Psychological and neuropsychological status of patients with both blast-related ocular injury and mild traumatic brain injury late after the traumatic event
Purpose: To determine the psychological and neuropsychological status of patients with both blast-related ocular injury and mild traumatic brain injury (TBI) late after the traumatic event. Material and Methods: Thirty patients with blast-related ocular injury, reduced visual function and comorbid...
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| Format: | Article |
| Language: | English |
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Ukrainian Society of Ophthalmologists
2024-10-01
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| Series: | Journal of Ophthalmology |
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| Online Access: | https://ua.ozhurnal.com/index.php/files/article/view/201 |
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| author | N. G. Bakuridze V. Ie. Lunov V. O. Ulianov N. A. Ulianova |
| author_facet | N. G. Bakuridze V. Ie. Lunov V. O. Ulianov N. A. Ulianova |
| author_sort | N. G. Bakuridze |
| collection | DOAJ |
| description | Purpose: To determine the psychological and neuropsychological status of patients with both blast-related ocular injury and mild traumatic brain injury (TBI) late after the traumatic event.
Material and Methods: Thirty patients with blast-related ocular injury, reduced visual function and comorbid mild TBI were included in the study. The following methods of psychological and neuropsychological assessment were used: formalized interview; Suicidality, Post-traumatic Stress Disorder (PTSD), Alcohol Dependence, and Drug Dependence scales of the Mini-International Neuropsychiatric Interview (MINI); Raven’s Progressive Matrix scale; Personal and Social Performance (PSP) scale; PROMIS® Pain-Interference scale; Hospital Anxiety and Depression Scale (HADS); Mazes subtest of the Neuropsychological Assessment Battery (NAB); and Repeatable Battery for the Assessment of Neuropsychological Status (RBANS).
Results: The following significant correlations were found: PSP functioning and support from the family (r = 0.533, p = 0.002); total RBANS score and Mazes subtest score (r = 0.466, p = 0.009); total RBANS score and self-reported stress score (negative correlation, r = -0.492, p = 0.006); HADS depression and self-reported stress score (r = 0.646, p = 0.000114); PROMIS pain scale and PTSD scale (r = 0.482, p = 0.007). No association was found between the number of mild TBI events experienced and neuropsychological and psychological measurements.
Conclusion: Blast-related mild TBI concomitant with ocular injury has a substantial and long-term impact on casualty’s cognitive and psychological functions. In such patients, the most prominent cognitive deficits occur in the domain of executive function (including cognitive control and planning and problem-solving skills). In the presence of reduced visual function, these deficits have a substantial impact on total cognitive scores, scores of other psychic functions (namely, attention and memory) and significantly affect the patient’s capacity for independent functioning. |
| format | Article |
| id | doaj-art-3abe00b9c48948abae55d6a6fa3dfa30 |
| institution | Kabale University |
| issn | 2412-8740 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Ukrainian Society of Ophthalmologists |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-3abe00b9c48948abae55d6a6fa3dfa302024-11-13T12:32:07ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402024-10-015212610.31288/oftalmolzh202452126Psychological and neuropsychological status of patients with both blast-related ocular injury and mild traumatic brain injury late after the traumatic eventN. G. Bakuridze0https://orcid.org/0000-0001-7262-2982V. Ie. Lunov1https://orcid.org/0000-0002-7085-8454V. O. Ulianov2https://orcid.org/0000-0002-8793-5137N. A. Ulianova3https://orcid.org/0000-0003-0802-240XG.S. Kostiuk Institute of the National Academy of Pedagogical Sciences of Ukraine; National University “Odesa Law Academy”G.S. Kostiuk Institute of the National Academy of Pedagogical Sciences of UkraineNational University “Odesa Law Academy”SI "The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine"Purpose: To determine the psychological and neuropsychological status of patients with both blast-related ocular injury and mild traumatic brain injury (TBI) late after the traumatic event. Material and Methods: Thirty patients with blast-related ocular injury, reduced visual function and comorbid mild TBI were included in the study. The following methods of psychological and neuropsychological assessment were used: formalized interview; Suicidality, Post-traumatic Stress Disorder (PTSD), Alcohol Dependence, and Drug Dependence scales of the Mini-International Neuropsychiatric Interview (MINI); Raven’s Progressive Matrix scale; Personal and Social Performance (PSP) scale; PROMIS® Pain-Interference scale; Hospital Anxiety and Depression Scale (HADS); Mazes subtest of the Neuropsychological Assessment Battery (NAB); and Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Results: The following significant correlations were found: PSP functioning and support from the family (r = 0.533, p = 0.002); total RBANS score and Mazes subtest score (r = 0.466, p = 0.009); total RBANS score and self-reported stress score (negative correlation, r = -0.492, p = 0.006); HADS depression and self-reported stress score (r = 0.646, p = 0.000114); PROMIS pain scale and PTSD scale (r = 0.482, p = 0.007). No association was found between the number of mild TBI events experienced and neuropsychological and psychological measurements. Conclusion: Blast-related mild TBI concomitant with ocular injury has a substantial and long-term impact on casualty’s cognitive and psychological functions. In such patients, the most prominent cognitive deficits occur in the domain of executive function (including cognitive control and planning and problem-solving skills). In the presence of reduced visual function, these deficits have a substantial impact on total cognitive scores, scores of other psychic functions (namely, attention and memory) and significantly affect the patient’s capacity for independent functioning.https://ua.ozhurnal.com/index.php/files/article/view/201blast-related ocular injurymild traumatic brain injuryneuropsychologyclinical psychologypost-traumatic stress disorder |
| spellingShingle | N. G. Bakuridze V. Ie. Lunov V. O. Ulianov N. A. Ulianova Psychological and neuropsychological status of patients with both blast-related ocular injury and mild traumatic brain injury late after the traumatic event Journal of Ophthalmology blast-related ocular injury mild traumatic brain injury neuropsychology clinical psychology post-traumatic stress disorder |
| title | Psychological and neuropsychological status of patients with both blast-related ocular injury and mild traumatic brain injury late after the traumatic event |
| title_full | Psychological and neuropsychological status of patients with both blast-related ocular injury and mild traumatic brain injury late after the traumatic event |
| title_fullStr | Psychological and neuropsychological status of patients with both blast-related ocular injury and mild traumatic brain injury late after the traumatic event |
| title_full_unstemmed | Psychological and neuropsychological status of patients with both blast-related ocular injury and mild traumatic brain injury late after the traumatic event |
| title_short | Psychological and neuropsychological status of patients with both blast-related ocular injury and mild traumatic brain injury late after the traumatic event |
| title_sort | psychological and neuropsychological status of patients with both blast related ocular injury and mild traumatic brain injury late after the traumatic event |
| topic | blast-related ocular injury mild traumatic brain injury neuropsychology clinical psychology post-traumatic stress disorder |
| url | https://ua.ozhurnal.com/index.php/files/article/view/201 |
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