{"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":1790351053218,"version":"4.1.0"},"reference-count":71,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      WVs (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\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.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      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 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      s = &lt;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 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      s = &lt;0.01 to 0.02; ds = 0.009 to 1.19). PTSD was significantly associated with lower total functioning and each of its subdomains (\u03b2s = \u22120.58 to 0.63;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      s = &lt;0.001 to 0.02). Lifetime TBI was significantly associated with total functioning, mobility, and life\/work (\u03b2s = \u22120.20 to 0.30;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      s = &lt;0.01 to 0.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These findings highlight the importance of screening for lifetime TBI and cardiovascular disease for WVs and support transdiagnostic treatment approaches targeting physical health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2024.0147","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T04:56:33Z","timestamp":1718340993000},"page":"221-228","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Traumatic Brain Injury and Posttraumatic Stress Disorder Are Associated with Physical Health Burden Among Post-9\/11 Women Veterans"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0256-0362","authenticated-orcid":false,"given":"Michelle M.","family":"Pebole","sequence":"first","affiliation":[{"name":"The Translational Research Center for TBI and Stress Disorders (TRACTS), Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA."},{"name":"Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James W.","family":"Whitworth","sequence":"additional","affiliation":[{"name":"National Center for PTSD Behavioral Health Sciences Division at VA Boston Healthcare System, Boston, Massachusetts, USA."},{"name":"Department of Psychiatry, Boston University Chobanian &amp; Avedisian School of Medicine, Boston Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine M.","family":"Iverson","sequence":"additional","affiliation":[{"name":"The Translational Research Center for TBI and Stress Disorders (TRACTS), Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA."},{"name":"Department of Psychiatry, Boston University Chobanian &amp; Avedisian School of Medicine, Boston Massachusetts, USA."},{"name":"National Center for PTSD Women\u2019s Health Sciences Division, VA Boston Healthcare System, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Currao","sequence":"additional","affiliation":[{"name":"The Translational Research Center for TBI and Stress Disorders (TRACTS), Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine B.","family":"Fortier","sequence":"additional","affiliation":[{"name":"The Translational Research Center for TBI and Stress Disorders (TRACTS), Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA."},{"name":"Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,29]]},"reference":[{"key":"e_1_3_5_2_2","volume-title":"Women Veterans Report: The Past, Present, and Future of Women Veterans.2017","author":"US Department of Veterans Affairs","year":"2017","unstructured":"US Department of Veterans Affairs. 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