PMID- 29388703 OWN - NLM STAT- MEDLINE DCOM- 20191111 LR - 20191111 IS - 1573-6598 (Electronic) IS - 0894-9867 (Linking) VI - 31 IP - 1 DP - 2018 Feb TI - Gender Differences in Neurocognitive Performance Among Children With Posttraumatic Stress Disorder and Mild Traumatic Brain Injury. PG - 64-70 LID - 10.1002/jts.22250 [doi] AB - Posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI) are frequent sequelae after motor vehicle accidents (MVAs). These two pathologies often have overlapping neurocognitive deficits across several domains, such as attention, memory, and executive functions. The present study was an effort to examine the contribution of gender to these overlapping symptoms. To this end, psychodiagnostic and neuropsychological data were collected on 61 children and adolescents 3 months following MVA. All participants were diagnosed with PTSD, and about half (n = 33) also received a diagnosis of mTBI. Analyses of variance revealed significant interactions between gender and mTBI (etap2=.15), such that girls with mTBIs preformed significantly worse than noninjured girls on measures of executive functions (Cohen's d = 3.88) and sustained attention (Cohen's d = 3.24). Boys, on the other hand, did not differ significantly on any of those measures, irrespective of TBI injury status. Similarly, comparisons to the normative population revealed that, whereas boys showed impaired neurocognitive performances regardless of TBI status, impaired performances in girls were limited to those cases in which the girls were comorbid for PTSD and mTBI. It appears then that whereas PTSD alone might explain boys' reduced neurocognitive performance, among girls the comorbidity of PTSD and mTBI is required to account for performance deficits. CI - Copyright (c) 2018 International Society for Traumatic Stress Studies. FAU - Segev, Shira AU - Segev S AD - Department of Psychology, Bar Ilan University, Ramat-Gan, Israel. AD - PTSD Unit, Department of Psychological Medicine, Schneider Children's Medical Center of Israel, Petach Tikvah, Israel. FAU - Shorer, Maayan AU - Shorer M AD - PTSD Unit, Department of Psychological Medicine, Schneider Children's Medical Center of Israel, Petach Tikvah, Israel. FAU - Peleg, Tammy Pilowsky AU - Peleg TP AD - Neuropsychological Unit, Schneider Children's Medical Center of Israel, Petach Tikvah, Israel. AD - Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel. FAU - Apter, Alan AU - Apter A AD - PTSD Unit, Department of Psychological Medicine, Schneider Children's Medical Center of Israel, Petach Tikvah, Israel. FAU - Fennig, Silvana AU - Fennig S AD - PTSD Unit, Department of Psychological Medicine, Schneider Children's Medical Center of Israel, Petach Tikvah, Israel. FAU - Rassovsky, Yuri AU - Rassovsky Y AD - Department of Psychology, Bar Ilan University, Ramat-Gan, Israel. AD - Leslie and Susan Gonda (Goldschmied) Multidisciplinary Brain Research Center, Bar Ilan University, Ramat-Gan, Israel. AD - Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA), California, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180201 PL - United States TA - J Trauma Stress JT - Journal of traumatic stress JID - 8809259 SB - IM MH - Accidents, Traffic/*psychology MH - Adolescent MH - Attention MH - Brain Concussion/etiology/*psychology MH - Child MH - Executive Function MH - Female MH - Humans MH - Male MH - Mental Status and Dementia Tests MH - Sex Factors MH - Stress Disorders, Post-Traumatic/etiology/*psychology EDAT- 2018/02/02 06:00 MHDA- 2019/11/12 06:00 CRDT- 2018/02/02 06:00 PHST- 2017/01/24 00:00 [received] PHST- 2017/07/30 00:00 [revised] PHST- 2017/09/06 00:00 [accepted] PHST- 2018/02/02 06:00 [pubmed] PHST- 2019/11/12 06:00 [medline] PHST- 2018/02/02 06:00 [entrez] AID - 10.1002/jts.22250 [doi] PST - ppublish SO - J Trauma Stress. 2018 Feb;31(1):64-70. doi: 10.1002/jts.22250. Epub 2018 Feb 1.