Cited by 61Traumatic Brain Injury ResearchPsychological Testing and AssessmentTraumatic Brain Injury and Neurovascular Disturbances

Review of the Neurobehavioral Symptom Inventory.

Silva, Marc A.·2021·Rehabilitation Psychology

Abstract

Purpose/Objective: To describe the psychometrics and utility of the Neurobehavioral Symptom Inventory (NSI) and provide suggestions for clinical usage and future research. Research Method/Design: Thirty studies examining aspects of the NSI, published between 1995 and 2020, were reviewed. Results: The NSI is a 22-item self-report questionnaire of neurobehavioral symptoms. The NSI was first published in 1995 and has since been adopted by the Department of Defense and Department of Veterans affairs for traumatic brain injury (TBI) research and clinical evaluation. Most research on the NSI has been conducted in veteran and military samples with predominantly mild TBI. Cronbach's alpha ranged from .81 to .96 for the total score and exceeded .80 for most scales. Test-retest values ranged from .78 to .94 for the total score and ranged from .52 to .91 for subscales. Item content overlaps with psychiatric disorders and is expectedly correlated with psychiatric measures and emotional distress. Although consensus about its factor structure is lacking, the 3- and 4-factor solutions have been replicated and have the strongest support. Subsequent researchers have published reliable change indices, embedded validity indices, and normative data using civilian and military samples. Conclusions/Implications: The NSI has acceptable reliability and some evidence supporting its validity in measuring neurobehavioral symptoms. Although not intended to diagnose TBI, the NSI has value for clinicians…

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Crossref · 10.1037/rep0000367

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Authors
Silva, M. A.
Affiliations
James A. Haley Veterans' Hospital (US)
Corresponding author
Silva, Marc A.
Venue
Rehabilitation Psychology
Published
2021-05
Volume
66
Issue
2
Pages
170-182
ISSN
  • 0090-5550 (ISSN-L)
  • 1939-1544
OpenAlex
W3096943643
Cited by
61
References
0
Citations by year
2026: 9 · 2025: 18 · 2024: 11 · 2023: 12 · 2022: 7 · 2021: 4
FWCI
4.13
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 › Applied Psychology › Psychological Testing and Assessment
  • Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Keywords
Neurobehavioral Symptom Inventory, traumatic brain injury, neurobehavioral symptoms, symptom severity assessment, reliability statistics, validity, symptom monitoring
MeSH terms
Brain Concussion, Humans, Military Personnel, Neuropsychological Tests, Veterans, Reproducibility of Results

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