Evidence map›Paper›PMID 28422901›Full record

ArticleThe Journal of head trauma rehabilitation

The Deployment Trauma Phenotype and Employment Status in Veterans of the Wars in Iraq and Afghanistan.

Melissa M Amick, Mark Meterko, Catherine B Fortier, Jennifer R Fonda, William P Milberg, Regina E McGlinchey

Abstract read
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
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  10. Evaluation of clinical outcomes and employment status in veterans with dual diagnosis of traumatic brain injury and spinal cord injury.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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  14. Observational
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  16. The association between blast exposure and transdiagnostic health symptoms on systemic inflammation.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Melissa M AmickTranslational Research Center for TBI and Stress Disorders and Geriatric Research, Education and Clinical Center (Drs Amick, Fortier, Fonda, Milberg, and McGlinchey) and HSR&D Center for Healthcare Organization and Implementation Research (Dr Meterko), VA Boston Healthcare System, Massachusetts; Department of Psychiatry, Boston University Medical School, Massachusetts (Dr Amick); Department of Health Law, Policy and Management (Dr Meterko) and Department of Epidemiology (Dr Fonda), Boston University School of Public Health, Massachusetts; and Department of Psychiatry, Harvard Medical School, Boston, Massachusetts (Drs Fortier, Milberg, and McGlinchey).
Mark Meterko
Catherine B Fortier
Jennifer R Fonda
William P Milberg
Regina E McGlinchey
Boston University · USGeriatric Research Education and Clinical Center · USVA Boston Healthcare System · US

Funding

Associative learning and brain structure in individuals at risk for dementiaK23AG034258 · NIA · HARVARD MEDICAL SCHOOL · PI FORTIER, CATHERINE BRAWN · 2010 to 2014
$783k
Structural & Functional Brain Alterations Related to Adolescent Binge DrinkingI01CX001327 · VA · VA BOSTON HEALTH CARE SYSTEM · PI MCGLINCHEY, REGINA · 2016 to 2020
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Translational Research Center for Traumatic Brain Injury and Stress Disorders (TRACTS)I50RX003001 · VA · VA BOSTON HEALTH CARE SYSTEM · PI Ricardo E. Jorge, WILLIAM P MILBERG · 2018 to 2026
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CSRD VA I01 CX001327NIA NIH HHS K23 AG034258
6 · The paper itself

Abstract

objectivesTo determine the prevalence of comorbid mild traumatic brain injury (mTBI), posttraumatic stress disorder (PTSD), and depression, termed the deployment trauma phenotype (DTP), and its constituent diagnoses' impact on unemployment status in a national cohort of veterans.

settingRetrospective analysis of the comprehensive TBI evaluation, a Veterans Affairs-wide protocol for assessing TBI, employment status, and psychiatric impressions.

participantsThe final data set consisted of 48 821 veterans. MAIN OUTCOMES AND MEASURES: Frequency of mTBI, PTSD, and depression in isolation and combinations and their association with unemployment status.

resultsAge- and education-adjusted risk ratios (RRs) showed that the mTBI-only group was the least likely to be unemployed, RR = 0.65 (0.59-0.71). By contrast, the greatest likelihood of unemployment was associated with membership in the DTP group, RR = 1.45 (1.36-1.56), and the comorbid PTSD and depression group, RR = 1.39 (1.27-1.52). Furthermore, the DTP was nearly 3 times more prevalent (16.4%) in this sample compared with comorbid PTSD and depression (5.7%), indicating that the DTP conveys risk for unemployment to a significantly greater number of individuals. CONCLUSIONS AND RELEVANCE: The comorbid and interactive conditions of PTSD, depression, and mTBI, rather than mTBI in isolation, were linked to significant risk for unemployment in this veteran cohort. These findings suggest that multifaceted assessments and interventions to improve postdeployment reintegration are needed.

Indexed as

AdultAfghan Campaign 2001-Brain ConcussionCross-Sectional StudiesDepressive DisorderFemaleHumansIraq War, 2003-2011MaleMiddle AgedPrevalenceRetrospective StudiesStress Disorders, Post-TraumaticUnemploymentVeterans

Identifiers

PMID28422901
PMCPMC5647198
OpenAlexW2606236030

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.