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 -