Self-Report of Psychological Function Among OEF/OIF Personnel Who Also Report Combat-Related Concussion

Abstract

MMPI-2 RF profiles of 128 U.S. soldiers and veterans with history of concussion were examined. Participants evaluated in forensic (n = 42) and clinical (n = 43) settings showed significantly higher validity and clinical elevations relative to a research group (n = 43). In the full sample, a multivariate GLM identified main effects for disability claim status and Axis I diagnosis across numerous MMPI-2 RF scales. Participants with co-morbid PTSD and concussion showed significant Restructured Clinical and Specific Problem scale elevations relative to those without Axis I diagnosis. Participants with PTSD and active disability claims were especially prone to elevate on FBS/FBS-r and RBS. Implications for neuropsychologists who routinely administer the MMPI-2/RF in the context of combat-related concussion are discussed.

Keywords:

• Concussion
• Symptom validity
• Operations Enduring Freedom and Iraqi Freedom

Acknowledgment

The authors would like to thank Bridget Doane, Ph.D. of the Minneapolis VA Medical Center, who offered consultation regarding general linear modeling.