# Arrowhead Conference 2025 April 23, 2025 Exciting news from the TRACTS team at VA Boston. In January of this year our team had a JAMA paper published on Peritraumatic Context and Long-Term Outcomes of Concussion. The paper is linked below: [*https://heartbrain.hms.harvard.edu/sites/g/files/omnuum4516/files/2025-03/Peritraumatic%20Context%20and%20Long-Term%20Outcomes%20of%20Concussion.pdf*](https://heartbrain.hms.harvard.edu/sites/g/files/omnuum4516/files/2025-03/Peritraumatic%20Context%20and%20Long-Term%20Outcomes%20of%20Concussion.pdf) To follow up on this publication William Milberg, Ph.D., Emily VanEtten, Ph.D., Arielle Knight, MPH, Michelle Pebole, Ph.D., Aubrey Knoff Ph.D., and Catherine Fortier, Ph.D. will be presenting on Peritraumatic TBI at the 15th annual Traumatic Brain Injury Conference on May 5th. Below is the conference agenda, TRACTS presenters and presentation description: ![15th annual TBI Conference](/sites/g/files/omnuum4516/files/styles/hwp_1_1__720x720_scale/public/2025-04/Knoff.png?itok=sl2xuJth) ![Milberg pTBI](/sites/g/files/omnuum4516/files/styles/hwp_1_1__720x720_scale/public/2025-04/Bill%20ptbi%20website.jpeg?itok=9EW6BMj0) ![15th annual TBI Conference](/sites/g/files/omnuum4516/files/styles/hwp_1_1__720x720_scale/public/2025-04/VanEtten.png?itok=qRqBBa2Q) ![15th annual TBI Conference](/sites/g/files/omnuum4516/files/styles/hwp_1_1__720x720_scale/public/2025-04/Knight.png?itok=5-Bsl-7V) ![15th annual TBI Conference](/sites/g/files/omnuum4516/files/styles/hwp_1_1__720x720_scale/public/2025-04/Pebole.png?itok=LYhF96Oy) ![15th annual TBI Conference](/sites/g/files/omnuum4516/files/styles/hwp_1_1__720x720_scale/public/2025-04/Fortier.png?itok=fzNwayQw) “Despite increased attention and research on poor outcomes associated with mTBI, the literature remains unresolved and contradictory, particularly regarding the impact of commonly co-occurring psychiatric comorbidities such as PTSD. To date, the analytic approaches applied to mTBI can be divided into three broad categories: 1) studies that examine mTBI as an isolated predictor of enduring consequences without considering the confounding effects of prevalent co-occurring psychiatric and behavioral comorbidities; 2) studies that look at mTBI as a predictor of various functional and cognitive outcomes while controlling for those comorbidities as confounds; and 3) studies that treat mTBI categorically and use extant comorbidities as outcome measures. We will first describe how these approaches have produced a confusing and difficult to reconcile landscape of data. Next, we will highlight how recent work from the Translational Center for TBI and Stress Disorders (TRACTS) provides insight into the interaction between traumatic brain injury and other trauma related diagnoses common in combat veterans. Recent work from TRACTS that examines how the context of a traumatic brain injury may influence long-term outcomes will be presented by TRACTS investigators. We will conclude the session by summarizing a new theoretical framework that may help us reconcile the discrepant findings related to traumatic brain injury to date and propose how this framework and field of work may guide clinical assessment and treatment in the future.” Share on:- [ Facebook ](#) - [ Twitter ](#) - [ Linkedin ](#)