TY - JOUR PY - 2021// TI - Posttraumatic stress disorder-associated cognitive deficits on the repeatable battery for the assessment of neuropsychological status in a veteran population JO - Federal practitioner A1 - Hantke, Nathan A1 - Adamson, Maheen M. A1 - Noda, Art A1 - Lazzeroni, Laura C. A1 - Beaudreau, Sherry A. A1 - Yutsis, Maya A1 - Fairchild, J. Kaci A1 - Kinoshita, Lisa M. A1 - Kong, Jennifer A1 - Sheng, Tong A1 - Waltzman, Dana A1 - Ashford, John Wesson A1 - Yesavage, Jerome A. SP - 28 EP - 34 VL - 38 IS - 1 N2 - BACKGROUND: Posttraumatic stress disorder (PTSD) is a frequent problem of veterans receiving care and is often associated with cognitive deficits. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a well-validated cognitive screening measure often used in the US Department of Veterans Affairs (VA), particularly in neurorehabilitation settings. However, the influence of PTSD on RBANS performance is unclear, particularly within a heterogeneous VA outpatient population in which PTSD and traumatic brain injury (TBI) may not be the primary focus of care.

METHODS: Participants included 153 veterans with complex deployment-related health problems, including a diagnosis of PTSD (n = 98) and a history of TBI (n = 92). All veterans completed a targeted cognitive battery that included the Wechsler Test of Adult Reading, the Wechsler Adults Intelligence Scale, measure assessing processing speed, attention, and cognitive flexibility, and RBANS.

RESULTS: A diagnosis of PTSD was associated with worse performance on the Story Recall subtest of the RBANS, but not on any other cognitive measures. A diagnosis of mild TBI, or co-occurring PTSD and TBI did not predict cognitive performance on any measures.

CONCLUSIONS: The RBANS best captured cognitive deficits associated with PTSD compared with a history of mild TBI or co-occurring mild TBI and PTSD. These findings may provide insight into the interpretation and attribution of cognitive deficits in the veteran population.

Language: en

LA - en SN - 1078-4497 UR - http://dx.doi.org/10.12788/fp.0083 ID - ref1 ER -