The Influence of Medical Evaluation Board Status on Symptom Reporting Among Service Members with Traumatic Brain Injury
Abstract
A medical evaluation board (MEB) is initiated by command to determine whether a service member (SM) with medic al condition(s) is fit or unfit to perform his or her assigned duties. The results of MEB exams are evaluated to return the SM back to duty or to medically separate him or her. Because a MEB could result in a medical discharge from the military, some SM might diminish the severity of their symptoms out of fear of being discharged. Alternatively, SM might be influenced to exaggerate his or he r symptoms in order to receive more benefits. We examined whether MEB status of SM with traumatic brain injury (TBI) influenced scores on two measures of inflated symptom reporting: The Neurobehavioral Symptom Inventory (NSI) validity-10 index, which is composed of symptoms infrequently endorsed by patients with mild TBI, and the Mild Brain Injury Atypical Symptoms scale (MBIAS), which is composed of neurologically improbable symptoms following mild TBI.
Document Details
- Document Type
- Technical Report
- Publication Date
- Apr 21, 2017
- Accession Number
- AD1037522
Entities
People
- Douglas B Cooper
- Jan E. Kennedy
- Jennifer E. Tsagaratos
- Lisa H. Lu
- Matthew W. Reid
Organizations
- San Antonio Military Medical Center