Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-27T10:35:54.811Z Has data issue: false hasContentIssue false

Longitudinal effects of PTSD on memory functioning

Published online by Cambridge University Press:  01 November 2009

KRISTIN W. SAMUELSON*
Affiliation:
Mental Health Service, San Francisco Veteran’s Affairs Medical Center, San Francisco, California California School of Professional Psychology, Alliant International University, San Francisco, California
THOMAS C. NEYLAN
Affiliation:
Mental Health Service, San Francisco Veteran’s Affairs Medical Center, San Francisco, California Department of Psychiatry, University of California at San Francisco, San Francisco, California
MARYANNE LENOCI
Affiliation:
Mental Health Service, San Francisco Veteran’s Affairs Medical Center, San Francisco, California
THOMAS J. METZLER
Affiliation:
Mental Health Service, San Francisco Veteran’s Affairs Medical Center, San Francisco, California Department of Psychiatry, University of California at San Francisco, San Francisco, California
VALERIE CARDENAS
Affiliation:
Mental Health Service, San Francisco Veteran’s Affairs Medical Center, San Francisco, California Department of Radiology, University of California at San Francisco, San Francisco, California
MICHAEL W. WEINER
Affiliation:
Mental Health Service, San Francisco Veteran’s Affairs Medical Center, San Francisco, California Department of Psychiatry, University of California at San Francisco, San Francisco, California Department of Radiology, University of California at San Francisco, San Francisco, California
CHARLES R. MARMAR
Affiliation:
Mental Health Service, San Francisco Veteran’s Affairs Medical Center, San Francisco, California Department of Psychiatry, University of California at San Francisco, San Francisco, California
*
*Correspondence and reprint requests: Kristin W. Samuelson at Alliant International University, One Beach Street, Suite 100, San Francisco, CA 94133. E-mail: ksamuelson@alliant.edu

Abstract

Numerous studies have demonstrated explicit and working memory deficits related to posttraumatic stress disorder (PTSD), but few have addressed longitudinal changes in memory functioning. There is some evidence to suggest an interactive effect of PTSD and aging on verbal memory decline in Holocaust survivors (Yehuda et al., 2006). However, the longitudinal trajectory of neuropsychological functioning has not been investigated in Vietnam veterans, a younger but substantial population of aging trauma survivors. We administered tests of visual and verbal memory, and working memory to derive different dependent measures in veterans between the ages of 41 and 63, the majority of whom served in the Vietnam War. Twenty-five veterans with PTSD and 22 veterans without PTSD were assessed over two time points (mean age at follow-up = 54.0; mean inter-test interval = 34 months). The PTSD+ group, consisting of veterans with chronic, primarily combat-related PTSD, did not show a significant change in PTSD symptoms over time. Compared to veterans without PTSD, veterans with PTSD showed a greater decline in delayed facial recognition only, and this decline was extremely subtle. (JINS, 2009, 15, 853–861.)

Type
Symposia
Copyright
Copyright © The International Neuropsychological Society 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Aiken, L., & West, S. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage Publications.Google Scholar
Albert, M.S., Heller, H.S., & Milberg, W. (1987). Changes in naming ability with age. Psychology and Aging, 41, 141157.Google Scholar
Baddeley, A. (1986). Working memory. Oxford, UK: Oxford University Press.Google ScholarPubMed
Blake, D., Weathers, F., Nagy, L., Kaloupek, D., Gusman, F., Charney, D., et al. (1995). The development of a clinician-administered PTSD scale. Journal of Traumatic Stress, 8, 7590.Google Scholar
Boone, K.B., Lesser, I., Miller, B., Wohl, M., Berman, N., Lee, A., et al. (1994). Cognitive functioning in a mildly to moderately depressed geriatric sample: Relationship to chronological age. Journal of Neuropsychiatry and Clinical Neuroscience, 6, 267272.Google Scholar
Bremner, J., Randall, P., Scott, T., Capelli, S., Delaney, R., McCarthy, G., et al. (1995). Deficits in short-term memory in adult survivors of childhood abuse. Psychiatry Research, 59, 97107.CrossRefGoogle ScholarPubMed
Bremner, J., Scott, T., Delaney, R., Southwick, S., Mason, J., Johnson, D., et al. (1993). Deficits in short-term memory in post-traumatic stress disorder. American Journal of Psychiatry, 150, 10151019.Google Scholar
Bremner, J., Vermetten, E., Afzal, N., & Vythilingam, M. (2004). Deficits in verbal declarative memory function in women with childhood sexual abuse-related posttraumatic stress disorder. Journal of Nervous and Mental Disease, 192, 643649.CrossRefGoogle ScholarPubMed
Bremner, J., Vythilingam, M., Vermetten, E., Southwick, S., McGlashan, T., Staib, L., et al. (2003). Neural correlates of declarative memory for emotionally valenced words in women with posttraumatic stress disorder related to early childhood sexual abuse. Biological Psychiatry, 53, 879889.Google Scholar
Crook, T., & West, R. (1990). Name recall performance across the adult life-span. British Journal of Psychology, 81, 335349.Google Scholar
Danckwerts, A., & Leathem, J. (2003). Questioning the link between PTSD and cognitive dysfunction. Neuropsychology Review, 13, 221235.CrossRefGoogle ScholarPubMed
Delis, D., Freeland, J., Kramer, J., & Kaplan, E. (1988). Integrating clinical assessment with cognitive neuroscience: Construct validation of the California Verbal Learning Test. Journal of Consulting and Clinical Psychology, 56, 123130.CrossRefGoogle ScholarPubMed
Derogatis, L.R. (1994). SCL-90-R: Symptom Checklist-90-R administration, scoring, and procedures manual. Minneapolis, MN:Pearson Assessments.Google Scholar
Dickie, E.W., Brunet, A., Akerib, V., & Armony, J. (2008). An fMRI investigation of memory encoding in PTSD: Influence of symptom severity. Neuropsychologia, 46, 15221531.CrossRefGoogle ScholarPubMed
Eaton, W., Anthony, J., Tepper, S., & Dryman, A. (1992). Psychopathology and attrition in the Epidemiologic Catchment Area surveys. American Journal of Epidemiology, 135, 10511059.CrossRefGoogle ScholarPubMed
Elzinga, B.M., & Bremner, J.D. (2002). Are the neural substrates of memory the final common pathway in posttraumatic stress disorder (PTSD)? Journal of Affective Disorders, 70(1), 117.CrossRefGoogle ScholarPubMed
First, M.B., Spitzer, R.L., Williams, J.B.W., & Gibbon, M. (1996). Structured Clinical Interview for DSM-IV (SCID-I; Patient Version edition). New York: New York State Psychiatric Institute, Biometrics Research.Google Scholar
Fossati, P., Coyette, F., Ergis, A., & Allilaire, J. (2002). Influence of age and executive functioning on verbal memory of inpatients with depression. Journal of Affective Disorders, 68, 261272.Google Scholar
Geuze, E., Vermetten, E., Ruf, M., DeKloeet, C., & Westenberg, H. (2007). Neural correlates of associative learning and memory in veterans with posttraumatic stress disorder. Journal of Psychiatric Research, 42, 659669.CrossRefGoogle ScholarPubMed
Gilbertson, M.W., Gurvits, T.V., Lasko, N.B., Orr, S.P., & Pitman, R.K. (2001). Multivariate assessment of explicit memory function in combat veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 14(2), 413432.Google Scholar
Hall, C., Derby, C., LeValley, A., Katz, M., Verghese, J., & Lipton, R. (2007). Education delays accelerated decline on a memory test in persons who develop dementia. Neurology, 69, 16571664.CrossRefGoogle ScholarPubMed
Hedeker, D., & Gibbons, R. (2006). Longitudinal data analysis. New York: Wiley.Google Scholar
Holder, K. (2007). The educational attainment of veterans: 2007. Retrieved March 6, 2009, from http://www.censusbureau.biz/hhes/www/laborfor/veterans/veteranseducation.pdfGoogle Scholar
Hultsch, D., Hertzog, C., Dixon, R., & Small, B. (1998). Memory change in the aged. Cambridge, UK: Cambridge University Press.Google Scholar
Islam-Zwart, K.A., Heath, N.M., & Vik, P.W. (2005). Facial recognition performance of female inmates as a result of sexual assault history. Journal of Traumatic Stress, 18, 263266.Google Scholar
Jacomb, P., Jorm, A., Korten, A., Christensen, H., & Henderson, A. (2002). Predictors of refusal to participate: A longitudinal health survey of the elderly in Australia. BMC Public Health, 2, doi: 10.1186/1471-2458-2-4.CrossRefGoogle ScholarPubMed
Keane, T.M., & Kaloupek, D.G. (1997). Co-morbid psychiatric disorders in PTSD: Implications for research. Annals of the New York Academy of Sciences, 821, 2434.Google Scholar
Lezak, M., Howieson, D., & Loring, D. (2004). Neuropsychological assessment (4th ed.) New York: Oxford University Press.Google Scholar
Lyness, S.A., Eaton, E.M., & Schneider, L.S. (1994). Cognitive performance in older and middle aged depressed outpatients and controls. Journal of Gerontology, 49, 129136.CrossRefGoogle ScholarPubMed
Neylan, T.C., Lenoci, M., Rothlind, J., Metzler, T.J., Schuff, N., Du, A.T., et al. . (2004). Attention, learning, and memory in posttraumatic stress disorder. Journal of Traumatic Stress, 17(1), 4146.CrossRefGoogle ScholarPubMed
Pederson, C., Maurer, S., Kaminski, P., Zander, K., Peters, C., Stokes-Crowe, L., et al. . (2004). Hippocampal volume and memory performance in a community-based sample of women with posttraumatic stress disorder secondary to child abuse. Journal of Traumatic Stress, 17, 3740.CrossRefGoogle Scholar
Samuelson, K.W., Neylan, T.C., Metzler, T., Lenoci, M., Rothlind, J., Henn-Haase, C., et al. . (2006). Neuropsychological functioning in posttraumatic stress disorder and alcohol abuse. Neuropsychology, 20(6), 716726.Google Scholar
Schaie, K.W., Labouvie, G.V., & Barrett, T.J. (1973). Selective attrition effects in a fourteen-year study of adult intelligence. Journal of Gerontology, 28, 328334.Google Scholar
Skinner, H., & Sheu, W. (1982). Reliability of alcohol use indices: The Lifetime Drinking History and the MAST. Journal of Studies in Alcohol, 43, 11571170.CrossRefGoogle ScholarPubMed
Smith, E.E., & Jonides, J. (1996). Working memory in humans: Neuropsychological evidence. In Gazzaniga, M.S. (Ed.), The cognitive neurosciences (pp. 10091020). Cambridge, MA: MIT Press.Google Scholar
Southwick, S., Rasmusson, A., Barron, J., & Arnsten, A. (2005). Neurobiological and neurocognitive alterations in PTSD: A focus on norepinephrine, serotonin, and the hypothalamic-pituitary-adrenal axis. In Vasterling, J. & Brewin, C. (Eds.), Neuropsychology of PTSD. New York: Guilford.Google Scholar
Stein, M., Hanna, C., Vaerum, V., & Koverola, C. (1999). Memory functioning in adult women traumatized by childhood sexual abuse. Journal of Traumatic Stress, 12, 527534.CrossRefGoogle ScholarPubMed
Stein, M., Kennedy, C.M., & Twamley, E.W. (2002). Neuropsychological function in female victims of intimate partner violence with and without posttraumatic stress disorder. Biological Psychiatry, 52, 10791088.Google Scholar
Sutker, P.B., Uddo-Crane, M., & Allain, A. (1991). Clinical and research assessment of posttraumatic stress disorder. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 520530.CrossRefGoogle Scholar
Uddo, M., Vasterling, J.J., Brailey, K., & Sutker, P.B. (1993). Memory and attention in combat-related post-traumatic stress disorder (PTSD). Journal of Psychopathology & Behavioral Assessment, 15(1), 4352.Google Scholar
Vasterling, J.J., Brailey, K., Constans, J.I., & Sutker, P.B. (1998). Attention and memory dysfunction in posttraumatic stress disorder. Neuropsychology, 12(1), 125133.Google Scholar
Vasterling, J.J., Duke, L.M., Brailey, K., Constans, J.I., Allain, A.N. Jr, & Sutker, P.B,. (2002). Attention, learning, and memory performances and intellectual resources in Vietnam veterans: PTSD and no disorder comparisons. Neuropsychology, 16(1), 514.Google Scholar
Wechsler, D. (1997a). Wechsler Memory Scale–Third Edition (WMS-III). San Antonio, TX: The Psychological Corporation.Google Scholar
Wechsler, D. (1997b). Wechsler Adult Intelligence Scale–Third Edition (WAIS-III). San Antonio, TX: The Psychological Corporation.Google Scholar
Yehuda, R., Golier, J., Halligan, S., & Harvey, P. (2004). Learning and memory in Holocaust survivors with posttraumatic stress disorder. Biological Psychiatry, 55, 291295.Google Scholar
Yehuda, R., Keefe, R., Harvey, P., Levengood, R., Gerber, D., Geni, J., et al. . (1995). Learning and memory in combat veterans with posttraumatic stress disorder. American Journal of Psychiatry, 152, 137139.Google Scholar
Yehuda, R., Tischler, L., Golier, J., Grossman, R., Brand, S., Kaufman, S., et al. . (2006). Longitudinal assessment of cognitive performance in Holocaust survivors with and without PTSD. Biological Psychiatry, 60, 714721.CrossRefGoogle ScholarPubMed
Zalewski, C., Thompson, W., & Gottesman, I.I. (1994). Comparison of neuropsychological test performance in PTSD, generalized anxiety disorder, and control Vietnam veterans. Assessment, 1(2), 133142.CrossRefGoogle ScholarPubMed