COMPARISON OF NEUROPSYCHOLOGICAL TEST PERFORMANCE EFFECT SIZES IN CHRONIC PAIN AND MAJOR DEPRESSION AND THEIR ASSOCIATIONS WITH TEST SENSITIVITIES FOR MILD TRAUMATIC BRAIN INJURY

Author(s):  
William Parkinson
2015 ◽  
Vol 26 (1) ◽  
pp. 35-50 ◽  
Author(s):  
Sara C. Schroeder ◽  
Ronald M. Ruff ◽  
Lutz Jäncke

The aim of this study was to examine the effect of posttraumatic stress disorder (PTSD) on (a) neuropsychological test performance and (b) self-reported emotional complaints within individuals suffering from postconcussional disorder (PCD) after a mild traumatic brain injury (MTBI). A two-group comparative research design was employed. Two MTBI samples with and without PTSD were assessed with a neuropsychological test battery and the Ruff Neurobehavioral Inventory (RNBI). On the neurocognitive test performances no significant between group differences were found, but the MTBI group with PTSD endorsed a significantly greater number of emotional complaints, especially in the RNBI subscales of anxiety and depression. The patients with PTSD also endorsed a significantly greater number of premorbid sequelae in the RNBI emotional composite scale as well as the RNBI premorbid subscales of pain, anxiety and abuse. In sum, PTSD has a negative impact on emotional but not cognitive functioning within individuals suffering from PCD after a mild TBI.


2001 ◽  
Vol 11 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Ruben J. Echemendia ◽  
Margot Putukian ◽  
R. Scott Mackin ◽  
Laura Julian ◽  
Naomi Shoss

2019 ◽  
Vol 34 (6) ◽  
pp. 1009-1010
Author(s):  
J Stenberg ◽  
R Karlsen ◽  
S Saksvik ◽  
G Iverson ◽  
J Karr ◽  
...  

Abstract Objective This study examined cognitive functioning at approximately two weeks following mild traumatic brain injury (MTBI) and explored whether tests from the Cambridge Neuropsychological Test Automated Battery (CANTAB) revealed greater differences between patients with MTBI and controls than traditional neuropsychological tests. Method Patients with MTBIs (n = 177) according to the World Health Organization criteria, trauma controls with orthopedic injuries (n = 79), and community controls (n = 81) were assessed with 18 neuropsychological tests an average of 17 days post injury (SD = 3 days). The tests consisted of both traditional, well-established, paper and pencil tests (9 tests, 11 outcome measures) and tests from the CANTAB battery (9 tests, 14 outcome measures). Results Of the 25 outcome measures, the groups only differed significantly on the Coding subtest from the WAIS-IV battery (uncorrected Kruskal-Wallis test: p = 0.025), with lower performance in the MTBI group compared to the community control group (Cliff’s delta = -0.20). Effect sizes of the differences between patients with MTBI and community controls ranged from -0.16 to 0.01 on the CANTAB tests and -0.20 to 0.00 on the traditional tests. Effect sizes of the differences between patients with MTBI and trauma controls ranged from -0.13 to 0.06 on the CANTAB tests and -0.15 to 0.02 on the traditional tests. Conclusions Patients with MTBI did not have significantly lower cognitive test performance than trauma controls or community controls on a large number of tests two weeks after injury. Further, differences between patients with MTBI and controls were similar for the CANTAB battery and traditional tests.


2003 ◽  
Vol 4 (2) ◽  
pp. 155-167 ◽  
Author(s):  
Karleigh Jayne Kwapil ◽  
Gina Geffen ◽  
Ken McFarland ◽  
Veronica Eileen DeMonte

AbstractThe present study aimed to determine whether including a sensitive test of immediate and delayed recall would improve the diagnostic validity of the Rapid Screen of Concussion (RSC) in mild Traumatic Brain Injury (mTBI) versus orthopaedic clinical samples. Two studies were undertaken. In Study 1, the performance of 156 mTBI and 145 orthopaedic participants was analysed to identify the number of individuals who performed at ceiling on the verbal memory subtest of the RSC, as this test required immediate and delayed recall of only five words. A second aim was to determine the sensitivity and specificity levels of the RSC. Study 2 aimed to examine whether replacement of the verbal memory subtest with the 12-word Hopkins Verbal Learning Test (HVLT) could improve the sensitivity of the RSC in a new sample of 26 mTBI and 30 orthopaedic participants. Both studies showed that orthopaedic participants outperformed mTBI participants on each of the selected measures. Study 1 showed that 14% of mTBI participants performed at ceiling on the immediate and 21.2% on delayed recall test. Performance on the original battery yielded a sensitivity of 82%, specificity of 80% and overall correct classification of 81.5% participants. In Study 2, inclusion of the HVLT improved sensitivity to a level of 88.5%, decreased specificity to a level of 70% and resulted in an overall classification rate of 80%. It was concluded that although inclusion of the five-word subtest in the RSC can successfully distinguish concussed from non-concussed individuals, use of the HVLT in this protocol yields a more sensitive measure of subtle cognitive deficits following mTBI.


1992 ◽  
Vol 35 (4) ◽  
pp. 810-818 ◽  
Author(s):  
Richard K. Peach

The neuropsychological test performance of subjects with traumatic brain injury (TBI) of the closed head type was investigated using a test battery consisting of traditional clinical instruments with expanded language measures. TBI subjects were specifically selected to include only those with a pattern of predominantly diffuse cerebral injury to allow conclusions regarding language performance in the absence of focal aphasia-producing lesions. Factor analysis of the test scores resulted in the extraction of three interpretable factors associated with performance on this battery: perceptual, general language, and mental efficiency. The results were compared to those obtained in previous factor-analytic studies of brain-damaged subjects, revealing patterns for the language/verbal subtests that diverged from those observed formerly. Two explanations are considered for these findings, the first interpretation centering on the notion of select impairments to specific cognitive processes and the second relating to impairments in the capacity to allocate resources effectively.


Brain Injury ◽  
2016 ◽  
Vol 31 (1) ◽  
pp. 32-38 ◽  
Author(s):  
Robert J. Spencer ◽  
Brigid Waldron-Perrine ◽  
Lauren L. Drag ◽  
Percival H. Pangilinan ◽  
Bradley N. Axelrod ◽  
...  

2021 ◽  
Vol 38 (1) ◽  
pp. 74-85
Author(s):  
Rune Hatlestad Karlsen ◽  
Simen Berg Saksvik ◽  
Jonas Stenberg ◽  
Astri Johansen Lundervold ◽  
Alexander Olsen ◽  
...  

2019 ◽  
Vol 76 (3) ◽  
pp. 249 ◽  
Author(s):  
Murray B. Stein ◽  
Sonia Jain ◽  
Joseph T. Giacino ◽  
Harvey Levin ◽  
Sureyya Dikmen ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document