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Comprehension of Affective Prosody in Veterans With Chronic Posttraumatic Stress Disorder

Received July 31, 2007; revised October 16 and October 29, 2007; accepted November 29, 2007. Drs. Freeman and Kimbrell are affiliated with Mental Health Service, Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, Ark.; Dr. Hart is affiliated with the Center for BrainHealth, University of Texas at Dallas, Dallas, Tex.; Dr. Ross is affiliated with the Department of Neurology, University of Oklahoma Health Science Center and VA Medical Center, Oklahoma City. Address correspondence to Thomas Freeman, M.D., CAVHS Psychiatry Services, Little Rock VAMC, Mail Code: 116T/LR, 4300 West 7th St., Little Rock, AR 72205-5484; Thomas.Freeman{at}MED.VA.GOV (e-mail).

Posttraumatic stress disorder (PTSD) is one of the few psychiatric conditions in which a subjective decrease in emotional range serves as a diagnostic criterion. In order to investigate whether veterans with chronic PTSD also experienced objective limitations in emotional perception, the authors administered the Aprosodia Battery to a group of 11 veterans with chronic PTSD, nine subjects with right hemisphere damage, seven subjects with left hemisphere damage, and 12 comparison subjects. The patients with PTSD displayed significant deficiencies in the comprehension and discriminative components of affective speech, similar in severity and performance profile on the Aprosodia Battery to the individuals with focal right hemisphere damage due to ischemic infarction.

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