@article{ref1,
title="An interdisciplinary approach to the screening, diagnosis, and treatment of OEF/OIF Veterans with mild traumatic brain injury",
journal="Applied neuropsychology. Adult",
year="2020",
author="Gress Smith, Jenna L. and Roberts, Nicole A. and Borowa, Dominika and Bushnell, MaryLu",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To implement an Integrated TBI Screening Clinic (ITSC) during the mandatory TBI evaluation process at the Department of Veterans Affairs. Referral outcomes were examined regarding Veterans who were determined to need a full neuropsychological evaluation versus those for whom mental health treatment was clinically indicated. Correlations among cognitive measures, posttraumatic stress disorder (PTSD), anxiety, depression, and insomnia symptoms were also examined.   METHOD: This study was a retrospective chart review study that included 138 Veterans seen between 2011 and 2014 in a post-deployment primary care clinic. Descriptive statistics and correlations were completed using the: screening Module of the Neuropsychological Assessment Battery (S-NAB), PTSD Checklist-Military version (PCL-M), Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), and Insomnia Severity Index (ISI).   RESULTS: 19.8% of Veterans required a referral for a full neuropsychological exam and 72.7% were referred for additional mental health services (with some Veterans being referred to both). Significant correlations were found among higher PTSD, depression, anxiety symptoms, with poorer attention and memory (all p <.05). Only PTSD was significantly correlated with poorer executive functioning (r = 0.19, p <.05).   CONCLUSION: Integration of a multidisciplinary neuropsychological screening exam during a primary care visit with OEF/OIF Veterans may assist in better delineating symptoms.<p /> <p>Language: en</p>",
language="en",
issn="2327-9095",
doi="10.1080/23279095.2020.1810690",
url="http://dx.doi.org/10.1080/23279095.2020.1810690"
}