Bibliographic Details
Title: |
Traumatic Brain Injury and Posttraumatic Stress Disorder Are Associated with Physical Health Burden Among Post-9/11 Women Veterans. |
Authors: |
Pebole, Michelle M., Whitworth, James W., Iverson, Katherine M., Currao, Alyssa, Fortier, Catherine B. |
Source: |
Journal of Women's Health (15409996); Jan2025, Vol. 34 Issue 2, p221-228, 8p |
Subject Terms: |
DIAGNOSIS of post-traumatic stress disorder, HIGH density lipoproteins, SELF-evaluation, RESEARCH funding, PSYCHOLOGY of women, CARDIOVASCULAR diseases risk factors, FUNCTIONAL status, TERRORISM, DESCRIPTIVE statistics, PSYCHOLOGY of veterans, LOW density lipoproteins, BLOOD sugar, SURVEYS, PAIN, WAIST-hip ratio, BRAIN injuries, TRIGLYCERIDES, SLEEP disorders, BIOMARKERS, TIME, DISEASE risk factors, DISEASE complications |
Abstract: |
Background: Little research focuses on physical health outcomes of traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD) among post-9/11 women veterans (WVs). This study examined lifetime TBI, current PTSD, and their associations with biomarkers of cardiometabolic health, sleep, pain, and functional disability among post-9/11 WVs. Methods: WVs (n = 90) from the Translational Research Center for TBI and Stress Disorders longitudinal cohort study were included in this study. Gold standard clinician administered interviews assessed lifetime TBI (Boston Assessment of TBI-Lifetime) and current PTSD symptoms (Clinician-Administered PTSD Scale-IV). Objective measures of health included waist-hip ratio (WHR) and fasted blood biomarker (high density lipoprotein [HDL], low density lipoprotein [LDL], blood glucose, triglycerides) levels. Self-reported surveys assessed sleep, pain, and functional disability. Results: Just under two-thirds (58.9%) of WVs experienced a lifetime TBI, and just over half (53.3%) of this sample had a current PTSD diagnosis at the time of testing. Lifetime TBI was significantly associated with higher WHR, triglycerides levels, and worse pain and sleep (ps = <0.01 to 0.02; ds = 0.01 to 1.12). Current PTSD was significantly associated with higher WHR, lower HDL, and worse pain and sleep (ps = <0.01 to 0.02; ds = 0.009 to 1.19). PTSD was significantly associated with lower total functioning and each of its subdomains (βs = −0.58 to 0.63; ps = <0.001 to 0.02). Lifetime TBI was significantly associated with total functioning, mobility, and life/work (βs = −0.20 to 0.30; ps = <0.01 to 0.02). Conclusions: These findings highlight the importance of screening for lifetime TBI and cardiovascular disease for WVs and support transdiagnostic treatment approaches targeting physical health outcomes. [ABSTRACT FROM AUTHOR] |
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Database: |
Complementary Index |