Male Civilians Research Articles

Physical activity, physical fitness and cardiometabolic health among Finnish military workers

IntroductionThe Western lifestyle challenges national defence. Inactivity, obesity, high BP and elevated lipid and glucose levels as well as tobacco use all increase cardiometabolic risk. The present study was thus...

Identification of the 18 World War II executed citizens of Adele, Rethymnon, Crete using an ancient DNA approach and low coverage genomes

In the Battle of Crete during the World War II occupation of Greece, the German forces faced substantial civilian resistance. To retribute the numerous German losses, a series of mass executions took place in numerous places in Crete; a common practice reported from Greece and elsewhere. In Adele, a village in the regional unit of Rethymnon, 18 male civilians were executed and buried in a burial pit at the Sarakina site. In this study, the first one conducted for a conflict that occurred in Greece, we identified for humanitarian purposes the 18 skulls of the Sarakina victims, following a request from the local community of Adele. The molecular identification of historical human remains via ancient DNA approaches and low coverage whole genome sequencing has only recently been introduced. Here, we performed genome skimming on the living relatives of the victims, as well as high throughput historical DNA analysis on the skulls to infer the kinship degrees among the victims via genetic relatedness analyses. We also conducted targeted anthropological analysis to successfully complete the identification of all Sarakina victims. We demonstrate that our methodological approach constitutes a potentially highly informative forensic tool to identify war victims. It can hence be applied to analogous studies on degraded DNA, thus, paving the path for systematic war victim identification in Greece and beyond.

Do athletic ECG changes predict athletic performance in Gurkha recruits?

IntroductionECG changes are associated with regular long-term intensive exercise due to electrical manifestations of increased vagal tone, increased ventricular wall thickness and enlarged chamber size. The aim of this study...

Kadınların Şiddetteki Rolü ve Birleşmiş Milletler’in Kadın, Barış ve Güvenlik Gündemi

The UN’s Women, Peace, and Security (WPS) agenda emphasizes women’s victimhood and peacemaking roles. However, women participate in two-thirds of armed movements and affect conflict outcomes in unique gendered ways. This article argues that excluding female perpetrators from the WPS agenda generates new insecurities for them and broader societies. By highlighting women’s contribution to perpetuating conflict, I propose a framework to incite policymakers to view women’s empowerment as a mainstream security concern and implement policies aligned with the goals of the UN WPS Agenda. First, I explore reasons to avoid reinforcing gender norms that portray women as victims and peacemakers. These reasons encompass assessing: 1) women’s contributions to armed organizations, 2) their exclusion from post-conflict rehabilitation programs, 3) the limited visibility of human rights violations by women and the underrepresentation of male civilians as victims, and 4) “saving vulnerable women” rhetoric as a justification for Western power involvement. Then, I examine gender inequality as a fundamental cause enabling these factors, underscoring the need to regard gender inequality and traditional gender norms as central security concerns.

[Artículo traducido] Lesiones vertebrales por proyectil de arma de fuego: estudio de cohorte retrospectivo, multicéntrico

Introduction and objectiveTo describe the demographic and clinical characteristics and treatment of patients with spinal gunshot wounds across Latin America. Material and methodsRetrospective, multicenter cohort study of patients treated for gunshot wounds to the spine spanning 12 institutions across Latin America between January 2015 and January 2022. Demographic and clinical data were recorded, including the time of injury, initial assessment, characteristics of the vertebral gunshot injury, and treatment. ResultsData on 423 patients with spinal gunshot injuries were extracted from institutions in Mexico (82%), Argentina, Brazil, Colombia, and Venezuela. Patients were predominantly male civilians in low-risk-of-violence professions, and of lower/middle social status, and a sizeable majority of gunshots were from low-energy firearms. Vertebral injuries mainly affected the thoracic and lumbar spine. Neurological injury was documented in 320 (76%) patients, with spinal cord injuries in 269 (63%). Treatment was largely conservative, with just 90 (21%) patients treated surgically, principally using posterior open midline approach to the spine (79; 87%). Injury features distinguishing surgical from non-surgical cases were neurological compromise (P = 0.004), canal compromise (P < 0.001), dirty wounds (P < 0.001), bullet or bone fragment remains in the spinal canal (P < 0.001) and injury pattern (P < 0.001). After a multivariate analysis through a binary logistic regression model, the aforementioned variables remained statistically significant except neurological compromise. ConclusionsIn this multicenter study of spinal gunshot victims, most were treated non-surgically, despite neurological injury in 76% and spinal injury in 63% of patients.

Cardiovascular risk, social vigilance, and stress profiles of male law enforcement officers versus civilians.

This study examined the cardiovascular disease (CVD) risk profiles of male law enforcement officers (LEOs) and civilians. CVD risk profiles were based on data collected using traditional objective (e.g., resting BP, cholesterol), novel objective (e.g., ambulatory BP) and self-report measures (e.g., EMA social vigilance). A subset of male LEOs (n = 30, M age = 41.47, SD = 8.03) and male civilians (n = 120, M age = 40.73, SD = 13.52) from a larger study were included in analyses. Results indicated LEOs had significantly higher body mass index [BMI], 31.17kg/m2 versus 28.87kg/m2, and exhibited significantly higher trait and state social vigilance across multiple measures, whereas perceived stress was higher among civilians. Findings highlight the need for future research examining CVD risk associated with occupational health disparities, including attributes of individuals entering certain professions as well as experiential and environmental demands of the work.

12‐month cognitive outcome after acute geriatric TBI not associated with U.S. Military Veteran status

AbstractBackgroundTraumatic brain injury (TBI) increases risk for cognitive decline and Alzheimer’s disease/related dementias (ADRD), and Veterans may be at increased risk of both TBI and cognitive decline due to combat/training related exposures and other risk factors. However, it is unknown whether older Veterans are more likely to experience a poor cognitive outcome after acute TBI compared to civilians.MethodWe examined 112 male Veterans and 320 male civilians (55+) who experienced an acute TBI and enrolled in Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK‐TBI). Data were collected at baseline (i.e., emergency room visit) on demographic and injury characteristics. Cognitive and TBI recovery data (i.e., Rivermead Postconcussive Questionnaire, Brief Symptom Inventory, Satisfaction with Life Scale, and Glascow Outcome Scale‐Extended) were collected at 2 weeks, 6 months, and 12 months. We calculated descriptive statistics and compared across Veterans and civilians. 12‐month cognitive outcome was defined as performance &lt;9th percentile on 2+ cognitive tests, and/or decline from 2‐week or 6‐month score &gt;90% reliable change index on two+ tests. We used propensity weighting to address missing cognitive outcome data and conducted a logistic regression analysis to examine association of Veteran status with classification of cognitive outcome.ResultVeterans were older and less likely to be Hispanic compared to civilians but did not differ on race, education, history of head injury, or injury severity. At 12 months post‐TBI, Veterans endorsed worse mood and satisfaction with life (p’s = 0.05), but these results were attenuated by adjustment for prior TBI and injury severity. In adjusted models Veterans did not differ from civilians on a measure of overall TBI outcome (p = 0.45) or postconcussive symptoms (p = 0.32). Moreover, there was no association between Veteran status and cognitive outcome (Wald chi square = 2.66, p = 0.45).ConclusionRisk of poor cognitive outcome following TBI does not differ between older male Veterans and civilians, and mood and life satisfaction outcomes were worse for Veterans but impacted by injury severity and prior head injury. These findings have implications for understanding risk for cognitive decline and ADRD among older men who experience an acute TBI as well as tailoring care, including provision of psychosocial support, for these patients.

Spinal gunshot wounds: A retrospective, multicenter, cohort study

Introduction and objectiveTo describe the demographic and clinical characteristics and treatment of patients with spinal gunshot wounds across Latin America. Material and methodsRetrospective, multicenter cohort study of patients treated for gunshot wounds to the spine spanning 12 institutions across Latin America between January 2015 and January 2022. Demographic and clinical data were recorded, including the time of injury, initial assessment, characteristics of the vertebral gunshot injury, and treatment. ResultsData on 423 patients with spinal gunshot injuries were extracted from institutions in Mexico (82%), Argentina, Brazil, Colombia, and Venezuela. Patients were predominantly male civilians in low-risk-of-violence professions, and of lower/middle social status, and a sizeable majority of gunshots were from low-energy firearms. Vertebral injuries mainly affected the thoracic and lumbar spine. Neurological injury was documented in n=320 (76%) patients, with spinal cord injuries in 269 (63%). Treatment was largely conservative, with just 90 (21%) patients treated surgically, principally using posterior open midline approach to the spine (n=79; 87%). Injury features distinguishing surgical from non-surgical cases were neurological compromise (p=0.004), canal compromise (p<0.001), dirty wounds (p<0.001), bullet or bone fragment remains in the spinal canal (p<0.001) and injury pattern (p<0.001). After a multivariate analysis through a binary logistic regression model, the aforementioned variables remained statistically significant except neurological compromise. ConclusionsIn this multicenter study of spinal gunshot victims, most were treated non-surgically, despite neurological injury in 76% and spinal injury in 63% of patients.

Young protesters’ ambivalence about violence in the 2015 crisis in Burundi: local legacies of conflict and generational change

ABSTRACT April 2015, Burundi. What started as peaceful demonstrations against another term of president Nkurunziza, quickly turned into violent confrontations between mostly young male civilians and government forces. The demonstrations signalled the beginning of a new political crisis after a decade of peace. In this paper, we draw on eye-witness accounts of civilians to understand the escalation of violence. We argue that legacies of conflict informed the understanding and escalation of the violence. For instance, memories and skills learned by adults and older peers during the civil war were passed on to novices to organise protests and neighbourhood defence. Yet the legacies of conflict also juxtaposed with protesters’ ideals on ‘civil’ non-violent political dialogue. The ambivalence towards violence experienced and narrated by protesters and witnesses points to intergenerational change, but may also be understood as contradictions in how political dialogue and competition is generally envisioned in Burundi.

X-Ray-Ultrasound and Epidemiological Profile of the Victims of the Attacks in Mopti (Mali, West Africa)

Objective: To determine the X-ray, ultrasound, and epidemiological profile of the victims of the attacks of March and April 2019 received at the Mopti hospital. Materials and Methods: This was a cross-sectional study of the victims of the armed attacks of March and April 2019 received at Mopti hospital. The study included all stroke victims who had an x-ray or ultrasound during this time. The variables were the socio-demographic profile, the etiological mechanism, the imaging means and their results. Data analysis was done with SPSS version 25 and Excel 2016 software. Results: The most common age group was 15-29 years old at 35.4%. Men predominated with 66.7%. Civilians were more affected, 83.3%. Firearms accounted for 93.8% of the etiologies. The x-ray was no longer performed, ie 66.7%. The lower limbs were more affected with 31.8%. Fractures of the limbs and the presence of bullets were anomalies most frequent with 25% each one. Conclusion: The majority of the injured were predominantly young and male civilians. Firearms were the most common etiology with predominant involvement in the lower extremities. Radiography was the most used imaging method, and the most common abnormalities were fractures and the presence of ballistic fragments. Gastrointestinal perforation was the most suspected lesion on ultrasound.

Mortality and cancer incidence 1952–2017 in United Kingdom participants in the United Kingdom’s atmospheric nuclear weapon tests and experimental programmes

This study examines the mortality and cancer incidence experience among men who took part in the United Kingdom’s atmospheric nuclear weapon tests between 1952–67. A cohort of 21 357 servicemen and male civilians from the UK who participated in the tests and a group of 22 312 controls were followed between 1952 and 2017. Analyses of mortality and cancer incidence were conducted. The overall mortality rate in the test participants was slightly higher relative risk (RR = 1.02, 90% CI 1.00–1.05, p = 0.04) than that in the control group. This difference was driven by similar increased risks for both all cancers combined (RR 1.03, 90% CI 1.00–1.07) and all non-cancer diseases (RR = 1.02, 90% CI 1.00–1.05). Leukaemia excluding chronic lymphatic incidence showed evidence of being raised relative to controls (RR = 1.38, 90% CI 1.10–1.75, p = 0.01). Leukaemia risks were driven by increased risks for chronic myeloid leukaemia (CML) (RR = 2.43, 90% CI 1.43–4.13, p = 0.003). Among non-cancer outcomes only cerebrovascular diseases showed increases in participants relative to controls. UK nuclear weapon tests participants have lower mortality rates compared to the national population although rates are slightly (2%) higher than in the study control group. Variation in background characteristics, that could not be accounted for in the analysis (e.g. smoking habits, diet), are a possible explanation for this difference. For leukaemia evidence of increased risk in the early years after the test has generally continued to diminish with time although for CML risks have persisted. There was some evidence that participants had higher mortality rates from cerebrovascular diseases than those in the control group. Assuming recorded radiation exposures (generally very low) are a true reflection of actual exposures then it is unlikely that any observed health effect will have been caused by radiation exposure.

Eating disorder behaviors and treatment seeking in self-identified military personnel and veterans: Results of the National Eating Disorders Association online screening

ObjectiveTo characterize disordered eating behaviors, eating disorder (ED) risk and diagnosis, and treatment seeking behaviors in active-duty military personnel/veterans compared with civilians. MethodSelf-selecting participants (n = 113,388; 1744 were military personnel/veterans) 18+ years old completed the National Eating Disorders Association's online screen. Engagement in and frequencies of disordered eating behaviors were compared across military/veteran and civilian groups and were stratified by gender. ED risk and diagnosis and treatment seeking behaviors were also compared. ResultsIndividuals in the military/veteran group were more likely to engage in diuretic/laxative use and excessive exercise compared with civilians. Compared with civilians, the military/veteran group had a lower percentage who screened “at risk for an ED” and a higher percentage who screened for “no risk”. Females in the military/veteran group were more likely to engage in diuretic/laxative use, excessive exercise, and fasting compared with female civilians; males in the military/veteran group were more likely to engage in excessive exercise and less likely to engage in vomiting than male civilians. Of the self-identified military personnel/veterans who screened positive for any ED, 86% had never received treatment, which did not differ significantly from civilians. Notably, 56.7% of those (54.1% of military/veteran group; 56.7% of civilians) who completed an optional item on intention to seek treatment (n = 5312) indicated they would not seek treatment. ConclusionsDisordered eating and ED profiles, but not treatment seeking, may differ between military personnel/veterans and civilians who complete an online ED screen. Future work should emphasize treatment options and connecting respondents directly to tailored resources.

Applying Medicine’s “Never Events” Model to Law Enforcement’s Disparate Killings of Black Male Civilians

Background: George Floyd’s murder sparked nationwide and international shock, grief, and support, shedding long, overdue light on the need for dialogue and policy reform regarding how American black people are handled by police officers. Much of the outrage stems from the fact that officers have historically escaped any penalty for unjustly taking the lives of American black citizens. Purpose: Utilizing George Floyd’s 2020 murder as a case study, this paper nests the perpetrator perspective within CRT’s victim perspective to propose a model whose long-term goal is that continued practice of harshly penalizing reckless and murderous officers would aid in repairing some consequences associated with systemic racism within the criminal justice system. Research Method: The method described in this position paper is a model based on the medical system’s “never events” policies called “Just N.O.”. The proposed model is composed of four constructs and is tailored to law enforcement officers whose lives are not in danger when they kill civilians in their care.

Load-Carriage Conditioning Elicits Task-Specific Physical and Psychophysical Improvements in Males.

Wills, JA, Saxby, DJ, Glassbrook, DJ, and Doyle, TLA. Load-carriage conditioning elicits task-specific physical and psychophysical improvements in males. J Strength Cond Res 33(9): 2338-2343, 2019-Load carriage is a requirement of many military roles and is commonly used as an assessment of soldier physical readiness. Loaded, compared with unloaded, walking tasks elicit increased physical demands, particularly around the hip joint, which can exceed the initial capacity of military personnel. This study aimed to identify and characterize physical performance responses to a lower-limb focused physical training program targeted toward load-carriage task demands. Fifteen healthy male civilians (22.6 ± 1.5 years, 1.82 ± 0.06 m, and 84.1 ± 6.9 kg) completed a 10-week physical training program consisting of resistance training and weighted walking. A load-carriage task representing the Australian Army All Corps minimum standard (5 km at 5.5 km·h, wearing a 23-kg torso-borne vest) was completed before and on completion of the 10-week training program. Heart rate and rating of perceived exertion measures were collected throughout the load-carriage task. The performance measures of countermovement and squat jumps, push-ups, sit-ups, and beep test were performed before, mid-way, and on completion (weeks 0, 6, and 11) of the 10-week training program. Psychophysical performance, as measured by rating of perceived exertion, significantly decreased (p < 0.05) during the load-carriage task after training, demonstrating improvements in psychophysical responses. The training program resulted in significant increases in squat jump maximal force, push-ups, sit-ups (p < 0.05), and estimated maximal oxygen uptake (p < 0.05). Physical performance improvements and positive physiological adaptations to a load-carriage task were elicited in males after completing a 10-week training program. Military organizations could use this evidence-based training program to efficiently train soldiers to improve their load-carriage capacity.

Mobilizing civilians into high-risk forms of violent collective action

We consider whether prior political activism increases the likelihood of engaging in higher-risk forms of violent collective action. We test our hypothesis in the context of the 2014 Euromaidan and subsequent separatist violence in Eastern Ukraine. In the aftermath of the Euromaidan protests, the Ukrainian government began a widespread campaign to mobilize young men for military service against separatist movements in the Donbas region amid escalating tensions with Russia. In July 2014, we survey young men who were volunteering to join the Ukrainian military’s counterinsurgency efforts and compare them to other young men who live in the same community but had not volunteered. Using a case control study design, we interviewed 100 young men who reported to a local Ukrainian army recruitment station in Kharkiv, a city in Eastern Ukraine which was an important center for military recruitment efforts. We compared them to 100 other young men who lived in the same communities, received recruitment notices, but had chosen not to report. Military recruits were sampled by cluster-sampling at the recruitment station, with random selection of recruits by cluster. Civilian males were sampled by random route in the vicinity of the recruitment station. When comparing survey responses between recruits and civilians, we find strong linkages between prior Euromaidan participation and military mobilization. Our results are robust to controls for parochial ethnocentrism and mere support for Euromaidan goals. Maidan participation and military mobilization are also correlated with a strong sense of self-efficacy, optimism, risk tolerance, patriotic nationalism, and feelings of in-group solidarity with protesters and the military. These correlates illustrate plausible mechanisms for how individuals could transition to increasingly higher-cost, higher-risk forms of collective action.

Profiles of Clinical Need Among Homeless Individuals with Dual Diagnoses.

This study explored patterns of clinical need among homeless individuals with dual diagnoses, and explored whether certain profiles are characteristic of different demographic groups. Data were drawn from two larger studies conducted with dually diagnosed, homeless individuals (n = 373). Hierarchical cluster analysis identified four subgroups: (1) Clinically least severe, characterized by less frequent psychological symptoms and no history of physical or sexual abuse; (2) Moderate clinical needs, including shorter history of substance use and less frequent psychological symptoms, but symptoms consistent with severe mental illness; (3) Clinically severe, with frequent anxiety, depression, past and recent physical or sexual abuse, and long history of substance use; (4) Least frequent psychological symptoms, but frequent history of physical or sexual abuse and long history of drug use. Women veterans were mostly likely to be classified in cluster 3, and male civilians in cluster 2. Subgroups of homeless individuals with dual diagnoses demonstrated different clusters of clinical needs, having implications for service delivery to the population.

Characteristics of Veteran and Civilian Suicide Decedents: A Sex-Stratified Analysis

Few studies have examined characteristics distinguishing Veteran and civilian suicide decedents. An understanding of unique risk factors for Veteran suicide is critical to develop effective preventive interventions. This is particularly imperative for female Veterans, who have near double the suicide mortality rate of same-aged female civilians. The objectives of this study were to examine whether Veteran and civilian suicide decedents differed on risk factors and suicide-event characteristics, and to determine whether predictors changed based on sex. Data from 116,515 suicides collected by the National Violent Death Reporting System in 27 states between 2003 and 2015 were analyzed in 2018 in sex-stratified analyses. Logistic regression models examined population differences in risk factors and suicide-event characteristics. Relative to male civilians, male Veterans were more likely to have a contributing physical health problem (AOR=1.10, 95% CI=1.06, 1.14) and to use a firearm for their suicide (AOR=1.41, 95% CI=1.36, 1.47); they were less likely to have substance use problems (AOR=0.70, 95% CI=0.66, 0.75), depressed mood (AOR=0.93, 95% CI=0.90, 0.97), or financial problems (AOR=0.91, 95% CI=0.86, 0.97). Female Veterans were more likely to use a firearm for their suicide (AOR=1.39, 95% CI=1.19, 1.63) relative to female civilians. Firearm use as a suicide method was a key distinguishing feature of Veteran suicide. Means restriction and firearm safety are pertinent to preventing Veteran suicide. Given low utilization of mental health care and frequent presence of physical health problems in this population, safe storage messages may have a greater preventive impact if delivered in primary care or other nonpsychiatric settings.

Positron emission tomography of tau in Iraq and Afghanistan Veterans with blast neurotrauma.

Military personnel are often exposed to multiple instances of various types of head trauma. As a result, there has been increasing concern recently over identifying when head trauma has resulted in a brain injury and what, if any, long-term consequences those brain injuries may have. Efforts to develop equipment to protect soldiers from these long-term consequences will first require understanding the types of head trauma that are likely responsible. In this study, we sought to identify the types of head trauma most likely to lead to the deposition of tau, a protein identified as a likely indicator of long-term negative consequences of brain injury. To define the types of head trauma in a military population, we applied a factor analysis to interviews from a larger cohort of 428 Veterans enrolled in the Translational Research Center for Traumatic Brain Injury and Stress Disorders. Three factors were identified: Blast Exposure, Symptom Duration, and Blunt Concussion. Sixteen male Veterans from this study and one additional male civilian (aged 25–69, mean 35.2 years) underwent simultaneous positron emission tomography/magnetic resonance imaging using a tracer that binds to tau protein, the ligand T807/AV-1451 (Flortaucipir). Standard uptake value ratios to the isthmus of the cingulate were calculated from a 20-minute time frame 70 min post-injection. We found that tracer uptake throughout the brain was associated with Blast Exposure factor beta weights, but not with either Symptom Duration or Blunt Concussion. Associations with uptake were located primarily in the cerebellar, occipital, inferior temporal and frontal regions. The data suggest that in this small, relatively young cohort of Veterans, elevated T807/AV-1451 uptake is associated with exposure to blast neurotrauma. These findings are unanticipated, as they do not match histopathological descriptions of tau pathology associated with head trauma. Continued work will be necessary to understand the nature of the regional T807/AV-1451 uptake and any associations with clinical symptoms.

Examining the osteological paradox: Skeletal stress in mass graves versus civilians at the Greek colony of Himera (Sicily).

Bioarchaeologists interpret skeletal stress as evidence of resilience or frailty, where absence of lesions might result from lack of exposure to pathogens (i.e., good health) or extreme vulnerability (i.e., selection). We examine physiological stress in two skeletal series from Greek Himera: (1) nine mass graves from the battles of Himera (480 and 409 BCE) and (2) Himeran civilians (648-409 BCE). Civilians are assumed to have died from multiple causes, including ill health leading to their deaths. Individuals from the battles presumably died while in relatively good health, in battle. More skeletal stress among civilians than battle casualties would support the idea that skeletal stress is a sign of frailty at Himera. We compare variation in skeletal stress between and among civilians and battle casualties. Cribra orbitalia, porotic hyperostosis, linear enamel hypoplasia (LEH), and sub-periosteal new bone formation, were examined in 474 individuals (mass graves n = 64; civilians n = 410). Chi-square tests showed significantly higher prevalence of LEH (p = 0.04) and sub-periosteal new bone formation (p = 0.05) among young and mid-aged adult male civilians than mass grave casualties. Skeletal stress was also lower in the earlier battle, and varied among civilians with burial style. Our findings generally support the hypothesis that skeletal stress is evidence of frailty (i.e., leading to greater risk of mortality). However, the relationship between stress and frailty is complicated by social factors, when considering historical context. In particular, a possible "soldier-class" may have experienced less stress than the overall civilian population.

Accelerated DNA methylation aging and increased resilience in veterans: The biological cost for soldiering on

Accelerated epigenetic aging, the difference between the DNA methylation-predicted age (DNAm age) and the chronological age, is associated with a myriad of diseases. This study investigates the relationship between epigenetic aging and risk and protective factors of PTSD. Genome-wide DNA methylation analysis was performed in 211 individuals including combat-exposed Australian veterans (discovery cohort, n = 96 males) and trauma-exposed civilian males from the Grady Trauma Project (replication cohort, n = 115 males). Primary measures included the Clinician Administered PTSD Scale for DSM-5 and the Connor-Davidson Resilience Scale (CD-RISC). DNAm age prediction was performed using the validated epigenetic clock calculator. Veterans with PTSD had increased PTSD symptom severity (P-value = 3.75 × 10−34) and lower CD-RISC scores (P-value = 7.5 × 10−8) than veterans without PTSD. DNAm age was significantly correlated with the chronological age (P-value = 3.3 × 10−6), but DNAm age acceleration was not different between the PTSD and non-PTSD groups (P-value = 0.24). Evaluating potential protective factors, we found that DNAm age acceleration was significantly associated with CD-RISC resilience scores in veterans with PTSD, these results remained significant after multiple testing correction (P-value = 0.023; r = 0.32). This finding was also replicated in an independent trauma-exposed civilian cohort (P-value = 0.02; r = 0.23). Post-hoc factor analyses revealed that this association was likely driven by “self-efficacy” items within the CD-RISC (P-value = 0.015; r = 0.35). These results suggest that among individuals already suffering from PTSD, some aspects of increased resilience might come at a biological cost.