{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T15:44:13Z","timestamp":1790351053725,"version":"4.1.0"},"reference-count":49,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,2,19]],"date-time":"2015-02-19T00:00:00Z","timestamp":1424304000000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Department of Veterans Affairs RR&D TBI Center of Excellence","award":["B9254-C"],"award-info":[{"award-number":["B9254-C"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Understanding the factors that influence veterans\u2019 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\u2010related 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. Self\u2010report questionnaires assessed disability and the behavioral conditions of sleep disturbance and pain. Over 90% of participants had a psychiatric and\/or behavioral condition, with approximately half presenting with \u2265 3 conditions. Exploratory factor analysis revealed 4 clinically relevant psychiatric and behavioral factors which accounted for 76.9% of the variance: (a) depression, PTSD, and military mTBI (deployment trauma factor); (b) pain and sleep (somatic factor); (c) anxiety disorders, other than PTSD (anxiety factor); and (d) substance abuse or dependence (substance use factor). Individuals with the conditions comprising the deployment trauma factor were more likely to be substantially disabled than individuals with depression and PTSD, but no military mTBI,\n                    <jats:italic>OR<\/jats:italic>\n                    = 3.52; 95% CI [1.09, 11.37]. Depression, PTSD, and a history of military mTBI may comprise an especially harmful combination associated with high risk for substantial disability.\n                  <\/jats:p>","DOI":"10.1002\/jts.21979","type":"journal-article","created":{"date-parts":[[2015,2,19]],"date-time":"2015-02-19T11:16:38Z","timestamp":1424344598000},"page":"25-33","source":"Crossref","is-referenced-by-count":152,"title":["Deployment\u2010Related Psychiatric and Behavioral Conditions and Their Association with Functional Disability in OEF\/OIF\/OND Veterans"],"prefix":"10.1002","volume":"28","author":[{"given":"Sara M.","family":"Lippa","sequence":"first","affiliation":[{"name":"Translational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Education and Clinical Center (GRECC), VA Boston Healthcare System Boston  Massachusetts USA"},{"name":"Defense and Veterans Brain Injury Center, Walter Reed National Military Medical Center  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer R.","family":"Fonda","sequence":"additional","affiliation":[{"name":"Translational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Education and Clinical Center (GRECC), VA Boston Healthcare System Boston  Massachusetts USA"},{"name":"Department of Epidemiology, Boston University School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine B.","family":"Fortier","sequence":"additional","affiliation":[{"name":"Translational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Education and Clinical Center (GRECC), VA Boston Healthcare System Boston  Massachusetts USA"},{"name":"Department of Psychiatry, Harvard Medical School, Boston  Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa A.","family":"Amick","sequence":"additional","affiliation":[{"name":"Translational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Education and Clinical Center (GRECC), VA Boston Healthcare System Boston  Massachusetts USA"},{"name":"Department of Psychiatry, Boston University Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Kenna","sequence":"additional","affiliation":[{"name":"Translational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Education and Clinical Center (GRECC), VA Boston Healthcare System Boston  Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William P.","family":"Milberg","sequence":"additional","affiliation":[{"name":"Translational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Education and Clinical Center (GRECC), VA Boston Healthcare System Boston  Massachusetts USA"},{"name":"Department of Psychiatry, Harvard Medical School, Boston  Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina E.","family":"McGlinchey","sequence":"additional","affiliation":[{"name":"Translational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Education and Clinical Center (GRECC), VA Boston Healthcare System Boston  Massachusetts USA"},{"name":"Department of Psychiatry, Harvard Medical School, Boston  Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,2,19]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0b013e3181f20146"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00981389.2011.554279"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02105408"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2011.13.2\/rbryant"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-3999(97)00298-5"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-199506000-00002"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2013.01.0006"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1682\/jrrd.2010.11.0212"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-200105000-00003"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699050110103940"},{"key":"e_1_2_5_14_1","volume-title":"Structured Clinical Interview for the DSM\u2010IV Axis I Disorders","author":"First M. 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