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

Abstract

Our goal is to define the clinical phenotype of cognitive impairment in older veterans who have been exposed toTBI. Our hypothesis is that TBI in early to mid-life is associated with a clinical 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=298) had a history of head injury, with over 20% requiring hospitalization. Those with TBI were more likely to report mood, anxiety, substance use disorder, and PTSD symptoms over the course of their lifetime, have active PTSD symptoms, and have subjective memory complaints (all p < 0.05). A manuscript based on these results has been submitted to a peer-reviewed journal. Data collection for the cross-sectional study phase is finished (n=71 controls, n=75 TBI). The main analysis is complete and a manuscript describing the clinical phenotype of TBI in older veterans is nearly ready for submission. Another manuscript, detailing the neuropsychological results, is in preparation. The results of this study show that older veterans with past TBI have a specific clinical and neuropsychological phenotype, which has relevance for future treatment.

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Document Details

Document Type
Technical Report
Publication Date
Jun 01, 2015
Accession Number
ADA624475

Entities

People

  • Kristine Yaffe

Organizations

  • Northern California Institute for Research and Education

Tags

DTIC Thesaurus Topics

  • Alzheimer Disease
  • Anxiety Disorders
  • Brain Injuries
  • Cognitive Impairment
  • Dementia
  • Department Of Defense
  • Diseases And Disorders
  • Education
  • Head Injuries
  • Health Services
  • Hospitalizations
  • Institutional Review Board
  • Medical Personnel
  • Mental Processes
  • Neurodegeneration
  • Parkinson'S Disease
  • Traumatic Stress Disorder

Fields of Study

  • Medicine

Readers

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