Rapid-Response Impulsivity Predicts Depression and Posttraumatic Stress Disorder Symptomatology at 1-Year Follow-Up in Blast-Exposed Service Members

2017 ◽  
Vol 98 (8) ◽  
pp. 1646-1651.e1 ◽  
Author(s):  
James M. Bjork ◽  
Thomas K. Burroughs ◽  
Laura M. Franke ◽  
Treven C. Pickett ◽  
Sade E. Johns ◽  
...  
2011 ◽  
Author(s):  
Jennifer A. Webb-Murphy ◽  
Steven R. Hanling ◽  
Ivan K. Lesnik ◽  
Stephanie C. Raducha ◽  
Eric T. Stedje-Larsen

2002 ◽  
Vol 14 (4) ◽  
pp. 215-221 ◽  
Author(s):  
Michael Hertzberg ◽  
Michelle Feldman ◽  
Jean Beckham ◽  
Scott Moore ◽  
Jonathan Davidson

2016 ◽  
Vol 10 (1) ◽  
pp. 33-46 ◽  
Author(s):  
Claire Kullack ◽  
Jonathan Laugharne

This report begins with a summary of the literature regarding the theoretical models behind the comorbid relationship between posttraumatic stress disorder and substance use disorders and the various modified addiction protocols formulated to assist in treating these disorders. This case series outlines the effect that the standard eye movement desensitization and reprocessing (EMDR) protocol had on alcohol and substance dependence for 4 patients who attended our Post Traumatic Stress Clinic in Fremantle, Western Australia, primarily for treatment for posttraumatic stress disorder. Patients were assessed for substance use disorders using the Mini International Neuropsychiatric Interview Plus prior to, immediately after, and 12 months after completing EMDR therapy. Results indicate that the standard EMDR protocol was successful in reducing alcohol and substance use. Prior to treatment, 3 patients met criteria for alcohol dependence and 1 met criteria for substance dependence. At 12-month follow-up, 3 out of 4 clients did not meet the diagnostic criteria for current alcohol dependence or current substance dependence. The implications of these findings are discussed with reference to theories of comorbid posttraumatic stress disorder and substance use disorder and the modified EMDR protocols developed for patients with substance dependence.


2018 ◽  
Vol 31 (6) ◽  
pp. 837-844 ◽  
Author(s):  
Kristen H. Walter ◽  
Jordan A. Levine ◽  
Robyn M. Highfill‐McRoy ◽  
Melissa Navarro ◽  
Cynthia J. Thomsen

2018 ◽  
Vol 31 (2) ◽  
pp. 286-295 ◽  
Author(s):  
Brett T. Litz ◽  
Ateka A. Contractor ◽  
Charla Rhodes ◽  
Katherine A. Dondanville ◽  
Alexander H. Jordan ◽  
...  

1993 ◽  
Vol 76 (1) ◽  
pp. 243-246 ◽  
Author(s):  
Arthur MacNeill Horton

A current conceptual conundrum is the question of whether it is possible to have a co-occurrence of both Posttraumatic Stress Disorder and head trauma. The current report describes the results of behavior therapy and a series of neuropsychological tests for a man who suffered Posttraumatic Stress Disorder and neuropsychological deficits after an automobile accident. A series of neuropsychological test batteries documented considerable improvement. The patient was also treated for Posttraumatic Stress Disorder with behavior therapy so symptoms abated much earlier than the neuropsychological deficits.


Neurology ◽  
2018 ◽  
Vol 91 (8) ◽  
pp. e732-e745 ◽  
Author(s):  
Ryan J. Andrews ◽  
Jennifer R. Fonda ◽  
Laura K. Levin ◽  
Regina E. McGlinchey ◽  
William P. Milberg

ObjectiveThis study assessed the strength of military-related concussion-, psychological-, and behavioral-related measures to predict neurobehavioral symptom (NBS) reporting in order to help clarify the extent to which persistent NBS reflect lingering effects of concussion vs other psychological/behavioral factors among veterans.MethodsBaseline analysis included 351 consecutively enrolled veterans in the Translational Research Center for Traumatic Brain Injury and Stress Disorders longitudinal cohort study. One hundred eighty-six returned for a follow-up evaluation averaging 24 months post baseline. The Neurobehavioral Symptom Inventory (NSI) was used to measure NBS reporting. Predictor variables included diagnosis of military-related mild traumatic brain injury (M-mTBI), psychological measures, including posttraumatic stress disorder, mood, anxiety, and substance abuse disorders, and behavioral measures, including self-reported current pain and sleep impairment. Hierarchical and multivariable regression analyses examined the relationships between the predictor variables and NSI scores. The k-fold cross-validation assessed generalizability and validity of the regressions.ResultsBaseline analysis revealed that psychological and behavioral conditions independently accounted for 42.5% of variance in the NSI total score compared to 1.5% for M-mTBI after controlling for psychological and behavioral conditions. Prospective analysis revealed that M-mTBI at baseline did not significantly predict NSI score at follow-up, while psychological and behavioral measures at baseline independently accounted for 24.5% of NSI variance. Posttraumatic stress disorder was the most consistent predictor. Cross-validation analyses supported generalizability of the results.ConclusionsPsychological and behavioral-related measures are strong predictors of persistent NBS reporting in veterans, while M-mTBI is negligible. NBS more likely reflect influential comorbidities as opposed to brain injury, per se.


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