Self-report of psychological function among OEF/OIF personnel who also report combat-related concussion

Nathaniel W. Nelson; James B. Hoelzle; Kathryn A. McGuire; Anita H. Sim; Daniel J. Goldman; Amanda G. Ferrier-Auerbach; Molly J. Charlesworth; Paul A. Arbisi; Scott R. Sponheim

doi:10.1080/13854046.2011.579174

Self-report of psychological function among OEF/OIF personnel who also report combat-related concussion

Nathaniel W. Nelson
, James B. Hoelzle
, Kathryn A. McGuire
, Anita H. Sim
, Daniel J. Goldman
, Amanda G. Ferrier-Auerbach
, Molly J. Charlesworth
, Paul A. Arbisi
, Scott R. Sponheim

Psychiatry & Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

MMPI-2 RF profiles of 128 U.S. soldiers and veterans with history of concussion were examined. Participants evaluated in forensic (n = 42) and clinical (n = 43) settings showed significantly higher validity and clinical elevations relative to a research group (n = 43). In the full sample, a multivariate GLM identified main effects for disability claim status and Axis I diagnosis across numerous MMPI-2 RF scales. Participants with co-morbid PTSD and concussion showed significant Restructured Clinical and Specific Problem scale elevations relative to those without Axis I diagnosis. Participants with PTSD and active disability claims were especially prone to elevate on FBS/FBS-r and RBS. Implications for neuropsychologists who routinely administer the MMPI-2/RF in the context of combat-related concussion are discussed.

Original language	English (US)
Pages (from-to)	716-740
Number of pages	25
Journal	Clinical Neuropsychologist
Volume	25
Issue number	5
DOIs	https://doi.org/10.1080/13854046.2011.579174
State	Published - Jul 2011

Bibliographical note

Funding Information:
This study was supported in part by Grants funded by the Congressionally Directed Medical Research Programs (number PT074550, contract W81XWH-08-2-0038) to Scott R. Sponheim Ph.D. and the Minnesota Veterans Research Institute (MVRI) to Nathaniel W. Nelson, Ph.D.

Keywords

Concussion
Operations Enduring Freedom and Iraqi Freedom
Symptom validity

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10.1080/13854046.2011.579174

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abstract = "MMPI-2 RF profiles of 128 U.S. soldiers and veterans with history of concussion were examined. Participants evaluated in forensic (n = 42) and clinical (n = 43) settings showed significantly higher validity and clinical elevations relative to a research group (n = 43). In the full sample, a multivariate GLM identified main effects for disability claim status and Axis I diagnosis across numerous MMPI-2 RF scales. Participants with co-morbid PTSD and concussion showed significant Restructured Clinical and Specific Problem scale elevations relative to those without Axis I diagnosis. Participants with PTSD and active disability claims were especially prone to elevate on FBS/FBS-r and RBS. Implications for neuropsychologists who routinely administer the MMPI-2/RF in the context of combat-related concussion are discussed.",

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note = "Funding Information: This study was supported in part by Grants funded by the Congressionally Directed Medical Research Programs (number PT074550, contract W81XWH-08-2-0038) to Scott R. Sponheim Ph.D. and the Minnesota Veterans Research Institute (MVRI) to Nathaniel W. Nelson, Ph.D.",

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AU - Sim, Anita H.

AU - Goldman, Daniel J.

AU - Ferrier-Auerbach, Amanda G.

AU - Charlesworth, Molly J.

AU - Arbisi, Paul A.

AU - Sponheim, Scott R.

N1 - Funding Information: This study was supported in part by Grants funded by the Congressionally Directed Medical Research Programs (number PT074550, contract W81XWH-08-2-0038) to Scott R. Sponheim Ph.D. and the Minnesota Veterans Research Institute (MVRI) to Nathaniel W. Nelson, Ph.D.

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N2 - MMPI-2 RF profiles of 128 U.S. soldiers and veterans with history of concussion were examined. Participants evaluated in forensic (n = 42) and clinical (n = 43) settings showed significantly higher validity and clinical elevations relative to a research group (n = 43). In the full sample, a multivariate GLM identified main effects for disability claim status and Axis I diagnosis across numerous MMPI-2 RF scales. Participants with co-morbid PTSD and concussion showed significant Restructured Clinical and Specific Problem scale elevations relative to those without Axis I diagnosis. Participants with PTSD and active disability claims were especially prone to elevate on FBS/FBS-r and RBS. Implications for neuropsychologists who routinely administer the MMPI-2/RF in the context of combat-related concussion are discussed.

AB - MMPI-2 RF profiles of 128 U.S. soldiers and veterans with history of concussion were examined. Participants evaluated in forensic (n = 42) and clinical (n = 43) settings showed significantly higher validity and clinical elevations relative to a research group (n = 43). In the full sample, a multivariate GLM identified main effects for disability claim status and Axis I diagnosis across numerous MMPI-2 RF scales. Participants with co-morbid PTSD and concussion showed significant Restructured Clinical and Specific Problem scale elevations relative to those without Axis I diagnosis. Participants with PTSD and active disability claims were especially prone to elevate on FBS/FBS-r and RBS. Implications for neuropsychologists who routinely administer the MMPI-2/RF in the context of combat-related concussion are discussed.

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KW - Operations Enduring Freedom and Iraqi Freedom

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Self-report of psychological function among OEF/OIF personnel who also report combat-related concussion

Abstract

Bibliographical note

Keywords

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