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Cited by 21Traumatic Brain Injury ResearchPosttraumatic Stress Disorder ResearchLong-Term Effects of COVID-19

Neuropsychological Performance and Subjective Symptom Reporting in Military Service Members With a History of Multiple Concussions: Comparison With a Single Concussion, Posttraumatic Stress Disorder, and Orthopedic Trauma

Cooper, Douglas B., Curtiss, Glenn, Armistead-Jehle, Patrick, Belanger, Heather G., Tate, David F., Reid, Matthew, Bowles, Amy O., Velez, Carmen S. +2 more·2018·Journal of Head Trauma Rehabilitation
DOI 10.1097/htr.0000000000000375
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Abstract

Objective To examine differences in objective neurocognitive performance and subjective cognitive symptoms in individuals with a history of a single concussion, multiple concussions, orthopedic injuries, and posttraumatic stress disorder (PTSD). Method Participants included 116 military service members who sustained a mild traumatic brain injury (mTBI) during combat deployment. Subjects were subdivided into groups based on concussion frequency: a single concussion (n = 42), 2 concussions (n = 21), and 3 or more concussions (n = 53). Eighty-one subjects sustained an orthopedic injury (n = 60) during deployment or were diagnosed with PTSD (n = 21), but had no history of mTBI. Subjects completed a battery of neuropsychological tests and self-report measures of postconcussive symptoms, PTSD symptoms, and psychopathology. Results No differences were found among the concussion groups on a composite neuropsychological measure. The PTSD group had the highest number of symptom complaints, with the 2-concussion and 3-plus-concussion groups being most similar to the PTSD group. The concussion groups showed a nonsignificant pattern of increasing distress with increasing number of concussions. Conclusions The current findings are consistent with meta-analytic results showing no differential effect on neuropsychological functioning due to multiple concussions. Results also support the burden of adversity hypothesis suggesting increasing symptom levels with increasing psychological or physi…

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  • The literature remains inconclusive on whether repeated mTBI affects objective cognitive performance, as many studies have failed to demonstrate an effect.

    “However, the literature remains inconclusive, as many other studies have failed to demonstrate an effect of repeated mTBI on objective cognitive performance”

    From Can mild traumatic brain injury alter cognition chronically? A LIMBIC-CENC multicenter study. (2023) · cites this paper as Cooper et al., 2018

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Authors
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.
Affiliations
Brooke Army Medical Center (US)
ORCID
Venue
Journal of Head Trauma Rehabilitation
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2018-03
Volume
33
Issue
2
Pages
81-90
ISSN
0885-9701 (ISSN-L)
DOI
10.1097/htr.0000000000000375
OpenAlex
W2794268524
Cited by
21
References
43
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 5 · 2021: 4 · 2020: 6 · 2019: 2 · 2018: 1
FWCI
2.55
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Head Trauma Rehabilitation (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
multiple concussions, mild traumatic brain injury, post-traumatic stress disorder, orthopedic trauma, military personnel, combat deployment, neuropsychological performance, post-concussion symptoms, cumulative trauma, psychological distress
MeSH terms
Adult, Brain Concussion, Female, Humans, Male, Military Personnel, Multiple Trauma, Musculoskeletal System, Neuropsychological Tests, Stress Disorders, Post-Traumatic, Post-Concussion Syndrome, Young Adult, Self Report, Symptom Assessment

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