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Front Aging Neurosci. 2016 May 12;8:105. doi: 10.3389/fnagi.2016.00105. eCollection 2016.

Impact of Mild Head Injury on Neuropsychological Performance in Healthy Older Adults: Longitudinal Assessment in the AIBL Cohort.

Frontiers in aging neuroscience

Matthew A Albrecht, Colin L Masters, David Ames, Jonathan K Foster,

Affiliations

  1. School of Public Health, Curtin UniversityPerth, WA, Australia; Curtin Health Innovation Research Institute - BiosciencesPerth, WA, Australia; Department of Psychiatry, Maryland Psychiatric Research Center, University of Maryland School of MedicineBaltimore, MD, USA.
  2. Mental Health Research Institute, The University of Melbourne Parkville, VIC, Australia.
  3. Department of Psychiatry, Academic Unit for Psychiatry of Old Age, The University of Melbourne, St. Vincent's Aged Psychiatry Service, St. George's HospitalParkville, VIC, Australia; National Ageing Research Institute, Royal Melbourne HospitalParkville, VIC, Australia.
  4. School of Psychology and Speech Pathology, Curtin UniversityPerth, WA, Australia; Health Department of WA, Neurosciences UnitPerth, WA, Australia.

PMID: 27242516 PMCID: PMC4863889 DOI: 10.3389/fnagi.2016.00105

Abstract

Traumatic brain injury (TBI) is suggested to be a significant risk factor for dementia. However, little research has been conducted into long-term neuropsychological outcomes after head trauma. Participants from the Australian Imaging, Biomarkers and Lifestyle Study of Ageing (AIBL) who had recovered after sustaining a mild TBI involving loss of consciousness more than 5 years previously were compared with matched controls across a 3-year period. Bayesian nested-domain modeling was used to estimate the effect of TBI on neuropsychological performance. There was no evidence for a chronic effect of mild TBI on any neuropsychological domain compared to controls. Within the TBI group, there was some evidence suggesting that the age that the head trauma occurred and the duration of unconsciousness were modulators of episodic memory. However, these findings were not robust. Taken together, these findings indicate that adults who have sustained a TBI resulting in loss of consciousness, but who recover to a healthy level of cognitive functioning, do not experience frank deficits in cognitive ability.

Keywords: Bayesian; ageing; cognition; episodic memory; longitudinal; mild traumatic brain injury

References

  1. Hippocampus. 2010 Nov;20(11):1263-90 - PubMed
  2. J Head Trauma Rehabil. 2009 Jul-Aug;24(4):279-91 - PubMed
  3. J Int Neuropsychol Soc. 2005 May;11(3):228-36 - PubMed
  4. Arch Clin Neuropsychol. 2008 May;23(3):229-41 - PubMed
  5. J Head Trauma Rehabil. 2016 Jan-Feb;31(1):E55-62 - PubMed
  6. Mt Sinai J Med. 2009 Apr;76(2):163-72 - PubMed
  7. Dement Geriatr Cogn Disord. 2006;22(4):306-11 - PubMed
  8. J Neurol Neurosurg Psychiatry. 2003 Jul;74(7):857-62 - PubMed
  9. Stat Med. 1999 Sep 15-30;18(17-18):2479-92 - PubMed
  10. J Clin Exp Neuropsychol. 2007 Feb;29(2):187-97 - PubMed
  11. J Neurosurg. 1987 Aug;67(2):197-205 - PubMed
  12. Neurology. 2000 Oct 24;55(8):1158-66 - PubMed
  13. J Neurotrauma. 2006 Nov;23(11):1600-8 - PubMed
  14. Int J Epidemiol. 1991;20 Suppl 2:S28-35 - PubMed
  15. Neurosurgery. 2004 May;54(5):1073-78; discussion 1078-80 - PubMed
  16. J Int Neuropsychol Soc. 2008 Mar;14(2):233-42 - PubMed
  17. J Exp Psychol Gen. 2013 May;142(2):573-603 - PubMed
  18. JAMA. 2003 Nov 19;290(19):2556-63 - PubMed
  19. Arch Neurol. 1999 Mar;56(3):303-8 - PubMed
  20. J Neurotrauma. 2013 Oct 15;30(20):1683-701 - PubMed
  21. Brain Inj. 2009 Mar;23(3):220-7 - PubMed
  22. Int Rev Psychiatry. 2003 Nov;15(4):341-9 - PubMed
  23. Brain. 2013 Jul;136(Pt 7):2201-16 - PubMed
  24. Neurology. 2006 Jan 24;66(2):187-92 - PubMed
  25. Arch Neurol. 2010 Sep;67(9):1068-73 - PubMed
  26. Psychol Rev. 1992 Apr;99(2):195-231 - PubMed
  27. Neurology. 1989 Dec;39(12):1576-8 - PubMed
  28. Int Psychogeriatr. 2009 Aug;21(4):672-87 - PubMed
  29. Clin Neuropsychol. 2009 Nov;23(8):1368-90 - PubMed
  30. Neurosci Biobehav Rev. 2012 Aug;36(7):1597-608 - PubMed
  31. J Neurosurg. 1987 Feb;66(2):234-43 - PubMed
  32. Brain. 2009 Mar;132(Pt 3):695-708 - PubMed
  33. J Head Trauma Rehabil. 2007 Nov-Dec;22(6):330-8 - PubMed
  34. Dement Geriatr Cogn Disord. 2005;19(5-6):383-9 - PubMed
  35. J Neurol Neurosurg Psychiatry. 1986 Nov;49(11):1227-32 - PubMed
  36. Am J Epidemiol. 1990 Mar;131(3):491-501 - PubMed
  37. Neurology. 1999 Dec 10;53(9):1959-62 - PubMed
  38. Neurology. 1987 Oct;37(10):1630-3 - PubMed
  39. Brain Inj. 1999 Mar;13(3):151-72 - PubMed
  40. Exerc Sport Sci Rev. 2012 Jul;40(3):138-44 - PubMed
  41. Neurosci Biobehav Rev. 2012 May;36(5):1376-81 - PubMed
  42. Front Aging Neurosci. 2013 Aug 22;5:41 - PubMed
  43. Psychol Med. 2011 Jun;41(6):1197-211 - PubMed
  44. Exp Neurol. 2007 Dec;208(2):185-92 - PubMed
  45. J Head Trauma Rehabil. 2010 Mar-Apr;25(2):72-80 - PubMed
  46. Am J Epidemiol. 1999 Jan 1;149(1):32-40 - PubMed
  47. Biometrics. 2009 Dec;65(4):1078-86 - PubMed
  48. J Nerv Ment Dis. 1996 Aug;184(8):459-67 - PubMed
  49. Curr Biol. 2010 Mar 23;20(6):544-7 - PubMed
  50. Ann Neurol. 1984 Apr;15(4):335-41 - PubMed
  51. J Neurol Neurosurg Psychiatry. 1994 Apr;57(4):419-25 - PubMed
  52. J Clin Exp Neuropsychol. 2005 Apr;27(3):334-51 - PubMed
  53. Biometrics. 2013 Sep;69(3):785-94 - PubMed

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