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

  • Michael David Horner (a1), Jacobo E. Mintzer (a1), Travis H. Turner (a1), Keith R. Edmiston (a2) and Olga Brawman-Mintzer (a1)...
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.

Copyright
Corresponding author
*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 hornermd@musc.edu)
Footnotes
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This study was supported in part by the Department of Veterans Affairs.

Footnotes
Linked references
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.CR Brewin , JS Kleiner , JJ Vasterling , AP Field . Memory for emotionally neutral information in posttraumatic stress disorder: a meta-analytic investigation. J Abnorm Psychol. 2007; 116(3): 448463.

2.JJ Vasterling , M Verfaellie . Posttraumatic stress disorder: a neurocognitive perspective. J Int Neuropsychol Soc. 2009; 15(6): 826829.

3.MD Horner , MB Hamner . Neurocognitive functioning in posttraumatic stress disorder. Neuropsychol Rev. 2002; 12(1): 1530.

4.BC Frueh , PB Gold , MA de Arellano . Symptom overreporting in combat veterans evaluated for PTSD: differentiation on the basis of compensation seeking status. J Pers Assess. 1997; 68: 369384.

5.BC Frueh , MB Hamner , SP Cahill , PB Gold , KL Hamlin . Apparent symptom overreporting in combat veterans evaluated for PTSD. Clin Psychol Rev. 2000; 20: 853885.

6.MW Gilbertson , TV Gurvits , NB Lasko , SP Orr , RK Pitman . Multivariate assessment of explicit memory function in combat veterans with posttraumatic stress disorder. J Trauma Stress. 2001; 14(2): 413432.

7.BP Marx , K Brailey , SP Proctor , 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.

8.KW Samuelson , TC Neylan , TJ Metzler , etal. Neuropsychological functioning in posttraumatic stress disorder and alcohol abuse. Neuropsychology. 2006; 20(6): 716726.

9.JJ Vasterling , LM Duke , K Brailey , etal. Attention, learning, and memory performances and intellectual resources in Vietnam veterans: PTSD and no disorder comparisons. Neuropsychology. 2002; 16(1): 514.

10.SH Woodward , DG Kaloupek , LJ Grande , etal. Hippocampal volume and declarative memory function in combat-related PTSD. J Int Neuropsychol Soc. 2009; 15(6): 830839.

11.E Eren-Kocak , C Kilic , I Aydin , FG Hizli . Memory and prefrontal functions in earthquake survivors: differences between current and past post-traumatic stress disorder patients. Acta Psychiatr Scand. 2009; 119: 3544.

12.J Hart , T Kimbrell , P Fauver , etal. Cognitive dysfunctions associated with PTSD: evidence from World War II prisoners of war. J Neuropsychiatry Clin Neurosci. 2008; 20(3): 309316.

13.P Kanagaratnam , AE Asbjornsen . Executive deficits in chronic PTSD related to political violence. J Anxiety Disord. 2007; 21: 510525.

14.LP Leskin , PM White . Attentional networks reveal executive function deficits in posttraumatic stress disorder. Neuropsychology. 2007; 21(3): 275284.

15.EW Twamley , CB Allard , SR Thorp , etal. Cognitive impairment and functioning in PTSD related to intimate partner violence. J Int Neuropsychol Soc. 2009; 15(6): 879887.

17.D Brandes , G Ben-Schachar , A Gilboa , et al. PTSD symptoms and cognitive performance in recent trauma survivors. Psychiatry Res. 2002; 110(3): 231238.

18.TA Crowell , KM Kieffer , CA Siders , RD Vanderploeg . Neuropsychological findings in combat-related posttraumatic stress disorder. Clin Neuropsychol. 2002; 16(3): 310321.

19.TC Neylan , M Lenoci , J Rothlind , etal. Attention, learning, and memory in posttraumatic stress disorder. J Trauma Stress. 2004; 17(1): 4146.

20.MB Stein , CM Kennedy , EW Twamley . Neuropsychological function in female victims of intimate partner violence with and without posttraumatic stress disorder. Biol Psychiatry. 2002; 52(11): 10791088.

21.GJ Demakis , RO Gervais , ML Rohling . 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.

30.W Mittenberg , C Patton , EM Canyock , DC Condit . Base rates of malingering and symptom exaggeration. J. C. Exp. Neuropsychol. 2002; 24(8): 10941102.

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CNS Spectrums
  • ISSN: 1092-8529
  • EISSN: 2165-6509
  • URL: /core/journals/cns-spectrums
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