MARC보기
LDR00000nam u2200205 4500
001000000431880
00520200224110217
008200131s2019 ||||||||||||||||| ||eng d
020 ▼a 9781085677608
035 ▼a (MiAaPQ)AAI13901442
040 ▼a MiAaPQ ▼c MiAaPQ ▼d 247004
0820 ▼a 355
1001 ▼a Clark, Alexandra L.
24514 ▼a The Relationship between Cerebral Blood Flow and Neuropsychological Outcomes in Veterans with History of Mild Traumatic Brain Injury.
260 ▼a [S.l.]: ▼b University of California, San Diego., ▼c 2019.
260 1 ▼a Ann Arbor: ▼b ProQuest Dissertations & Theses, ▼c 2019.
300 ▼a 91 p.
500 ▼a Source: Dissertations Abstracts International, Volume: 81-04, Section: A.
500 ▼a Advisor: Delano-Wood, Lisa M.
5021 ▼a Thesis (Ph.D.)--University of California, San Diego, 2019.
506 ▼a This item must not be sold to any third party vendors.
520 ▼a Rationale. Though the short and long-term consequences of neurotrauma are only beginning to be appreciated, those with history of mild traumatic brain injury (TBI) show increased rates of psychiatric disorders, decreased quality of life, and cognitive deficits relative to those with no history of mTBI. Potentially important, though vastly understudied, is the role of the cerebrovascular system in cognitive outcomes after mild TBI. Primary injury to the cerebrovasculature (i.e., stretching and shearing of vessels) coupled with secondary pathophysiological processes (e.g., ischemia, neuroinflammation, vascular remodeling) may alter cerebral blood flow (CBF) post-injury. Such CBF changes may negatively affect the brain's process of post-traumatic repair and contribute to poor long-term outcomes. However, the contribution of CBF to cognitive dysfunction post-injury remains incompletely characterized, and no known human studies have investigated how important genetic and environmental risk factors (i.e., cumulative number of sub-concussive blasts, history of multiple TBIs, time since injury, apolipoprotein E [APOE]-琯4 genotype) may moderate CBF and cognitive associations.Design. The current study utilized multi-phase pseudo-continuous arterial spin labeling neuroimaging methods to (1) evaluate whether resting CBF differences occur in those with history of TBI, (2) investigate the relationship between resting CBF and neuropsychological function, and (3) in exploratory analyses, examine possible moderators of resting CBF and cognition in those with history of mTBI. We recruited and enlisted 54 OEF/OIF/OND service members between the ages of 18 and 50 for this study. Study groups include those with history of mild or moderate TBI (n = 31) and military controls with no history of TBI (n = 23). Analyses of covariance controlling for age and symptoms of posttraumatic stress and depression were used to explore group differences in resting CBF of the whole brain as well as bilateral frontal and temporal regions of interest. Multiple regression analyses were performed within the TBI group to assess whether resting CBF in bilateral frontal and temporal ROIs was predictive of performance on measures of executive functioning and memory
590 ▼a School code: 0033.
650 4 ▼a Clinical psychology.
650 4 ▼a Cognitive psychology.
650 4 ▼a Neurosciences.
650 4 ▼a Military studies.
690 ▼a 0622
690 ▼a 0633
690 ▼a 0750
690 ▼a 0317
71020 ▼a University of California, San Diego. ▼b Clinical Psychology (Joint Doctoral with SDSU).
7730 ▼t Dissertations Abstracts International ▼g 81-04A.
773 ▼t Dissertation Abstract International
790 ▼a 0033
791 ▼a Ph.D.
792 ▼a 2019
793 ▼a English
85640 ▼u http://www.riss.kr/pdu/ddodLink.do?id=T15492293 ▼n KERIS ▼z 이 자료의 원문은 한국교육학술정보원에서 제공합니다.
980 ▼a 202002 ▼f 2020
990 ▼a ***1008102
991 ▼a E-BOOK