2023
Sex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans
Stefanovics E, Potenza M, Tsai J, Nichter B, Pietrzak R. Sex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans. Journal Of Affective Disorders 2023, 328: 303-311. PMID: 36775254, DOI: 10.1016/j.jad.2023.02.025.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHumansMaleRisk FactorsStress Disorders, Post-TraumaticSuicidal IdeationSuicide PreventionSurveys and QuestionnairesVeteransConceptsSuicidal ideationMale veteransFemale veteransU.S. military veteransRisk factorsGender-specific risk factorsPrevalence of SISex-specific riskMilitary veteransDifferent risk factorsAlcohol use disorderLow psychological resilienceMultivariable analysisNational HealthRepresentative sampleUse disordersU.S. veteransVeterans StudySuicide preventionTreatment effortsVeteransLow purposeStrongest correlatePrevalenceIdeation
2022
Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans
Stefanovics E, Potenza M, Tsai J, Pietrzak R. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans. Journal Of Gambling Studies 2022, 39: 1077-1097. PMID: 36378356, DOI: 10.1007/s10899-022-10165-z.Peer-Reviewed Original ResearchMeSH KeywordsGamblingHumansMalePrevalenceStress Disorders, Post-TraumaticSubstance-Related DisordersSuicidal IdeationVeteransConceptsCurrent psychiatric diagnosisU.S. military veteransUse disordersPsychiatric diagnosisMilitary veteransU.S. veteransDrug use disordersMental health treatmentSubstance use disordersChi-square testClinical characteristicsTrauma burdenNational HealthAdjusted associationsRoutine screeningClinical measuresRecreational gamblingCurrent prevalenceMale veteransHealth treatmentHigher household incomeSuicidal ideationVeterans StudyLogistic regressionExtensive involvementGender Differences in Diagnostic Remission of Posttraumatic Stress Disorder (PTSD): Proportions and Correlates of Remission in a Nationally Representative U.S. Sample
Stefanovics EA, Rhee TG, Rosenheck RA. Gender Differences in Diagnostic Remission of Posttraumatic Stress Disorder (PTSD): Proportions and Correlates of Remission in a Nationally Representative U.S. Sample. Psychiatric Quarterly 2022, 93: 663-676. PMID: 35353267, DOI: 10.1007/s11126-022-09979-2.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultComorbidityFemaleHumansMalePersonality DisordersPrevalenceSex FactorsStress Disorders, Post-TraumaticSuicide, AttemptedConceptsPosttraumatic stress disorderDiagnostic remissionStress disorderCorrelates of remissionEmergency room visitsLifetime PTSD diagnosisProportion of menNational Epidemiologic SurveyRelated Conditions-IIIRoom visitsGender-specific correlatesParental historyRemissionLifetime diagnosisEpidemiologic SurveyClinical disadvantagesGender differencesSuicide attemptsPast homelessnessPTSD diagnosisAge 15Violent behaviorWomenSignificant gender differencesMen
2021
Who Uses Veterans Mental Health Services?
Manhapra A, Stefanovics EA, Rhee TG, Rosenheck RA. Who Uses Veterans Mental Health Services? The Journal Of Nervous And Mental Disease 2021, 209: 702-709. PMID: 33993183, DOI: 10.1097/nmd.0000000000001369.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationPosttraumatic stress disorderHealth service usersMH service usersSubstance use disorder diagnosisClinical practice guidelinesMental health servicesMental health service usersClinical characteristicsMedicaid insurancePain interferenceService usersBlack raceSimilar prevalenceMental health researchMH researchPractice guidelinesGreater prevalenceHealth AdministrationHealth servicesPTSD diagnosisRacial distributionMH statusStress disorderDisorder diagnosisPersonality and Body Mass Index in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study
Stefanovics EA, Edwards LM, Pietrzak RH. Personality and Body Mass Index in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study. Psychiatric Quarterly 2021, 92: 917-923. PMID: 33389478, DOI: 10.1007/s11126-020-09878-4.Peer-Reviewed Original ResearchMeSH KeywordsBody Mass IndexFemaleHumansMalePersonalityPersonality DisordersStress Disorders, Post-TraumaticVeteransConceptsBody mass indexLower body mass indexFemale veteransU.S. military veteransMass indexMale veteransHigher body mass indexMilitary veteransGender-specific associationsPosttraumatic stress disorderEffect of ageMultivariable analysisObesity managementNational HealthPhysical activityVeterans StudyStress disorderVeteransRepresentative sampleAssociation
2020
Association of symptom severity, pain and other behavioral and medical comorbidities with diverse measures of functioning among adults with post-traumatic stress disorder
Manhapra A, Stefanovics EA, Rhee TG, Rosenheck RA. Association of symptom severity, pain and other behavioral and medical comorbidities with diverse measures of functioning among adults with post-traumatic stress disorder. Journal Of Psychiatric Research 2020, 134: 113-120. PMID: 33383494, DOI: 10.1016/j.jpsychires.2020.12.063.Peer-Reviewed Original ResearchMeSH KeywordsAdultComorbidityDiagnostic and Statistical Manual of Mental DisordersHumansPainQuality of LifeStress Disorders, Post-TraumaticConceptsMental health composite scoresPhysical function scoresPost-traumatic stress disorderSubstance use disordersMedical comorbiditiesPain interferencePTSD symptomsStatistical Manual-5 (DSM-5) criteriaSymptom severityMental health-related qualityStress disorderPast-year post-traumatic stress disorderShort Form-12Health-related qualityNational Epidemiologic SurveyNegative associationCommon comorbiditiesChronic painForm-12Medical illnessSubstantial disabilityPsychiatric comorbidityPTSD symptom severityFunction scoresIndependent associationImpact of cannabis on non-medical opioid use and symptoms of posttraumatic stress disorder: a nationwide longitudinal VA study
De Aquino JP, Sofuoglu M, Stefanovics EA, Rosenheck RA. Impact of cannabis on non-medical opioid use and symptoms of posttraumatic stress disorder: a nationwide longitudinal VA study. The American Journal Of Drug And Alcohol Abuse 2020, 46: 812-822. PMID: 33035104, DOI: 10.1080/00952990.2020.1818248.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalgesics, OpioidFemaleHumansLongitudinal StudiesMaleMarijuana UseMedical MarijuanaMiddle AgedOpioid-Related DisordersStress Disorders, Post-TraumaticUnited StatesVeteransConceptsNon-medical opioid usePosttraumatic stress disorderOpioid useNon-medical opioidsPTSD symptomsCannabis useStress disorderSubstance useBaseline cannabis useImpact of cannabisSevere PTSD symptomsIntensive PTSD treatmentMore PTSD symptomsPTSD treatmentU.S. veteransSymptomsVA studyCannabisVeteransOpioidsSubstitution agentsBaselineDaysDisordersTreatmentGender Differences in Outcomes Following Specialized Intensive PTSD Treatment in the Veterans Health Administration
Stefanovics EA, Rosenheck RA. Gender Differences in Outcomes Following Specialized Intensive PTSD Treatment in the Veterans Health Administration. Psychological Trauma Theory Research Practice And Policy 2020, 12: 272-280. PMID: 31282719, DOI: 10.1037/tra0000495.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderTotal PTSD symptom scoresPTSD symptomsNational program evaluation dataVeterans Health AdministrationVeterans Health Administration programGreater improvementPTSD symptom scoresIntensive PTSD treatmentSymptom scoresTreatment outcomesProgram participationMale veteransGender differencesHealth AdministrationPTSD treatmentFemale veteransPTSD programProgram evaluation dataMedium effect size differencesStress disorderGender-based differencesEffect size differencesSubstance useStudy sample
2019
Predictors of Post-Discharge Suicide Attempt Among Veterans Receiving Specialized Intensive Treatment for Posttraumatic Stress Disorder.
Stefanovics EA, Rosenheck RA. Predictors of Post-Discharge Suicide Attempt Among Veterans Receiving Specialized Intensive Treatment for Posttraumatic Stress Disorder. The Journal Of Clinical Psychiatry 2019, 80 PMID: 31412170, DOI: 10.4088/jcp.19m12745.Peer-Reviewed Original ResearchMeSH KeywordsComorbidityFemaleHumansLongitudinal StudiesMaleMental DisordersMiddle AgedPatient DischargeRisk FactorsStress Disorders, Post-TraumaticSuicide, AttemptedTime FactorsUnited StatesVeteransConceptsPost-discharge suicide attemptsPosttraumatic stress disorderSuicide attemptsAlcohol useSuicidal ideationStress disorderSubstance abuse comorbidityMultivariable logistic regressionNational program evaluation dataVeterans Health AdministrationAssociation of changesIntensive treatment programViolent behaviorBaseline characteristicsClinical correlatesUS veteransClinical changesIntensive treatmentHigh riskHealth AdministrationAdmissionBivariate analysisPTSD programTreatment programGreater riskComparing Outcomes of Women‐Only and Mixed‐Gender Intensive Posttraumatic Stress Disorder Treatment for Female Veterans
Stefanovics EA, Rosenheck RA. Comparing Outcomes of Women‐Only and Mixed‐Gender Intensive Posttraumatic Stress Disorder Treatment for Female Veterans. Journal Of Traumatic Stress 2019, 32: 606-615. PMID: 31361360, DOI: 10.1002/jts.22417.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHumansMaleMiddle AgedPatient Acceptance of Health CareProgram EvaluationPsychotherapy, GroupStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsFemale veteransMixed-gender programsOutcomes of womenNational program evaluation dataPosttraumatic stress disorder (PTSD) treatmentProgram entryLonger lengthTotal PTSD symptomsPTSD total scoreBaseline characteristicsPrimary outcomePTSD symptom levelsComparing outcomesSecondary measuresWomen veteransAssessment subscaleDisorders ProgramPosttraumatic Stress Disorder (CR for PTSD) programDisorder treatmentOutcome assessmentSuperior outcomesProgram evaluation dataPTSD symptomsSymptom levelsTotal score
2018
Polysubstance Use Among Veterans in Intensive PTSD Programs: Association With Symptoms and Outcomes Following Treatment
Bhalla IP, Stefanovics EA, Rosenheck RA. Polysubstance Use Among Veterans in Intensive PTSD Programs: Association With Symptoms and Outcomes Following Treatment. Journal Of Dual Diagnosis 2018, 15: 36-45. PMID: 30444189, DOI: 10.1080/15504263.2018.1535150.Peer-Reviewed Original ResearchMeSH KeywordsHumansSeverity of Illness IndexStress Disorders, Post-TraumaticSubstance-Related DisordersTreatment OutcomeVeteransConceptsPolysubstance useTotal daysSubstance usePTSD symptomsInnovative trial designsAddictive substancesPolysubstance use disorderMore total daysSevere PTSD symptomsBaseline characteristicsSuch patientsPTSD symptom severitySevere symptomsUse disordersDual diagnosisTrial designDifferent addictive substancesDisorders ProgramPosttraumatic Stress Disorder (CR for PTSD) programPatientsComplex interventionsSimilar associationBivariate analysisPTSD programSymptom severityThe physical and mental health burden of obesity in U.S. veterans: Results from the National Health and Resilience in Veterans Study
Stefanovics EA, Potenza MN, Pietrzak RH. The physical and mental health burden of obesity in U.S. veterans: Results from the National Health and Resilience in Veterans Study. Journal Of Psychiatric Research 2018, 103: 112-119. PMID: 29807318, DOI: 10.1016/j.jpsychires.2018.05.016.Peer-Reviewed Original ResearchConceptsPrevalence of obesityU.S. veteransU.S. military veteransNational HealthHealth burdenVeterans StudyMental healthSubstantial health burdenMental health burdenMultivariate logistic regressionMilitary veteransQuality of lifeNon-white veteransTrauma burdenObesity statusHeart diseaseObesity preventionLifestyle characteristicsNicotine dependenceObesityLifestyle variablesLinear regression analysisActive lifestyleTreatment programLogistic regression
2017
Correlates of Reduced Violent Behavior Among Patients Receiving Intensive Treatment for Posttraumatic Stress Disorder
Buchanan A, Stefanovics E, Rosenheck RA. Correlates of Reduced Violent Behavior Among Patients Receiving Intensive Treatment for Posttraumatic Stress Disorder. Psychiatric Services 2017, 69: 424-430. PMID: 29241432, DOI: 10.1176/appi.ps.201700253.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedOutcome Assessment, Health CareStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransViolenceConceptsPosttraumatic stress disorderIntensive treatmentStress disorderSubstance useWar-related posttraumatic stress disorderPTSD symptomatologySpectrum of careProgram entryViolent behaviorU.S. military veteransModerate effect sizeClinical factorsPTSD symptom severityShort-term supportObservational studyBaseline levelsPTSD programSymptom severitySpecific causesFour monthsPTSD changeMilitary veteransIncarceration historyEffect sizeTreatmentPsychotropic Medication Prescribing in Iraq/Afghanistan Veterans and Vietnam Era Veterans With Posttraumatic Stress Disorder
Vojvoda D, Stefanovics EA, Rosenheck RA. Psychotropic Medication Prescribing in Iraq/Afghanistan Veterans and Vietnam Era Veterans With Posttraumatic Stress Disorder. The Journal Of Nervous And Mental Disease 2017, 205: 848-854. PMID: 28953506, DOI: 10.1097/nmd.0000000000000755.Peer-Reviewed Original ResearchConceptsIraq/Afghanistan veteransPosttraumatic stress disorderVietnam-era veteransAfghanistan veteransEra veteransAnxiolytics/sedatives/hypnoticsVeterans Health Administration (VHA) administrative dataStress disorderSedative/hypnoticsPsychotropic medication prescribingVeterans Health AdministrationNumber of prescriptionsProportion of veteransIraq/Afghanistan warMedication prescribingPsychotropic medicationsPsychotropic pharmacotherapyFiscal year 2012Psychopharmacological treatmentSame diagnosisHealth AdministrationYounger groupVeteransPrazosinAdministrative dataMinimal Clinically Important Differences (MCID) in Assessing Outcomes of Post-Traumatic Stress Disorder
Stefanovics EA, Rosenheck RA, Jones KM, Huang G, Krystal JH. Minimal Clinically Important Differences (MCID) in Assessing Outcomes of Post-Traumatic Stress Disorder. Psychiatric Quarterly 2017, 89: 141-155. PMID: 28634644, DOI: 10.1007/s11126-017-9522-y.Peer-Reviewed Original Research
2016
Correlates of Improvement in Substance Abuse Among Dually Diagnosed Veterans With Post-Traumatic Stress Disorder in Specialized Intensive VA Treatment
Coker KL, Stefanovics E, Rosenheck R. Correlates of Improvement in Substance Abuse Among Dually Diagnosed Veterans With Post-Traumatic Stress Disorder in Specialized Intensive VA Treatment. Psychological Trauma Theory Research Practice And Policy 2016, 8: 41-48. PMID: 26121176, PMCID: PMC4487392, DOI: 10.1037/tra0000061.Peer-Reviewed Original ResearchMeSH KeywordsComorbidityDiagnosis, Dual (Psychiatry)HumansLinear ModelsMiddle AgedMultivariate AnalysisPsychiatric Status Rating ScalesPsychotropic DrugsStress Disorders, Post-TraumaticSubstance-Related DisordersTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransViolenceConceptsPost-traumatic stress disorderSubstance abuseEvidence-based substance abuse treatmentStress disorderSevere post-traumatic stress disorderPTSD symptomsProper discharge planningDuration of treatmentCorrelates of improvementAddiction Severity Index AlcoholSubstance use disordersSubstance abuse treatmentEffect sizeDischarge planningPsychiatric medicationsImproved outcomesUse disordersBetter outcomesSynergistic treatment effectSubstance use measuresMultivariate analysisVA treatmentPTSD programAbuse treatmentViolent behavior
2015
Treatment outcomes for veterans with PTSD and substance use: Impact of specific substances and achievement of abstinence
Manhapra A, Stefanovics E, Rosenheck R. Treatment outcomes for veterans with PTSD and substance use: Impact of specific substances and achievement of abstinence. Drug And Alcohol Dependence 2015, 156: 70-77. PMID: 26429726, PMCID: PMC4633308, DOI: 10.1016/j.drugalcdep.2015.08.036.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderAchievement of abstinenceEffect of abstinenceTreatment outcomesSubstance useRates of abstinenceNational program evaluationSubstance abuse groupClinical outcomesBaseline variablesAnalysis of covariancePTSD patientsSpecific substancesMedical problemsPTSD programStress disorderAbstinencePTSD symptomsScant longitudinal dataUse outcomesSelf-reported dataAbuse groupOutcomesSignificant differencesGreater improvementMarijuana use is associated with worse outcomes in symptom severity and violent behavior in patients with posttraumatic stress disorder.
Wilkinson ST, Stefanovics E, Rosenheck RA. Marijuana use is associated with worse outcomes in symptom severity and violent behavior in patients with posttraumatic stress disorder. The Journal Of Clinical Psychiatry 2015, 76: 1174-80. PMID: 26455669, PMCID: PMC6258013, DOI: 10.4088/jcp.14m09475.Peer-Reviewed Original ResearchMeSH KeywordsAlcohol DrinkingCase-Control StudiesDrug UsersEmploymentFemaleHumansLongitudinal StudiesMaleMarijuana SmokingMiddle AgedSeverity of Illness IndexStress Disorders, Post-TraumaticTime FactorsVeteransViolenceConceptsPosttraumatic stress disorderPTSD symptomsSymptom severityPTSD symptom severityWorse outcomesObservational studyMarijuana useStress disorderAlcohol useRelevant baseline covariatesWorse PTSD symptomsEffect sizeViolent behaviorBaseline characteristicsIntensive treatmentPrevention of useMeasures of alcoholAnalysis of covarianceDrug useAdmissionBaseline covariatesSymptomsTreatment programRelevant covariatesMedical marijuana
2014
Treatment of Veterans With PTSD at a VA Medical Center: Primary Care Versus Mental Health Specialty Care
Vojvoda D, Stefanovics E, Rosenheck RA. Treatment of Veterans With PTSD at a VA Medical Center: Primary Care Versus Mental Health Specialty Care. Psychiatric Services 2014, 65: 1238-1243. PMID: 24981414, DOI: 10.1176/appi.ps.201300204.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedConnecticutFemaleHospitals, VeteransHumansMaleMental Health ServicesMiddle AgedPrimary Health CareStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPosttraumatic stress disorderPrimary care settingPrimary careSpecialty clinicCare settingsSpecialty mental health clinicsSpecialty mental health careMental health specialty careSpecialty mental health settingsVeterans Affairs Connecticut Healthcare SystemComorbid psychiatric diagnosesMental health diagnosesVA Medical CenterMental health clinicsService-connected disabilityCharacteristics of veteransPercentage of veteransMental health servicesTreatment of veteransMental health careMental health settingsPsychotropic medicationsSpecialty careHealth clinicsRecent military conflictsSymptom structure and severity: A comparison of responses to the positive and negative syndrome scale (PANSS) between patients with PTSD or schizophrenia
Stefanovics EA, Krystal JH, Rosenheck RA. Symptom structure and severity: A comparison of responses to the positive and negative syndrome scale (PANSS) between patients with PTSD or schizophrenia. Comprehensive Psychiatry 2014, 55: 887-895. PMID: 24602497, DOI: 10.1016/j.comppsych.2014.01.014.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAntipsychotic AgentsChronic DiseaseCombat DisordersDiagnosis, DifferentialDouble-Blind MethodFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesPsychometricsRisperidoneSchizophreniaSchizophrenic PsychologyStress Disorders, Post-TraumaticVeteransYoung AdultConceptsPost-traumatic stress disorderNegative Syndrome ScaleSyndrome ScalePTSD samplePlacebo-controlled trialPsychosis-related factorsClinical trial patientsClinical Antipsychotic TrialsT-testSchizophrenia sampleExploratory factor analysisSymptoms of schizophreniaMilitary-related post-traumatic stress disorderSymptom structureAdjunctive risperidoneTrial patientsTraumatic Stress DisorderAntipsychotic TrialsSecondary data analysisSevere symptomsIndependent factorsDepressive factorsPatientsSymptom ratingsStress disorder