| Titre : | Executive Functioning and Suicidal Behavior Among Veterans With and Without a History of Traumatic Brain Injury (2015) |
| Auteurs : | Lisa A. Brenner ; Nazanin Bahraini ; Beeta Y. Homaifar |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/8, 2015) |
| Article en page(s) : | p. 1411–1418 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Anciens combattants ; Rééducation et réadaptation ; Suicide |
| Mots-clés: | Brain injuries ; Lésions encéphaliques ; Veterans |
| Résumé : |
Objective To examine the relationship between executive dysfunction, as a multidimensional construct (ie, decision-making, impulsivity, aggression, concept formation), and suicide attempt (SA) history in a high-risk sample of veterans with moderate to severe traumatic brain injury (TBI). Design Observational, 2*2 factorial design. To estimate group differences, linear regression was used to model the primary and secondary outcomes of interest as a function of history of SA, TBI, and the interaction between the 2 variables. Additionally, to determine the pattern of performance over the course of the Iowa Gambling Test (IGT), scores were modeled across the 5 IGT blocks by using a varying-coefficient model. Setting Veterans Health Administration. Participants Veterans (N=133; no SA/no TBI, n=48; no SA/yes TBI, n=51; yes SA/no TBI, n=12; yes SA/yes TBI, n=22) completed the study measures. Interventions Not applicable. Main Outcome Measures IGT, Immediate and Delayed Memory Test, State-Trait Anger Expression Inventory-2, Wisconsin Card Sorting Test. Results All groups demonstrated learning over the course of the IGT, except for veterans with a history of both SA and TBI. No group differences were identified on other measures of executive functioning. Conclusions These findings highlight the potential, unique decision-making challenges faced by veterans with a history of TBI and SA. Specialized interventions focused on overall distress reduction and means restriction may be required to prevent future self-directed violence. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315003767 |
Bibliothèques HE Vinci
