{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T05:58:18Z","timestamp":1781330298603,"version":"3.54.1"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The co\u2010occurrence\u00a0of mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) is associated with greater impairment relative to the presence of either condition alone. This study evaluated the effectiveness of cognitively augmented behavioral activation (CABA) therapy, compared to treatment as usual (TAU), at reducing mTBI and PTSD symptoms in 71 military veterans randomized to treatment at two urban U.S. Department of Veterans Affairs medical centers. Primary outcomes were PTSD symptom severity, measured by structured clinical interview (Clinician\u2010Administered PTSD Scale for\n                    <jats:italic>DSM\u20105<\/jats:italic>\n                    ; CAPS\u20105) and self\u2010report questionnaire (PTSD Checklist for\n                    <jats:italic>DSM\u20105<\/jats:italic>\n                    ; PCL\u20105), and objective cognitive function (neuropsychological test battery). Intent\u2010to\u2010treat analyses using linear mixed\u2010effects regression models (LMM) indicated that CABA significantly outperformed TAU in reducing PTSD symptom severity, CAPS\u20105:\n                    <jats:italic>d<\/jats:italic>\n                    = 0.11,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.027, PCL\u20105:\n                    <jats:italic>d<\/jats:italic>\n                    = 0.11,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.030 (small effects), and improving performance on neuropsychological tests of verbal learning,\n                    <jats:italic>d<\/jats:italic>\n                    = 0.07 (small effect) and delayed recall,\n                    <jats:italic>d<\/jats:italic>\n                    = 0.26 (small\u2010to\u2010medium effect). Changes in PTSD symptoms were explored via within\u2010group LMM, which revealed significant within\u2010CABA reductions, CAPS\u20105:\n                    <jats:italic>d<\/jats:italic>\n                    = 0.87,\n                    <jats:italic>p<\/jats:italic>\n                    &lt;\u00a0.001, PCL\u20105:\n                    <jats:italic>d<\/jats:italic>\n                    = 0.40,\n                    <jats:italic>p =\u00a0<\/jats:italic>\n                    .006 (medium\u2010to\u2010large effects), but no significant symptom change within the TAU group, CAPS\u20105:\n                    <jats:italic>d<\/jats:italic>\n                    = 0.07,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.195, PCL\u20105:\n                    <jats:italic>d<\/jats:italic>\n                    = 0.00,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.978 (small effects). There was no significant difference between groups on treatment satisfaction ratings. This randomized controlled trial provides preliminary evidence that CABA may be a promising intervention for comorbid mTBI and PTSD.\n                  <\/jats:p>","DOI":"10.1002\/jts.70056","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T05:07:53Z","timestamp":1777352873000},"page":"464-477","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cognitively augmented behavioral activation for veterans with comorbid mild traumatic brain injury and posttraumatic stress disorder"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9788-9443","authenticated-orcid":false,"given":"Megan L.","family":"Callahan","sequence":"first","affiliation":[{"name":"VA Portland Health Care System  Portland Oregon USA"},{"name":"Department of Psychiatry Oregon Health and Science University  Portland Oregon 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California, San Diego  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Storzbach","sequence":"additional","affiliation":[{"name":"VA Portland Health Care System  Portland Oregon USA"},{"name":"Department of Psychiatry Oregon Health and Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse R.","family":"Fann","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Engel","sequence":"additional","affiliation":[{"name":"VA Portland Health Care System  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen F.","family":"Pagulayan","sequence":"additional","affiliation":[{"name":"VA Puget Sound Health Care System  Seattle Washington 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