Evidence map›Paper›PMID 31545626›Full record

ArticleNeuropsychology2020

Blast concussion and posttraumatic stress as predictors of postcombat neuropsychological functioning in OEF/OIF/OND veterans.

Nathaniel W Nelson, Seth G Disner, Carolyn R Anderson, Bridget M Doane, Kathryn McGuire, Gregory J Lamberty, James Hoelzle, Scott R Sponheim

Abstract read
In one paragraph

Article in Neuropsychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  6. Article
  7. Inefficient Attentional Control Explains Verbal-Memory Deficits Among Military Veterans With Posttraumatic Reexperiencing Symptoms.Clinical psychological science : a journal of the Association for Psychological Science · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nathaniel W NelsonGraduate School of Professional Psychology.
Seth G DisnerMinneapolis VA Medical Center.
Carolyn R AndersonMinneapolis VA Medical Center.
Bridget M DoaneMinneapolis VA Medical Center.
Kathryn McGuireMinneapolis VA Medical Center.
Gregory J LambertyMinneapolis VA Medical Center.
James HoelzleDepartment of Psychology.
Scott R SponheimMinneapolis VA Medical Center.

Funding

Essential Features of Neural Damage in Mild Traumatic Brain InjuryI01RX000622 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI SPONHEIM, SCOTT R · 2012 to 2015
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Polygenic predictors of the neural and clinical correlates of TBI and PTSDIK1RX002325 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI DISNER, SETH GORDON · 2017 to 2018
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Exploring polygenic risk as a means for personalizing TBI rehabilitationIK2RX002922 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI DISNER, SETH GORDON · 2019 to 2024
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Congressionally Directed Medical Research Programs (CDMRP)Minnesota Veterans Research Institute (MVRI)RRD VA I01 RX000622RRD VA IK1 RX002325RRD VA IK2 RX002922US Department of Veterans Affairs; Rehabilitation Research and Development Service (RR&D)
6 · The paper itself

Abstract

objectivesMany combat veterans exhibit cognitive limitations of uncertain origin. In this study, we examined factors that predict cognitive functioning by considering effects of blast-related concussion (BRC), non-blast-related concussion (NBRC), and posttraumatic stress disorder (PTSD) symptoms. Analyses specifically tested whether (a) BRC and NBRC were distinct in their prediction of cognitive performance; (b) a dose-response relationship existed between recurrent concussion (BRC and NBRC) and cognitive impairment; and (c) PTSD symptoms mediated the relationship between BRC and cognitive performance.

methodTwo hundred eighty veterans with combat zone deployment histories completed semistructured clinical interviews to define BRC and NBRC histories, current and past mental health disorders, and dimensional ratings of PTSD symptomatology. Participants were also administered a number of neuropsychological measures to appraise cognitive functioning.

resultsA structural equation model (SEM) suggested that BRC and NBRC were not distinct in their prediction of cognitive performance, and there was no evidence that recurrent concussion (blast or nonblast) was directly associated with cognitive performance. BRC was significantly associated with PTSD symptoms (

conclusionsThese results suggest that concussion history fails to directly contribute to cognitive performance, regardless of mechanism (blast or nonblast) and recurrence. BRC is nonetheless unique in its contribution to PTSD and PTSD-related cognitive deficits. Results support interventions specific to PTSD management in the interest of promoting neuropsychological functioning among war veterans. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Indexed as

AdultAfghan Campaign 2001-Blast InjuriesBrain ConcussionCognitionCognition DisordersCombat DisordersFemaleHumansIraq War, 2003-2011MaleNeuropsychological TestsPsychomotor PerformanceRecurrenceStress Disorders, Post-TraumaticVeterans

Identifiers

PMID31545626
PMCPMC6940504

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.