The Impact of Neurocognitive Functioning on the Course of Posttraumatic Stress Symptoms following Civilian Traumatic Brain Injury

Background: One out of seven individuals who have suffered a traumatic brain injury (TBI) develops a posttraumatic stress disorder (PTSD), which is often associated with neurocognitive impairment. The present study explores the impact of neurocognitive functioning after mild, moderate, and severe TB...

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Autores principales:	Dominique L. G. Van Praag, Filip Van Den Eede, Kristien Wouters, Lindsay Wilson, Andrew I. R. Maas, The CENTER-TBI Investigators and Participants
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	assessment cognition neuropsychology posttraumatic stress concussion head injury Medicine R
Acceso en línea:	https://doaj.org/article/704b757e50394cdcbd9f802eab21bf25
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spelling	oai:doaj.org-article:704b757e50394cdcbd9f802eab21bf252021-11-11T17:43:44ZThe Impact of Neurocognitive Functioning on the Course of Posttraumatic Stress Symptoms following Civilian Traumatic Brain Injury10.3390/jcm102151092077-0383https://doaj.org/article/704b757e50394cdcbd9f802eab21bf252021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5109https://doaj.org/toc/2077-0383Background: One out of seven individuals who have suffered a traumatic brain injury (TBI) develops a posttraumatic stress disorder (PTSD), which is often associated with neurocognitive impairment. The present study explores the impact of neurocognitive functioning after mild, moderate, and severe TBI on the course of PTSD symptoms. Methods: The data of 671 adults admitted to hospital for a TBI was drawn from the Collaborative European Neurotrauma Effectiveness Research (CENTER-TBI) study. After six- and 12-months post-injury, participants completed the PTSD Checklist-5 (PCL-5), from which change scores were calculated. At six months, participants also completed a neurocognitive assessment including the Rey Auditory Verbal Learning Test, the Trail Making Test, and the Cambridge Neuropsychological Test Automated Battery (CANTAB). Linear regressions were performed to identify associations between cognitive functioning and PCL-5 change scores. Results: Overall, mean PCL-5 change scores showed no clear change (−0.20 ± 9.88), but 87 improved and 80 deteriorated by a change score of 10 or more. CANTAB Rapid Visual Information Processing scores were significantly associated with PCL-5 change scores. Conclusions: Strong sustained attention was associated with improvement in PTSD symptoms. Assessing cognitive performance may help identify individuals at risk of developing (persisting) PTSD post-TBI and offer opportunities for informing treatment strategies.Dominique L. G. Van PraagFilip Van Den EedeKristien WoutersLindsay WilsonAndrew I. R. MaasThe CENTER-TBI Investigators and ParticipantsMDPI AGarticleassessmentcognitionneuropsychologyposttraumatic stressconcussionhead injuryMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5109, p 5109 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	assessment cognition neuropsychology posttraumatic stress concussion head injury Medicine R
spellingShingle	assessment cognition neuropsychology posttraumatic stress concussion head injury Medicine R Dominique L. G. Van Praag Filip Van Den Eede Kristien Wouters Lindsay Wilson Andrew I. R. Maas The CENTER-TBI Investigators and Participants The Impact of Neurocognitive Functioning on the Course of Posttraumatic Stress Symptoms following Civilian Traumatic Brain Injury
description	Background: One out of seven individuals who have suffered a traumatic brain injury (TBI) develops a posttraumatic stress disorder (PTSD), which is often associated with neurocognitive impairment. The present study explores the impact of neurocognitive functioning after mild, moderate, and severe TBI on the course of PTSD symptoms. Methods: The data of 671 adults admitted to hospital for a TBI was drawn from the Collaborative European Neurotrauma Effectiveness Research (CENTER-TBI) study. After six- and 12-months post-injury, participants completed the PTSD Checklist-5 (PCL-5), from which change scores were calculated. At six months, participants also completed a neurocognitive assessment including the Rey Auditory Verbal Learning Test, the Trail Making Test, and the Cambridge Neuropsychological Test Automated Battery (CANTAB). Linear regressions were performed to identify associations between cognitive functioning and PCL-5 change scores. Results: Overall, mean PCL-5 change scores showed no clear change (−0.20 ± 9.88), but 87 improved and 80 deteriorated by a change score of 10 or more. CANTAB Rapid Visual Information Processing scores were significantly associated with PCL-5 change scores. Conclusions: Strong sustained attention was associated with improvement in PTSD symptoms. Assessing cognitive performance may help identify individuals at risk of developing (persisting) PTSD post-TBI and offer opportunities for informing treatment strategies.
format	article
author	Dominique L. G. Van Praag Filip Van Den Eede Kristien Wouters Lindsay Wilson Andrew I. R. Maas The CENTER-TBI Investigators and Participants
author_facet	Dominique L. G. Van Praag Filip Van Den Eede Kristien Wouters Lindsay Wilson Andrew I. R. Maas The CENTER-TBI Investigators and Participants
author_sort	Dominique L. G. Van Praag
title	The Impact of Neurocognitive Functioning on the Course of Posttraumatic Stress Symptoms following Civilian Traumatic Brain Injury
title_short	The Impact of Neurocognitive Functioning on the Course of Posttraumatic Stress Symptoms following Civilian Traumatic Brain Injury
title_full	The Impact of Neurocognitive Functioning on the Course of Posttraumatic Stress Symptoms following Civilian Traumatic Brain Injury
title_fullStr	The Impact of Neurocognitive Functioning on the Course of Posttraumatic Stress Symptoms following Civilian Traumatic Brain Injury
title_full_unstemmed	The Impact of Neurocognitive Functioning on the Course of Posttraumatic Stress Symptoms following Civilian Traumatic Brain Injury
title_sort	impact of neurocognitive functioning on the course of posttraumatic stress symptoms following civilian traumatic brain injury
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/704b757e50394cdcbd9f802eab21bf25
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The Impact of Neurocognitive Functioning on the Course of Posttraumatic Stress Symptoms following Civilian Traumatic Brain Injury

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