Journal article
Screening for Mild Traumatic Brain Injury in the Presence of Psychiatric Comorbidities
Archives of physical medicine and rehabilitation, Vol.91(7), pp.1082-1086
2010
DOI: 10.1016/j.apmr.2010.03.018
PMID: 20599047
Abstract
Chapman JC, Andersen AM, Roselli LA, Meyers NM, Pincus JH. Screening for mild traumatic brain injury in the presence of psychiatric comorbidities.
To determine whether or not a battery of neurobehavioral tests, the Brief Objective Neurobehavioral Detector (BOND), could detect mild traumatic brain injury (mTBI) among a group of psychiatric inpatients with numerous substance-related and medical comorbidities. The 16-item BOND is comprised of neurologic examination tasks and has been shown to correlate with radiologic and cognitive findings in previous studies.
Masked comparison.
Inpatient psychiatric unit at the Veterans Affairs Medical Center in Washington, DC.
Patients (N=51) sequentially admitted for suicidal ideation in the context of various psychiatric disorders.
No intervention.
BOND total and subtest scores.
Forty-three patients were eligible and analyzed. Twenty-seven had sustained an mTBI in the distant past, and 16 had never sustained a traumatic brain injury (TBI) (non-TBI group). On average, the mTBI group demonstrated a significantly greater number of abnormal subtests on the BOND (mean, 7.22) than did the non-TBI group (mean, 4.50;
P=.003). Although the BOND significantly correlated with the presence of mTBI, it did not correlate with any of the psychiatric, substance-related, or medical comorbidities. Multiple regressions indicated that the BOND total score was not explained by age, posttraumatic stress disorder diagnosis, or any combination of the psychiatric, substance-related, or medical comorbidities. High rates of sensitivity (70%) and specificity (69%) were found.
The results of this pilot study suggest that the inexpensive, brief, and objective BOND instrument may be a useful screening tool for the detection of subtle neurologic brain abnormalities after mTBI, even in the presence of substantial comorbidities.
Details
- Title: Subtitle
- Screening for Mild Traumatic Brain Injury in the Presence of Psychiatric Comorbidities
- Creators
- Julie C Chapman - War Related Illness and Injury Study Center, Veterans Affairs Medical Center, Washington, DCAllan M Andersen - Department of Psychiatry, Georgetown University School of Medicine, Washington, DCLauren A Roselli - War Related Illness and Injury Study Center, Veterans Affairs Medical Center, Washington, DCNoah M Meyers - War Related Illness and Injury Study Center, Veterans Affairs Medical Center, Washington, DCJonathan H Pincus - Neurology Service, Veterans Affairs Medical Center, Washington, DC
- Resource Type
- Journal article
- Publication Details
- Archives of physical medicine and rehabilitation, Vol.91(7), pp.1082-1086
- DOI
- 10.1016/j.apmr.2010.03.018
- PMID
- 20599047
- NLM abbreviation
- Arch Phys Med Rehabil
- ISSN
- 0003-9993
- eISSN
- 1532-821X
- Publisher
- Elsevier Inc
- Grant note
- SHP-08-167 / Department of Veterans Affairs, Veterans Health Administration Health Services Research and Development Service
- Language
- English
- Date published
- 2010
- Academic Unit
- Psychiatry
- Record Identifier
- 9984003964702771
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