Factors associated with inconsistency in self-reported mild traumatic brain injury over time among military personnel in Iraq

@article{Nelson2015FactorsAW,
  title={Factors associated with inconsistency in self-reported mild traumatic brain injury over time among military personnel in Iraq},
  author={Nathaniel W. Nelson and Carolyn R. Anderson and Paul D. Thuras and Shannon M. Kehle-Forbes and Paul A. Arbisi and Christopher R. Erbes and Melissa A. Polusny},
  journal={British Journal of Psychiatry},
  year={2015},
  volume={206},
  pages={237 - 244}
}
Background Estimates of the prevalence of mild traumatic brain injury (mTBI) among military personnel and combat veterans rely almost exclusively on retrospective self-reports; however, reliability of these reports has received little attention. Aims To examine the consistency of reporting of mTBI over time and identify factors associated with inconsistent reporting. Method A longitudinal cohort of 948 US National Guard Soldiers deployed to Iraq completed self-report questionnaire screening for… 
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22 Citations
Background Citations
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Methods Citations
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Results Citations
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Citation Type

Long-Term Correlates of Mild Traumatic Brain Injury on Postconcussion Symptoms After Deployment to Iraq and Afghanistan in the UK Military
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Mild traumatic brain injury reported in 2007-2009 was associated with dizziness and possibly with loss of concentration 7 years later but not with most PCS, while the prevalence of mostPCS increased over time independently of mTBI.
Symptom Reporting and Management of Chronic Post-Concussive Symptoms in Military Service Members and Veterans
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Characteristics of military mTBI differentially affect chronic post-concussive symptom reporting and recovery are essential to understand to provide effective clinical management with this population of military service members and veterans.
Chronic Effects of Neurotrauma Consortium (CENC) multicentre study interim analysis: Differences between participants with positive versus negative mild TBI histories
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Although differences in characteristics exist which were not adjusted for, participants with historical mTBI have greater symptomatology and life functioning difficulties compared with non-TBI, and performance measures were less dissimilar between groups.
Symptom Trajectories After Military Blast Exposure and the Influence of Mild Traumatic Brain Injury
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History of blast mTBI accompanied by posttraumatic amnesia is associated with greater nonspecific symptoms after deployment, and prognosis for improvement when symptoms are prominent is poor.
Consistency of Self-Reported Neurocognitive Symptoms, Post-Traumatic Stress Disorder Symptoms, and Concussive Events From End of First Deployment to Veteran Health Administration Comprehensive Traumatic Brain Injury Evaluation by Operations Enduring Freedom/Iraqi Freedom/New Dawn Veterans
  • A. Russo, Esther C. Fingerhut
  • Psychology, Medicine
    Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists
  • 2017
TLDR
Questions regarding the accuracy of veteran self-report of both near and distant traumatic events are raised, and the inclusion of contemporaneous Department of Defense records in veteran assessment and treatment planning is argued for.
PTSD confounds detection of compromised cerebral white matter integrity in military veterans reporting a history of mild traumatic brain injury
TLDR
Overall, a main effect of civilian mTBI indicates long-term disruptions to white matter are likely present, while the interaction between deployment mT BI and PTSD indicates that a history of PTSD alters this relationship.
Test-Retest Reliability of a Semi-Structured Interview to Aid in Pediatric Traumatic Brain Injury Diagnosis.
TLDR
Categorical reporting of TBI characteristics in children and adolescents can aid clinicians in retrospectively obtaining reliable estimates of T BI severity up to a year post-injury, but test-retest reliability is strongly impacted by the initial data distribution, selected statistical methods, and potentially by patient difficulty in distinguishing among conceptually similar medical concepts.
Predictors of Postdeployment Functioning in Combat-Exposed U.S. Military Veterans
Posttraumatic stress disorder (PTSD) and sequelae of mild traumatic brain injury (mTBI) are presumed to contribute to reintegration difficulties in combat-exposed veterans. Yet their relative impacts…
The Chaos of Combat: An Overview of Challenges in Military Mild Traumatic Brain Injury Research
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Mild traumatic brain injury (mTBI), or concussion, is among the most common injuries affecting Veterans of recent combat deployments, and neuroimaging studies are discussed in the context of these complicating factors.
The Chronic Effects of Neurotrauma Consortium (CENC) multi-centre observational study: Description of study and characteristics of early participants
TLDR
This centrepiece observational study of the Chronic Effects of Neurotrauma Consortium (CENC) is successfully launched and should provide fertile data to begin investigating its aims, including those that may stem from neurodegeneration.
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References

SHOWING 1-10 OF 48 REFERENCES
Mild traumatic brain injury (mTBI) among UK military personnel whilst deployed in Afghanistan in 2011
TLDR
The incidence of mTBI was substantially lower than those reported in both US and UK post- deployment studies which is consistent with inflated reporting of symptoms when measured post-deployment.
Screening for Traumatic Brain Injury in Troops Returning From Deployment in Afghanistan and Iraq: Initial Investigation of the Usefulness of a Short Screening Tool for Traumatic Brain Injury
TLDR
In this initial study, the BTBIS demonstrated promise as part of a triage process in mass casualty situations, permitting individuals with probable TBI to self-report injury and continued symptoms.
Longitudinal effects of mild traumatic brain injury and posttraumatic stress disorder comorbidity on postdeployment outcomes in national guard soldiers deployed to Iraq.
TLDR
Although combat-related PTSD was strongly associated with postconcussive symptoms and psychosocial outcomes 1 year after soldiers returned from Iraq, there was little evidence of a long-term negative impact of concussion/MTBI history on these outcomes after accounting for PTSD.
Symptoms of post-concussional syndrome are non-specifically related to mild traumatic brain injury in UK Armed Forces personnel on return from deployment in Iraq: an analysis of self-reported data
TLDR
PCS symptoms are common and some are related to exposures such as blast injury, however, this association is not specific, and the same symptom complex is also related to numerous other risk factors and exposures.
Challenges Associated with Post-Deployment Screening for Mild Traumatic Brain Injury in Military Personnel
TLDR
Challenges associated with post-deployment screening for mild traumatic brain injury are discussed and additional research is necessary to refine the sequential screening methodology, with the goal of minimizing false negatives during initial post- de deployment screening and minimizing false positives during follow-up evaluations.
Self-Report of Psychological Function Among OEF/OIF Personnel Who Also Report Combat-Related Concussion
TLDR
MMPI-2 RF profiles of 128 U.S. soldiers and veterans with history of concussion were examined and participants with co-morbid PTSD and concussion showed significant Restructured Clinical and Specific Problem scale elevations relative to those without Axis I diagnosis.
Reliability, Sensitivity, and Specificity of the VA Traumatic Brain Injury Screening Tool
TLDR
The VATBIST appears to be a reliable and valid instrument, however, the presence of significant posttraumatic stress disorder symptoms reduces the accuracy of the measure and highlights the need for careful clinical follow-up of persons who screen positive.
Understanding sequelae of injury mechanisms and mild traumatic brain injury incurred during the conflicts in Iraq and Afghanistan: persistent postconcussive symptoms and posttraumatic stress disorder.
A cross-sectional study of military personnel following deployment to conflicts in Iraq or Afghanistan ascertained histories of combat theater injury mechanisms and mild traumatic brain injury (TBI)…
Stability of recall of military hazards over time
TLDR
It is found that reporting of military hazards after a conflict is not static, and is associated with current self-rated perception of health, and self-report of exposures associated with media publicity needs to be treated with caution.
Traumatic Brain Injury Screening: Preliminary Findings in a US Army Brigade Combat Team
TLDR
Those with TBI were significantly more likely to recall somatic and/or neuropsychiatric symptoms immediately postinjury and endorse symptoms at follow-up than were soldiers without a history of deployment-related TBI.
...
1
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3
4
5
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