Abstract

Individuals seeking neuropsychological assessment frequently present with executive dysfunction and often have trauma histories. This study examines the relationship between Posttraumatic Stress symptoms measured by the Trauma Symptom Inventoy- 2 (TSI-2) and performance on the Delis- Kaplan Executive Function System (DKEFS) Tower Test, which is commonly used in clinical research settings to evaluate executive functioning. The task involves planning, considering multiple possibilities, and adjusting based on feedback. All participants (n = 54) had experienced trauma over the course of their life. Participants were classified into two groups based on the TSI-2 PTSD factor score: the control group (n = 33, T score 60). Result: While the Tower total achievement scores did not differ between clinical groups, there were effects seen on the efficiency of their performance. A one-way ANOVA indicated that the control group significantly were more efficient in their moves to complete the task compared to the PTSD group (F(1, 52) = 6.589, p = 0.013). The symptomatic group performed lower on the Tower Move Accuracy ratio despite comparable overall Tower achievement, which suggests poorer planning and organization skills. While the total sample in this study presented with a trauma history, the groupings were based on the presence or absence of current PTSD symptoms. Consistent with Stricker et al. (2015), current trauma symptoms appear to influence performance on executive functioning tasks.

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