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Attentional functioning in patients with posttraumatic stress disorder: a preliminary study

Published online by Cambridge University Press:  08 January 2013

Michael David Horner*
Affiliation:
Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, South Carolina, USA; Medical University of South Carolina, Charleston, South Carolina, USA
Jacobo E. Mintzer
Affiliation:
Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, South Carolina, USA; Medical University of South Carolina, Charleston, South Carolina, USA
Travis H. Turner
Affiliation:
Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, South Carolina, USA; Medical University of South Carolina, Charleston, South Carolina, USA
Keith R. Edmiston
Affiliation:
College of Charleston, Charleston, South Carolina, USA
Olga Brawman-Mintzer
Affiliation:
Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, South Carolina, USA; Medical University of South Carolina, Charleston, South Carolina, USA
*
*Address for correspondence: Michael David Horner, PhD, Mental Health Service (116), Ralph H. Johnson VA Medical Center, 109 Bee St., Charleston, SC 29401, USA. (Email [email protected])

Abstract

Objective

To compare patients with posttraumatic stress disorder (PTSD) to patients without psychiatric or cognitive disorders on neuropsychological measures of attention.

Methods

The sample included 19 patients with PTSD and 22 participants with no cognitive or psychiatric diagnosis. All had been referred for clinical neuropsychological evaluation at a VA Medical Center. None were diagnosed with dementia, delirium, or current substance dependence except nicotine or caffeine, and none had a history of stroke or of traumatic brain injury with loss of consciousness. Patients were excluded if they failed to exert adequate effort on testing.

Results

PTSD patients performed significantly more poorly than patients without psychiatric diagnoses on Digit Span.

Conclusion

PTSD patients were impaired relative to participants without psychiatric diagnoses on a measure of focused attention. Several factors, including the small sample size, suggest that the results should be considered preliminary.

Type
Original Research
Copyright
Copyright © Cambridge University Press 2012

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Footnotes

This study was supported in part by the Department of Veterans Affairs.

References

1.Brewin, CR, Kleiner, JS, Vasterling, JJ, Field, AP. Memory for emotionally neutral information in posttraumatic stress disorder: a meta-analytic investigation. J Abnorm Psychol. 2007; 116(3): 448463.CrossRefGoogle ScholarPubMed
2.Vasterling, JJ, Verfaellie, M. Posttraumatic stress disorder: a neurocognitive perspective. J Int Neuropsychol Soc. 2009; 15(6): 826829.CrossRefGoogle ScholarPubMed
3.Horner, MD, Hamner, MB. Neurocognitive functioning in posttraumatic stress disorder. Neuropsychol Rev. 2002; 12(1): 1530.CrossRefGoogle ScholarPubMed
4.Frueh, BC, Gold, PB, de Arellano, MA. Symptom overreporting in combat veterans evaluated for PTSD: differentiation on the basis of compensation seeking status. J Pers Assess. 1997; 68: 369384.CrossRefGoogle ScholarPubMed
5.Frueh, BC, Hamner, MB, Cahill, SP, Gold, PB, Hamlin, KL. Apparent symptom overreporting in combat veterans evaluated for PTSD. Clin Psychol Rev. 2000; 20: 853885.CrossRefGoogle ScholarPubMed
6.Gilbertson, MW, Gurvits, TV, Lasko, NB, Orr, SP, Pitman, RK. Multivariate assessment of explicit memory function in combat veterans with posttraumatic stress disorder. J Trauma Stress. 2001; 14(2): 413432.CrossRefGoogle ScholarPubMed
7.Marx, BP, Brailey, K, Proctor, SP, etal. Association of time since deployment, combat intensity, and posttraumatic stress symptoms with neuropsychological outcomes following Iraq war deployment. Arch Gen Psychiatry. 2009; 66(9): 9961004.CrossRefGoogle ScholarPubMed
8.Samuelson, KW, Neylan, TC, Metzler, TJ, etal. Neuropsychological functioning in posttraumatic stress disorder and alcohol abuse. Neuropsychology. 2006; 20(6): 716726.CrossRefGoogle ScholarPubMed
9.Vasterling, JJ, Duke, LM, Brailey, K, etal. Attention, learning, and memory performances and intellectual resources in Vietnam veterans: PTSD and no disorder comparisons. Neuropsychology. 2002; 16(1): 514.CrossRefGoogle ScholarPubMed
10.Woodward, SH, Kaloupek, DG, Grande, LJ, etal. Hippocampal volume and declarative memory function in combat-related PTSD. J Int Neuropsychol Soc. 2009; 15(6): 830839.CrossRefGoogle ScholarPubMed
11.Eren-Kocak, E, Kilic, C, Aydin, I, Hizli, FG. Memory and prefrontal functions in earthquake survivors: differences between current and past post-traumatic stress disorder patients. Acta Psychiatr Scand. 2009; 119: 3544.CrossRefGoogle ScholarPubMed
12.Hart, J, Kimbrell, T, Fauver, P, etal. Cognitive dysfunctions associated with PTSD: evidence from World War II prisoners of war. J Neuropsychiatry Clin Neurosci. 2008; 20(3): 309316.CrossRefGoogle ScholarPubMed
13.Kanagaratnam, P, Asbjornsen, AE. Executive deficits in chronic PTSD related to political violence. J Anxiety Disord. 2007; 21: 510525.CrossRefGoogle ScholarPubMed
14.Leskin, LP, White, PM. Attentional networks reveal executive function deficits in posttraumatic stress disorder. Neuropsychology. 2007; 21(3): 275284.CrossRefGoogle ScholarPubMed
15.Twamley, EW, Allard, CB, Thorp, SR, etal. Cognitive impairment and functioning in PTSD related to intimate partner violence. J Int Neuropsychol Soc. 2009; 15(6): 879887.CrossRefGoogle ScholarPubMed
16.Yaffe, K, Vittinghoff, E, Lindquist, K, et al. Post-traumatic stress disorder and risk of dementia among U.S. veterans. Paper presented at: Alzheimer's Association International Conference on Alzheimer's Disease (ICAD); July 11-16, 2009; Vienna, Austria.Google Scholar
17.Brandes, D, Ben-Schachar, G, Gilboa, A, et al. PTSD symptoms and cognitive performance in recent trauma survivors. Psychiatry Res. 2002; 110(3): 231238.CrossRefGoogle ScholarPubMed
18.Crowell, TA, Kieffer, KM, Siders, CA, Vanderploeg, RD. Neuropsychological findings in combat-related posttraumatic stress disorder. Clin Neuropsychol. 2002; 16(3): 310321.CrossRefGoogle ScholarPubMed
19.Neylan, TC, Lenoci, M, Rothlind, J, etal. Attention, learning, and memory in posttraumatic stress disorder. J Trauma Stress. 2004; 17(1): 4146.CrossRefGoogle ScholarPubMed
20.Stein, MB, Kennedy, CM, Twamley, EW. Neuropsychological function in female victims of intimate partner violence with and without posttraumatic stress disorder. Biol Psychiatry. 2002; 52(11): 10791088.CrossRefGoogle ScholarPubMed
21.Demakis, GJ, Gervais, RO, Rohling, ML. The effect of failure on cognitive and psychological symptom validity tests in litigants with symptoms of post-traumatic stress disorder. Clin Neuropsychol. 2008; 22(5): 879895.CrossRefGoogle ScholarPubMed
22.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed, text revision (DSM-IV-TR) Washington, DC: American Psychiatric Association; 2000.Google Scholar
23.Tombaugh, TN. Test of Memory Malingering (TOMM) <anual. North Tonawanda, NY: Multi-Health Systems, Inc.; 1996.Google Scholar
24.Green, P. Word Memory Test Manual for Windows: User's Manual. Edmonton, AB, Canada: Green's Publishing; 2003.Google Scholar
25.Strauss, E, Sherman, EMS, Spreen, O. A Compendium of Neuropsychological Tests: Administration, Norms, and Commentary, 3rd ed. New York: Oxford University Press; 2006.Google Scholar
26.Boone, KB, Salazar, X, Lu, P, Warner-Chacon, K, Razani, J. The Rey 15-Item Recognition Trial: a technique to enhance sensitivity of the Rey 15-Item Memorization Test. J. C. Exp. Neuropsychol. 2002; 24(5): 561573.CrossRefGoogle Scholar
27.Wechsler, D. Wechsler Memory Scale, 3rd ed. (WMS-III). San Antonio, TX: The Psychological Corporation, Harcourt Brace & Company; 1997.Google Scholar
28.Reitan, RM, Wolfson, D. The Halstead-Reitan Neuropsychological Test Battery. Tucson, AZ: Neuropsychology Press; 1985.Google Scholar
29.Lezak, MD, Howieson, DB, Loring, DW. Neuropsychological Assessment, 4th ed. New York: Oxford University Press; 2004.Google Scholar
30.Mittenberg, W, Patton, C, Canyock, EM, Condit, DC. Base rates of malingering and symptom exaggeration. J. C. Exp. Neuropsychol. 2002; 24(8): 10941102.CrossRefGoogle ScholarPubMed