{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:58:39Z","timestamp":1773269919337,"version":"3.50.1"},"reference-count":45,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T00:00:00Z","timestamp":1632700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To characterize the relationship between head trauma types (blast injury, blunt injury, combined blast+blunt injury) with subsequent headache presentations and functioning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Posttraumatic headaches (PTHs), the most common sequelae of traumatic brain injury (TBI), are painful and disabling. More than 400,000 veterans report having experienced a TBI, and understanding the predictors of PTHs may guide treatment developments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study used a nested\u2010cohort design analyzing baseline data from a randomized clinical trial of cognitive behavioral therapy for PTH (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a0190). Participants had PTH (from blast and\/or blunt head trauma) and symptoms of posttraumatic stress disorder (PTSD). The Structured Diagnostic Interview for Headache\u2010Revised and Ohio State University Traumatic Brain Injury Identification Method were used to phenotype headaches and head injury histories, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Individuals with persistent PTHs after a combined blast and blunt head trauma were more likely (OR\u00a0=3.45; 95% CI [1.41, 8.4]) to experience chronic (vs. episodic) PTHs compared with the blunt trauma only group (23\/33, 70% vs. 26\/65, 40%, respectively); and they were more likely (OR\u00a0=2.51; 95% CI [1.07, 5.9]) to experience chronic PTH compared with the blast trauma only group (44\/92, 48%). There were no differences between head injury type on headache\u2010related disability, depression symptoms, or severity of PTSD symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The combination of blast and blunt injuries was associated with headache chronicity, but not headache disability. Considering the refractory nature of chronic headaches, the potential added and synergistic effects of distinct head injuries warrant further study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.14210","type":"journal-article","created":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T21:49:31Z","timestamp":1632779371000},"page":"1334-1341","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Persistent posttraumatic headaches and functioning in veterans: Injury type can matter"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0040-7196","authenticated-orcid":false,"given":"Paul S.","family":"Nabity","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio San Antonio Texas USA"},{"name":"Research and Development Service South Texas Veterans Health Care System San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos A.","family":"Jaramillo","sequence":"additional","affiliation":[{"name":"Polytrauma Rehabilitation Center South Texas Veterans Health Care System San Antonio Texas USA"},{"name":"Department of Rehabilitation Medicine University of Texas Health Science Center at San Antonio San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia A.","family":"Resick","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Duke Health Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cindy A.","family":"McGeary","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio San Antonio Texas USA"},{"name":"Research and Development Service South Texas Veterans Health Care System San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blessen C.","family":"Eapen","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation VA Greater Los Angeles Healthcare System Los Angeles California USA"},{"name":"Department of Medicine Division of Physical Medicine and Rehabilitation David Geffen School of Medicine University of California Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Casey L.","family":"Straud","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio San Antonio Texas USA"},{"name":"Research and Development Service South Texas Veterans Health Care System San Antonio Texas USA"},{"name":"Department of Psychology University of Texas at San Antonio San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Willie J.","family":"Hale","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio San Antonio Texas USA"},{"name":"Department of Psychology University of Texas at San Antonio San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy T.","family":"Houle","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Massachusetts General Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brett T.","family":"Litz","sequence":"additional","affiliation":[{"name":"Massachusetts Veterans Epidemiological Research and Information Center VA Boston Healthcare System Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University School of Medicine Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jim","family":"Mintz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio San Antonio Texas USA"},{"name":"Research and Development Service South Texas Veterans Health Care System San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4913-7158","authenticated-orcid":false,"given":"Donald B.","family":"Penzien","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Medicine Wake Forest School of Medicine Winston\u2010Salem North Carolina USA"},{"name":"Department of Neurology Wake Forest School of Medicine Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey","family":"Young\u2010McCaughan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio San Antonio Texas USA"},{"name":"Research and Development Service South Texas Veterans Health Care System San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terence M.","family":"Keane","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Boston University School of Medicine Boston Massachusetts USA"},{"name":"National Center for PTSD VA Boston Healthcare System Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan L.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio San Antonio Texas USA"},{"name":"Research and Development Service South Texas Veterans Health Care System San Antonio Texas USA"},{"name":"Department of Psychology University of Texas at San Antonio San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald D.","family":"McGeary","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio San Antonio Texas USA"},{"name":"Research and Development Service South Texas Veterans Health Care System San Antonio Texas USA"},{"name":"Department of Rehabilitation Medicine University of Texas Health Science Center at San Antonio San Antonio Texas USA"},{"name":"Department of Psychology University of Texas at San Antonio San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Consortium to Alleviate PTSD","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,27]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"DoD TBI Worldwide Numbers","author":"Defense Health Agency","year":"2020"},{"key":"e_1_2_12_3_1","volume-title":"TBI Related Emergency Department (ED) Visits","author":"Centers for Disease Control and Prevention","year":"2019"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-001-0084-6"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000417"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2015.12.028"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000976"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.neuropsych.16050100"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102413499645"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102417738202"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1179\/2042618613Y.0000000053"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000004358"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2009.01345.x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617710000196"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2007.00404.x"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2011.1914"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.12123"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.2003.03028.x"},{"key":"e_1_2_12_19_1","volume-title":"Gulf War and Health: Volume 9: Long\u2010term Effects of Blast Exposures","author":"Institute of Medicine","year":"2014"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000478"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20483"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2012.2506"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-2010-0555"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000004616"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.13416"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2014.1114"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000304"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.conctc.2021.100699"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102413485658"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102420953109"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.HTR.0000300227.67748.77"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0b013e3181a66356"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000291"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7101(92)90050-3"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1026119331193"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-014-0117-0"},{"key":"e_1_2_12_37_1","volume-title":"The PTSD Checklist for DSM\u20105 (PCL\u20105)","author":"Weathers FW"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa072972"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.12837"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2011.01909.x"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0b013e318255ceae"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000468"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.12200"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2018.12.001"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.13118"}],"container-title":["Headache: The Journal of Head and Face Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.14210","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/head.14210","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.14210","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T13:19:52Z","timestamp":1762089592000},"score":1,"resource":{"primary":{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/10.1111\/head.14210"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,27]]},"references-count":45,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1111\/head.14210"],"URL":"https:\/\/doi.org\/10.1111\/head.14210","archive":["Portico"],"relation":{},"ISSN":["0017-8748","1526-4610"],"issn-type":[{"value":"0017-8748","type":"print"},{"value":"1526-4610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,27]]},"assertion":[{"value":"2021-05-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}