PECULIARITIES OF THE CLINICAL ANALYSIS OF THE SENSORY PROFILE IN MILITARY PERSONNEL

Authors

DOI:

https://doi.org/10.32782/psy-visnyk/2025.4.9

Keywords:

mild traumatic brain injury, adjustment disorder, military personnel, sensory sensitivity, sensory profile, auditory stimuli, interoception, distress, neuropsychological rehabilitation, VSO-18

Abstract

The article presents the results of a study of sensory profiles in servicemen with mild traumatic brain injury (mTBI) and adjustment disorder (AD) symptoms. Particular attention is paid to identifying differences in the frequency of sensory manifestations and distress levels across sensory domains (visual, auditory, vestibular, proprioceptive, tactile, and interoceptive). The author’s VSO-18 questionnaire, specifically developed with consideration of the specifics of military service, was used to assess sensory characteristics. This work is the first pilot testing (approbation) of the instrument.The aim of the study was to investigate qualitative and quantitative features of sensory sensitivity and its relationship with the clinical state of servicemen. 38 individuals aged 23–56 years (active servicemen and war veterans) were examined.Descriptive and interpretive clinical-psychological processing of the respondent data was performed, as well as correlation analysis of the relationship between the frequency of sensory manifestations and distress levels.The results showed that patients with mTBI more often exhibited vestibular, visual, and tactile manifestations, whereas in servicemen with AD symptoms auditory and interoceptive reactions dominated. The highest distress level in both groups was associated with auditory stimuli; the AD group additionally showed significant interoceptive load with pronounced sleep disturbances and anxiety. Correlation analysis revealed strong agreement between manifestation frequency and distress in the mTBI group (r=0.878; ρ=0.829) and moderate but significant agreement in the AD group (r=0.888; ρ=0.943).The study confirmed the importance of comprehensive sensory assessment in military personnel for more accurate differential diagnosis and individualized rehabilitation programs. The VSO-18 questionnaire proved effective for clinical practice (screening, monitoring, and outcome evaluation of psychocorrectional and neuropsychological interventions).

References

Callahan ML, Binder LM, O’Neil ME, et al. Sensory sensitivity in operation enduring freedom/operation Iraqi freedom veterans with and without blast exposure and mild traumatic brain injury. Appl Neuropsychol Adult. 2018;25(1):52-60. https://doi.org/10.1080/23279095.2016.1261867

Chan SH, Ng JY, Lee TM. Traumatic brain injuries: a neuropsychological review. Front Behav Neurosci. 2024;18:1326115. https://doi.org/10.3389/fnbeh.2024.1326115

Elliott JE, Opel RA, Weymann KB, et al. Sleep disturbances in traumatic brain injury: associations with sensory sensitivity. J Clin Sleep Med. 2018;14(7):1177-1186. https://doi.org/10.5664/jcsm.7220

McTeague LM, Rosenberg BM, Lopez JW, et al. Sensory alterations in post-traumatic stress disorder. Curr Opin Neurobiol. 2023;83:102787. https://doi.org/10.1016/j.conb.2023.102787

Jolly AE, Raymont V, Cole JH, et al. Longitudinal abnormalities in white matter extracellular free water volume fraction and neuropsychological functioning in patients with traumatic brain injury. J Neurotrauma. 2022;39(11-12):785-798. https://doi.org/ 10.1089/neu.2021.0359

Hoffman AN, Lam J, Hovda DA, Giza CC, Fanselow MS. Sensory sensitivity as a link between concussive traumatic brain injury and PTSD. Sci Rep. 2019;9(1):13463. https://doi.org/10.1038/s41598-019-50312-y

VanElzakker MB, Staples-Bradley LK, Chang L, et al. The brain-body disconnect: a somatic sensory basis for trauma-related disorders. Front Neurosci. 2022;16:1015749. https://doi.org/10.3389/fnins.2022.1015749

Kimball C. Sensory modulation challenges: one missing piece in the diagnosis and treatment of veterans with PTSD. Occup Ther Ment Health. 2023;39(4):381-397. https://doi.org/10.1080/0164212X.2022.2131695

Wang Y, et al. Poor sleep and decreased cortical thickness in veterans with mild traumatic brain injury. Mil Med Res. 2024;11(1):45. https://doi.org/10.1186/s40779-024-00557-0

Martindale SL, et al. Blast exposure and long-term diagnoses among veterans. Front Neurol. 2025;16:1599351. https://doi.org/10.3389/fneur.2025.1599351

Masino AJ, Folweiler KA. Unsupervised machine learning reveals novel traumatic brain injury patient phenotypes with distinct acute injury profiles and long-term outcomes. J Neurotrauma. 2020;37(12):1437-1448. https://doi.org/10.1089/neu.2019.6919

Pattinson CL, Shahim P, Taylor P, et al. Elevated tau in military personnel relates to chronic symptoms following traumatic brain injury. J Head Trauma Rehabil. 2020;35(1):66-73. https://doi.org/10.1097/HTR.0000000000000485

Swan AA, et al. Sensory dysfunction and traumatic brain injury severity among deployed post-9/11 veterans: a Chronic Effects of Neurotrauma Consortium study. Brain Inj. 2018;32(13-14):1967-1975. https://doi.org/10.1080/02699052.2018.1531310

Tepe V, Papesh M, Russell S, Lewis MS, Angley G, Armour M. Central auditory processing dysfunction in service members and veterans: treatment considerations and strategies. J Speech Lang Hear Res. 2023;66(7):2321-2334. https://doi.org/10.1044/2023_JSLHR-23-00095

Thielen JW, Wouters K, Vander Linden C, et al. Sensory sensitivity after acquired brain injury: a systematic review. Neuropsychol Rehabil. 2022;32(9):1411-1435. https://doi.org/10.1080/09602011.2022.2076752

Thielen JW, et al. Sensory hypersensitivity after acquired brain injury: the patient perspective. Disabil Rehabil. 2023;45(18):2985-2993. https://doi.org/10.1080/09638288.2023.2251401

Vasterling JJ, Jacob SN, Rasmusson A. Traumatic brain injury and posttraumatic stress disorder: conceptual, diagnostic, and therapeutic considerations in the context of co-occurrence. J Neuropsychiatry Clin Neurosci. 2018;30(2):91-100. https://doi.org/10.1176/appi.neuropsych.17090180

VA/DoD Clinical Practice Guideline for the Management of Concussion-mild Traumatic Brain Injury. Department of Veterans Affairs, Department of Defense. 2021. https://www.healthquality.va.gov/guidelines/Rehab/mtbi/VA-DoD-CPG-mTBI-2021.pdf

Published

2025-12-31

How to Cite

Князєв, В. М., & Бризгунова, О. В. (2025). PECULIARITIES OF THE CLINICAL ANALYSIS OF THE SENSORY PROFILE IN MILITARY PERSONNEL. Scientific Bulletin of Uzhhorod National University. Series: Psychology, (4), 58-62. https://doi.org/10.32782/psy-visnyk/2025.4.9