Thomas J. DeGraba
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View article: Provider Differences in Costs, Utilization, and Quality of Primary Care for Traumatic Brain Injury in the Military
Provider Differences in Costs, Utilization, and Quality of Primary Care for Traumatic Brain Injury in the Military Open
NPs and PAs provide services for mTBI at lower costs than PCPs, with mixed results for quality.
View article: Cognitive flexibility in post-traumatic stress disorder: Sustained interference associated with altered modulation of cortical oscillatory activity during task-switching
Cognitive flexibility in post-traumatic stress disorder: Sustained interference associated with altered modulation of cortical oscillatory activity during task-switching Open
Post-traumatic stress disorder (PTSD) is associated with deficits in cognitive flexibility, with evidence suggesting that these deficits may be a risk factor for the development of core PTSD symptoms. Understanding the neurophysiological s…
View article: Development of the <u>B</u>last <u>O</u>rdnance and <u>O</u>ccupational Exposure <u>M</u>easure for Self-Reported Lifetime Blast Exposures
Development of the Blast Ordnance and Occupational Exposure Measure for Self-Reported Lifetime Blast Exposures Open
Introduction To address the military gap in the standardized collection of lifetime blast exposures across clinical and research endeavors, researchers at the National Intrepid Center of Excellence (NICoE) completed a quality improvement p…
View article: 0625 Characterization of Obstructive Sleep Apnea in Active-Duty US Military Personnel Receiving Interdisciplinary Care at the National Intrepid Center of Excellence
0625 Characterization of Obstructive Sleep Apnea in Active-Duty US Military Personnel Receiving Interdisciplinary Care at the National Intrepid Center of Excellence Open
Introduction Among active-duty service members (ADSMs), obstructive sleep apnea (OSA) is associated with decreased quality of life and military readiness/retention. Limited evidence suggests mild traumatic brain injury (mTBI) patients have…
View article: Investigation of the Relationship Between Frequency of Blast Exposure, mTBI History, and Post-traumatic Stress Symptoms
Investigation of the Relationship Between Frequency of Blast Exposure, mTBI History, and Post-traumatic Stress Symptoms Open
Introduction Post-traumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI) are common conditions among military personnel that frequently co-occur. This study investigated relationships between self-reported blast exposure, …
View article: Efficacy of an Interdisciplinary Intensive Outpatient Program in Treating Combat-Related Traumatic Brain Injury and Psychological Health Conditions
Efficacy of an Interdisciplinary Intensive Outpatient Program in Treating Combat-Related Traumatic Brain Injury and Psychological Health Conditions Open
Background: Since 2000, over 413,000 US service members (SM) experienced at least one traumatic brain injury (TBI), and 40% of those with in-theater TBIs later screened positive for comorbid psychological health (PH) conditions, including …
View article: Post-traumatic stress disorder is associated with alterations in evoked cortical activation during visual recognition of scenes
Post-traumatic stress disorder is associated with alterations in evoked cortical activation during visual recognition of scenes Open
We recorded magnetoencephalography data during a visual recognition task in participants with combat exposure (n = 40, age: 41.2 ± 7.2 years) to investigate the relationship between the evoked brain activity, behavioral performance, and th…
View article: Examining associations between montage painting imagery and symptoms of depression and posttraumatic stress among active-duty military service members.
Examining associations between montage painting imagery and symptoms of depression and posttraumatic stress among active-duty military service members. Open
View article: 1103 Understanding the Role of Sleep as a Risk Factor for Suicidal Ideation in Active Duty Service Members
1103 Understanding the Role of Sleep as a Risk Factor for Suicidal Ideation in Active Duty Service Members Open
Introduction Suicide is an important public health concern with many factors contributing to increased risk. Sleep is one such factor that may elevate risk, yet this association is not well understood. By identifying the strongest sleep-re…
View article: Altered modulation of beta band oscillations during memory encoding is predictive of lower subsequent recognition performance in post-traumatic stress disorder
Altered modulation of beta band oscillations during memory encoding is predictive of lower subsequent recognition performance in post-traumatic stress disorder Open
We studied the relationship between electrophysiological markers of memory encoding, subsequent recognition performance, and severity of PTSD symptoms in service members with combat exposure (n = 40, age: 41.2 ± 7.2 years) and various leve…
View article: Normobaric Hypoxia with a Simple Saccade Task Reveals Latent Performance Deficits in Service Members Affected by Mild Traumatic Brain Injuries (mTBI)
Normobaric Hypoxia with a Simple Saccade Task Reveals Latent Performance Deficits in Service Members Affected by Mild Traumatic Brain Injuries (mTBI) Open
82.3% of the traumatic brain injuries that U.S. Service Members and civilians sustain are concussions, also termed mild traumatic brain injuries (mTBI). Although the effects of concussion are relatively easy to diagnose in the acute phase,…
View article: Post-traumatic stress disorder is associated with altered modulation of prefrontal alpha band oscillations during working memory
Post-traumatic stress disorder is associated with altered modulation of prefrontal alpha band oscillations during working memory Open
The lower amplitude of prefrontal alpha band oscillations may represent an important physiological basis for core PTSD symptoms and can provide a target for interventions to augment response to treatment.
View article: Observational study of associations between visual imagery and measures of depression, anxiety and post-traumatic stress among active-duty military service members with traumatic brain injury at the Walter Reed National Military Medical Center
Observational study of associations between visual imagery and measures of depression, anxiety and post-traumatic stress among active-duty military service members with traumatic brain injury at the Walter Reed National Military Medical Center Open
Objectives The study aimed tocompare recurring themes in the artistic expression of military service members (SMs) with post-traumatic stress disorder (PTSD), traumatic brain injury and psychological health (PH) conditions with measurable …
View article: The Biological Basis of Chronic Traumatic Encephalopathy following Blast Injury: A Literature Review
The Biological Basis of Chronic Traumatic Encephalopathy following Blast Injury: A Literature Review Open
The United States Department of Defense Blast Injury Research Program Coordinating Office organized the 2015 International State-of-the-Science meeting to explore links between blast-related head injury and the development of chronic traum…
View article: Activation of dominant hemisphere association cortex during naming as a function of cognitive performance in mild traumatic brain injury: Insights into mechanisms of lexical access
Activation of dominant hemisphere association cortex during naming as a function of cognitive performance in mild traumatic brain injury: Insights into mechanisms of lexical access Open
View article: Active-duty military service members’ visual representations of PTSD and TBI in masks
Active-duty military service members’ visual representations of PTSD and TBI in masks Open
Active-duty military service members have a significant risk of sustaining physical and psychological trauma resulting in traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD). Within an interdisciplinary treatment approac…
View article: Art therapy for PTSD and TBI: A senior active duty military service member’s therapeutic journey
Art therapy for PTSD and TBI: A senior active duty military service member’s therapeutic journey Open
Art therapy is increasingly being accepted as a form of complementary and integrative care for military veterans affected by trauma and injuries in the line of duty. Less is known, however, about the applications of art therapy for co-morb…
View article: A Large-Scale Informatics Database to Advance Research and Discovery of the Effects of Mild Traumatic Brain Injury
A Large-Scale Informatics Database to Advance Research and Discovery of the Effects of Mild Traumatic Brain Injury Open
Clinical research advances in traumatic brain injury (TBI) and behavioral health have always been restricted by the quantity and quality of the data as well as the difficulty of collecting standardized clinical elements. Those barriers, to…