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Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Clinical Normative Data for Gulf War
Matthew J Reinhard1, Nathaniel Allen, Lucas E Crock
1From the War Related Illness and Injury Study Center at the Washington DC VA Medical Center (WRIISC-DC), Washington, District of Columbia (Dr Reinhard, Mr Allen, Mr Crock, Dr Brewster); War Related Illness and Injury Study Center at the VA New Jersey Healthcare System (WRIISC-NJ), East Orange, New Jersey (Dr McCarron); and War Related Illness and Injury Study Center at the VA Palo Alto Health Care System (WRIISC-CA), Palo Alto, California (Dr Veltkamp).
Objective:
Heterogenous test batteries and methods applied in neurocognitive research on Gulf War Veterans (GWVs) limit the translation of findings to clinical practice. A clinical data set is necessary.
Methods:
Neurocognitive screening data from treatment-seeking GWVs were collected from multiple sites and compiled, informed by consideration of performance validity.
Results:
Repeatable Battery for the Assessment of Neuropsychological Status scores revealed the cognitive profile for GWVs (n = 189) as poorer across multiple domains when compared with similarly educated, nonveteran peers. However, mean scores generally remained within normal clinical limits. Data tables are presented to establish a comparison group for use in clinical care.
Conclusions:
When assessing cognitive symptoms in GWVs, attention to education level and interpretation of subtle deficits is warranted. Current results highlight the importance of nuanced translation of neurocognitive research findings into clinical practice with GWVs.
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