Journal of Rehabilitation Research & Development (JRRD)

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Volume 49 Number 7, 2012
   Pages 971 — 984

Abstract — Multisensory impairment reported by veterans with and without mild traumatic brain injury history

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Terri K. Pogoda, PhD;1-2* Ann M. Hendricks, PhD;2-3 Katherine M. Iverson, PhD;1,4 Kelly L. Stolzmann, MS;1 Maxine H. Krengel, PhD;5 Errol Baker, PhD;1 Mark Meterko, PhD;1-2 Henry L. Lew, MD, PhD6

1Center for Organization, Leadership and Management Research, Department of Veterans Affairs (VA) Boston Healthcare System, Boston, MA; 2Department of Health Policy and Management, Boston University School of Public Health, Boston, MA; 3Health Care Financing and Economics, VA Boston Healthcare System, Boston, MA; 4Women’s Health Sciences Division, National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, Boston, MA; and Department of Psychiatry, Boston University School of Medicine, Boston, MA; 5Research Service, VA Boston Healthcare System, Boston, MA; and Department of Neurology, Boston University School of Medicine, Boston, MA; 6University of Hawai'i at , John A. Burns School of Medicine, Honolulu, HI; and 5Defense and Veterans Brain Injury Center, Richmond, VA

Abstract — With the use of Veterans Health Administration and Department of Defense databases of veterans who completed a Department of Veterans Affairs comprehensive traumatic brain injury (TBI) evaluation, the objectives of this study were to (1) identify the co-occurrence of self-reported auditory, visual, and vestibular impairment, referred to as multisensory impairment (MSI), and (2) examine demographic, deployment-related, and mental health characteristics that were potentially predictive of MSI. Our sample included 13,746 veterans with either a history of deployment-related mild TBI (mTBI) (n = 9,998) or no history of TBI (n = 3,748). The percentage of MSI across the sample was 13.9%, but was 17.4% in a subsample with mTBI history that experienced both nonblast and blast injuries. The factors that were significantly predictive of reporting MSI were older age, being female, lower rank, and etiology of injury. Deployment-related mTBI history, posttraumatic stress disorder, and depression were also significantly predictive of reporting MSI, with mTBI history the most robust after adjusting for these conditions. A better comprehension of impairments incurred by deployed servicemembers is needed to fully understand the spectrum of blast and nonblast dysfunction and may allow for more targeted interventions to be developed to address these issues.

Key words: Afghanistan, blast injuries, brain injuries, depression, hearing impairment, Iraq, multisensory impairment, nonblast injuries, posttraumatic stress disorder, vestibular impairment, veterans, vision impairment.


View HTML  ¦  View PDF  ¦  Contents Vol. 49, No. 7

This article and any supplementary material should be cited as follows:
Pogoda TK, Hendricks AM, Iverson KM, Stolzmann KL, Krengel MH, Baker E, Meterko M, Lew HL. Multisensory impairment reported by veterans with and without mild traumatic brain injury history.
J Rehabil Res Dev. 2012;49(7):971-84.
http://dx.doi.org/10.1682/JRRD.2011.06.0099

ResearcherID: Terri K. Pogoda, PhD: F-6243-2012

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Last Reviewed or Updated  Wednesday, October 24, 2012 12:26 PM

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