Assessment and diagnosis of mild traumatic brain injury, posttraumatic stress disorder, and other polytrauma conditions: Burden of adversity hypothesis.
Abstract
Objective/method Military personnel returning from Iraq and Afghanistan have been exposed to physical and emotional trauma. Challenges related to assessment and intervention for those with posttraumatic stress disorder (PTSD) and/or history of mild traumatic brain injury (TBI) with sequelae are discussed, with an emphasis on complicating factors if conditions are co-occurring. Existing literature regarding cumulative disadvantage is offered as a means of increasing understanding regarding the complex symptom patterns reported by those with a history of mild TBI with enduring symptoms and PTSD. Implications The importance of early screening for both conditions is highlighted. In addition, the authors suggest that current best practices include treating symptoms regardless of etiology to decrease military personnel and veteran burden of adversity.
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PPCS typically include cognitive symptoms such as decreased concentration, memory, and processing speed, in addition to somatic and emotional symptoms.
“PPCS typically include cognitive symptoms, such as decreased concentration, memory, and processing speed, in addition to somatic and emotional symptoms, such as headache, dizziness, disordered sleep, fatigue, irritability, increased arousal, and sensitivity to light and sound”
From Can mild traumatic brain injury alter cognition chronically? A LIMBIC-CENC multicenter study. (2023) · cites this paper as Brenner et al., 2009
Cites
Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care
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Milliken, C. S., Auchterlonie, J. L., & Hoge, C. W. (2007) · JAMA · doi:10.1001/jama.298.18.2141 · Cited by 1,640 · see citing works
The Matthew Effect in Science, II: Cumulative Advantage and the Symbolism of Intellectual Property
Merton, R. K. (1988) · Isis · doi:10.1086/354848 · Cited by 1,397 · see citing works
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Unique Aspects of Traumatic Brain Injury in Military and Veteran Populations
Armistead-Jehle, P., Soble, J. R., Cooper, D. B., & Belanger, H. G. (2017) · Physical Medicine and Rehabilitation Clinics of North America · doi:10.1016/j.pmr.2016.12.008 · Cited by 77 · see citing works
Eakman, A. M., Kinney, A. R., Schierl, M. L., & Henry, K. L. (2019) · Educational Psychology · doi:10.1080/01443410.2019.1605048 · Cited by 59 · see citing works
Eakman, A. M., Schelly, C., & Henry, K. L. (2016) · American Journal of Occupational Therapy · doi:10.5014/ajot.2016.016519 · Cited by 35 · see citing works
Can mild traumatic brain injury alter cognition chronically? A LIMBIC-CENC multicenter study.
Walker, W. C., O'Neil, M. E., Ou, Z., Pogoda, T. K., Belanger, H. G., Scheibel, R. S., Presson, A. P., Miles, S. R., Wilde, E. A., Tate, D. F., et al. (2023) · Neuropsychology · doi:10.1037/neu0000855 · Cited by 22 · see citing works
Cooper, D. B., Curtiss, G., Armistead-Jehle, P., Belanger, H. G., Tate, D. F., Reid, M., Bowles, A. O., Velez, C. S., Kennedy, J. E., & Vanderploeg, R. D. (2018) · Journal of Head Trauma Rehabilitation · doi:10.1097/htr.0000000000000375 · Cited by 21 · see citing works
Self-citation
- Authors
- Brenner, L. A., Vanderploeg, R. D., & Terrio, H.
- Affiliations
- VA Rocky Mountain Network (US)
- James A. Haley Veterans' Hospital (US)
- Evans Army Community Hospital (US)
- ORCID
- Brenner, Lisa A.
- Venue
- Rehabilitation Psychology
- Published
- 2009-08
- Volume
- 54
- Issue
- 3
- Pages
- 239-246
- ISSN
- 0090-5550 (ISSN-L)
- 1939-1544
- OpenAlex
- W1998096660
- Cited by
- 196
- References
- 3
- Citations by year
- 2026: 10 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 3 · 2021: 3 · 2020: 9 · 2019: 15 · 2018: 9 · 2017: 13 · 2016: 13 · 2015: 21 · 2014: 19 · 2013: 17 · 2012: 20
- FWCI
- 10.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Rehabilitation Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
- Keywords
- mild traumatic brain injury, post-traumatic stress disorder, polytrauma, cumulative disadvantage, military personnel, veterans, Iraq and Afghanistan wars, comorbidities, early screening, symptom profiles
- MeSH terms
- Blast Injuries, Brain Injuries, Explosions, Humans, Multiple Trauma, Severity of Illness Index, Stress Disorders, Post-Traumatic, United States, United States Department of Veterans Affairs, Veterans, Iraq War, 2003-2011, Afghan Campaign 2001-
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