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Published Online: 1 January 2011

Does PTSD Impair Cognition Beyond the Effect of Trauma?

Salah U. Qureshi, M.D., Mary E. Long, Ph.D., Major R. Bradshaw, Ph.D., Jeffrey M. Pyne, M.D., Kathy M. Magruder, M.P.H., Ph.D., Timothy Kimbrell, M.D., Teresa J. Hudson, Pharm.D., Ali Jawaid, M.B.B.S., Paul E. Schulz, M.D., and Mark E. Kunik, M.D., M.P.H.Authors Info & Affiliations
Publication: The Journal of Neuropsychiatry and Clinical Neurosciences
Volume 23, Number 1
https://doi.org/10.1176/jnp.23.1.jnp16
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Abstract

This systematic review analyzed data from studies examining memory and cognitive function in subjects with posttraumatic stress disorder (PTSD), compared with subjects exposed to trauma (but without PTSD). Based on analysis of 21 articles published in English from 1968 to 2009, the conclusion is that individuals with PTSD, particularly veterans, show signs of cognitive impairment when tested with neuropsychological instruments, more so than individuals exposed to trauma who do not have PTSD.

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Information & Authors

Information

Published In

Go to The Journal of Neuropsychiatry and Clinical Neurosciences
Go to The Journal of Neuropsychiatry and Clinical Neurosciences
The Journal of Neuropsychiatry and Clinical Neurosciences
Volume 23 • Number 1 • Winter 2011
Pages: 16 - 28
PubMed: 21304135

History

Received: 3 September 2009
Revision received: 17 December 2009
Revision received: 10 February 2010
Accepted: 4 March 2010
Published online: 1 January 2011
Published in print: Winter 2011

Authors

Details

Salah U. Qureshi, M.D.
Drs. Qureshi, Long, and Kunik are affiliated with the Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs (VA) Medical Center, in Houston, TX; Drs. Qureshi and Schulz are affiliated with the Neurosensory Center at Baylor College of Medicine in Houston and with the Neurology Care Line at Michael E. DeBakey VA Medical Center in Houston; Drs. Qureshi, Long, Kimbrell, and Kunik are affiliated with VA South Central Mental Illness Research, Education and Clinical Center; Drs. Bradshaw, Jawaid, and Schulz are affiliated with the Department of Neurology at Baylor College of Medicine in Houston; Drs. Pyne, Kimbrell, and Hudson are affiliated with the Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, and the Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences; Dr. Magruder is affiliated with the Ralph H. Johnson VA Medical Center; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC; Dr. Kunik is also affiliated with the Menninger Department of Psychiatry and Behavioral Sciences and with the Department of Medicine at Baylor College of Medicine in Houston.
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Mary E. Long, Ph.D.
Drs. Qureshi, Long, and Kunik are affiliated with the Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs (VA) Medical Center, in Houston, TX; Drs. Qureshi and Schulz are affiliated with the Neurosensory Center at Baylor College of Medicine in Houston and with the Neurology Care Line at Michael E. DeBakey VA Medical Center in Houston; Drs. Qureshi, Long, Kimbrell, and Kunik are affiliated with VA South Central Mental Illness Research, Education and Clinical Center; Drs. Bradshaw, Jawaid, and Schulz are affiliated with the Department of Neurology at Baylor College of Medicine in Houston; Drs. Pyne, Kimbrell, and Hudson are affiliated with the Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, and the Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences; Dr. Magruder is affiliated with the Ralph H. Johnson VA Medical Center; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC; Dr. Kunik is also affiliated with the Menninger Department of Psychiatry and Behavioral Sciences and with the Department of Medicine at Baylor College of Medicine in Houston.
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Major R. Bradshaw, Ph.D.
Drs. Qureshi, Long, and Kunik are affiliated with the Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs (VA) Medical Center, in Houston, TX; Drs. Qureshi and Schulz are affiliated with the Neurosensory Center at Baylor College of Medicine in Houston and with the Neurology Care Line at Michael E. DeBakey VA Medical Center in Houston; Drs. Qureshi, Long, Kimbrell, and Kunik are affiliated with VA South Central Mental Illness Research, Education and Clinical Center; Drs. Bradshaw, Jawaid, and Schulz are affiliated with the Department of Neurology at Baylor College of Medicine in Houston; Drs. Pyne, Kimbrell, and Hudson are affiliated with the Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, and the Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences; Dr. Magruder is affiliated with the Ralph H. Johnson VA Medical Center; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC; Dr. Kunik is also affiliated with the Menninger Department of Psychiatry and Behavioral Sciences and with the Department of Medicine at Baylor College of Medicine in Houston.
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Jeffrey M. Pyne, M.D.
Drs. Qureshi, Long, and Kunik are affiliated with the Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs (VA) Medical Center, in Houston, TX; Drs. Qureshi and Schulz are affiliated with the Neurosensory Center at Baylor College of Medicine in Houston and with the Neurology Care Line at Michael E. DeBakey VA Medical Center in Houston; Drs. Qureshi, Long, Kimbrell, and Kunik are affiliated with VA South Central Mental Illness Research, Education and Clinical Center; Drs. Bradshaw, Jawaid, and Schulz are affiliated with the Department of Neurology at Baylor College of Medicine in Houston; Drs. Pyne, Kimbrell, and Hudson are affiliated with the Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, and the Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences; Dr. Magruder is affiliated with the Ralph H. Johnson VA Medical Center; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC; Dr. Kunik is also affiliated with the Menninger Department of Psychiatry and Behavioral Sciences and with the Department of Medicine at Baylor College of Medicine in Houston.
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Kathy M. Magruder, M.P.H., Ph.D.
Drs. Qureshi, Long, and Kunik are affiliated with the Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs (VA) Medical Center, in Houston, TX; Drs. Qureshi and Schulz are affiliated with the Neurosensory Center at Baylor College of Medicine in Houston and with the Neurology Care Line at Michael E. DeBakey VA Medical Center in Houston; Drs. Qureshi, Long, Kimbrell, and Kunik are affiliated with VA South Central Mental Illness Research, Education and Clinical Center; Drs. Bradshaw, Jawaid, and Schulz are affiliated with the Department of Neurology at Baylor College of Medicine in Houston; Drs. Pyne, Kimbrell, and Hudson are affiliated with the Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, and the Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences; Dr. Magruder is affiliated with the Ralph H. Johnson VA Medical Center; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC; Dr. Kunik is also affiliated with the Menninger Department of Psychiatry and Behavioral Sciences and with the Department of Medicine at Baylor College of Medicine in Houston.
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Timothy Kimbrell, M.D.
Drs. Qureshi, Long, and Kunik are affiliated with the Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs (VA) Medical Center, in Houston, TX; Drs. Qureshi and Schulz are affiliated with the Neurosensory Center at Baylor College of Medicine in Houston and with the Neurology Care Line at Michael E. DeBakey VA Medical Center in Houston; Drs. Qureshi, Long, Kimbrell, and Kunik are affiliated with VA South Central Mental Illness Research, Education and Clinical Center; Drs. Bradshaw, Jawaid, and Schulz are affiliated with the Department of Neurology at Baylor College of Medicine in Houston; Drs. Pyne, Kimbrell, and Hudson are affiliated with the Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, and the Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences; Dr. Magruder is affiliated with the Ralph H. Johnson VA Medical Center; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC; Dr. Kunik is also affiliated with the Menninger Department of Psychiatry and Behavioral Sciences and with the Department of Medicine at Baylor College of Medicine in Houston.
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Teresa J. Hudson, Pharm.D.
Drs. Qureshi, Long, and Kunik are affiliated with the Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs (VA) Medical Center, in Houston, TX; Drs. Qureshi and Schulz are affiliated with the Neurosensory Center at Baylor College of Medicine in Houston and with the Neurology Care Line at Michael E. DeBakey VA Medical Center in Houston; Drs. Qureshi, Long, Kimbrell, and Kunik are affiliated with VA South Central Mental Illness Research, Education and Clinical Center; Drs. Bradshaw, Jawaid, and Schulz are affiliated with the Department of Neurology at Baylor College of Medicine in Houston; Drs. Pyne, Kimbrell, and Hudson are affiliated with the Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, and the Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences; Dr. Magruder is affiliated with the Ralph H. Johnson VA Medical Center; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC; Dr. Kunik is also affiliated with the Menninger Department of Psychiatry and Behavioral Sciences and with the Department of Medicine at Baylor College of Medicine in Houston.
View all articles by this author
Ali Jawaid, M.B.B.S.
Drs. Qureshi, Long, and Kunik are affiliated with the Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs (VA) Medical Center, in Houston, TX; Drs. Qureshi and Schulz are affiliated with the Neurosensory Center at Baylor College of Medicine in Houston and with the Neurology Care Line at Michael E. DeBakey VA Medical Center in Houston; Drs. Qureshi, Long, Kimbrell, and Kunik are affiliated with VA South Central Mental Illness Research, Education and Clinical Center; Drs. Bradshaw, Jawaid, and Schulz are affiliated with the Department of Neurology at Baylor College of Medicine in Houston; Drs. Pyne, Kimbrell, and Hudson are affiliated with the Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, and the Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences; Dr. Magruder is affiliated with the Ralph H. Johnson VA Medical Center; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC; Dr. Kunik is also affiliated with the Menninger Department of Psychiatry and Behavioral Sciences and with the Department of Medicine at Baylor College of Medicine in Houston.
View all articles by this author
Paul E. Schulz, M.D.
Drs. Qureshi, Long, and Kunik are affiliated with the Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs (VA) Medical Center, in Houston, TX; Drs. Qureshi and Schulz are affiliated with the Neurosensory Center at Baylor College of Medicine in Houston and with the Neurology Care Line at Michael E. DeBakey VA Medical Center in Houston; Drs. Qureshi, Long, Kimbrell, and Kunik are affiliated with VA South Central Mental Illness Research, Education and Clinical Center; Drs. Bradshaw, Jawaid, and Schulz are affiliated with the Department of Neurology at Baylor College of Medicine in Houston; Drs. Pyne, Kimbrell, and Hudson are affiliated with the Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, and the Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences; Dr. Magruder is affiliated with the Ralph H. Johnson VA Medical Center; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC; Dr. Kunik is also affiliated with the Menninger Department of Psychiatry and Behavioral Sciences and with the Department of Medicine at Baylor College of Medicine in Houston.
View all articles by this author
Mark E. Kunik, M.D., M.P.H.
Drs. Qureshi, Long, and Kunik are affiliated with the Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs (VA) Medical Center, in Houston, TX; Drs. Qureshi and Schulz are affiliated with the Neurosensory Center at Baylor College of Medicine in Houston and with the Neurology Care Line at Michael E. DeBakey VA Medical Center in Houston; Drs. Qureshi, Long, Kimbrell, and Kunik are affiliated with VA South Central Mental Illness Research, Education and Clinical Center; Drs. Bradshaw, Jawaid, and Schulz are affiliated with the Department of Neurology at Baylor College of Medicine in Houston; Drs. Pyne, Kimbrell, and Hudson are affiliated with the Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, and the Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences; Dr. Magruder is affiliated with the Ralph H. Johnson VA Medical Center; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC; Dr. Kunik is also affiliated with the Menninger Department of Psychiatry and Behavioral Sciences and with the Department of Medicine at Baylor College of Medicine in Houston.
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Notes

Address correspondence to Mark E. Kunik, M.D., M.P.H., Houston Center for Quality of Care & Utilization Studies, Michael E DeBakey VAMC (152), 2002 Holcombe, Houston, TX 77030. e-mail: [email protected]

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