Abstract
Objective: Few studies have examined whether psychological distress and pain affect cognitive functioning in the acute to subacute phase (up to 30 days postinjury) following mild traumatic brain injury (mTBI). The current study explored whether acute posttraumatic stress, depression, and pain were associated with performance on a task of selective and sustained attention completed under conditions of increasing cognitive demands (standard, auditory distraction, and dual-task), and on tests of working memory, memory, processing speed, reaction time (RT), and verbal fluency. Method: At a mean of 2.87 days (SD = 2.32) postinjury, 50 adult mTBI participants, consecutive admissions to a Level 1 trauma hospital, completed neuropsychological tests and self-report measures of acute posttraumatic stress, depression, and pain. A series of canonical correlation analyses was used to explore the relationships of a common set of psychological variables to various sets of neuropsychological variables. Results: Significant results were found on the task of selective and sustained attention. Strong relationships were found between psychological variables and speed (rc = .56, p = .02) and psychological variables and accuracy (rc = .68, p = .002). Pain and acute posttraumatic stress were associated with higher speed scores (reflecting more correctly marked targets) under standard conditions. Acute posttraumatic stress was associated with lower accuracy scores across all task conditions. Moderate but nonsignificant associations were found between psychological variables and most cognitive tasks. Conclusions: Acute posttraumatic stress and pain show strong associations with selective and sustained attention following mTBI.
| Language | English |
|---|---|
| Pages | 530-542 |
| Number of pages | 13 |
| Journal | Neuropsychology |
| Volume | 29 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 1 Jul 2015 |
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An exploratory study of the association of acute posttraumatic stress, depression, and pain to cognitive functioning in mild traumatic brain injury. / Massey, Jessica S.; Meares, Susanne; Batchelor, Jennifer; Bryant, Richard A.
In: Neuropsychology, Vol. 29, No. 4, 01.07.2015, p. 530-542.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - An exploratory study of the association of acute posttraumatic stress, depression, and pain to cognitive functioning in mild traumatic brain injury
AU - Massey, Jessica S.
AU - Meares, Susanne
AU - Batchelor, Jennifer
AU - Bryant, Richard A.
PY - 2015/7/1
Y1 - 2015/7/1
N2 - Objective: Few studies have examined whether psychological distress and pain affect cognitive functioning in the acute to subacute phase (up to 30 days postinjury) following mild traumatic brain injury (mTBI). The current study explored whether acute posttraumatic stress, depression, and pain were associated with performance on a task of selective and sustained attention completed under conditions of increasing cognitive demands (standard, auditory distraction, and dual-task), and on tests of working memory, memory, processing speed, reaction time (RT), and verbal fluency. Method: At a mean of 2.87 days (SD = 2.32) postinjury, 50 adult mTBI participants, consecutive admissions to a Level 1 trauma hospital, completed neuropsychological tests and self-report measures of acute posttraumatic stress, depression, and pain. A series of canonical correlation analyses was used to explore the relationships of a common set of psychological variables to various sets of neuropsychological variables. Results: Significant results were found on the task of selective and sustained attention. Strong relationships were found between psychological variables and speed (rc = .56, p = .02) and psychological variables and accuracy (rc = .68, p = .002). Pain and acute posttraumatic stress were associated with higher speed scores (reflecting more correctly marked targets) under standard conditions. Acute posttraumatic stress was associated with lower accuracy scores across all task conditions. Moderate but nonsignificant associations were found between psychological variables and most cognitive tasks. Conclusions: Acute posttraumatic stress and pain show strong associations with selective and sustained attention following mTBI.
AB - Objective: Few studies have examined whether psychological distress and pain affect cognitive functioning in the acute to subacute phase (up to 30 days postinjury) following mild traumatic brain injury (mTBI). The current study explored whether acute posttraumatic stress, depression, and pain were associated with performance on a task of selective and sustained attention completed under conditions of increasing cognitive demands (standard, auditory distraction, and dual-task), and on tests of working memory, memory, processing speed, reaction time (RT), and verbal fluency. Method: At a mean of 2.87 days (SD = 2.32) postinjury, 50 adult mTBI participants, consecutive admissions to a Level 1 trauma hospital, completed neuropsychological tests and self-report measures of acute posttraumatic stress, depression, and pain. A series of canonical correlation analyses was used to explore the relationships of a common set of psychological variables to various sets of neuropsychological variables. Results: Significant results were found on the task of selective and sustained attention. Strong relationships were found between psychological variables and speed (rc = .56, p = .02) and psychological variables and accuracy (rc = .68, p = .002). Pain and acute posttraumatic stress were associated with higher speed scores (reflecting more correctly marked targets) under standard conditions. Acute posttraumatic stress was associated with lower accuracy scores across all task conditions. Moderate but nonsignificant associations were found between psychological variables and most cognitive tasks. Conclusions: Acute posttraumatic stress and pain show strong associations with selective and sustained attention following mTBI.
UR - http://www.scopus.com/inward/record.url?scp=84934436781&partnerID=8YFLogxK
U2 - 10.1037/neu0000192
DO - 10.1037/neu0000192
M3 - Article
VL - 29
SP - 530
EP - 542
JO - Neuropsychology
T2 - Neuropsychology
JF - Neuropsychology
SN - 0894-4105
IS - 4
ER -