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Memory and attention in combat-related post-traumatic stress disorder (PTSD)

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Abstract

Vietnam combat veterans assigned diagnoses of PTSD were compared on measures of attention/concentration, new learning, and memory with Army National Guard enlistees who reported no unusual traumatic events or stress-related symptoms. Results showed that PTSD veterans performed more poorly than the comparison sample on a measure of verbal learning, exhibiting less proficient cumulative acquisition across repeated exposures, greater sensitivity to proactive interference, and more perseverative errors. Veterans with PTSD diagnoses also evidenced impairments in word fluency and visual attention/tracking abilities. These preliminary findings suggest that diagnoses of chronic PTSD in combat veterans are associated with cognitive performance deficits, when comparisons are made with military troops judged to be free of stress-related psychopathology. Results are consistent with self-reported complaints of concentration and memory impairments among PTSD-diagnosed clinical samples, thus highlighting the need for continued investigation of the neuropsychologlcal sequelae of prolonged stress exposure.

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References

  • American Psychiatric Association (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: APA.

    Google Scholar 

  • American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders (3rd ed., revised). Washington, DC: APA.

    Google Scholar 

  • Benton, A. L., & Hamsher, K. deS. (1978).Multilingual Aphasia Examination manual (rev.). Iowa City: University of Iowa.

    Google Scholar 

  • Cliff, N. (1987).Analyzing multivariate data. New York: Harcourt Brace Jovanovich.

    Google Scholar 

  • Damasio, A. R. (1985). The frontal lobes. In K. M. Heilman, & E. Valenstein (Eds.),Clinical neuropsychology (2nd ed.) (pp. 339–375). New York: Oxford University Press.

    Google Scholar 

  • Everly, G. S., & Horton, A. M., Jr. (1989). Neuropsychology of posttraumatic stress disorder.Perceptual and Motor Skills, 68, 807–810.

    Google Scholar 

  • Gil, T., Calev, A., Greenberg, D., Kugelmass, S., & Lerer, B. (1990). Cognitive functioning in post-traumatic stress disorder.Journal of Traumatic Stress, 3, 29–45.

    Google Scholar 

  • Goldfeld, A. E., Mollica, R. F., Pesavento, B. H., & Faraone, S. V. (1988). The physical and psychological effects of torture: Symptomatology and diagnosis.Journal of the American Medical Association, 259, 2725–2729.

    PubMed  Google Scholar 

  • Grant, I., Adams, K. M., Carlin, A. S., Rennick, P. M., Judd, L. L., Schooff, K., & Reed, R. (1978). Neuropsychological effects of polydrug abuse. In D. R. Wesson, A. S. Carlin, K. M. Adams, & G. Beschner (Eds.),Polydrug abuse: The results of a national collaborative study (pp. 223–261). New York: Academic Press.

    Google Scholar 

  • Grinker, R. R., & Spiegel, J. P. (1945).Men under stress. New York: Blakiston.

    Google Scholar 

  • Keane, T. M., Malloy, P. F., & Fairbank, J. A. (1984). The empirical development of an MMPI subscale for the assessment of combat-related posttraumatic stress disorder.Journal of Consulting and Clinical Psychology, 52, 888–891.

    PubMed  Google Scholar 

  • Keane, T. M., Caddell, J. M., & Taylor, K. L. (1988). Mississippi Scale for Combat-related posttraumatic stress disorder: Three studies in reliability and validity.Journal of Consulting and Clinical Psychology, 56, 85–90.

    PubMed  Google Scholar 

  • Keane, T. M., Gerardi, R. J., Lyons, J. A., & Wolfe, J. (1988). The interrelationship of substance abuse and posttraumatic stress disorder: Epidemiological and clinical considerations. In M. Galanter (Ed.),Recent developments in alcoholism. Vol. 6. Posttraumatic stress disorder, the workplace, consequences for women, markers for risk (pp. 27–48). New York: Plenum.

    Google Scholar 

  • Klonoff, H., McDougall, G., Clark, C., Kramer, P., & Horgan, J. (1976). The neuropsychological, psychiatric, and physical effects of prolonged and severe stress: 30 years later.Journal of Nervous and Mental Disease, 163, 216–252.

    Google Scholar 

  • Kolb, L. C. (1987). A neuropsychological hypothesis explaining posttraumatic stress disorder.American Journal of Psychiatry, 144, 989–995.

    PubMed  Google Scholar 

  • Lezak, M. D. (1983).Neuropsychological assessment (2nd ed.). New York: Oxford University Press.

    Google Scholar 

  • McNally, R. J., Luedke, D. L., Besyner, J. K., Peterson, R. A., Bohm, K., & Lipps, O. J. (1987). Sensitivity to stress-relevant stimuli in posttraumatic stress disorder.Journal of Anxiety Disorders, 1, 105–116.

    Google Scholar 

  • McNally, R. J., Kaspi, S. P., Riemann, B. C., & Zeitlin, S. B. (1990). Selective processing of threat cues in posttraumatic stress disorder.Journal of Abnormal Psychology, 99, 398–402.

    PubMed  Google Scholar 

  • Osterrieth, P. A. (1944). Le test de copie d'une figure complexe.Archives de Psychologie, 30, 206–356.

    Google Scholar 

  • Parsons, O. A. (1987). Neuropsychological consequences of alcohol abuse: Many questions— some answers. In O. A. Parsons, N. Butters, & P. E. Nathan (Eds.),Neuropsychology of alcoholism: Implications for diagnosis and treatment (pp. 153–175). New York: Guilford.

    Google Scholar 

  • Pitman, R. K. (1989). Post-traumatic stress disorder, hormones, and memory.Biological Psychiatry, 26, 221–223.

    PubMed  Google Scholar 

  • Rey, A. (1964).L'examen clinique en psychologie. Paris: Presses Universitaires de France.

    Google Scholar 

  • Selye, H. (1950).The physiology and pathology of exposure to stress. Montreal: Acta.

    Google Scholar 

  • Shimamura, A. P., Janowsky, J. S., & Squire, L. R. (1991). What is the role of frontal lobe damage in memory disorder? In H. S. Levin, H. M. Eisenberg, & A. L. Benton (Eds.),Frontal lobe function and dysfunction (pp. 173–198). New York: Academic Press.

    Google Scholar 

  • Shipley, W. C. (1967).Shipley Institute of Living Scale: Manual of directions and scoring key. Beverly Hills, CA: Western Psychological Service.

    Google Scholar 

  • Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1989).Structured Clinical Interview for DSM-III-R—Patient edition (SCID-P; 9/1/89 version). New York: Biometrics Research Department, New York State Psychiatric Institute.

    Google Scholar 

  • Stuss, D. T. (1991). Interference effects on memory function in postleukotomy patients. In H. S. Levin, H. M. Eisenberg, & A. L. Benton (Eds.),Frontal lobe function and dysfunction (pp. 157–172). New York: Academic Press.

    Google Scholar 

  • Stuss, D. T., & Benson, D. F. (1984). Neuropsychological studies of the frontal lobes.Psychological Bulletin, 95, 3–28.

    PubMed  Google Scholar 

  • Sutker, P. B., Uddo-Crane, M., & Allain, A. N. (1991). Clinical and research assessment of posttraumatic stress disorder: A conceptual overview.Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 520–530.

    Google Scholar 

  • Sutker, P. B., Winstead, D. K., Galina, Z. H., & Allain, A. N. (1991). Cognitive deficits and psychopathology among former prisoners of war and combat veterans of the Korean Conflict.American Journal of Psychiatry, 148, 67–72.

    PubMed  Google Scholar 

  • Uddo, M., & Gouvier, W. D. (1990).Effects of chronic cocaine use on new learning and memory. Poster presented at the meeting of the American Psychological Association, Boston, MA, Aug.

  • van der Kolk, B. A. (1987).Psychological trauma. Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Watson, I. P. B., Hoffman, L., & Wilson, G. V. (1988). The neuropsychiatry of post-traumatic stress disorder.British Journal of Psychiatry, 152, 164–173.

    PubMed  Google Scholar 

  • Wechsler, D. (1981).WAIS-R manual: Wechsler Adult Intelligence Scale— Revised. New York: Psychological Corp.

    Google Scholar 

  • Wechsler, D. (1987).WMS-R: Wechsler Memory Scale— Revised manual. New York: Psychological Corp.

    Google Scholar 

  • White, N. S. (1983). Posttraumatic stress disorder (Letter to the editor).Hospital and Community Psychiatry, 34, 1061–1062.

    PubMed  Google Scholar 

  • Wolfe, J., & Charney, D. S. (1991). Use of neuropsychological assessment in posttraumatic stress disorder.Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 573–580.

    Google Scholar 

  • Zachary, R. A., Crumpton, E., & Spiegel, D. E. (1985). Estimating WAIS-R IQ from the Shipley Institute of Living Scale.Journal of Clinical Psychology, 41, 532–540.

    Google Scholar 

  • Zeitlin, S. B., & McNally, R. J. (1991). Implicit and explicit memory bias for threat in posttraumatic stress disorder.Behavior Research and Therapy, 29, 451–457.

    Google Scholar 

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Uddo, M., Vasterling, J.J., Brailey, K. et al. Memory and attention in combat-related post-traumatic stress disorder (PTSD). J Psychopathol Behav Assess 15, 43–52 (1993). https://doi.org/10.1007/BF00964322

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