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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.
Arch Clin Neuropsychol. 2017 Mar 01; 32(2):184-197.AC

Abstract

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.

Authors+Show Affiliations

Psychology Department, VA New York Harbor Healthcare System, Brooklyn Campus, Brooklyn, NY, USA.Fordham University, Bronx, NY, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28365745

Citation

Russo, Arthur C., and Esther C. Fingerhut. "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." Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists, vol. 32, no. 2, 2017, pp. 184-197.
Russo AC, Fingerhut EC. 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. Arch Clin Neuropsychol. 2017;32(2):184-197.
Russo, A. C., & Fingerhut, E. C. (2017). 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. Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists, 32(2), 184-197. https://doi.org/10.1093/arclin/acw093
Russo AC, Fingerhut EC. 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. Arch Clin Neuropsychol. 2017 Mar 1;32(2):184-197. PubMed PMID: 28365745.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Russo,Arthur C, AU - Fingerhut,Esther C, PY - 2016/10/04/accepted PY - 2017/4/3/entrez PY - 2017/4/4/pubmed PY - 2017/4/13/medline KW - Assessment KW - PTSD KW - Traumatic brain injury KW - Veterans SP - 184 EP - 197 JF - Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists JO - Arch Clin Neuropsychol VL - 32 IS - 2 N2 - 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. SN - 1873-5843 UR - https://www.unboundmedicine.com/medline/citation/28365745/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_ L2 - https://academic.oup.com/acn/article-lookup/doi/10.1093/arclin/acw093 DB - PRIME DP - Unbound Medicine ER -