14. Utilizing PAI with Veterans and First Responders with a history of mild to moderate TBI

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ID: 324520
2026
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Ranked #19 of 79 articles by views in archives of clinical neuropsychology : the official journal of the national academy of neuropsychologists

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Abstract
Abstract Purpose The study examined the use of the Personality Assessment Inventory (PAI) with Veterans and First Responders with a history of mild to moderate traumatic brain injury (TBI) to inform treatment planning. It was hypothesized that multiple scales would be highly endorsed that are not fully captured by routine screening measures. These scales were also hypothesized to be inversely associated with certain cognitive measures. Method This retrospective study consisted of patients ages 26 to 68. Patients completed the PAI, Digit Span, and Trail Making Test (TMT) as part of their rehabilitation evaluation. Descriptive statistics were calculated for demographics, frequency was calculated for all scales, and Pearson correlations for outcome measures. Results A total of 97 Veterans and First Responders (mean age=46.01± 0.99 years, 92% Male) were included. Results showed that patients highly endorsed: somatic concerns, depression, anxiety-related disorders, anxiety, borderline features, and schizophrenia and subscales: traumatic stress, thought disorder, health concerns, somatization, conversion, affective instability, negative relationships, obsessive-compulsive tendencies, identity problems, social detachment, irritability, and hypervigilance. Six scales/sub-scales demonstrated a moderate to weak negative correlation (-0.30 to -0.35) with cognitive measures: anxiety, anxiety-related disorders, physiological symptoms of anxiety, traumatic stress, affective symptoms of depression, and social detachment. Conclusions Results demonstrated that Veterans and First Responders with a history of mild to moderate TBI endorse several psychological symptoms that are often missed in traditional screening measures and supports the use of the PAI for TBI treatment planning.
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Authors B M M Mehmel
Journal archives of clinical neuropsychology : the official journal of the national academy of neuropsychologists
Year 2026
DOI
10.1093/arclin/acag055.014
URL
https://doi.org/10.1093/arclin/acag055.014
Keywords Keywords not found

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