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Louis M. French, PsyD; Rael T. Lange, PhD; Tracey Brickell, PysD

Subjective cognitive complaints and neuropsychological test performance following military-related traumatic brain injury. Louis M. French, PsyD; Rael T. Lange, PhD; Tracey Brickell, PysD. Aim

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Louis M. French, PsyD; Rael T. Lange, PhD; Tracey Brickell, PysD

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  1. Subjective cognitive complaints and neuropsychological test performancefollowing military-related traumatic brain injury Louis M. French, PsyD; Rael T. Lange, PhD; Tracey Brickell, PysD

  2. Aim • Examine relation between neuropsychological test performance and self-reported cognitive complaints following traumatic brain injury (TBI). • Relevance • TBI care focuses on ameliorating self-reported symptoms, modifying environmental factors, and improving clinician-observed deficits. • However, limitations of self-reported symptoms could reduce reliability of this information.

  3. Method • Participants • 109 U.S. servicemembers. • Completed neuropsychological evaluation within first 2 yr following mild–severe TBI. • Measures • Personality Assessment Inventory. • Posttraumatic Stress Disorder Symptom Checklist-Civilian version. • Neurobehavioral Symptom Inventory. • 17 measures corresponding to memory, attention/ concentration, and processing speed/organization.

  4. Results • Self-reported cognitive complaints: • Significantly correlated with psychological distress. • Not significantly correlated with overall neurocognitive functioning. • Low agreement between neurocognitive test scores and self-reported cognitive complaints. • For large minority of sample, self-reported cognitive complaints were reported in presence of neurocognitive test scores within normal limits.

  5. Conclusion • While self-reported cognitive complaints were not associated with neurocognitive test performance, they were associated with psychological distress. • These results provide information to contextualize cognitive complaints following TBI.

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