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Retrospective and Prospective Memory Among OEF/OIF/OND Veterans With a Self-Reported History of Blast-Related mTBI

Published online by Cambridge University Press:  29 December 2017

Kathleen F. Pagulayan ,
Holly Rau ,
Renee Madathil ,
Madeleine Werhane ,
Steven P. Millard ,
Eric C. Petrie ,
Brett Parmenter ,
Sarah Peterson ,
Scott Sorg  and
Rebecca Hendrickson
...Show all authors
Kathleen F. Pagulayan*
Affiliation:
Veterans Affairs (VA) Northwest Network (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington
Holly Rau
Affiliation:
Veterans Affairs (VA) Northwest Network (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington
Renee Madathil
Affiliation:
Veterans Affairs (VA) Northwest Network (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington
Madeleine Werhane
Affiliation:
San Diego State University/University of California, San Diego (SDSU/UCSD) Joint Doctoral Program in Clinical Psychology, San Diego, California VA San Diego Healthcare System (VASDHS), San Diego, California
Steven P. Millard
Affiliation:
Veterans Affairs (VA) Northwest Network (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington Geriatric Research, Education, and Clinical Center (GRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington
Eric C. Petrie
Affiliation:
Veterans Affairs (VA) Northwest Network (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington
Brett Parmenter
Affiliation:
Veterans Affairs (VA) Northwest Network (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington
Sarah Peterson
Affiliation:
Veterans Affairs (VA) Northwest Network (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington
Scott Sorg
Affiliation:
VA San Diego Healthcare System (VASDHS), San Diego, California
Rebecca Hendrickson
Affiliation:
Veterans Affairs (VA) Northwest Network (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington
Cindy Mayer
Affiliation:
Veterans Affairs (VA) Northwest Network (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington
James S. Meabon
Affiliation:
Veterans Affairs (VA) Northwest Network (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington
Bertrand R. Huber
Affiliation:
Veterans Administration, Jamaica Plain, Massachusetts Boston University Department of Neurology, Boston, Massachusetts.
Murray Raskind
Affiliation:
Veterans Affairs (VA) Northwest Network (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington
David G. Cook
Affiliation:
Geriatric Research, Education, and Clinical Center (GRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington Department of Medicine (Division of Gerontology and Geriatric Medicine), University of Washington School of Medicine, Seattle, Washington Department of Pharmacology, University of Washington School of Medicine, Seattle, Washington
Elaine R. Peskind
Affiliation:
Veterans Affairs (VA) Northwest Network (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, Washington Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington
*
Correspondence and reprint requests to: Kathleen F. Pagulayan, VA Puget Sound Health Care System, Mail Code S-116-MIRECC, 1660 South Columbian Way, Seattle, WA, 98108. E-mail: [email protected]
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Abstract

Objectives: To evaluate prospective and retrospective memory abilities in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) Veterans with and without a self-reported history of blast-related mild traumatic brain injury (mTBI). Methods: Sixty-one OEF/OIF/OND Veterans, including Veterans with a self-reported history of blast-related mTBI (mTBI group; n=42) and Veterans without a self-reported history of TBI (control group; n=19) completed the Memory for Intentions Test, a measure of prospective memory (PM), and two measures of retrospective memory (RM), the California Verbal Learning Test-II and the Brief Visuospatial Memory Test-Revised. Results: Veterans in the mTBI group exhibited significantly lower PM performance than the control group, but the groups did not differ in their performance on RM measures. Further analysis revealed that Veterans in the mTBI group with current PTSD (mTBI/PTSD+) demonstrated significantly lower performance on the PM measure than Veterans in the control group. PM performance by Veterans in the mTBI group without current PTSD (mTBI/PTSD-) was intermediate between the mTBI/PTSD+ and control groups, and results for the mTBI/PTSD- group were not significantly different from either of the other two groups. Conclusions: Results suggest that PM performance may be a sensitive marker of cognitive dysfunction among OEF/OIF/OND Veterans with a history of self-reported blast-related mTBI and comorbid PTSD. Reduced PM may account, in part, for complaints of cognitive difficulties in this Veteran cohort, even years post-injury. (JINS, 2018, 24, 324–334)

Keywords

Brain ConcussionVeteranIraq WarMemoryPTSDCognition
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 24 , Issue 4 , April 2018 , pp. 324 - 334
Copyright
Copyright © The International Neuropsychological Society 2017. This is a work of the U.S. Government and is not subject to copyright protection in the United States 

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