Attentional and executive functioning following mild traumatic brain injury in children using the Test for Attentional Performance (TAP) battery

2009 ◽  
Vol 31 (3) ◽  
pp. 331-338 ◽  
Author(s):  
Corinne Catale ◽  
Patricia Marique ◽  
Annette Closset ◽  
Thierry Meulemans
2018 ◽  
Vol 9 ◽  
Author(s):  
Alexandra L. Clark ◽  
Victoria C. Merritt ◽  
Erin D. Bigler ◽  
Katherine J. Bangen ◽  
Madeleine Werhane ◽  
...  

2021 ◽  
Vol 36 (6) ◽  
pp. 1167-1167
Author(s):  
Jason Bailie ◽  
Paul Sargent ◽  
Sandi Chapman ◽  
Melissa Caswell ◽  
Juan Lopez ◽  
...  

Abstract Background Military personnel require a level of cognitive readiness that ensures they function safely and effectively in high-stress situations. Warfighters who experienced a mild traumatic brain injury (mTBI) often complain of persistent cognitive issues that may impact those abilities. This study presents preliminary data on the efficacy of a 4-week Strategic Memory Advanced Reasoning Training (SMART) for warfighter rehabilitation. SMART improves executive functioning in order to enhance overall cognitive abilities. Methods This is part of a randomized clinical trial (Validation of Cognitive Enhancement Therapy for mTBI). 22 Marines with prior mTBI and current cognitive complaints; 7 of whom completed SMART and were included in the analysis. Cognitive tests of interest included the Delis-Kaplan Executive Function System Color Word (CW) and Trail Making (TM). Results Improvements were observed on TM Number Sequencing (Pre: M = 9.71, SD = 2.06; Post: M = 11.86, SD = 1.35, p = 0.011, d = 1.37) and approached significance on Letter Sequencing (Pre: M = 10.29, SD = 1.81; Post: M = 12.57, SD = 1.13, p = 0.066, d = 1.26). Though non-significant, a large clinically-relevant effect size was found for Number-Letter Switching (Pre: M = 8.14, SD = 1.95; Post: M = 9.57, SD = 2.15, p = 0.106, d = 0.72). CW performance improved on Inhibition (Pre: M = 5.29, SD = 3.86; Post: M = 8.86, SD = 2.34, p = 0.034, d = 1.03) and Inhibition/Switching (Pre: M = 4.86, SD = 4.06; Post: M = 8.43, SD = 4.12, p = 0.015, d = 1.26). Conclusions The SMART program resulted in large improvements in the executive functioning of a small sample of warfighters with persistent cognitive complaints following a mTBI. The results support further examination of the efficacy of SMART for warfighter rehabilitation.


2020 ◽  
Vol 11 ◽  
Author(s):  
Kristin W. Samuelson ◽  
Krista Engle ◽  
Linda Abadjian ◽  
Joshua Jordan ◽  
Alisa Bartel ◽  
...  

Although there is evidence of mild cognitive impairments for many individuals with mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD), little research evaluating the effectiveness of cognitive training interventions has been conducted. This randomized controlled trial examined the effectiveness of a 9-h group cognitive training targeting higher-order functions, Strategic Memory Advanced Reasoning Training (SMART), compared to a 9-h psychoeducational control group in improving neurocognitive functioning in adults with mTBI and PTSD. A sample of 124 adults with histories of mild TBI (n = 117) and/or current diagnoses of PTSD (n = 84) were randomized into SMART (n = 66) or Brain Health Workshop (BHW; n = 58) and assessed at three time points: baseline, following training, and 6 months later. Participants completed a battery of neurocognitive tests, including a test of gist reasoning (a function directly targeted by SMART) as well as tests of verbal, visual, and working memory and executive functioning, functions commonly found to be mildly impaired in mTBI and PTSD. The two groups were compared on trajectories of change over time using linear mixed-effects models with restricted maximum likelihood (LMM). Contrary to our hypothesis that SMART would result in superior improvements compared to BHW, both groups displayed statistically and clinically significant improvements on measures of memory, executive functioning, and gist reasoning. Over 60% of the sample showed clinically significant improvements, indicating that gains can be found through psychoeducation alone. A longer SMART protocol may be warranted for clinical samples in order to observe gains over the comparison group.


2016 ◽  
Vol 612 ◽  
pp. 238-244 ◽  
Author(s):  
William D.S. Killgore ◽  
Prabhjyot Singh ◽  
Maia Kipman ◽  
Derek Pisner ◽  
Andrew Fridman ◽  
...  

2003 ◽  
Vol 4 (2) ◽  
pp. 106-121
Author(s):  
Maria J. Hennessy ◽  
Gina Geffen ◽  
Gerard Pauley ◽  
Tim Cutmore

AbstractThe assessment of executive functioning 1 month following a mild traumatic brain injury (MTBI) is minimal, inconsistent and difficult to integrate. Four executive processes of checking, inhibition, sharing and integrating were examined using an empirically derived assessment protocol based on executive process delineation (Baddeley & Della Sala, 1998). This protocol was administered to individuals at 1 month post-MTBI (n= 22), and a group of orthopaedic controls (n= 15) matched for age, sex, years of education and occupational status. Contrary to expectations, only one significant difference between the two groups occurred on the dual-task Telephone Search while Counting (p< .006), which was considered a measure of the executive process of sharing. Methodological limitations such as a small and heterogeneous sample may have influenced the findings in this study. The results provide support for the utility of a theoretically driven approach to executive functioning to aid the integration of neuropsychological results, and highlight the need for carefully controlled research at 1 month following a MTBI to further delineate the recovery process.


2015 ◽  
Vol 23 (2) ◽  
pp. 115-124 ◽  
Author(s):  
Katy D. Gaines ◽  
Henry V. Soper ◽  
Gholam R. Berenji

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