Kaitlin Riegler, Ph.D.
@Kriegler25
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Neuropsychologist @RWJBarnabas Health Medical Group MS Care Center. @penn_state Clinical Psychology Ph.D. alum. #SportsConcussion & #MultipleSclerosis research.
East Hanover, NJ
Joined December 2011
Excited to share that today I'm starting a new position as a Neuropsychologist @RWJBarnabas Health Medical Group in the Multiple Sclerosis Care Center! Check out this brief video about what I hope to add to the group in this new role:
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In MS, starting DMT was associated w/ higher QoL related to cognition. QoL related to cognition & fatigue were associated w/ self-reported depression, personal education, disability level, # of relapses since starting DMT, & MS duration. https://t.co/VqoodogROI
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This study demonstrates some evidence of a cumulative effect of #MultipleSclerosis and diabetes on cognitive functioning in older adults with MS, particularly in semantic fluency and verbal learning and memory. https://t.co/nGfMNo94xx
pubmed.ncbi.nlm.nih.gov
In older adults, having both diabetes and MS negatively affects cognitive functioning. Clinicians should consider how comorbidities may contribute to greater difficulties in certain cognitive domains...
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In this large sample of individuals with no psychiatric or sleep disorder history prior to mTBI, results suggest that during the subacute recovery period depressive symptoms may lead to insomnia and these difficulties may persist for a subset of patients. https://t.co/dcR8oE0kcV
liebertpub.com
Insomnia and depression are common co-morbidities associated with mild traumatic brain injury (mTBI). Data from Transforming Research and Clinical Knowledge in TBI, a longitudinal cohort study of TBI...
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In a large sample of US Veterans, mTBI status was associated with worse physical, cognitive, and psychosocial functioning, but these relationships were reduced after accounting for psychiatric, medical, & social mediators. https://t.co/wa69zcnnYg
tandfonline.com
This study examined mental, physical, and social variables that may mediate the relationship between mild traumatic brain injury (mTBI) and functional impairment in a nationally representative samp...
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This study evaluated associations b/w SCAT5 symptom clusters & outcomes post-concussion. Vestibular, cognitive, & fatigue symptoms were associated w/ lower balance performance & fatigue symptoms were associated w/ decreased vestibulo-ocular function https://t.co/tF6EYWAcJX
pubmed.ncbi.nlm.nih.gov
SRC patients presented with variable numbers and qualities of clinical symptom clusters. Some subjective clusters were associated with abnormal objective tests of other clusters (vestibular, cognit...
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In this study post-concussion symptom burden and recovery beliefs were associated with persisting cognitive symptoms 6 months after concussion. https://t.co/Od9h16P0YF
pubmed.ncbi.nlm.nih.gov
These variables appeared important determinants of outcome early after MTBI and may help identify those at risk for slow recovery. Current reassurance-based interventions may be improved by targeting...
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Great study looking at trajectories of fear avoidance behavior after concussion. While high fear avoidance behavior in the acute phase may and is likely to decrease, persistent fear avoidance by 8 weeks after concussion was associated with worse outcomes https://t.co/gqkniJGUKP
pubmed.ncbi.nlm.nih.gov
Early fear avoidance behavior often decreases, but when it does not, it is associated with worse recovery from mTBI. These findings may inform the timing and design of interventions targeting fear...
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In this systematic review/meta-analysis, several factors were associated with increased odds of persisting symptoms after concussion: difficulty concentrating, history of anxiety, depression, or sleep disorders, and clinical signs (e.g. LOC & amnesia) https://t.co/XQgmjJEMJz
pubmed.ncbi.nlm.nih.gov
In this systematic review and meta-analysis, acute cognitive symptoms, medical history of anxiety and/or depression or of sleep disorders, and the presence of clinical signs (loss of consciousness...
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In two different samples (adults & older adults with high rates of cognitive impairment) individuals who had better average performance on a smartphone-based ecological momentary assessment tended to have more consistency on scores across days https://t.co/rd34GTWpoD
pubmed.ncbi.nlm.nih.gov
Cognitive performance is classically measured through measures of central tendency. However, intraindividual cognitive variability (IIV) also holds important information about cognitive functioning....
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A new paper found associations between higher dispersion (cognitive intraindividual variability) and lower score on financial management measures across two different samples with varying characteristics https://t.co/zRBss5CzoI
pubmed.ncbi.nlm.nih.gov
Objective: Cognitive intraindividual variability (IIV) reflects fluctuations in cognitive test performance, which may be associated with poorer everyday functioning. This study adopted a retrospect...
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NAN’s Health Outcomes and Neuropsychology Efficacy Initiative (HONE-In) gives you the tools to highlight the real-world value of neuropsychological services. Whether you're talking to payers, patients, or policymakers—this is how we prove our worth. https://t.co/zVgHj7yHU2
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This is a great resource from the Virginia Concussion Initiative for evaluating and managing concussions in neurodiverse individuals. https://t.co/nPSPZ5nvfp
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On World MS Day, NAN is proud to highlight an important article from BrainWise, our free digital magazine, that explores how Multiple Sclerosis impacts cognitive function https://t.co/r500YfZ4Om
#multiplesclerosis #multiplesclerosissupport #multiplesclerosisawareness
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Interesting initial validation of multi-domain smartphone cognitive battery for people w/ MS using Benedict’s validation criteria. I’ll be curious to see f/u studies of ability to differentiate MS w/ and w/out cognitive impairment vs. healthy controls. https://t.co/7kuotMx9Rm
pubmed.ncbi.nlm.nih.gov
icognition is a valid tool to remotely screen cognitive performance in people with MS. It is planned to be included in a digital health platform that includes volumetric brain analysis and patient-...
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Data from the CARE study demonstrated that over the course of collegiate football careers repetitive head injuries and incident concussion are not associated with changes in cognitive, postural stability, or psychological health. https://t.co/2VgIvboPyO
link.springer.com
Sports Medicine - The influence of repetitive head impacts on collegiate football players remains unclear as prior research is often limited to small samples or short-term studies focused on single...
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Excited to share our recently published article examining the relationship between depressive symptoms, sleep complaints, and cognitive performance in college athletes! @Kriegler25 @megan_bradson @NittanyNeuro
academic.oup.com
ABSTRACTBackground. Depression and sleep disturbance frequently co-occur, with both negatively affecting cognitive functioning. This study investigated whe
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Adding a simple question, “Do you have someone to confide in?” can provide valuable info & is an indicator of overall health and well-being. Not having a confidant is associated w/ worse perceived general, physical, & mental health. https://t.co/7XHrPhgfn4
pubmed.ncbi.nlm.nih.gov
Results suggest that the simple question Do you have someone to confide in? may be an important indicator of individuals' health and well-being. Practitioners should routinely assess patients'...
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Factors including smoking status and relapse frequency are linked to increased risk of disease progression in MS, a meta-analysis found. https://t.co/qV8xFzTjd5
#MultipleSclerosis #MSTreatment #MSResearch #MSNews
multiplesclerosisnewstoday.com
Factors including smoking status and relapse frequency are linked to increased risk of disease progression in MS, a meta-analysis found.
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Adults w/ pre- and/or post-concussion anxiety completed significantly fewer stages of the Buffalo Concussion Bike Test than those without anxiety, indicating more exercise intolerance in this group! https://t.co/IScOzk9WrX
link.springer.com
Neurological Sciences - To compare autonomic nervous system (ANS) response using the Buffalo Concussion Bike Test (BCBT) between adult post-concussion patients with and without pre-existing and...
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