2020
Does Reducing Drinking in Patients with Unhealthy Alcohol Use Improve Pain Interference, Use of Other Substances, and Psychiatric Symptoms?
Caniglia EC, Stevens ER, Khan M, Young KE, Ban K, Marshall BDL, Chichetto NE, Gaither JR, Crystal S, Edelman EJ, Fiellin DA, Gordon AJ, Bryant KJ, Tate J, Justice AC, Braithwaite RS. Does Reducing Drinking in Patients with Unhealthy Alcohol Use Improve Pain Interference, Use of Other Substances, and Psychiatric Symptoms? Alcohol Clinical And Experimental Research 2020, 44: 2257-2265. PMID: 33030753, PMCID: PMC8077101, DOI: 10.1111/acer.14455.Peer-Reviewed Original ResearchConceptsUnhealthy alcohol useAlcohol usePain interferenceTobacco smokingUS veteransOdds ratioPsychiatric symptomsDepressive symptomsCocaine useVeterans Aging Cohort StudyAlcohol Use Disorders Identification Test (AUDIT) questionnaireCannabis useSubstance useAging Cohort StudyAnxiety symptomsSeparate logistic regression modelsChronic pain interferenceMultisite observational studyLogistic regression modelsCohort studyInverse probability weightingNext followObservational studyPotential selection biasYears postbaseline
2016
Incidence of Mental Health Diagnoses in Veterans of Operations Iraqi Freedom, Enduring Freedom, and New Dawn, 2001-2014.
Ramsey C, Dziura J, Justice AC, Altalib HH, Bathulapalli H, Burg M, Decker S, Driscoll M, Goulet J, Haskell S, Kulas J, Wang KH, Mattocks K, Brandt C. Incidence of Mental Health Diagnoses in Veterans of Operations Iraqi Freedom, Enduring Freedom, and New Dawn, 2001-2014. American Journal Of Public Health 2016, 107: 329-335. PMID: 27997229, PMCID: PMC5227942, DOI: 10.2105/ajph.2016.303574.Peer-Reviewed Original ResearchConceptsMental health diagnosesMajor depressive disorderPosttraumatic stress disorderHealth diagnosisIncidence rateDrug use disorder diagnosisIncident posttraumatic stress disorderOperation Iraqi FreedomAge 18Veterans Health Administration electronic health recordsDisorder diagnosisIncident bipolar disorderHigh-risk groupSociodemographic risk factorsAlcohol use disorder diagnosisMental health conditionsEnduring FreedomIraqi FreedomRace/ethnicityElectronic health recordsIncident schizophreniaRisk factorsDepressive disorderAge 45MDD diagnosisEstimating healthcare mobility in the Veterans Affairs Healthcare System
Wang KH, Goulet JL, Carroll CM, Skanderson M, Fodeh S, Erdos J, Womack JA, Abel EA, Bathulapalli H, Justice AC, Nunez-Smith M, Brandt CA. Estimating healthcare mobility in the Veterans Affairs Healthcare System. BMC Health Services Research 2016, 16: 609. PMID: 27769221, PMCID: PMC5075153, DOI: 10.1186/s12913-016-1841-4.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overDelivery of Health CareElectronic Health RecordsEmigration and ImmigrationFemaleHospitals, VeteransHumansMaleMental DisordersMiddle AgedPatient Acceptance of Health CareRetrospective StudiesUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthYoung AdultConceptsHealthcare systemVeterans Health Administration electronic health recordsVeterans Affairs Healthcare SystemHealthcare mobilityRetrospective cohort studyHepatitis C virusOutcomes of careDifferent healthcare systemsDistinct healthcare systemsElectronic health recordsClinical characteristicsCohort studyHealthcare utilizationC virusSpecialty carePsychiatric disordersYounger veteransDisease preventionYounger agePopulation healthHealth recordsVeteransStatus changesCareYear period
2014
Continuity in a VA Patient-Centered Medical Home Reduces Emergency Department Visits
Chaiyachati KH, Gordon K, Long T, Levin W, Khan A, Meyer E, Justice A, Brienza R. Continuity in a VA Patient-Centered Medical Home Reduces Emergency Department Visits. PLOS ONE 2014, 9: e96356. PMID: 24867300, PMCID: PMC4035271, DOI: 10.1371/journal.pone.0096356.Peer-Reviewed Original ResearchConceptsPrimary care providersPrimary care clinicsContinuity of carePatient Aligned Care TeamsED visitsEmergency departmentPCMH modelClinic visitsED utilizationCare clinicsCare servicesVeterans Affairs primary care clinicsMultivariable logistic regression analysisVA primary care clinicsTotal clinic visitsObservational cohort studyPrimary care visitsLogistic regression analysisLower ED utilizationOutcomes of interestCare visitsCohort studyVA patientsCare teamMedical home
2011
Mental Illness and Homelessness Among Veterans
Ghose T, Gordon AJ, Metraux S, Justice AC. Mental Illness and Homelessness Among Veterans. Psychiatric Services 2011, 62: 1514-1515. PMID: 22193803, DOI: 10.1176/appi.ps.002942011.Peer-Reviewed Original ResearchNonmedical use of prescription opioids and pain in veterans with and without HIV
Barry DT, Goulet JL, Kerns RK, Becker WC, Gordon AJ, Justice AC, Fiellin DA. Nonmedical use of prescription opioids and pain in veterans with and without HIV. Pain 2011, 152: 1133-1138. PMID: 21354703, PMCID: PMC3086805, DOI: 10.1016/j.pain.2011.01.038.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnalgesics, OpioidChi-Square DistributionCohort StudiesFemaleHealth SurveysHIV InfectionsHumansLogistic ModelsMaleMental DisordersMiddle AgedOdds RatioOpioid-Related DisordersPainPain MeasurementPrescriptionsPsychiatric Status Rating ScalesRetrospective StudiesSelf ReportSurveys and QuestionnairesVeterans HealthYoung AdultConceptsHuman immunodeficiency virusPrescription opioidsComponent summaryHIV statusPain interferenceUse disordersForm Health Survey Mental Component SummarySF-12 Physical Component SummaryVeterans Aging Cohort StudyNonmedical usePharmacy record dataAlcohol Use Disorders Identification Test (AUDIT) scoresAging Cohort StudyPhysical component summaryMental component summaryOpioid use disorderMedian participant ageDrug use disordersLegitimate medical reasonsPast-month cigarette useChi-squared testU.S. military veteransHepatitis COpioid prescriptionsCohort study
2010
Pregnancy and Mental Health Among Women Veterans Returning from Iraq and Afghanistan
Mattocks KM, Skanderson M, Goulet JL, Brandt C, Womack J, Krebs E, Desai R, Justice A, Yano E, Haskell S. Pregnancy and Mental Health Among Women Veterans Returning from Iraq and Afghanistan. Journal Of Women's Health 2010, 19: 2159-2166. PMID: 21039234, PMCID: PMC3052271, DOI: 10.1089/jwh.2009.1892.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAfghan Campaign 2001-Analysis of VarianceCurrent Procedural TerminologyFemaleHumansIraq War, 2003-2011Mental DisordersMiddle AgedMilitary PersonnelPregnancyPregnancy ComplicationsPregnancy OutcomePregnancy TestsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMental health problemsOEF/OIF veteransMental health conditionsPregnancy-related carePosttraumatic stress disorderWomen veteransHealth problemsOIF veteransVeterans Health Administration systemICD-9-CM codesFemale OEF/OIF veteransHealth conditionsMore mental health diagnosesMental healthcare useDiagnosis of depressionMental health diagnosesHealth Administration systemInstances of pregnancyPregnancy outcomesAdministrative cohortPregnancy careHealthcare usePrenatal careOperation Enduring FreedomPregnancy
2005
Relative prevalence of comorbidities and treatment contraindications in HIV-mono-infected and HIV/HCV-co-infected veterans
Goulet JL, Fultz SL, McGinnis KA, Justice AC. Relative prevalence of comorbidities and treatment contraindications in HIV-mono-infected and HIV/HCV-co-infected veterans. AIDS 2005, 19: s99-s105. PMID: 16251836, DOI: 10.1097/01.aids.0000192077.11067.e5.Peer-Reviewed Original ResearchConceptsHIV/HCV-coHepatitis C virusAlcohol-related complicationsComorbid conditionsHCV-coTreatment optionsHIV monoChart extractionDiagnostic codesMental disordersCo-infected patientsElectronic medical record systemTreatment contraindicationsMedical record systemC virusHigh prevalenceMedical disordersHIVDemographic dataComorbiditiesLogistic regressionPrevalenceModerate agreementRelative prevalenceVeterans
2004
Psychiatric and neurocognitive disorders among HIV-positive and negative veterans in care
Justice AC, McGinnis KA, Atkinson JH, Heaton RK, Young C, Sadek J, Madenwald T, Becker JT, Conigliaro J, Brown ST, Rimland D, Crystal S, Simberkoff M. Psychiatric and neurocognitive disorders among HIV-positive and negative veterans in care. AIDS 2004, 18: 49-59. PMID: 15075498, DOI: 10.1097/00002030-200401001-00008.Peer-Reviewed Original ResearchConceptsHIV-negative subjectsHIV-positive subjectsNeurocognitive disordersDepressive symptomsAlcohol abuseDrug abuseHIV-negative veteransVeterans Aging CohortGeneral medicine clinicHIV-positive veteransSymptoms of depressionMemory problemsConvenience subsetOlder HIVHIV infectionMedicine clinicPsychiatric testingHigh prevalencePatient reportsSubstantial prevalenceGreater prevalenceAvailable measuresAging CohortNeurocognitive problemsInfectious diseases
2001
General medical and psychiatric comorbidity among HIV-infected veterans in the post-HAART era
Kilbourne AM, Justice AC, Rabeneck L, Rodriguez-Barradas M, Weissman S, Team F. General medical and psychiatric comorbidity among HIV-infected veterans in the post-HAART era. Journal Of Clinical Epidemiology 2001, 54: s22-s28. PMID: 11750206, DOI: 10.1016/s0895-4356(01)00443-7.Peer-Reviewed Original ResearchConceptsGeneral medical comorbidityMedical comorbiditiesPsychiatric comorbidityHIV comorbidityCognitive impairment/dementiaAntiretroviral drug toxicityPost-HAART eraPrevalence of HIVSignificant depressive symptomsHigh disease burdenLifestyle-associated conditionsComorbidity numberOlder HIVAdult patientsChemical hepatitisHerpes zosterHIV infectionPeripheral neuropathyMean agePsychiatric managementDisease burdenMultisite cohortOral candidiasisRisk drinkingPatient reports