Sensitivity and Specificity of the Ohio State University Traumatic Brain Injury Identification Method (OSU TBI-ID) to Neuropsychological Impairment

Nicole Glover

Date of Award

6-15-2016

Document Type

Undergraduate Capstone Project

Degree Name

Psy.D.

Organizational Unit

Graduate School of Professional Psychology

First Advisor

Kim Gorgens

Second Advisor

Jennifer Gafford

Third Advisor

Marybeth Lehto

Keywords

Traumatic Brain Injury (TBI), Offenders, Justice system settings, Neuropsychological screening battery

Abstract

It is recognized that offenders in justice system settings have disproportionately high rates of TBI in comparison with the general population. Persons with TBI histories are more likely to show cognitive deficits and are also more likely to have poor outcomes during and after incarceration. Resource-limited justice systems are invested in more efficiently identifying and managing the needs of these higher-risk individuals. An interviewer-administered questionnaire (OSU TBI-ID) and a neuropsychological screening battery (ANAM Core Battery) were used to determine whether or not a person had a history of TBI and whether or not there was a cognitive deficit, respectively. The present study sought to determine whether the three OSU TBI-ID categories of first, worst, and multiple were predictive of ongoing cognitive impairment as indicated by a score of clearly below average on any domain on the ANAM Core Battery. There were 223 participants (Male=160, Female=62). Overall, SEN and SPEC results revealed poor (.65) to very poor (.36) estimates for all three summary indices across all seven subtests. +LR statistics ranged from (1.39) to (0.67), whereas -LR ranged from (1.38) to (0.75), which indicated very inefficient indices as predictors of ANAM results. The results of this study suggest that screening for lifetime history of traumatic brain injury (TBI) does not identify cognitive impairment. More specifically, results suggest that no single OSU TBI-ID summary index was a good predictor for any single ANAM variable. Implications for treatment modifications and future research are also discussed.

Publication Statement

Copyright is held by the author. Permanently suppressed.

Extent

46 pages

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