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Streamlining screening of emotional function in Veterans with traumatic brain injury.

PMID: 29508388 (view PubMed database entry)
DOI: 10.1002/jclp.22595 (read at publisher's website )

Jennifer M Flaherty, Robert J Spencer, Lauren L Drag, Percival H Pangilinan, Linas A Bieliauskas,

OBJECTIVES:This study examined how depression, anxiety, and sleep items from the Neurobehavioral Symptom Inventory (NSI) predict results from longer inventories. METHOD:This was a retrospective review from 484, predominantly male (96.1%) Veterans, mean age 29.7 years, who underwent brief neuropsychological screening during a comprehensive, multidisciplinary evaluation for mild traumatic brain injury (TBI). Participants completed the NSI, insomnia severity index (ISI), and hospital anxiety and depression scale (HADS). RESULTS:OVERALL,: 97.1% who endorsed "severe"/"very severe" anxiety on the NSI had significant anxiety on the HADS; 85% reporting "severe"/"very severe" depression on the NSI, had significant depression on the HADS; and 97.7% reporting "severe"/"very severe" sleep problems on the NSI, had significant sleep difficulties on the ISI. CONCLUSION:Close correspondence between "severe"/"very severe" symptoms on the NSI and lengthier checklists suggests additional checklists may be eliminated and individuals can be referred for mental health treatment. NSI reports of "mild"/"moderate" require further screening.

J Clin Psychol (Journal of clinical psychology)
[2018, 74(7):1281-1292]

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