Many studies have evaluated the influence of mild traumatic brain injury (mTBI) on neuropsychological test performance and on report of postconcussive symptoms. However, most studies that examine postconcussion syndrome (PCS) do not address the issue of "polytrauma," which is common in military mTBI. This study investigated simultaneously demographic, injury-related, and psychiatric symptom predictors of PCS report in a veteran, polytrauma sample. In prediction of overall report of PCS symptoms with demographic, traumatic brain injury, psychiatric and sleep variables, 60% of the variance was explained. Semipartial correlations revealed that post-traumatic stress disorder uniquely explained 7% of the variance, depression 2%, and sleep dissatisfaction 3%; injury and demographic characteristics accounted for no unique variance. In all 5 hierarchical multiple regressions (prediction of total Neurobehavioral Symptom Inventory score and 4 individual factor scores), the total models were significant (p < 0.001). Accurate diagnosis and treatment necessitates an integrative analysis of PCS, psychiatric, behavioral, and health symptom report in addition to neuropsychological functioning in the polytrauma population. This study demonstrated that emotional distress was uniquely predictive of total report of PCS and that no injury-related characteristics were predictive. This is of particular relevance in a Veteran population given the high rates of both mTBI and psychiatric disturbance.

Though no research has yet documented the representation of sexual assault survivors who work as mental health professionals, it can be assumed that the numbers are similar to those in the general public-1 in 3 women are survivors (Smith et al., 2017). This article will discuss the transformation of one therapist, a survivor, working with a young man, who in the course of treatment, was accused of rape. The hope is that this article will reach other survivors working as mental health professionals, and supervisors supporting those therapists, to illuminate what to do when personal trauma interacts with tertiary trauma in the context of a nonjudgmental therapeutic relationship. This article has been written from the perspective of the therapist (and doctoral trainee), with input from the supervisor who consulted on the case. It is our hope that others will be able to learn from this experience, as it is likely to be reoccurring.

Objective This study sought to broaden the findings of the current research on the relationship between late and moderate preterm (LAMP) birth and long-term neurocognitive outcomes, specifically those related to Attention Deficit Hyperactivity Disorder (ADHD). LAMP children were compared to term-born children on rates of ADHD prevalence and neurocognitive functioning. Method This cross-sectional study included 169 patients, ages 8–12 years, who completed neuropsychological evaluation; 30.2% were female, 37.87% identified with a non-White racial group, 36.7% were Medicaid, 18.34% had in-utero exposure to substances, 40.8% were LAMP, 9.47% were born following pre-eclampsia, 21.3% required intensive care at birth, and 51.5% had ADHD family history. Measures of intellectual functioning (IQ), attention, working memory (WM), executive functioning (EF), and processing speed were derived from the Wechsler Intelligence Scale for Children, Fifth Edition, Conners Continuous Performance Test, Second and Third Editions (CPT-2/CPT-3), Delis-Kaplan Executive Function System, and NEPSY, Second Edition. Results ADHD prevalence was similar between LAMP (79.7%) and term-born children (75%), as were neurocognitive outcomes. Interestingly, no significant differences in performance-based WM or EF were observed between those with and without ADHD; inattention (CPT-2/CPT-3 Omissions) was the only performance-based measure that was significantly higher among those with ADHD (M = 61.93, SD = 15.35) than those without (M = 54.31, SD = 11.27), t(165) = −3.38, p &lt; 0.01, 95% CI [−12.11, −3.13]. Conclusion(s) Prevalence of ADHD and measured neurocognitive outcomes were not significantly different between LAMP and term-born children. This affirms the multifactorial etiological pathways to ADHD and supports ADHD as a heterogenous neurocognitive presentation.

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