitive domains to determine whether mild TBI results in greater impairment among those with PTSD. Profile analyses revealed that veterans with PTSD and mild TBI did not differ significantly from those with just PTSD across domains, suggesting that comorbid mild TBI does not result in an additive effect. A norms-based comparison also revealed that neither group demonstrated impaired performance on any of the objective neuropsychological measures examined. However, both groups endorsed moderately elevated symptoms of depression and anxiety, indicating that comorbid psychopathology may contribute to subjective cognitive complaints.",
keywords = "Mild traumatic brain injury, Neuropsychological assessment, Operation Enduring Freedom/Operation Iraqi Freedom combat veterans, Posttraumatic stress disorder",
author = "Soble, {Jason R.} and Lisa Spanierman and {Fitzgerald Smith}, Julie",
year = "2013",
month = "6",
day = "1",
doi = "10.1080/13803395.2013.798398",
language = "English (US)",
volume = "35",
pages = "551--561",
journal = "Journal of Clinical and Experimental Neuropsychology",
issn = "0168-8634",
publisher = "Psychology Press Ltd",
number = "5",

}

TY - JOUR

T1 - Neuropsychological functioning of combat veterans with posttraumatic stress disorder and mild traumatic brain injury

AU - Soble, Jason R.

AU - Spanierman, Lisa

AU - Fitzgerald Smith, Julie

PY - 2013/6/1

Y1 - 2013/6/1

N2 - This study examined the neuropsychological performance of 125 outpatient Operation Enduring Freedom/Operation Iraqi Freedom combat veterans with posttraumatic stress disorder (PTSD) and nonacute mild traumatic brain injury (TBI) (n = 66) and PTSD (n = 59) across multiple cognitive domains to determine whether mild TBI results in greater impairment among those with PTSD. Profile analyses revealed that veterans with PTSD and mild TBI did not differ significantly from those with just PTSD across domains, suggesting that comorbid mild TBI does not result in an additive effect. A norms-based comparison also revealed that neither group demonstrated impaired performance on any of the objective neuropsychological measures examined. However, both groups endorsed moderately elevated symptoms of depression and anxiety, indicating that comorbid psychopathology may contribute to subjective cognitive complaints.

AB - This study examined the neuropsychological performance of 125 outpatient Operation Enduring Freedom/Operation Iraqi Freedom combat veterans with posttraumatic stress disorder (PTSD) and nonacute mild traumatic brain injury (TBI) (n = 66) and PTSD (n = 59) across multiple cognitive domains to determine whether mild TBI results in greater impairment among those with PTSD. Profile analyses revealed that veterans with PTSD and mild TBI did not differ significantly from those with just PTSD across domains, suggesting that comorbid mild TBI does not result in an additive effect. A norms-based comparison also revealed that neither group demonstrated impaired performance on any of the objective neuropsychological measures examined. However, both groups endorsed moderately elevated symptoms of depression and anxiety, indicating that comorbid psychopathology may contribute to subjective cognitive complaints.

KW - Mild traumatic brain injury

KW - Neuropsychological assessment

KW - Operation Enduring Freedom/Operation Iraqi Freedom combat veterans

KW - Posttraumatic stress disorder

UR - http://www.scopus.com/inward/record.url?scp=84879283994&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84879283994&partnerID=8YFLogxK

U2 - 10.1080/13803395.2013.798398

DO - 10.1080/13803395.2013.798398

M3 - Article

C2 - 23672579

AN - SCOPUS:84879283994

VL - 35

SP - 551

EP - 561

JO - Journal of Clinical and Experimental Neuropsychology

JF - Journal of Clinical and Experimental Neuropsychology

SN - 0168-8634

IS - 5

ER -