Neurocognitive correlates of probable posttraumatic stress disorder following traumatic brain injury

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  • Dominique L.G. Van Praag
  • Kristien Wouters
  • Filip Van Den Eede
  • Lindsay Wilson
  • Andrew I.R. Maas
  • Cecilia Åkerlund
  • Krisztina Amrein
  • Nada Andelic
  • Lasse Andreassen
  • Audny Anke
  • Anna Antoni
  • Gérard Audibert
  • Philippe Azouvi
  • Maria Luisa Azzolini
  • Ronald Bartels
  • Pál Barzó
  • Romuald Beauvais
  • Ronny Beer
  • Bo Michael Bellander
  • Antonio Belli
  • Habib Benali
  • Maurizio Berardino
  • Luigi Beretta
  • Morten Blaabjerg
  • Peter Bragge
  • Alexandra Brazinova
  • Vibeke Brinck
  • Joanne Brooker
  • Camilla Brorsson
  • Andras Buki
  • Monika Bullinger
  • Manuel Cabeleira
  • Alessio Caccioppola
  • Emiliana Calappi
  • Maria Rosa Calvi
  • Peter Cameron
  • Guillermo Carbayo Lozano
  • Marco Carbonara
  • Simona Cavallo
  • Giorgio Chevallard
  • Arturo Chieregato
  • Giuseppe Citerio
  • Iris Ceyisakar
  • Hans Clusmann
  • Mark Coburn
  • Jonathan Coles
  • Jamie D. Cooper
  • Marta Correia
  • Fabricius, Martin Ejler
  • Kondziella, Daniel
  • The CENTER-TBI investigators and participants

Introduction: Neurocognitive problems associated with posttraumatic stress disorder (PTSD) can interact with impairment resulting from traumatic brain injury (TBI). Research question: We aimed to identify neurocognitive problems associated with probable PTSD following TBI in a civilian sample. Material and methods: The study is part of the CENTER-TBI project (Collaborative European Neurotrauma Effectiveness Research) that aims to better characterize TBI. For this cross-sectional study, we included patients of all severities aged over 15, and a Glasgow Outcome Score Extended (GOSE) above 3. Participants were assessed at six months post-injury on the PTSD Checklist-5 (PCL-5), the Trail Making Test (TMT), the Rey Auditory Verbal Learning Test (RAVLT) and the Cambridge Neuropsychological Test Automated Battery (CANTAB). Primary analysis was a complete case analysis. Regression analyses were performed to investigate the association between the PCL-5 and cognition. Results: Of the 1134 participants included in the complete case analysis, 13.5% screened positive for PTSD. Probable PTSD was significantly associated with higher TMT-(B-A) (OR ​= ​1.35, 95% CI: 1.14–1.60, p ​< ​.001) and lower RAVLT-delayed recall scores (OR ​= ​0.74, 95% CI: 0.61–0.91, p ​= ​.004) after controlling for age, sex, psychiatric history, baseline Glasgow Coma Scale and education. Discussion and conclusion: Poorer performance on cognitive tests assessing task switching and, to a lesser extent, delayed verbal recall is associated with probable PTSD in civilians who have suffered TBI.

Original languageEnglish
Article number100854
JournalBrain and Spine
Volume2
Number of pages11
DOIs
Publication statusPublished - 2022

Bibliographical note

Publisher Copyright:
© 2021 The Authors

    Research areas

  • Cognition, Head injury, Neuropsychology, Posttraumatic stress disorder, Stress

ID: 346602379