Psychological predictors of functional outcomes in service members with traumatic brain injury

Ramanathan-Elion, Deepa M.; Baydoun, Hind A.; Johnstone, Brick

doi:10.1080/02699052.2020.1793387

Cited by 11Traumatic Brain Injury ResearchPosttraumatic Stress Disorder ResearchCognitive Functions and Memory

Psychological predictors of functional outcomes in service members with traumatic brain injury

Ramanathan-Elion, Deepa M., Baydoun, Hind A., Johnstone, Brick·2020·Brain Injury

DOI 10.1080/02699052.2020.1793387

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Abstract

Primary objective Research is increasingly demonstrating the significant impact that non-medical factors can have on outcomes of service members (SMs) with mild traumatic brain injury (mTBI). Thus, the current study examined which demographic, TBI-related factors, and psychological variables are most predictive of functional outcomes. Research design Retrospective database analysis from medical chart review. Methods and procedures One hundred forty-one patients who received rehabilitation services at an outpatient TBI military treatment facility between 2013 and 2018. Data collected included demographic variables, time since injury, neuropsychological measures, psychological diagnoses, Personality Assessment Inventory (PAI) scores, and Walter Reed Functional Impairment Scale (FIS). Hierarchical linear regression models were used to predict functional outcomes (measured by FIS total, work, social functioning scales). Main outcomes and results Results indicated that comorbid PTSD diagnosis and PAI Negative Impression Management (NIM) score were predictive of total functional, work, and social outcomes, over and above demographic and TBI-related factors. Conclusions Current findings confirmed the importance of evaluating and treating psychological factors, as well as exploring one's responding style (NIM), when managing chronic mTBI in SMs. Given ongoing findings of psychological underpinnings to mTBI outcome, there is further need to focus on early interventions to optimize psy…

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Gilmore, N. M., Miles, S. R., Sevigny, M., Klyce, D. W., Skop, K. M., Finn, J. A., Munger, E., Perrin, P. B., Ryan, J., Nakase‐Richardson, R., et al. (2026) · Journal of Head Trauma Rehabilitation · doi:10.1097/htr.0000000000001207

A Retrospective Study of Demographic, Medical, and Psychological Predictors of Readiness in Service Members With Mild Traumatic Brain Injury
Schneider, J. C., Hendrix-Bennett, F., Beydoun, H. A., & Johnstone, B. (2020) · Military Medicine · doi:10.1093/milmed/usaa274 · Cited by 4 · see citing works
Self-citation
Predicting military readiness using objective and subjective indices of neuropsychological impairment in service members with mild traumatic brain injury
Lesniak, E., Ramsey, K. G., Brady, C., Beydoun, H. A., & Johnstone, B. (2020) · Applied Neuropsychology Adult · doi:10.1080/23279095.2020.1855588 · Cited by 8 · see citing works
Self-citation
B-33Predictors of Neurobehavioral Outcome at 1-Year Following Military-Related Mild-Moderate Traumatic Brain Injury
Lippa, S. M., Brickell, T. A., French, L. M., Bailie, J. M., & Lange, R. T. (2016) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/acw043.108
Neuropsychological Profiles of Deployment-Related Mild Traumatic Brain Injury
de Souza, N. L., Lindsey, H. M., Dorman, K., Dennis, E. L., Kennedy, E., Menefee, D. S., Parrott, J. S., Jia, Y., Pugh, M. J., Walker, W. C., et al. (2024) · Neurology · doi:10.1212/wnl.0000000000209417 · Cited by 8 · see citing works
Factors associated with recovery from posttraumatic stress disorder in combat veterans: The role of deployment mild traumatic brain injury (mTBI).
Ord, A. S., Epstein, E. L., Shull, E. R., Taber, K. H., Martindale, S. L., & Rowland, J. A. (2022) · Rehabilitation Psychology · doi:10.1037/rep0000400 · Cited by 5 · see citing works

Authors: Ramanathan-Elion, D. M., Baydoun, H. A., & Johnstone, B.
Affiliations: Department of Behavioral Health, Fort Belvoir Intrepid Spirit Center, Fort Belvoir, Virginia, USA
Alexander T. Augusta Military Medical Center (US)
Shepherd Center (US)
ORCID: Baydoun, Hind A.
Johnstone, Brick
Venue: Brain Injury
Publisher: Informa UK Limited
Published: 2020-07-19
Volume: 34
Issue: 9
Pages: 1183-1192
ISSN: 0269-9052 (ISSN-L)
1362-301X
DOI: 10.1080/02699052.2020.1793387
OpenAlex: W3043134847
Cited by: 10
References: 70
Citations by year: 2026: 1 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 1
FWCI: 1.08
Type: journal article
Language: en
Open access: closed
Locations: Brain Injury (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
Keywords: mild traumatic brain injury, military personnel, functional outcome, psychological predictors, Personality Assessment Inventory, work functioning, social functioning, military rehabilitation
MeSH terms: Brain Injuries, Traumatic, Brain Concussion, Humans, Military Personnel, Personality Assessment, Retrospective Studies, Stress Disorders, Post-Traumatic

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Psychological predictors of functional outcomes in service members with traumatic brain injury

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