@article{ref1,
title="Predicting military readiness using objective and subjective indices of  neuropsychological impairment in service members with mild traumatic brain injury",
journal="Applied neuropsychology. Adult",
year="2020",
author="Lesniak, Elizabeth and Ramsey, Kathryn G. and Brady, Christine and Beydoun, Hind A. and Johnstone, Brick",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="The military is interested in identifying factors to improve the readiness of  service members with traumatic brain injury (TBI). TBI outcome studies have  primarily used objective neuropsychological data interpreted using the absolute  level of functioning (i.e., high average, average, low average), though research  suggests it is also important to consider other objective indices of the relative  degree of decline (e.g., mild, moderate, severe) and subjective complaints. The  current study determined the predictive ability of objective indices of  neuropsychological functioning (i.e., absolute level and the relative degree of  decline) and subjective complaints (i.e., Neurobehavioral Symptom Inventory) in  terms of military work status (i.e., return to duty, medically disabled, retired)  for 113 service members with mild TBI. ANOVAs and post-hoc tests indicated  individuals who were able to return to duty had higher absolute indices and lower  relative decline scores in working memory and overall intelligence, as well as lower  subjective neuropsychological complaints when compared to those who were disabled or  retired. Multinomial logistic regression models generally supported these findings,  except relative decline scores were not predictive of military work status likely  due to issues of collinearity (i.e., relative decline scores are calculated using  absolute scores). In conclusion, indices of absolute functioning and subjective  neuropsychological impairments appear to be predictors of the ability to return to  duty post-TBI in military populations, emphasizing the need to focus on cognitive  reserve and emotional resilience as potential interventions.<p /> <p>Language: en</p>",
language="en",
issn="2327-9095",
doi="10.1080/23279095.2020.1855588",
url="http://dx.doi.org/10.1080/23279095.2020.1855588"
}