@article{ref1,
title="Psychiatric comorbidity effects on compensatory cognitive training outcomes for veterans with traumatic brain injuries",
journal="Rehabilitation psychology",
year="2015",
author="Walter, Kristen H. and Jak, Amy J. and Twamley, Elizabeth W.",
volume="60",
number="3",
pages="303-308",
abstract="OBJECTIVE: To investigate the influence of posttraumatic stress disorder (PTSD) diagnosis, and PTSD and depression severity, on the postconcussive symptom trajectory over the course of a 1-year study period. RESEARCH DESIGN: Secondary analysis of a randomized controlled trial comparing veterans who received supported employment combined with compensatory cognitive training to those who received supported employment only. Assessments were conducted at baseline, 3- (postintervention), 6-, and 12-months. Participants were 50 Operation Enduring and Iraqi Freedom (OEF/OIF) veterans with a history of mild to moderate traumatic brain injury (TBI) who were unemployed, seeking work, and who had neuropsychological impairment. Of all participants, 74% met diagnostic criteria for PTSD. All participants received supported employment and half of the sample also received Cognitive Symptom Management and Rehabilitation Therapy (CogSMART), a 12-session, manualized compensatory cognitive training intervention. <br><br>RESULTS: Veterans with PTSD and greater depression severity endorsed significantly more severe postconcussive symptomatology at all assessment time points. However, the rate of CogSMART-associated improvement in postconcussive symptoms did not differ as a result of psychiatric symptomatology. <br><br>CONCLUSION: Study results suggest that for veterans with a history of mild to moderate TBI, presence of comorbid PTSD or depressive symptoms should not preclude participation in cognitive rehabilitation interventions. (PsycINFO Database Record<p /> <p>Language: en</p>",
language="en",
issn="0090-5550",
doi="10.1037/rep0000049",
url="http://dx.doi.org/10.1037/rep0000049"
}