Abstract
Objective: To examine the potential moderating effects of mental health symptoms on the efficacy of compensatory cognitive training (CCT) for Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn veterans with a history of mild traumatic brain injury (mTBI). Design: Secondary analysis of a randomized controlled trial of CCT. Posttraumatic stress disorder, depression, and substance dependence symptom severity were examined as potential moderators of CCT efficacy for subjective cognitive complaints, use of cognitive strategies, and objective neurocognitive performance. Setting: Three Veterans Affairs medical centers. Participants: Participants included veterans with history of mTBI (N=119): 50 participated in CCT and 69 received usual care (UC). Intervention: CCT is a 10-week group-based (90 minutes per session) manualized cognitive rehabilitation intervention. Main Outcome Measures: Objective (neuropsychological functioning) and subjective (self-report) cognitive functioning and use of cognitive strategies. Results: Baseline mental health symptoms did not moderate CCT efficacy: veterans who received CCT reported significantly greater improvement in cognitive difficulties and use of cognitive strategies compared with the UC group, regardless of baseline mental health symptom severity. The CCT group also demonstrated significant improvements on neuropsychological measures of attention, learning, and executive functioning compared with the UC group, regardless of baseline mental health symptom severity. Conclusions: CCT is efficacious for improving objective cognitive functioning and compensatory strategy use for veterans with a history of mTBI, regardless of the severity of comorbid psychiatric symptoms.
| Original language | English (US) |
|---|---|
| Journal | Archives of Physical Medicine and Rehabilitation |
| DOIs | |
| State | Accepted/In press - 2017 |
Fingerprint
Keywords
- Brain injuries
- Cognition
- Depression
- Post-traumatic
- Rehabilitation
- Stress disorders, memory
- Substance-related disorders
- Veterans
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
Cite this
Mental Health Does Not Moderate Compensatory Cognitive Training Efficacy for Veterans With a History of Mild Traumatic Brain Injury. / Pagulayan, Kathleen F.; O'Neil, Maya; Williams, Rhonda M.; Turner, Aaron P.; Golshan, Shahrokh; Roost, Mai S.; Laman-Maharg, Benjamin; Huckans, Marilyn; Storzbach, Daniel; Twamley, Elizabeth W.
In: Archives of Physical Medicine and Rehabilitation, 2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Mental Health Does Not Moderate Compensatory Cognitive Training Efficacy for Veterans With a History of Mild Traumatic Brain Injury
AU - Pagulayan, Kathleen F.
AU - O'Neil, Maya
AU - Williams, Rhonda M.
AU - Turner, Aaron P.
AU - Golshan, Shahrokh
AU - Roost, Mai S.
AU - Laman-Maharg, Benjamin
AU - Huckans, Marilyn
AU - Storzbach, Daniel
AU - Twamley, Elizabeth W.
PY - 2017
Y1 - 2017
N2 - Objective: To examine the potential moderating effects of mental health symptoms on the efficacy of compensatory cognitive training (CCT) for Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn veterans with a history of mild traumatic brain injury (mTBI). Design: Secondary analysis of a randomized controlled trial of CCT. Posttraumatic stress disorder, depression, and substance dependence symptom severity were examined as potential moderators of CCT efficacy for subjective cognitive complaints, use of cognitive strategies, and objective neurocognitive performance. Setting: Three Veterans Affairs medical centers. Participants: Participants included veterans with history of mTBI (N=119): 50 participated in CCT and 69 received usual care (UC). Intervention: CCT is a 10-week group-based (90 minutes per session) manualized cognitive rehabilitation intervention. Main Outcome Measures: Objective (neuropsychological functioning) and subjective (self-report) cognitive functioning and use of cognitive strategies. Results: Baseline mental health symptoms did not moderate CCT efficacy: veterans who received CCT reported significantly greater improvement in cognitive difficulties and use of cognitive strategies compared with the UC group, regardless of baseline mental health symptom severity. The CCT group also demonstrated significant improvements on neuropsychological measures of attention, learning, and executive functioning compared with the UC group, regardless of baseline mental health symptom severity. Conclusions: CCT is efficacious for improving objective cognitive functioning and compensatory strategy use for veterans with a history of mTBI, regardless of the severity of comorbid psychiatric symptoms.
AB - Objective: To examine the potential moderating effects of mental health symptoms on the efficacy of compensatory cognitive training (CCT) for Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn veterans with a history of mild traumatic brain injury (mTBI). Design: Secondary analysis of a randomized controlled trial of CCT. Posttraumatic stress disorder, depression, and substance dependence symptom severity were examined as potential moderators of CCT efficacy for subjective cognitive complaints, use of cognitive strategies, and objective neurocognitive performance. Setting: Three Veterans Affairs medical centers. Participants: Participants included veterans with history of mTBI (N=119): 50 participated in CCT and 69 received usual care (UC). Intervention: CCT is a 10-week group-based (90 minutes per session) manualized cognitive rehabilitation intervention. Main Outcome Measures: Objective (neuropsychological functioning) and subjective (self-report) cognitive functioning and use of cognitive strategies. Results: Baseline mental health symptoms did not moderate CCT efficacy: veterans who received CCT reported significantly greater improvement in cognitive difficulties and use of cognitive strategies compared with the UC group, regardless of baseline mental health symptom severity. The CCT group also demonstrated significant improvements on neuropsychological measures of attention, learning, and executive functioning compared with the UC group, regardless of baseline mental health symptom severity. Conclusions: CCT is efficacious for improving objective cognitive functioning and compensatory strategy use for veterans with a history of mTBI, regardless of the severity of comorbid psychiatric symptoms.
KW - Brain injuries
KW - Cognition
KW - Depression
KW - Post-traumatic
KW - Rehabilitation
KW - Stress disorders, memory
KW - Substance-related disorders
KW - Veterans
UR - http://www.scopus.com/inward/record.url?scp=85021234878&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85021234878&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2017.04.009
DO - 10.1016/j.apmr.2017.04.009
M3 - Article
C2 - 28483653
AN - SCOPUS:85021234878
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
ER -