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Article ; Online: Characterizing the Influence of Exposure to Military Sexual Trauma and Intimate Partner Violence on Mental Health Outcomes among Female Veterans.

Esopenko, Carrie / de Souza, Nicola / Wilde, Elisabeth A / Dams-O'Connor, Kristen / Teng, Ellen / Menefee, Deleene S

2023 Volume 38, Issue 13-14, Page(s) 8476–8499

Abstract: Military sexual trauma (MST) has deleterious long-term psychological consequences. Among female U.S. military members, MST is associated with increased risk for future interpersonal victimization, such as experiencing intimate partner violence (IPV). Few ...

Abstract	Military sexual trauma (MST) has deleterious long-term psychological consequences. Among female U.S. military members, MST is associated with increased risk for future interpersonal victimization, such as experiencing intimate partner violence (IPV). Few studies have investigated the implications of the cumulative effects of IPV and MST on psychological functioning. This study examined rates of co-exposure to MST, IPV, and their cumulative impact on psychological symptoms. Data were collected from 308 female Veterans (FVets; age:
MeSH term(s)	Female ; Humans ; Adult ; Child ; Veterans/psychology ; Military Sexual Trauma ; Sex Offenses/psychology ; Military Personnel/psychology ; Intimate Partner Violence/psychology ; Stress Disorders, Post-Traumatic/psychology ; Outcome Assessment, Health Care
Language	English
Publishing date	2023-03-03
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, N.I.H., Extramural
ZDB-ID	2028900-5
ISSN	1552-6518 ; 0886-2605
ISSN (online)	1552-6518
ISSN	0886-2605
DOI	10.1177/08862605231156193
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Article ; Online: Autobiographical memory and structural brain changes in chronic phase TBI.

Esopenko, Carrie / Levine, Brian

Cortex; a journal devoted to the study of the nervous system and behavior

2017 Volume 89, Page(s) 1–10

Abstract: Traumatic brain injury (TBI) is associated with a range of neuropsychological deficits, including attention, memory, and executive functioning attributable to diffuse axonal injury (DAI) with accompanying focal frontal and temporal damage. Although the ... ...

Abstract	Traumatic brain injury (TBI) is associated with a range of neuropsychological deficits, including attention, memory, and executive functioning attributable to diffuse axonal injury (DAI) with accompanying focal frontal and temporal damage. Although the memory deficit of TBI has been well characterized with laboratory tests, comparatively little research has examined retrograde autobiographical memory (AM) at the chronic phase of TBI, with no prior studies of unselected patients drawn directly from hospital admissions for trauma. Moreover, little is known about the effects of TBI on canonical episodic and non-episodic (e.g., semantic) AM processes. In the present study, we assessed the effects of chronic-phase TBI on AM in patients with focal and DAI spanning the range of TBI severity. Patients and socioeconomic- and age-matched controls were administered the Autobiographical Interview (AI) (Levine, Svoboda, Hay, Winocur, & Moscovitch, 2002) a widely used method for dissociating episodic and semantic elements of AM, along with tests of neuropsychological and functional outcome. Measures of episodic and non-episodic AM were compared with regional brain volumes derived from high-resolution structural magnetic resonance imaging (MRI). Severe TBI (but not mild or moderate TBI) was associated with reduced recall of episodic autobiographical details and increased recall of non-episodic details relative to healthy comparison participants. There were no significant associations between AM performance and neuropsychological or functional outcome measures. Within the full TBI sample, autobiographical episodic memory was associated with reduced volume distributed across temporal, parietal, and prefrontal regions considered to be part of the brain's AM network. These results suggest that TBI-related distributed volume loss affects episodic autobiographical recollection.
MeSH term(s)	Adult ; Brain/diagnostic imaging ; Brain/pathology ; Brain Injuries, Traumatic/complications ; Brain Injuries, Traumatic/diagnostic imaging ; Brain Injuries, Traumatic/pathology ; Brain Injuries, Traumatic/psychology ; Female ; Humans ; Image Processing, Computer-Assisted ; Injury Severity Score ; Magnetic Resonance Imaging ; Male ; Memory Disorders/diagnostic imaging ; Memory Disorders/etiology ; Memory Disorders/pathology ; Memory Disorders/psychology ; Memory, Episodic ; Neuroimaging ; Neuropsychological Tests ; Young Adult
Language	English
Publishing date	2017-04
Publishing country	Italy
Document type	Journal Article
ZDB-ID	280622-8
ISSN	1973-8102 ; 0010-9452
ISSN (online)	1973-8102
ISSN	0010-9452
DOI	10.1016/j.cortex.2017.01.007
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Article ; Online: The synergistic effect of concussions and aging in women? Disparities and perspectives on moving forward.

Esopenko, Carrie / Simonds, Adrienne H / Anderson, Ellen Z

Concussion (London, England)

2018 Volume 3, Issue 2, Page(s) CNC55

Language	English
Publishing date	2018-08-15
Publishing country	England
Document type	Editorial
ISSN	2056-3299
ISSN (online)	2056-3299
DOI	10.2217/cnc-2018-0004
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Article ; Online: Clinical Recovery Timelines After Sport-Related Concussion in Men's and Women's Collegiate Sports.

Bretzin, Abigail C / Esopenko, Carrie / D'Alonzo, Bernadette A / Wiebe, Douglas J

Journal of athletic training

2021 Volume 57, Issue 7, Page(s) 678–687

Abstract: Context: Researchers have identified sex differences in sport-related concussion incidence and recovery time; however, few have examined sex differences in specific recovery trajectories: time to symptom resolution, return to academics, and return to ... ...

Abstract	Context: Researchers have identified sex differences in sport-related concussion incidence and recovery time; however, few have examined sex differences in specific recovery trajectories: time to symptom resolution, return to academics, and return to athletic activity across collegiate sports. Objective: To examine sex differences in sport-related concussion recovery trajectories across a number of club and varsity sports with different levels of contact. Design: Descriptive epidemiology study. Setting: Collegiate varsity and club sports. Patients or other participants: Sport-related concussions sustained by student-athletes (n = 1974; women = 38.8%) participating in Ivy League sports were monitored between 2013-2014 and 2018-2019. Main outcome measure(s): Athletic trainers collected concussive injury and recovery characteristics as part of the Ivy League-Big Ten Epidemiology of Concussion Study's surveillance system. Time to symptom resolution, return to academics, and return to limited and full sport participation were collected. Survival analyses determined the time from injury to each recovery outcome for male and female athletes by sport. Peto tests were used to compare recovery outcomes between men's and women's sports and by sport. Results: The median (interquartile range [IQR]) was 9 days (IQR = 4-18 days) for time to symptom resolution overall, 8 days (IQR = 3-15 days) for return to academics, 12 days (IQR = 8-23 days) for return to limited sport participation, and 16 days (IQR = 10-29 days) for return to full sport participation. We observed differences overall between sexes for median time to symptom resolution (men = 8 days [IQR = 4-17 days], women = 9 days [IQR = 5-20 days]; P = .03) and return to academics (men = 7 days [IQR = 3-14 days], women = 9 days [IQR = 4-17 days]; P < .001) but not for median time to return to athletics (limited sport participation: P = .12, full sport participation: P = .58). Within-sport comparisons showed that women's lacrosse athletes had longer symptom resolution (P = .03) and return to academics (P = .04) compared with men's lacrosse athletes, whereas men's volleyball athletes took longer to return to limited (P = .02) and full (P = .049) sport participation than women's volleyball athletes. Conclusions: Recovery timelines between sexes were different. Athletes in women's sports experienced longer symptom durations and time to return to academics compared with men's sports, but athletes in men's and women's sports presented similar timelines for return to athletics.
MeSH term(s)	Female ; Male ; Humans ; Athletic Injuries/epidemiology ; Brain Concussion/epidemiology ; Universities ; Athletes ; Racquet Sports/injuries ; Incidence
Language	English
Publishing date	2021-03-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	2070051-9
ISSN	1938-162X ; 1062-6050
ISSN (online)	1938-162X
ISSN	1062-6050
DOI	10.4085/601-20
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Article ; Online: Nutritional Supplement Use and Athletic Characteristics among a Sample of NCAA Division I and Division III Student-Athletes.

Hamilton, Kristen P / Ziegler, Jane / Samavat, Hamed / Wardenaar, Floris / Esopenko, Carrie / Womack, Jason / Krystofiak, Jason / Byham-Gray, Laura

Journal of dietary supplements

2022 Volume 20, Issue 6, Page(s) 911–925

Abstract: Due to documented adverse events, understanding the prevalence of nutritional supplements commonly used by athletes is essential. This cross-sectional study used data from a web-based survey conducted in February-March 2022. Participants were Division I ( ...

Abstract	Due to documented adverse events, understanding the prevalence of nutritional supplements commonly used by athletes is essential. This cross-sectional study used data from a web-based survey conducted in February-March 2022. Participants were Division I (DI) and Division III (DIII) student-athletes of the National Collegiate Athletic Association (NCAA). Chi-square tests were conducted to identify the differences in the prevalence of demographic and athletic characteristics between the divisions. Multivariable odds ratios and 95% confidence intervals were calculated using logistic regression adjusting for potential confounders to determine the predictors of supplement usage. A total of 247 NCAA student-athletes (72.5% Division I, 27.5% Division III) completed the survey, yielding a 24.5% response rate. There were no significant differences between nutritional supplementation and NCAA divisions. Instead,
MeSH term(s)	Humans ; Cross-Sectional Studies ; Sports ; Athletes ; Dietary Supplements ; Students
Language	English
Publishing date	2022-11-03
Publishing country	England
Document type	Journal Article
ZDB-ID	2460305-3
ISSN	1939-022X ; 1939-0211
ISSN (online)	1939-022X
ISSN	1939-0211
DOI	10.1080/19390211.2022.2140740
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Article ; Online: A standardized method for quantifying and characterizing repetitive head impacts in soccer matches using video footage.

Porfido, Tara / Caccese, Jaclyn / Gutt, Jessica / Wentworth, Conor / Peek, Kerry / Bretzin, Abigail C / Esopenko, Carrie

Science & medicine in football

2022 Volume 6, Issue 3, Page(s) 331–339

Abstract: Soccer athletes experience repetitive head impacts (RHI) through purposeful heading and unintentional head impacts, which may be associated with acute and chronic brain injury. Previous soccer studies have sought to quantify and characterize RHI, but to- ... ...

Abstract	Soccer athletes experience repetitive head impacts (RHI) through purposeful heading and unintentional head impacts, which may be associated with acute and chronic brain injury. Previous soccer studies have sought to quantify and characterize RHI, but to-date no consistent, standardized methods exist. The Heads-Up Checklist (HUC), originally used for characterizing head impacts in hockey, was modified to be used in soccer (soccer HUC [SHUC]). Our aim was to determine the reliability of quantifying ball-to-head impacts using video verification and to develop and test the reliability of the SHUC to characterize RHI in soccer. Two trained reviewers used the SHUC to quantify ball-to-head impacts and characterize non-ball-to-head impacts in 38 male and female collegiate soccer matches. Intraclass correlation coefficient (ICC) and Cohen's Kappa were used to assess interrater reliability. Independent
MeSH term(s)	Athletes ; Brain Concussion ; Female ; Hockey/injuries ; Humans ; Male ; Reproducibility of Results ; Soccer/injuries
Language	English
Publishing date	2022-03-27
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	2473-4446
ISSN (online)	2473-4446
DOI	10.1080/24733938.2022.2056233
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Article ; Online: Challenges and opportunities for harmonization of cross-cultural neuropsychological data.

Merkley, Tricia L / Esopenko, Carrie / Zizak, Vanessa S / Bilder, Robert M / Strutt, Adriana M / Tate, David F / Irimia, Andrei

Neuropsychology

2022 Volume 37, Issue 3, Page(s) 237–246

Abstract: Objective: In this position article, we highlight the importance of considering cultural and linguistic variables that influence neuropsychological test performance and the possible moderating impact on our understanding of brain/behavior relationships. ...

Abstract	Objective: In this position article, we highlight the importance of considering cultural and linguistic variables that influence neuropsychological test performance and the possible moderating impact on our understanding of brain/behavior relationships. Increasingly, neuropsychologists are realizing that cultural and language differences between countries, regions, and ethnic groups influence neuropsychological outcomes, as test scores may not have the same interpretative meaning across cultures. Furthermore, attempts to apply the same norms across diverse populations without accounting for culture and language variations will result in detrimental ethical dilemmas, such as misdiagnosis of clinical conditions and inaccurate interpretations of research outcomes. Given the lack of normative data for ethnically and linguistically diverse communities, it is often challenging to merge data across diverse populations to investigate research questions of global significance. Methodological Considerations: We highlight some of the inherent challenges, limitations, and opportunities for efforts to harmonize cross-cultural neuropsychological data. We also explore some of the cultural factors that should be considered when attempting to harmonize cross-cultural neuropsychological data, sources of variance that should be accounted for in data analyses, and the need to identify evaluative criteria for interpreting data outcomes of cross-cultural harmonization approaches. Conclusion: In the future, it will be important to further solidify principles for aggregating data across diverse cultural and linguistic cohorts, validate whether assumptions are being satisfied regarding the relationship between neuropsychological measures and the brain and/or behavior of individuals from diverse cultural and linguistic backgrounds, as well as methods for evaluating relative successful validation for data harmonization efforts. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
MeSH term(s)	Humans ; Cross-Cultural Comparison ; Language ; Ethnicity ; Brain ; Neuropsychological Tests
Language	English
Publishing date	2022-05-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	1042412-x
ISSN	1931-1559 ; 0894-4105
ISSN (online)	1931-1559
ISSN	0894-4105
DOI	10.1037/neu0000818
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Article: Intimate partner violence, substance use, and health comorbidities among women: A narrative review.

Mehr, Jacqueline B / Bennett, Esther R / Price, Julianne L / de Souza, Nicola L / Buckman, Jennifer F / Wilde, Elisabeth A / Tate, David F / Marshall, Amy D / Dams-O'Connor, Kristen / Esopenko, Carrie

Frontiers in psychology

2023 Volume 13, Page(s) 1028375

Abstract: Exposure to intimate partner violence (IPV), including physical, sexual, and psychological violence, aggression, and/or stalking, impacts overall health and can have lasting mental and physical health consequences. Substance misuse is common among ... ...

Abstract	Exposure to intimate partner violence (IPV), including physical, sexual, and psychological violence, aggression, and/or stalking, impacts overall health and can have lasting mental and physical health consequences. Substance misuse is common among individuals exposed to IPV, and IPV-exposed women (IPV-EW) are at-risk for transitioning from substance misuse to substance use disorder (SUD) and demonstrate greater SUD symptom severity; this too can have lasting mental and physical health consequences. Moreover, brain injury is highly prevalent in IPV-EW and is also associated with risk of substance misuse and SUD. Substance misuse, mental health diagnoses, and brain injury, which are highly comorbid, can increase risk of revictimization. Determining the interaction between these factors on the health outcomes and quality of life of IPV-EW remains a critical need. This narrative review uses a multidisciplinary perspective to foster further discussion and research in this area by examining how substance use patterns can cloud identification of and treatment for brain injury and IPV. We draw on past research and the knowledge of our multidisciplinary team of researchers to provide recommendations to facilitate access to resources and treatment strategies and highlight intervention strategies capable of addressing the varied and complex needs of IPV-EW.
Language	English
Publishing date	2023-01-27
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2563826-9
ISSN	1664-1078
ISSN	1664-1078
DOI	10.3389/fpsyg.2022.1028375
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Article ; Online: Current and Emerging Techniques in Neuroimaging of Sport-Related Concussion.

Esopenko, Carrie / Sollmann, Nico / Bonke, Elena M / Wiegand, Tim L T / Heinen, Felicitas / de Souza, Nicola L / Breedlove, Katherine M / Shenton, Martha E / Lin, Alexander P / Koerte, Inga K

Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society

2023 Volume 40, Issue 5, Page(s) 398–407

Abstract: Summary: Sport-related concussion (SRC) affects an estimated 1.6 to 3.8 million Americans each year. Sport-related concussion results from biomechanical forces to the head or neck that lead to a broad range of neurologic symptoms and impaired cognitive ... ...

Abstract	Summary: Sport-related concussion (SRC) affects an estimated 1.6 to 3.8 million Americans each year. Sport-related concussion results from biomechanical forces to the head or neck that lead to a broad range of neurologic symptoms and impaired cognitive function. Although most individuals recover within weeks, some develop chronic symptoms. The heterogeneity of both the clinical presentation and the underlying brain injury profile make SRC a challenging condition. Adding to this challenge, there is also a lack of objective and reliable biomarkers to support diagnosis, to inform clinical decision making, and to monitor recovery after SRC. In this review, the authors provide an overview of advanced neuroimaging techniques that provide the sensitivity needed to capture subtle changes in brain structure, metabolism, function, and perfusion after SRC. This is followed by a discussion of emerging neuroimaging techniques, as well as current efforts of international research consortia committed to the study of SRC. Finally, the authors emphasize the need for advanced multimodal neuroimaging to develop objective biomarkers that will inform targeted treatment strategies after SRC.
MeSH term(s)	Humans ; Athletic Injuries/diagnostic imaging ; Athletic Injuries/therapy ; Brain Concussion/diagnosis ; Brain/diagnostic imaging ; Neuroimaging/methods ; Biomarkers
Chemical Substances	Biomarkers
Language	English
Publishing date	2023-03-16
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	605640-4
ISSN	1537-1603 ; 0736-0258
ISSN (online)	1537-1603
ISSN	0736-0258
DOI	10.1097/WNP.0000000000000864
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Zs.A 1921: Show issues

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Article ; Online: Long-Term Neurocognitive, Mental Health Consequences of Contact Sports.

Willer, Barry S / Haider, Mohammad Nadir / Wilber, Charles / Esopenko, Carrie / Turner, Michael / Leddy, John

Clinics in sports medicine

2020 Volume 40, Issue 1, Page(s) 173–186

Abstract: This article presents a brief history and literature review of chronic traumatic encephalopathy (CTE) in professional athletes that played contact sports. The hypothesis that CTE results from concussion or sub-concussive blows is based largely on several ...

Abstract	This article presents a brief history and literature review of chronic traumatic encephalopathy (CTE) in professional athletes that played contact sports. The hypothesis that CTE results from concussion or sub-concussive blows is based largely on several case series investigations with considerable bias. Evidence of CTE in its clinical presentation has not been generally noted in studies of living retired athletes. However, these studies also demonstrated limitation in research methodology. This paper aims to present a balanced perspective amidst a politically charged subject matter.
MeSH term(s)	Athletic Injuries/psychology ; Brain Concussion/psychology ; Chronic Traumatic Encephalopathy/diagnostic imaging ; Chronic Traumatic Encephalopathy/etiology ; Humans ; Mental Health ; Retirement ; Time Factors
Language	English
Publishing date	2020-11-04
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	779944-5
ISSN	1556-228X ; 0278-5919
ISSN (online)	1556-228X
ISSN	0278-5919
DOI	10.1016/j.csm.2020.08.012
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