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Adam D LaMotte, Casey T Taft, Robin P Weatherill, Melynda D Casement, Suzannah K Creech, William P Milberg, Catherine B Fortier, Regina E McGlinchey
Objective: This study investigated sleep problems and physical pain as moderators of the relationship between PTSD symptoms and aggression among returning veterans. Prior research has demonstrated associations between PTSD symptoms and aggression, but little work has sought to identify moderators of this relationship. Sleep problems and physical pain are both common clinical problems among veterans and have theoretical links to aggression. Method: Participants were 103 returning service members and veterans recruited from the greater Boston area and enrolled in the VA Translational Research Center for Traumatic Brain Injury (TBI) and Stress Disorders (TRACTS)...
August 15, 2016: Psychological Trauma: Theory, Research, Practice and Policy
Robert L Ruff, Kayla Blake
This article reviews possible ways that traumatic brain injury (TBI) can induce migraine-type post-traumatic headaches (PTHs) in children, adults, civilians, and military personnel. Several cerebral alterations resulting from TBI can foster the development of PTH, including neuroinflammation that can activate neural systems associated with migraine. TBI can also compromise the intrinsic pain modulation system and this would increase the level of perceived pain associated with PTH. Depression and anxiety disorders, especially post-traumatic stress disorder (PTSD), are associated with TBI and these psychological conditions can directly intensify PTH...
2016: F1000Research
Colleen E Jackson, Jonathan D Green, Michelle J Bovin, Jennifer J Vasterling, Darren W Holowka, Gayatri Ranganathan, Raymond C Rosen, Terence M Keane, Brian P Marx
This study examined the unique and combined relationship between mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) with psychosocial functioning in a cohort of 1,312 U.S. male and female veterans of Operations Enduring Freedom (OEF) and Iraqi Freedom (OIF) enrolled in the Veterans After-Discharge Longitudinal Registry (Project VALOR). We assessed mTBI with structured screening questions reflective of current TBI classification standards and PTSD via the SCID-IV PTSD module; all other variables were assessed by self-report questionnaires...
August 2016: Journal of Traumatic Stress
Jessica Sutherland, Jason Middleton, Tisha J Ornstein, Kerry Lawson, Kristin Vickers
PURPOSE: Despite a documented prevalence of accident phobia in almost 40% of motor vehicle accident (MVA) survivors, the onset of accident phobia after traumatic brain injury (TBI) remains poorly understood. There is currently a body of knowledge about posttraumatic stress disorder (PTSD) in patients with TBI, but less is known about accident phobia following TBI, particularly in cases of mild TBI (mTBI). Accident phobia can impede safe return to driving or motor vehicle travel, inhibiting return to daily functioning...
August 2016: Rehabilitation Psychology
Maya Troyanskaya, Nicholas J Pastorek, Randall S Scheibel, Nancy J Petersen, Annette Walder, Helene K Henson, Harvey S Levin
INTRODUCTION: Research addressing deployment-related traumatic brain injury (TBI) is fairly complex due to a high prevalence of comorbid conditions, multiple exposures, and the lack of acute medical records. Therefore, there is a need for a well-defined, matching comparison group. This study compared deployment-related characteristics, everyday functioning, and cognitive performance in recently deployed veterans who had not sustained any injuries with those who had orthopedic injuries during deployment, but who were without a history of TBI...
September 2016: Journal of Clinical and Experimental Neuropsychology
Milan P Stojanovic, Jennifer Fonda, Catherine Brawn Fortier, Diana M Higgins, James L Rudolph, William P Milberg, Regina E McGlinchey
OBJECTIVE: Mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) are common among US veterans of Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND). We postulated that these injuries may modulate pain processing in these individuals and affect their subjective pain levels. DESIGN: Cross-sectional. SUBJECTS: 310 deployed service members of OEF/OIF/OND without a lifetime history of moderate or severe TBI were included in this study...
April 3, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Carlos A Jaramillo, Blessen C Eapen, Cindy A McGeary, Donald D McGeary, Jedediah Robinson, Megan Amuan, Mary Jo Pugh
OBJECTIVES: To describe the prevalence and persistence of headache and associated conditions in an inception cohort of U.S. veterans of Iraq and Afghanistan wars. BACKGROUND: Iraq and Afghanistan war veterans (IAV) suffer from persistent and difficult-to-treat headaches that have been found to co-occur with traumatic brain injury (TBI) and other deployment related comorbidities. METHODS: This longitudinal retrospective cohort study used data from the national Veterans Health Administration (VA) data repository for IAV who first received VA care in 2008 (baseline) and also received care each year in 2009, 2010, and 2011...
March 2016: Headache
David V Nelson, Mary Lee Esty
BACKGROUND: Chronic headache following traumatic brain injury (TBI) sustained in military service, while common, is highly challenging to treat with existing pharmacologic and non-pharmacologic interventions and may be complicated by co-morbid posttraumatic stress. Recently, a novel form of brainwave-based intervention known as the Flexyx Neurotherapy System (FNS) that involves minute pulses of electromagnetic energy stimulation of brainwave activity has been suggested as a means to address symptoms of TBI...
2015: Military Medical Research
Andrew J Cook, Eric C Meyer, Lianna D Evans, Kevin E Vowles, John W Klocek, Nathan A Kimbrel, Suzy Bird Gulliver, Sandra B Morissette
War veterans are at increased risk for chronic pain and co-occurring neurobehavioral problems, including posttraumatic stress disorder (PTSD), depression, alcohol-related problems, and mild traumatic brain injury (mTBI). Each condition is associated with disability, particularly when co-occurring. Pain acceptance is a strong predictor of lower levels of disability in chronic pain. This study examined whether acceptance of pain predicted current and future disability beyond the effects of these co-occurring conditions in war veterans...
October 2015: Behaviour Research and Therapy
Kathryn Sawyer, Kathleen R Bell, Dawn M Ehde, Nancy Temkin, Sureyya Dikmen, Rhonda M Williams, Tiara Dillworth, Jeanne M Hoffman
OBJECTIVE: To examine headache trajectories among persons with mild traumatic brain injury (MTBI) in the year after injury and the relation of headache trajectory to posttraumatic stress disorder (PTSD) at 1 year postinjury. DESIGN: Prospective, longitudinal study. SETTING: Participants were recruited through a university medical center and participated in follow-up assessments by telephone. PARTICIPANTS: Prospectively enrolled individuals (N=212) within 1 week of MTBI who were hospitalized for observation or other system injuries...
November 2015: Archives of Physical Medicine and Rehabilitation
Margaret A Powell, Vincent Corbo, Jennifer R Fonda, John D Otis, William P Milberg, Regina E McGlinchey
Pain, a debilitating condition, is frequently reported by U.S. veterans returning from Afghanistan and Iraq. This study investigated how commonly reported clinical factors were associated with pain and whether these associations differed for individuals with a history of chronic pain. From the Boston metropolitan area, 171 veterans enrolled in the Veterans Affairs Center of Excellence were assessed for current posttraumatic stress disorder (PTSD) symptom severity, current mood and anxiety diagnoses, lifetime traumatic brain injury, combat experiences, sleep quality, and alcohol use...
August 2015: Journal of Traumatic Stress
Helene Moriarty, Laraine Winter, Keith Robinson, Gala True, Catherine Piersol, Tracey Vause-Earland, Dolores Blazer Iacovone, Laura Holbert, Brian Newhart, Deborah Fishman, Thomas H Short
BACKGROUND: Community reintegration (CR) poses a major problem for military veterans who have experienced a traumatic brain injury (TBI). Factors contributing to CR after TBI are poorly understood. OBJECTIVE: To address the gap in knowledge, an ecological framework was used to explore individual and family factors related to CR. DESIGN: Baseline data from an intervention study with 83 veterans with primarily mild to moderate TBI were analyzed...
May 2015: Journal of the American Psychiatric Nurses Association
Melissa M Jenkins, Peter J Colvonen, Sonya B Norman, Niloofar Afari, Carolyn B Allard, Sean P A Drummond
STUDY OBJECTIVES: There is limited information about prevalence of insomnia in general populations of veterans of recent wars in Iraq and Afghanistan. No studies have examined insomnia in veterans with military sexual trauma (MST). We assess prevalence of insomnia, identify types of services sought by veterans with insomnia, and examine correlates of insomnia in veterans with and without MST. DESIGN: A cross-sectional study of first-encounter veterans registering to establish care...
2015: Sleep
Carlos A Jaramillo, Douglas B Cooper, Chen-Pin Wang, David F Tate, Blessen C Eapen, Gerald E York, Mary Jo Pugh
U. S. veterans of Iraq and Afghanistan are known to have a high prevalence of traumatic brain injury (TBI), posttraumatic stress disorder (PTSD), and depression, which are often comorbid and share many symptoms. Attempts to describe this cohort by single diagnoses have limited our understanding of the complex nature of this population. The objective of this study was to identify subgroups of Iraq and Afghanistan veterans (IAVs) with distinct compositions of symptoms associated with TBI, PTSD, and depression...
September 2015: Brain Imaging and Behavior
Sara M Lippa, Jennifer R Fonda, Catherine B Fortier, Melissa A Amick, Alexandra Kenna, William P Milberg, Regina E McGlinchey
Understanding the factors that influence veterans' functional outcome after deployment is critical to provide appropriately targeted care. Mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) have been related to disability, but other psychiatric and behavioral conditions are not as well examined. We investigated the impact of deployment-related psychiatric and behavioral conditions on disability among 255 OEF/OIF/OND service members and veterans. Structured clinical interviews assessed TBI and the psychiatric conditions of depression, PTSD, anxiety, and substance use...
February 2015: Journal of Traumatic Stress
Caecilie Böck Buhmann
INTRODUCTION: Despite large numbers of traumatized refugees, little is known about effective treatment of war trauma in refugees and immigrants. Few studies evaluating treatment have been published and most studies are follow-up studies with methodological limitations and little comparability across studies. PURPOSE: The purpose of the PhD is to characterize transcultural trauma patients in Denmark needing psychiatric treatment with regards to psychopathology and predictors of mental health and to evaluate the effects of the treatment...
August 2014: Danish Medical Journal
Jane Dahm, Jennie Ponsford
OBJECTIVE: Whilst it has been well-demonstrated that traumatic brain injury (TBI) results in long-term cognitive, behavioural and emotional difficulties, less is understood about how these outcomes differ from those following traumatic orthopaedic injury (TOI). The aim of this study was to compare self-reported outcomes at 5-10 years post-injury for those with TBI, TOI, and uninjured controls. It was hypothesised that participants with TBI would have greater cognitive difficulties; participants with TOI and TBI would have similar functional and physical outcomes, both being poorer than controls; and participants with TBI would have poorer psychosocial outcomes than those with TOI...
January 2015: Injury
Ruth Defrin, Miri Riabinin, Yelena Feingold, Shaul Schreiber, Chaim G Pick
Although the prevalence rate of chronic post-traumatic headache (CPTHA) after mild traumatic brain injury (TBI) reaches up to 95%, its mechanism is unknown, and little is known about the characteristics of the pain system in this condition. Our aim was to investigate the capabilities of two pain modulatory systems among individuals with CPTHA and study their association with CPTHA, here for the first time. Forty-six subjects participated; 16 with TBI and CPTHA, 12 with TBI without CPTHA, and 18 healthy controls...
January 1, 2015: Journal of Neurotrauma
Kelcey J Stratton, Shaunna L Clark, Sage E Hawn, Ananda B Amstadter, David X Cifu, William C Walker
UNLABELLED: Military personnel returning from conflicts in Iraq and Afghanistan often endorse pain and posttraumatic stress disorder (PTSD) symptoms, either separately or concurrently. Associations between pain and PTSD symptoms may be further complicated by blast exposure from explosive munitions. Although many studies have reported on the prevalence and disability associated with polytraumatic injuries following combat, less is known about symptom maintenance over time. Accordingly, this study examined longitudinal interactive models of co-occurring pain and PTSD symptoms in a sample of 209 military personnel (mean age = 27...
October 2014: Journal of Pain: Official Journal of the American Pain Society
Erin P Finley, Mary Bollinger, Polly H Noël, Megan E Amuan, Laurel A Copeland, Jacqueline A Pugh, Albana Dassori, Raymond Palmer, Craig Bryan, Mary Jo V Pugh
OBJECTIVES: We examined the association of posttraumatic stress disorder (PTSD), traumatic brain injury, and chronic pain-the polytrauma clinical triad (PCT)-independently and with other conditions, with suicide-related behavior (SRB) risk among Operation Enduring Freedom (OEF; Afghanistan) and Operation Iraqi Freedom (OIF) veterans. METHODS: We used Department of Veterans Affairs (VA) administrative data to identify OEF and OIF veterans receiving VA care in fiscal years 2009-2011; we used International Classification of Diseases, Ninth Revision, Clinical Modification codes to characterize 211652 cohort members...
February 2015: American Journal of Public Health
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