The Influence of Medical Evaluation Board Status on Symptom Reporting Among Service Members with Traumatic Brain Injury
SAN ANTONIO MILITARY MEDICAL CENTER FORT SAM HOUSTON TX FORT SAM HOUSTON United States
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A medical evaluation board MEB is initiated by command to determine whether a service member SM with medic al conditions is fit or unfit to perform his or her assigned duties. The results of MEB exams are evaluated to return the SM back to duty or to medically separate him or her. Because a MEB could result in a medical discharge from the military, some SM might diminish the severity of their symptoms out of fear of being discharged. Alternatively, SM might be influenced to exaggerate his or he r symptoms in order to receive more benefits. We examined whether MEB status of SM with traumatic brain injury TBI influenced scores on two measures of inflated symptom reporting The Neurobehavioral Symptom Inventory NSI validity-10 index, which is composed of symptoms infrequently endorsed by patients with mild TBI, and the Mild Brain Injury Atypical Symptoms scale MBIAS, which is composed of neurologically improbable symptoms following mild TBI.
- Medicine and Medical Research