Are there gender differences in cognitive function, chronic stress, and neurobehavioral symptoms after mild-to-moderate traumatic brain injury?

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
Tracey Covassin, Esther Bay

Abstract

Research is inconclusive on whether gender differences exist in cognitive function in persons who sustain a mild-to-moderate traumatic brain injury (TBI). Furthermore, it is also unclear whether there is a relationship between chronic stress and cognitive function in these persons. The purpose of this integrative review is to determine whether gender differences exist in cognitive function, neurobehavioral symptoms, and chronic stress levels after a mild-to-moderate TBI. Participants (n = 72) were recruited from eight outpatient rehabilitation centers. Participants completed the demographic questions, the Immediate Postconcussion Assessment Cognitive Testing neurocognitive test battery, the Perceived Stress Scale-14, and the Neurobehavioral Functioning Inventory (NFI). Gender differences were present on verbal memory composite scores (p = .033), with women performing worse than men. There were no other between-gender differences on cognitive tasks, neurobehavioral symptoms, or chronic stress. Higher chronic stress levels result in a decrease in verbal memory (p = .015) and motor processing speed (p = .006) and slower reaction time (p = .007) for women. As male NFI cognition scores increased, motor processing speed scores decrea...Continue Reading

References

May 10, 2002·Annals of the New York Academy of Sciences·B S McEwen
Feb 1, 2007·Journal of Neurotrauma·Annadora J Bruce-KellerStephen W Scheff

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Citations

Jan 22, 2014·International Journal of Molecular Sciences·Shruti V Kabadi, Alan I Faden
Jun 20, 2014·Brain Injury : [BI]·Thea J RogersTheresa L-B Pape
Feb 11, 2015·Archives of Physical Medicine and Rehabilitation·Halina L HaagAngela Colantonio
Feb 3, 2016·Archives of Physical Medicine and Rehabilitation·Vincy ChanAngela Colantonio
Nov 7, 2018·Journal of Athletic Training·Chelsea L WilliamsonJacob E Resch
Feb 23, 2019·Journal of Neurotrauma·Raeesa GupteJanna Harris
Jan 29, 2019·Journal of Clinical Psychology in Medical Settings·Matthew R PowellThomas F Bergquist

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.