2024
Prevalence, correlates, and mental and physical health burden of cardiovascular disease in older U.S. military veterans
Arechiga C, Yang R, Pietrzak R. Prevalence, correlates, and mental and physical health burden of cardiovascular disease in older U.S. military veterans. PLOS Mental Health 2024, 1: e0000192. DOI: 10.1371/journal.pmen.0000192.Peer-Reviewed Original ResearchHealth burden of cardiovascular diseaseOlder U.S. veteransBurden of cardiovascular diseaseMental health conditionsU.S. military veteransHealth conditionsAssociated with cardiovascular diseaseMilitary veteransCardiovascular diseasePopulation-based sample of veteransU.S. veteransNational Health and ResilienceIncreased risk of CVDOlder military veteransPhysical health variablesPhysical health burdenAssociation of cardiovascular diseasePopulation-based samplePrevalence of cardiovascular diseaseSample of veteransNationally Representative SampleRisk of cardiovascular diseaseDiagnosis of hypertensionSelf-report assessmentsCross-sectional sample
2023
Characteristics and Correlates of Ten-Year Trajectories of Posttraumatic Stress Symptoms in Older U.S. Military Veterans
Moye J, Kaiser A, Cook J, Fischer I, Levy B, Pietrzak R. Characteristics and Correlates of Ten-Year Trajectories of Posttraumatic Stress Symptoms in Older U.S. Military Veterans. American Journal Of Geriatric Psychiatry 2023, 31: 889-901. PMID: 37355455, PMCID: PMC10592467, DOI: 10.1016/j.jagp.2023.05.011.Peer-Reviewed Original ResearchPTSD symptomsU.S. military veteransLow symptom groupCognitive difficultiesTrauma exposureTraumatic eventsHigher symptomsPosttraumatic stress disorder (PTSD) symptomsMore lifetime traumatic eventsSymptom groupsMilitary veteransPosttraumatic stress symptomsSelf-report measuresLower PTSD symptomsLifetime traumatic eventsPTSD symptom trajectoriesUse disordersOlder U.S. veteransLatent growth mixture modelingHigh symptom groupU.S. veteransGrowth mixture modelingEmotional agingSubstance use disordersDisorder symptomsExacerbated PTSD symptoms among older U.S. military veterans during the COVID-19 pandemic: Results from the national health and resilience in veterans study
Cations M, Cook J, Fischer I, Pietrzak R. Exacerbated PTSD symptoms among older U.S. military veterans during the COVID-19 pandemic: Results from the national health and resilience in veterans study. Journal Of Psychiatric Research 2023, 163: 386-390. PMID: 37269773, PMCID: PMC10227439, DOI: 10.1016/j.jpsychires.2023.05.078.Peer-Reviewed Original ResearchConceptsU.S. military veteransPTSD symptomsSymptom exacerbationNational HealthMedical conditionsU.S. veteransTrauma exposureMilitary veteransUnited States veteransCOVID-19 pandemicCoronavirus 2019 (COVID-19) pandemicOlder U.S. veteransPost-traumatic stress disorder (PTSD) symptomologyOlder veteransStates veteransExacerbationVeterans StudyPTSD ChecklistSymptomsLatent growth mixture modelMental healthAdditional riskRestriction stressLater lifeVeteransPurpose 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 veteransSubjective cognitive difficulties and posttraumatic stress disorder interact to increase suicide risk among middle-aged and older US military veterans
Cations M, Cook J, Nichter B, Esterlis I, Pietrzak R. Subjective cognitive difficulties and posttraumatic stress disorder interact to increase suicide risk among middle-aged and older US military veterans. International Psychogeriatrics 2023, 36: 599-607. PMID: 36756753, DOI: 10.1017/s1041610222001053.Peer-Reviewed Original ResearchPosttraumatic stress disorderSubjective cognitive difficultiesCurrent suicidal intentSuicidal intentSuicidal ideationPatient Health Questionnaire-9Suicide riskStress disorderCurrent posttraumatic stress disorderMilitary veteransCross-sectional studyUnited States military veteransUS military veteransCognitive Functioning ScaleOlder U.S. veteransCognitive difficultiesSubjective cognitive impairmentQuestionnaire-9US veteransNational HealthSuicide Behaviors QuestionnaireOlder veteransCognitive impairmentConcentration difficultiesU.S. veterans
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
Psychological Resilience to the Challenges of Physical Aging in Older U.S. Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study
Asch RH, Kachadourian L, Southwick SM, Esterlis I, Pietrzak RH. Psychological Resilience to the Challenges of Physical Aging in Older U.S. Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2021, 29: 1280-1285. PMID: 34053836, PMCID: PMC8553809, DOI: 10.1016/j.jagp.2021.04.013.Peer-Reviewed Original ResearchConceptsPsychological resilienceOlder U.S. veteransVeterans StudySecure attachment stylePhysical health difficultiesU.S. veteransU.S. military veteransRelative importance analysisAttachment securityAttachment styleHealth difficultiesNovel analytic approachMilitary veteransIntervention strategiesMindfulnessStrongest correlateGreater resilienceMultiple regressionResilienceVeteransOlder veteransAnalytic approachRepresentative sampleDifficulty indexScores
2019
Apolipoprotein E gene polymorphism, posttraumatic stress disorder, and cognitive function in older U.S. veterans: Results from the National Health and Resilience in Veterans Study
Averill LA, Abdallah CG, Levey DF, Han S, Harpaz‐Rotem I, Kranzler HR, Southwick SM, Krystal JH, Gelernter J, Pietrzak RH. Apolipoprotein E gene polymorphism, posttraumatic stress disorder, and cognitive function in older U.S. veterans: Results from the National Health and Resilience in Veterans Study. Depression And Anxiety 2019, 36: 834-845. PMID: 31385647, DOI: 10.1002/da.22912.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderExecutive functionCognitive functioningStress disorderΕ4 carrier statusΕ4 carriersVeterans StudyCognitive dysfunctionAttention/concentrationGreater cognitive difficultiesLower cognitive functioningOlder U.S. veteransΕ4 allele carrier statusPerseverative errorsCognitive difficultiesReplication sampleCarrier statusCognitive functionImportance of assessingNational HealthCognitive declinePredictive effectApolipoprotein E gene polymorphismE gene polymorphismΕ4 allele carriersAnalgesic prescribing trends in a national sample of older veterans with osteoarthritis
Trentalange M, Runels T, Bean A, Kerns RD, Bair MJ, Brody AA, Brandt CA, Hwang U. Analgesic prescribing trends in a national sample of older veterans with osteoarthritis. Pain 2019, Publish Ahead of Print: &na;. PMID: 30913167, PMCID: PMC9486693, DOI: 10.1097/j.pain.0000000000001509.Peer-Reviewed Original ResearchConceptsPain intensity ratingsAnalgesic prescriptionPrescribing trendsOlder veteransIntensity ratingsNonopioid analgesic prescribingPatterns of opioidPre-post observational studyReported pain intensityInterrupted time seriesOlder U.S. veteransAcetaminophen prescriptionsAnalgesic classTotal prescribingAnalgesic prescribingOpioid prescribingPain intensityDrug prescribingObservational studyPrescribingU.S. veteransPrescribing programmeOsteoarthritisStudy periodBinomial regression models
2015
Barriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States
Blais RK, Tsai J, Southwick SM, Pietrzak RH. Barriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States. Psychiatric Services 2015, 66: 500-506. PMID: 25639990, DOI: 10.1176/appi.ps.201300469.Peer-Reviewed Original ResearchConceptsMental health careMental health care utilizationHealth care utilizationOlder veteransPsychiatric disordersCare utilizationHealth careLifetime drug use disordersMental health care useMental health service utilizationNon-Hispanic veteransVeterans ages 60Lifetime posttraumatic stress disorderHealth service utilizationHealth care useCurrent psychiatric symptomsCurrent psychiatric disorderDrug use disordersMinority of veteransMental health servicesCurrent suicidal ideationPosttraumatic stress disorderOlder U.S. veteransCare useNational Health
2013
From Serving in the Military to Serving Loved Ones: Unique Experiences of Older Veteran Caregivers
Monin JK, Levy BR, Pietrzak RH. From Serving in the Military to Serving Loved Ones: Unique Experiences of Older Veteran Caregivers. American Journal Of Geriatric Psychiatry 2013, 22: 570-579. PMID: 23567413, PMCID: PMC3825823, DOI: 10.1016/j.jagp.2012.11.023.Peer-Reviewed Original ResearchConceptsCombat exposureVeteran caregiversPsychosocial characteristicsOlder U.S. veteransGreater emotional strainU.S. veteransCross-sectional web surveyOlder veteransEmotional demandsPhysical strainEmotional strainSocial supportPsychosocial factorsCognitive statusVeterans StudyMental healthGreater rewardsDepressive symptomsGrandparentingCaregiving resourcesCaregiversRewardVeteransUnique experiencesLoved onesPSYCHOLOGICAL RESILIENCE IN OLDER U.S. VETERANS: RESULTS FROM THE NATIONAL HEALTH AND RESILIENCE IN VETERANS STUDY
Pietrzak RH, Cook JM. PSYCHOLOGICAL RESILIENCE IN OLDER U.S. VETERANS: RESULTS FROM THE NATIONAL HEALTH AND RESILIENCE IN VETERANS STUDY. Depression And Anxiety 2013, 30: 432-443. PMID: 23468170, DOI: 10.1002/da.22083.Peer-Reviewed Original ResearchConceptsPsychological resiliencePsychological outcomesResilient groupSocial connectednessVeterans StudyNegative psychological outcomesU.S. veteransProtective psychosocial characteristicsPhysical health difficultiesOlder U.S. veteransThree-group solutionOlder veteransTraumatic eventsEmotional stabilityAnxiety symptomsCurrent PTSDHealth difficultiesPsychosocial characteristicsDistressed groupPositive perceptionsCommunity integrationLater lifePsychiatric problemsEmpirical researchVeterans
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