Endophenotypes of Dementia Associated with Traumatic Brain Injury in Retired Military Personnel

Abstract

The goal of the project is to define the clinical phenotype of late life dementia in veterans who have been exposed to TBI. Our hypothesis is that TBI in early to mid life is associated with a dementia phenotype that has features distinguishable from AD. In the first year, we completed the screening survey portion of the study and found that over half of the veterans surveyed (n=289) had a history of head injury, with over 20% requiring hospitalization. Compared to those without TBI, those with TBI had higher levels of depression (61.3% for hospitalization group vs. 55.3% for head injury symptom group vs. 24.2% for non TBI group, P<0.001) and PTSD (37.1% for hospitalization group vs. 21.4% head injury symptoms group vs. 8.1% for non TBI group, P<0.001). We also found that TBI is associated with a higher history of psychiatric disorders and current cognitive symptoms. A manuscript based on these results is in preparation. Data is currently being collected for the crosssectional study phase of the project. The results will determine if a clinical phenotype of dementia in individuals with TBI exists, which has relevance for future treatment.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2013
Accession Number
ADA591181

Entities

People

  • Kristine Yaffe

Organizations

  • Northern California Institute for Research and Education

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Alzheimer Disease
  • Anxiety Disorders
  • Brain Injuries
  • Cognitive Impairment
  • Dementia
  • Diseases And Disorders
  • Head Injuries
  • Health Services
  • Institutional Review Board
  • Medical Personnel
  • Military Personnel
  • Neurodegeneration
  • Therapy
  • Traumatic Stress Disorder

Fields of Study

  • Medicine

Readers

  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.
  • Traumatic Brain Injury (TBI) and Cognitive Aging in the Guam and Border Populations Affected by Alzheimer's Disease and Tau-Associated Dementias.