@article{ref1,
title="Symptom reporting patterns of US military service members with a history of concussion according to duty status",
journal="Archives of clinical neuropsychology",
year="2019",
author="Lu, Lisa H. and Cooper, Douglas B. and Reid, Matthew W. and Khokhar, Bilal and Tsagaratos, Jennifer E. and Kennedy, Jan E.",
volume="34",
number="2",
pages="236-242",
abstract="OBJECTIVE: To compare symptom reporting patterns of service members with a history of concussion based on work status: full duty, limited duty, or in the Medical Evaluation Board (MEB)/disability process. <br><br>METHODS: Retrospective analysis of 181 service members with a history of concussion (MEB n = 56; limited duty n = 62; full duty n = 63). Neurobehavioral Symptom Inventory (NSI) Validity-10 cutoff (>22) and Mild Brain Injury Atypical Symptoms Scale (mBIAS) cutoffs (≥10 and ≥8) were used to evaluate potential over-reporting of symptoms. <br><br>RESULTS: The MEB group displayed significantly higher NSI scores and significantly higher proportion scored above the mBIAS ≥10 cutoff (MEB = 15%; limited duty = 3%; full duty = 5%). Validity-10 cutoff did not distinguish between groups. <br><br>CONCLUSIONS: MEB but not limited duty status was associated with increased risk of over-reporting symptoms in service members with a history of concussion. <br><br>RESULTS support the use of screening measures for over-reporting in the MEB/disability samples.<p /> <p>Language: en</p>",
language="en",
issn="0887-6177",
doi="10.1093/arclin/acy031",
url="http://dx.doi.org/10.1093/arclin/acy031"
}