{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T07:14:08Z","timestamp":1778138048676,"version":"3.51.4"},"reference-count":69,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:00:00Z","timestamp":1704931200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neuropsychology"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Mild traumatic brain injury (mTBI) and posttraumatic stress are prevalent in military service members and share objective and subjective cognitive symptoms, complicating recovery. We investigated the effects of remote mTBI characteristics and current posttraumatic stress symptoms on neuropsychological performance in 152 veterans with a history of remote mTBI and current cognitive concerns. Participants completed clinical neuropsychological evaluations within a Veterans Affairs Level\u2010II TBI\/Polytrauma outpatient clinic (\n                    <jats:italic>i.e.<\/jats:italic>\n                    tertiary trauma care center for US military veterans outside of a research or teaching hospital setting). Archival data analysis of mTBI injury characteristics, clinical diagnoses, scores on the Posttraumatic Stress Disorder Checklist\u2013Military Version (PCL\u2010M) and performance on tests of processing speed, attention and executive function was conducted. Hierarchical linear regression demonstrated that elevated PCL\u2010M scores were associated with slower performance on trail making test (TMT) Parts A and B (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.016). PCL\u2010M symptoms moderated the effect of alteration of consciousness (AOC) on TMT performance, with endorsement of AOC associated with better performance, but only when PCL\u2010M scores were high (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.005). Follow\u2010up mediation analyses demonstrated that PCL\u2010M score fully mediated the relationship between AOC and TMT\u2010A performance and partially mediated the relationship between AOC and TMT\u2010B performance. Post\u2010hoc analyses meant to separate the impact of processing speed on TMT\u2010B were all non\u2010significant. Remote mTBI characteristics, specifically AOC, were not associated with decrements in cognitive performance. Posttraumatic symptoms were associated with worse processing speed, suggesting that psychological distress and psychopathology are contributing factors in understanding and treating persistent cognitive distress following remote mTBI.\n                  <\/jats:p>","DOI":"10.1111\/jnp.12360","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:45:49Z","timestamp":1705020349000},"page":"333-348","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Disentangling effects of remote mild traumatic brain injury characteristics and posttraumatic stress on processing speed and executive function in veterans"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0775-3166","authenticated-orcid":false,"given":"Ryan C.","family":"Thompson","sequence":"first","affiliation":[{"name":"Department of Neurology University of Virginia Health System  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meredith R. D.","family":"Melinder","sequence":"additional","affiliation":[{"name":"Department of Mental Health VA St. Louis Healthcare System  St. Louis Missouri USA"},{"name":"Rocky Mountain Network Clinical Resource Hub VA Salt Lake City Health Care System  Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather A.","family":"Daly","sequence":"additional","affiliation":[{"name":"Department of Mental Health VA St. Louis Healthcare System  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6096-5950","authenticated-orcid":false,"given":"Stacie L.","family":"Warren","sequence":"additional","affiliation":[{"name":"Department of Mental Health VA St. Louis Healthcare System  St. Louis Missouri USA"},{"name":"Department of Psychology University of Texas at Dallas  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-199309000-00010"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617705050277"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000879"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0b013e3181cada03"},{"key":"e_1_2_9_7_1","first-page":"63","volume-title":"Post\u2010traumatic stress disorder","author":"Bryant R. 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