The Diagnostic Intersection of Cognitive-Communication Disorders and Aphasia Secondary to TBI

Autor/inn/en	Lindsey, André; Guernon, Ann; Stika, Monica; Bender Pape, Theresa
Titel	The Diagnostic Intersection of Cognitive-Communication Disorders and Aphasia Secondary to TBI
Quelle	In: International Journal of Language & Communication Disorders, 58 (2023) 1, S.82-93 (12 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Lindsey, André)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1368-2822
DOI	10.1111/1460-6984.12770
Schlagwörter	Veterans; Military Personnel; Head Injuries; Neurological Impairments; Aphasia; Cognitive Processes; Cognitive Ability; Communication Disorders; Clinical Diagnosis; Individual Characteristics; Age Differences; Ethnicity; Intellectual Disability; At Risk Persons + Suchen Sie Ihr Suchwort? Kriegsteilnehmer; Veteran; Kopfverletzung; Neurodegenerative Erkrankung; Expressive Aphasie; Aphasie; Cognitive process; Kognitiver Prozess; Denkfähigkeit; Kommunikationsstörung; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Age; Difference; Age difference; Altersunterschied; Ethnizität; Intellect; Disability; Disabilities; Verstand; Behinderung; Risikogruppe
Abstract	Background & Aims: The present retrospective study examines veterans and military personnel who have sustained a cognitive-communication deficit/disorder (CCD) and/or aphasia secondary to traumatic brain injury (TBI). The prevalence of each disorder secondary to TBI is identified and demographic factors are analysed to determine whether specific characteristics (age, gender, race and/or ethnicity) differentially influenced diagnosis (CCD or aphasia). Methods & Procedures: A retrospective analysis examining the prevalence of CCD and aphasia among US service personnel with a complicated mild-to-severe TBI treated over a 4-year period (1 January 2016-31 December 2019) was conducted. Medical diagnoses and demographic factors were obtained from administrative data repositories and a logistic regression was performed to identify the relationship between demographic factors and diagnoses. Outcomes & Results Analyses: revealed that 8.8% of individuals studied had a secondary diagnosis of CCD (6.9%), aphasia (1.5%) or both (0.4%). This signifies 6863 cases of CCD, 1516 cases of aphasia and 396 cases of CCD and aphasia (dual diagnosis) per 100,000 individuals who have sustained a complicated mild-to-severe TBI. The proportion of cases observed with these diagnoses was consistent with the racial, gender and ethnic demographics of those diagnosed with TBI. Statistical modelling revealed that increased age is predictive of a diagnosis of aphasia relative to CCD. Conclusions & Implications: Service personnel sustaining TBIs are at increased risk of communication impairments with deficits observed across all gender, racial and ethnic demographics. CCD is more commonly observed than aphasia, though clinicians should be cognisant of both when performing assessments. Age is a factor that can influence diagnosis. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01