%0 Journal Article
%T Correspondence of the Boston Assessment of Traumatic Brain Injury-Lifetime and the VA Comprehensive TBI Evaluation
%J Journal of head trauma rehabilitation
%D 2018
%A Radigan, Lauren J.
%A McGlinchey, Regina E.
%A Milberg, William P.
%A Fortier, Catherine Brawn
%V 33
%N 5
%P E51-E55
%X OBJECTIVE: To compare the diagnosis of positive versus negative for mild traumatic brain injury (mTBI) using the Boston Assessment of TBI-Lifetime (BAT-L), a validated forensic clinical interview used to identify TBI in research, to the diagnosis of mTBI in the clinical polytrauma service using the Comprehensive TBI Evaluation (CTBIE). PARTICIPANTS: Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans who were enrolled in the Translational Research Center for TBI and Stress Disorders longitudinal cohort study and received a CTBIE at a Veterans Health Administration healthcare facility (n = 104). MAIN MEASURES: The BAT-L, CTBIE, and Neurobehavioral Symptom Inventory. <br><br>RESULTS: There was poor correspondence between the BAT-L and CTBIE mTBI diagnoses (κ = 0.283). The CTBIE showed moderate sensitivity but poor specificity relative to the BAT-L. The agreement did not improve after removing individuals who had failed symptom validity measures, as assessed by the Validity-10 scale of the Neurobehavioral Symptom Inventory. <br><br>CONCLUSIONS: This lack of correspondence highlights the difficulties in diagnosing mTBI in Veterans using retrospective self-report. Future work is needed to establish a reliable and valid method for identifying military mTBI both for the care of our Veterans and for appropriate distribution of benefits.<p /> <p>Language: en</p>
%G en
%I Lippincott Williams and Wilkins
%@ 0885-9701
%U http://dx.doi.org/10.1097/HTR.0000000000000361