2024
Applying Concepts of Successful Aging in Measuring and Promoting Whole Person Health
Tsai J, Jones A. Applying Concepts of Successful Aging in Measuring and Promoting Whole Person Health. Medical Care 2024, 62: s21-s23. PMID: 39514489, PMCID: PMC11548807, DOI: 10.1097/mlr.0000000000002040.Peer-Reviewed Original ResearchConceptsWhole-person healthPersonal healthLife course perspectiveTransform healthcare systemsAdult populationWell-beingAging adult populationUS veteran populationAge-friendly practicesPopulation at-riskPublic health concernPoor healthAbsence of diseaseHealthcare systemVeteran populationSuccessful agingAging adultsAge-FriendlyHealthCourse perspectiveHealth concernReview studiesAgePopulationMultiple indicatorsDigital access among a national sample of currently and formerly homeless veterans in 2022
Tsai J, Lampros A, Blue-Howells J. Digital access among a national sample of currently and formerly homeless veterans in 2022. Health Informatics Journal 2024, 30: 14604582241276974. PMID: 39167203, DOI: 10.1177/14604582241276974.Peer-Reviewed Original ResearchPerformance of the Elixhauser Comorbidity Index in Predicting Mortality Among a National US Sample of Hospitalized Homeless Adults
Tsai J, Kim Y. Performance of the Elixhauser Comorbidity Index in Predicting Mortality Among a National US Sample of Hospitalized Homeless Adults. Medical Care 2024, 62: 543-548. PMID: 38838297, DOI: 10.1097/mlr.0000000000002019.Peer-Reviewed Original ResearchConceptsElixhauser Comorbidity IndexIn-hospital mortalityBehavioral health conditionsHealth care databasesNational Inpatient Sample (NISComorbidity indexAlcohol-related disordersPredictors of hospital readmissionPredicting mortalityPrediction of in-hospital mortalityClinical Classifications Software Refined (CCSRCare databasePredicting in-hospital mortalitySummary scoreRevision Clinical ModificationNational US sampleClinical ModificationInternational ClassificationSample of inpatientsDiagnostic codesHealth conditionsHomeless adultsHospital readmissionCase-mixAcute myocardial infarctionShallow Subsidies for Veterans Facing Housing Barriers in the VA Supportive Services for Veteran Families Program.
Nelson R, Byrne T, Suo Y, Effiong A, Pettey W, Zickmund S, Galyean P, Kimball E, Gelberg L, Kertesz S, Tsai J, Montgomery A. Shallow Subsidies for Veterans Facing Housing Barriers in the VA Supportive Services for Veteran Families Program. Journal Of Health Care For The Poor And Underserved 2024, 35: 532-544. PMID: 38828580, DOI: 10.1353/hpu.2024.a928631.Peer-Reviewed Original ResearchConceptsPermanent supportive housingMultivariable two-part regression modelTwo-part regression modelHousing instabilityHousing barriersSupportive housingFamilies ProgramQualitative interviewsSocioeconomic stabilityAllocation decisionsCharacteristics of veteransSubsidiesHigher incomeDepartment of Veterans AffairsIncomeHousingInterviewsVeterans AffairsMethod findingsHomelessnessRetrospective cohort studyOutpatient costsVeteransOlder ageCohort studyFunctional significance of posttraumatic growth in U.S. military veterans
Gower T, Fischer I, Tsai J, Kang H, Na P, Tedeschi R, Pietrzak R. Functional significance of posttraumatic growth in U.S. military veterans. Journal Of Affective Disorders 2024, 356: 267-273. PMID: 38614442, DOI: 10.1016/j.jad.2024.04.046.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPosttraumatic stress disorder symptomsPosttraumatic growthPsychosocial functioningTraumatic eventsTrauma-exposed U.S. veteransNational Health and ResilienceMale veteran samplePost-trauma functioningPattern of findingsRetrospective self-reportsU.S. military veteransVeteran sampleStress disorderVeterans StudyExamined relationsCross-sectional designMilitary veteransNationally representative sampleU.S. veteransAssociated with functionsPhysical functionClinical interventionsPsychosocial characteristicsVeterans
2023
Co-occurring Medical Multimorbidity, Mental Illness, and Substance Use Disorders Among Older Criminal Legal System-Involved Veterans
Han B, Bronson J, Washington L, Yu M, Kelton K, Tsai J, Finlay A. Co-occurring Medical Multimorbidity, Mental Illness, and Substance Use Disorders Among Older Criminal Legal System-Involved Veterans. Medical Care 2023, 61: 477-483. PMID: 37204150, PMCID: PMC10330246, DOI: 10.1097/mlr.0000000000001864.Peer-Reviewed Original ResearchConceptsMedical multimorbidityMental illnessOlder veteransCLS involvementCo-occurring mental illnessVeterans Health Administration facilitiesMultivariable logistic regression modelConcurrent mental illnessPatterns of multimorbidityDisease-specific carePoor health outcomesSubstance use disordersLogistic regression modelsHigh prevalenceHigh riskLow prevalenceMultimorbidityAppropriate careUse disordersHealth outcomesIllnessAdministration facilitiesPrevalenceHealth recordsVeteransPurpose in life and physical health in older U.S. military veterans: Cross-sectional results from the National Health and Resilience in Veterans Study
Fischer I, Feldman D, Tsai J, Harpaz-Rotem I, McCutcheon V, Schulenberg S, Pietrzak R. Purpose in life and physical health in older U.S. military veterans: Cross-sectional results from the National Health and Resilience in Veterans Study. Preventive Medicine 2023, 170: 107495. PMID: 37001606, DOI: 10.1016/j.ypmed.2023.107495.Peer-Reviewed Original ResearchConceptsPhysical health conditionsPhysical healthNational HealthDaily livingVeterans StudyHealth conditionsHigher bodily painPhysical role limitationsGeneral population studiesOverall self-reported healthPhysical health difficultiesHigher PILSelf-reported healthOlder U.S. veteransU.S. military veteransBodily painRole limitationsPhysical functioningSleep disordersInstrumental activitiesSelf-report assessmentsCurrent prevalenceCross-sectional resultsU.S. veteransMost veteransIdentifying significant correlates of purpose in life in older US military veterans: results from the national health and resilience in veterans study.
Fischer I, Feldman D, Tsai J, Harpaz-Rotem I, Lucas K, Schulenberg S, Pietrzak R. Identifying significant correlates of purpose in life in older US military veterans: results from the national health and resilience in veterans study. International Psychogeriatrics 2023, 35: 560-565. PMID: 36715004, DOI: 10.1017/s1041610222001223.Peer-Reviewed Original ResearchConceptsUS military veteransNational HealthMilitary veteransSignificant correlatesOlder US veteransAdverse health outcomesModifiable psychosocial factorsAdverse outcomesElastic net analysisUS veteransDepressive symptomsPsychosocial factorsHealth outcomesVeterans StudyPsychosocial variablesTreatment effortsCognitive outcomesCross-sectional dataVeteransOutcomesSocial supportCommunity integrationImportant correlatesHealthCorrelates
2022
Perceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study
Fischer IC, Tsai J, Harpaz-Rotem I, McCutcheon VE, Schulenberg SE, Pietrzak RH. Perceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2022, 31: 87-93. PMID: 36253289, DOI: 10.1016/j.jagp.2022.09.010.Peer-Reviewed Original ResearchConceptsMental disordersNational HealthU.S. veteransVeterans StudyHigher PILSubstance use disordersOlder U.S. veteransU.S. military veteransMajor depressiveSelf-report assessmentsLower oddsCurrent prevalenceUse disordersMost veteransSuicide attemptsMental healthGeneralized anxietySuicidalityDisordersMilitary veteransVeteransPosttraumatic stressHealthOddsRepresentative sample
2021
Utilization of Electroconvulsive Therapy for Older Homeless Adults Covered by Medicare
Wilkinson ST, Rhee TG, Tsai J. Utilization of Electroconvulsive Therapy for Older Homeless Adults Covered by Medicare. Psychiatric Quarterly 2021, 92: 1825-1837. PMID: 34468909, DOI: 10.1007/s11126-021-09946-3.Peer-Reviewed Original ResearchConceptsElectroconvulsive therapyOlder Medicare beneficiariesECT useMedicare beneficiariesOutpatient electroconvulsive therapyMajor depressive disorderLower odds ratioHomeless individualsOlder homeless adultsECT coursePsychiatric comorbidityUnadjusted ratesOutpatient settingDepressive disorderOdds ratioNon-homeless individualsHomeless patientsPsychosocial supportSociodemographic characteristicsSignificant covariatesOlder homeless individualsHomeless adultsTherapyLower ratesHomeless groupBehavioral Epidemic of Loneliness in Older U.S. Military Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study
Straus E, Norman SB, Tripp JC, Tsai J, Sippel LM, Jeste DV, Southwick SM, Pietrzak RH. Behavioral Epidemic of Loneliness in Older U.S. Military Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2021, 30: 297-310. PMID: 34417085, DOI: 10.1016/j.jagp.2021.07.006.Peer-Reviewed Original ResearchConceptsU.S. military veteransNational HealthPhysical healthMilitary veteransSuicidal ideationVeterans StudyFunctional measuresPsychiatric risk factorsLoneliness severityCross-sectional studyU.S. veteran populationPhysical health conditionsReliable self-report assessmentsCurrent suicidal ideationRisk factorsSelf-report assessmentsTransdiagnostic preventionCurrent prevalenceVeteran populationU.S. veteransFunctional difficultiesMental healthHealth conditionsIntervention targetsReporting feelingBarriers to the Implementation of Electroconvulsive Therapy (ECT): Results From a Nationwide Survey of ECT Practitioners
Wilkinson ST, Kitay BM, Harper A, Rhee TG, Sint K, Ghosh A, Lopez MO, Saenz S, Tsai J. Barriers to the Implementation of Electroconvulsive Therapy (ECT): Results From a Nationwide Survey of ECT Practitioners. Psychiatric Services 2021, 72: 752-757. PMID: 33971727, DOI: 10.1176/appi.ps.202000387.Peer-Reviewed Original ResearchAssociation of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic
Pietrzak RH, Tsai J, Southwick SM. Association of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic. JAMA Network Open 2021, 4: e214972. PMID: 33830230, PMCID: PMC8033430, DOI: 10.1001/jamanetworkopen.2021.4972.Peer-Reviewed Original ResearchPrevalence, risk and protective factors associated with suicidal ideation during the COVID-19 pandemic in U.S. military veterans with pre-existing psychiatric conditions
Na PJ, Tsai J, Hill ML, Nichter B, Norman SB, Southwick SM, Pietrzak RH. Prevalence, risk and protective factors associated with suicidal ideation during the COVID-19 pandemic in U.S. military veterans with pre-existing psychiatric conditions. Journal Of Psychiatric Research 2021, 137: 351-359. PMID: 33756377, PMCID: PMC8545743, DOI: 10.1016/j.jpsychires.2021.03.021.Peer-Reviewed Original ResearchConceptsPre-existing psychiatric conditionsPsychiatric symptom severitySuicidal ideationPsychiatric conditionsPsychiatric symptomsSymptom severityCOVID-19Protective factorsCoronavirus disease 2019 (COVID-19) pandemicPast-year suicidal ideationCOVID-19 infectionDisease 2019 pandemicLifetime suicide attemptsU.S. military veteransMultivariable analysisNational HealthOlder veteransGeneral populationRepresentative cohortU.S. veteransVeterans StudySuicide attemptsOlder ageSuicide riskPsychosocial difficultiesMultimorbidity and Social Drivers of Homelessness and Health: Introduction to This Special Issue.
Tsai J, King B, Elder J. Multimorbidity and Social Drivers of Homelessness and Health: Introduction to This Special Issue. Medical Care 2021, 59: s101-s102. PMID: 33710079, DOI: 10.1097/mlr.0000000000001518.Peer-Reviewed Original ResearchTop 10 presenting diagnoses of homeless veterans seeking care at emergency departments
Tsai J, Szymkowiak D, Kertesz SG. Top 10 presenting diagnoses of homeless veterans seeking care at emergency departments. The American Journal Of Emergency Medicine 2021, 45: 17-22. PMID: 33647757, DOI: 10.1016/j.ajem.2021.02.038.Peer-Reviewed Original ResearchConceptsNon-homeless veteransEmergency departmentAlcohol-related disordersED useRace/ethnicityDiagnostic categoriesDepressive disorderHomeless veteransNational VA administrative dataSuicidal behaviorCommon diagnostic categoriesLow back painVA administrative dataED service useVA homeless programsED visitsMusculoskeletal painPain conditionsRespiratory infectionsBack painED careDiagnostic codesObservational studyHispanic veteransService useMindfulness as a Mediator Between Trauma Exposure and Mental Health Outcomes: Results From the National Health and Resilience in Veterans Study
Kachadourian LK, Harpaz-Rotem I, Tsai J, Southwick S, Pietrzak RH. Mindfulness as a Mediator Between Trauma Exposure and Mental Health Outcomes: Results From the National Health and Resilience in Veterans Study. Psychological Trauma Theory Research Practice And Policy 2021, 13: 223-230. PMID: 33475404, PMCID: PMC8500672, DOI: 10.1037/tra0000995.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderAlcohol use disorderLifetime traumaTrauma-related negative affectPresent momentVeterans StudyU.S. veteransTrauma-related experiencesSuicidal ideationTraumatic life eventsLifetime trauma burdenMental health outcomesQuality of lifeMental health problemsTrauma remindersNegative affectMindful attentionTrauma exposurePTSD symptomsMental health issuesTraumatic eventsCumulative traumaStress disorderNoncombat veteransLife events
2020
Antipsychotic Medication Prescriptions for Homeless and Unstably Housed Veterans in the Veterans Affairs Health Care System.
Tsai J, Szymkowiak D, Radhakrishnan R. Antipsychotic Medication Prescriptions for Homeless and Unstably Housed Veterans in the Veterans Affairs Health Care System. The Journal Of Clinical Psychiatry 2020, 82 PMID: 33296148, DOI: 10.4088/jcp.20m13372.Peer-Reviewed Original ResearchConceptsAntipsychotic prescriptionsSevere mental illnessAntipsychotic medicationHealth care systemMedication prescriptionsPrescription practicesMental illnessVeterans Affairs Health Care SystemNational VA administrative dataVeterans AffairsVA health care servicesVA health care systemSecond-generation antipsychotic medicationsCare systemAntipsychotic medication prescriptionMore antipsychotic prescriptionsPsychotropic medication prescriptionsSecond-generation antipsychoticsVA administrative dataMore antipsychotic medicationsHealth care servicesClinical characteristicsClozapine treatmentInjectable medicationsMedicationsPrevalence of Hoarding Behavior Among Formerly Homeless Persons Living in Supported Housing.
Greig A, Tolin D, Tsai J. Prevalence of Hoarding Behavior Among Formerly Homeless Persons Living in Supported Housing. The Journal Of Nervous And Mental Disease 2020, 208: 822-827. PMID: 33002938, DOI: 10.1097/nmd.0000000000001205.Peer-Reviewed Original ResearchSuccessful Aging in Older US Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study
Pietrzak RH, Levy BR, Tsai J, Southwick SM. Successful Aging in Older US Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2020, 29: 251-256. PMID: 32917477, PMCID: PMC10697787, DOI: 10.1016/j.jagp.2020.08.006.Peer-Reviewed Original ResearchConceptsOlder US veteransUS veteransMental health difficultiesNational HealthPsychosocial factorsVeterans StudyHealth difficultiesSuccessful agingProtective psychosocial factorsOlder veteransCurrent prevalenceTreatment effortsPsychosocial correlatesSuccessful agersVeteransStrongest correlateHealthRepresentative sampleCorrelatesAging