Evidence map›Paper›PMID 38184702›Full record

ArticleTranslational psychiatry2024

Posttraumatic stress disorder, trauma, and accelerated biological aging among post-9/11 veterans.

Kyle J Bourassa, Melanie E Garrett, Avshalom Caspi, Michelle Dennis, Katherine S Hall, Terrie E Moffitt, Gregory A Taylor, VA Mid Atlantic MIRECC Workgroup, Allison E Ashley-Koch, Jean C Beckham and 1 more

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
24.3field-weighted citation impact, top 1% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. The health and well-being of older Veterans in Canada: A scoping review.Journal of military, veteran and family health · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. It's time for a healthy aging strategy for Canada's Veterans.Journal of military, veteran and family health · 2025
    Article
  16. Accelerated Epigenetic Aging and Prospective Morbidity and Mortality Among U.S. Veterans.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  17. Review
  18. Review
  19. Trauma, posttraumatic stress disorder, and incident chronic disease.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  20. Accelerated biological aging and midlife frailty among U.S. military veterans.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Observational
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

11 authors at 3 institutions in 2 countries.

Kyle J BourassaGeriatric Research, Education, and Clinical Center, Durham VA Health Care System, Durham, USA. kyle.bourassa@duke.edu.ORCID 0000-0001-9372-2309
Melanie E GarrettDuke Molecular Physiology Institute, Duke University, Durham, USA.
Avshalom CaspiDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, US.ORCID 0000-0003-0082-4600
Michelle DennisVA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham VA Health Care System, Durham, USA.
Katherine S HallGeriatric Research, Education, and Clinical Center, Durham VA Health Care System, Durham, USA.
Terrie E MoffittDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, US.
Gregory A TaylorGeriatric Research, Education, and Clinical Center, Durham VA Health Care System, Durham, USA.
VA Mid Atlantic MIRECC Workgroup
Allison E Ashley-KochDuke Molecular Physiology Institute, Duke University, Durham, USA.ORCID 0000-0001-5409-9155
Jean C BeckhamVA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham VA Health Care System, Durham, USA.ORCID 0000-0001-8746-8949
Nathan A KimbrelVA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham VA Health Care System, Durham, USA.ORCID 0000-0001-7218-1005
Duke University · USWake Forest University · USDurham VA Health Care System · US

Funding

Validating a 3rd-generation methylation measure of accelerated aging: DunedinPoAm4xR01AG073207 · NIA · DUKE UNIVERSITY · PI CASPI, AVSHALOM, MOFFITT, TERRIE E · 2022 to 2025
$2.9M
Genetic and Epigenetic Dissection of PTSD in African American VeteransI01BX002577 · VA · DURHAM VA MEDICAL CENTER · PI BECKHAM, JEAN C. · 2015 to 2018
–
Exploring the Effects of Exercise Training on PTSD Symptoms and Physical Health in Older Veterans with PTSDI01RX003120 · VA · DURHAM VA MEDICAL CENTER · PI HALL, KATHERINE SHEPHERD · 2020 to 2025
–
Gene x Environment Effects on PTSDIK2CX000525 · VA · OLIN TEAGUE VETERANS CENTER · PI KIMBREL, NATHAN A. · 2012 to 2016
–
Posttraumatic Stress Disorder, Accelerated Biological Aging, and Veteran HealthIK2CX002694 · VA · DURHAM VA MEDICAL CENTER · PI Kyle J. Bourassa · 2023 to 2027
–
BLRD VA I01 BX002577CSRD VA IK2 CX000525CSRD VA IK2 CX002694CSRD VA IK6 CX002767NIA NIH HHS R01 AG073207RRD VA I01 RX003120RRD VA IK2 RX004803
6 · The paper itself

Abstract

People who experience trauma and develop posttraumatic stress disorder (PTSD) are at increased risk for poor health. One mechanism that could explain this risk is accelerated biological aging, which is associated with the accumulation of chronic diseases, disability, and premature mortality. Using data from 2309 post-9/11 United States military veterans who participated in the VISN 6 MIRECC's Post-Deployment Mental Health Study, we tested whether PTSD and trauma exposure were associated with accelerated rate of biological aging, assessed using a validated DNA methylation (DNAm) measure of epigenetic aging-DunedinPACE. Veterans with current PTSD were aging faster than those who did not have current PTSD, β = 0.18, 95% CI [0.11, 0.27], p < .001. This effect represented an additional 0.4 months of biological aging each year. Veterans were also aging faster if they reported more PTSD symptoms, β = 0.13, 95% CI [0.09, 0.16], p < 0.001, or higher levels of trauma exposure, β = 0.09, 95% CI [0.05, 0.13], p < 0.001. Notably, veterans with past PTSD were aging more slowly than those with current PTSD, β = -0.21, 95% CI [-0.35, -0.07], p = .003. All reported results accounted for age, gender, self-reported race/ethnicity, and education, and remained when controlling for smoking. Our findings suggest that an accelerated rate of biological aging could help explain how PTSD contributes to poor health and highlights the potential benefits of providing efficacious treatment to populations at increased risk of trauma and PTSD.

Indexed as

Stress Disorders, Post-TraumaticVeteransAgingDNA MethylationEducational StatusHumans

Identifiers

PMID38184702
PMCPMC10771513
OpenAlexW4390639085

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.