Traumatic Brain Injury and PTSD Screening Efforts Evaluated Using Latent Class Analysis

Abstract

The objective of this study was to empirically identify latent classes according to persistent postconcussive symptom patterns among 12,581 combat-exposed male service members. A secondary objective was to characterize identified classes to better understand the experiences and disorders associated with class membership. Persistent postconcussive symptoms reported by Marines and sailors on the Post-Deployment Health Reassessment were used as manifest variables in a latent class analysis, yielding 4 distinct classes: systemic, co-morbid, psychological, and nonpresenting. While the nonpresenting class endorsed few or no postconcussive symptoms, members of the comorbid class had an increased likelihood of reporting a wide range of symptoms. Characterization of the 4 classes suggested that these classes approximate populations defined by the presence or absence of traumatic brain injury and/or posttraumatic stress disorder. These findings can be used to guide clinicians in categorizing patients into systemic, psychological, and comorbid symptom groupings to facilitate planning and providing of the appropriate treatment.

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Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2014
Accession Number
ADA620646

Entities

People

  • Andrew J. MacGregor
  • Caroline A. MacEra
  • Hilary J. Aralis
  • Mitchell Rauh

Organizations

  • Naval Health Research Center

Tags

DTIC Thesaurus Topics

  • Brain Injuries
  • Diseases And Disorders
  • Factor Analysis
  • Health Care
  • Health Services
  • Medical Personnel
  • Military Personnel
  • Pain
  • Psychiatry
  • Psychology
  • Therapy
  • Traumatic Stress Disorder

Fields of Study

  • Medicine
  • Psychology

Readers

  • Gulf War Illness and Chronic Multisymptom Illness in Veterans.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.
  • Regression Analysis.