2023
Chronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences
Stefanovics E, Potenza M, Szymkowiak D, Tsai J. Chronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences. Journal Of Psychiatric Research 2023, 164: 118-124. PMID: 37339548, DOI: 10.1016/j.jpsychires.2023.05.062.Peer-Reviewed Original ResearchMeSH KeywordsGamblingHumansIll-Housed PersonsMaleMilitary PersonnelSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPsychiatric treatmentGambling disorderChi-square testChronic homelessnessClinical correlatesDescriptive epidemiologyLow educational attainmentElevated oddsSuicidal thoughtsLogistic regressionTraumatic experiencesMental healthSubstance useHomeless veteransHomeless ProgramVeteransTreatmentLower ratesEpidemiologyBehavioral concernsDisordersStudy of factorsCorrelatesAnalysis of varianceEducational attainment
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 diagnosisThe association of opioid use disorder and homelessness nationally in the veterans health administration
Manhapra A, Stefanovics E, Rosenheck R. The association of opioid use disorder and homelessness nationally in the veterans health administration. Drug And Alcohol Dependence 2021, 223: 108714. PMID: 33865213, DOI: 10.1016/j.drugalcdep.2021.108714.Peer-Reviewed Original ResearchMeSH KeywordsCross-Sectional StudiesHumansIll-Housed PersonsOpioid-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsOpioid use disorderSubstance use disordersVeterans Health AdministrationRisk factorsUse disordersHealth AdministrationUnited States Veterans Health AdministrationCo-morbid risk factorsPrevalence of OUDMajor risk factorMultivariate logistic regressionHomeless veteransHigher unadjusted oddsCross-sectional analysisClinical factorsVHA patientsNon-homeless veteransUnadjusted oddsVHA careFiscal year 2012US veteransOdds ratioHigh prevalenceHigher oddsPsychiatric diagnosisImpact of COVID-19–Related Social Distancing on Delivery of Intensive Case Management
Rosenheck R, Johnson B, Deegan D, Stefanovics E. Impact of COVID-19–Related Social Distancing on Delivery of Intensive Case Management. The Journal Of Nervous And Mental Disease 2021, 209: 543-546. PMID: 34009864, DOI: 10.1097/nmd.0000000000001358.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelCase ManagementCommunity Mental Health ServicesCOVID-19Delivery of Health CareFemaleHumansMaleMiddle AgedPatient PreferencePhysical DistancingTelemedicineTherapeutic AllianceUnited StatesUnited States Department of Veterans AffairsVeteransConceptsTherapeutic allianceVeterans Affairs Medical CenterTreatment of adultsCOVID-19-Related Social DistancingSerious mental illnessIntensive case managementMore telephone contactsCommunity-based careCommunity-based treatment programsSocial distancingSelf-reported declineClinical statusTelephone contactMedical CenterService deliveryClinical status indicatorsMental illnessTreatment programCase managementFace service deliveryCOVID-19Status indicatorsVeteransParallel declineDeliverySex Differences in Opioid Use Disorder Prevalence and Multimorbidity Nationally in the Veterans Health Administration
Peltier MR, Sofuoglu M, Petrakis IL, Stefanovics E, Rosenheck RA. Sex Differences in Opioid Use Disorder Prevalence and Multimorbidity Nationally in the Veterans Health Administration. Journal Of Dual Diagnosis 2021, 17: 124-134. PMID: 33982642, PMCID: PMC8887838, DOI: 10.1080/15504263.2021.1904162.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidFemaleHumansMaleMultimorbidityOpioid-Related DisordersPrevalenceSex CharacteristicsUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsOpioid use disorderPain-related diagnosesVeterans Health AdministrationSex-specific differencesAnxiolytics/sedatives/hypnoticsRates of OUDHealth AdministrationFemale veteransOpioid use disorder prevalenceOpioid agonist medicationsVHA health carePeripheral vascular diseaseHealth service utilizationPatterns of multimorbiditySedative/hypnoticsSex-specific treatmentsCo-occurring disordersSubstance use treatmentHigh rateSubstantial sex-specific differencesAgonist prescriptionAgonist medicationsRelated complicationsRenal diseaseVHA patients
2020
Gender 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 ResearchMeSH KeywordsAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedOutcome Assessment, Health CarePatient Acceptance of Health CareProgram EvaluationSex FactorsStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsPosttraumatic 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
Comparing 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 scorePrevalence and multi-morbid correlates of homelessness among veterans with HIV infection nationally in the veterans health administration
Stefanovics EA, Rosenheck RA. Prevalence and multi-morbid correlates of homelessness among veterans with HIV infection nationally in the veterans health administration. Psychology Health & Medicine 2019, 24: 1123-1136. PMID: 30900465, DOI: 10.1080/13548506.2019.1595680.Peer-Reviewed Original ResearchMeSH KeywordsAdultComorbidityDatabases, FactualFemaleHIV InfectionsHumansIll-Housed PersonsMaleMiddle AgedPrevalenceRisk FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsRisk factorsNational VHA administrative dataVeterans Health Administration (VHA) servicesVHA administrative dataVeterans Health AdministrationHIV-positive veteransPreventive psychosocial interventionsHIV-positive usersHIV diagnosisHIV infectionUnadjusted riskFiscal year 2012Independent riskHigh riskHIVPsychosocial interventionsHealth AdministrationSubstantial riskIndependent effectsVeteransRiskAdministrative dataRisk of homelessnessCorrelatesInfection
2018
Opioid use disorder and homelessness in the Veterans Health Administration: The challenge of multimorbidity.
Iheanacho T, Stefanovics E, Rosenheck R. Opioid use disorder and homelessness in the Veterans Health Administration: The challenge of multimorbidity. Journal Of Opioid Management 2018, 14: 171-182. PMID: 30044482, DOI: 10.5055/jom.2018.0447.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedFemaleHumansIll-Housed PersonsLogistic ModelsMaleMiddle AgedMultimorbidityOpioid-Related DisordersUnited StatesUnited States Department of Veterans AffairsConceptsOpioid use disorderVeterans Health AdministrationUse disordersAgonist therapyHomeless veteransRisk ratioRisk factorsService useHealth AdministrationOpioid agonist therapyGreater service useMajor risk factorChallenges of multimorbidityAlcohol use disorderPercent of veteransMore multimorbidityClinical correlatesVHA usersFiscal year 2012Vulnerable veteransMultimorbidityBivariate analysisGreater riskLogistic regressionMajor cause
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 sizeTreatmentClinical Epidemiology of Single Versus Multiple Substance Use Disorders
Bhalla IP, Stefanovics EA, Rosenheck RA. Clinical Epidemiology of Single Versus Multiple Substance Use Disorders. Medical Care 2017, 55: s24-s32. PMID: 28806363, DOI: 10.1097/mlr.0000000000000731.Peer-Reviewed Original ResearchMeSH KeywordsHumansMental Health ServicesPolypharmacySubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeterans HealthConceptsSingle substance use disorderPolysubstance use disorderSubstance use disordersUse disordersNational Veterans Health Administration dataVeterans Health Administration dataMultiple logistic regression analysisMultiple substance use disordersPsychotropic medication prescriptionsHealth Administration dataPsychiatric inpatient careMajor depressive disorderPsychiatric service utilizationLogistic regression analysisMedical morbidityMedication prescriptionsPsychotropic medicationsFiscal year 2012Hepatic diseaseDepressive disorderInpatient careRehabilitative treatmentService utilizationClinical epidemiologyBipolar disorderMinimal 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
Veteran and Clinician Perceptions of Recovery and Stigma at a Veterans Affairs Medical Center
Leddy-Stacy M, Stefanovics E, Rosenheck R. Veteran and Clinician Perceptions of Recovery and Stigma at a Veterans Affairs Medical Center. Psychiatric Rehabilitation Journal 2016, 39: 105-111. PMID: 26691995, DOI: 10.1037/prj0000174.Peer-Reviewed Original ResearchMeSH KeywordsHumansMental DisordersMental Health ServicesSelf-AssessmentSocial StigmaUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVeterans Affairs Medical CenterMental health programsMedical CenterMental illnessHealth programsOutpatient substance abuse clinicsPsychosocial rehabilitationOutpatient mental health clinicLarge Veterans Affairs medical centerMental health clinicsMental health servicesSubstance abuse clinicsRecovery Self-AssessmentRecovery-oriented practiceProgram cliniciansHealth clinicsMore stigmatizing attitudesAnalysis of covarianceHealth servicesDecrease stigmaMental healthcareCliniciansRecovery attitudesStigmatizing attitudesVeteran statusCorrelates 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
2014
Predictors of Attendance in a Group-Based Model of Case Management for Supported Housing
Tsai J, Stefanovics E, Rosenheck RA. Predictors of Attendance in a Group-Based Model of Case Management for Supported Housing. Psychiatric Rehabilitation Journal 2014, 37: 324-328. PMID: 24684180, DOI: 10.1037/prj0000059.Peer-Reviewed Original ResearchMeSH KeywordsCase ManagementConnecticutFemaleHumansIll-Housed PersonsMaleMental DisordersMiddle AgedPatient Acceptance of Health CarePeer GroupPublic HousingSelf-Help GroupsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsGroup attendersCase managementMore mental health symptomsMental health symptomsPredictors of attendanceMental health problemsPeer support modelClinical characteristicsGroup attendanceHealth problemsHealth symptomsVeterans AffairsPast monthAttendersMore daysSignificant differencesRegression analysisAdministrative dataMonthsGroupPredictorsGroup-based modelsAttendanceAttendance recordsSymptomsTreatment 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 conflicts
2005
The Role of Psychiatric Diagnosis in Satisfaction With Primary Care
Desai RA, Stefanovics EA, Rosenheck RA. The Role of Psychiatric Diagnosis in Satisfaction With Primary Care. Medical Care 2005, 43: 1208-1216. PMID: 16299432, DOI: 10.1097/01.mlr.0000185747.79104.90.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMental DisordersMiddle AgedOutcome Assessment, Health CarePatient SatisfactionPrimary Health CareRisk AdjustmentUnited StatesUnited States Department of Veterans AffairsConceptsPrimary carePsychiatric illnessPsychiatric disordersPsychiatric diagnosisVeterans AffairsOutpatient primary carePrimary care servicesSatisfaction ratingsMental health diagnosesPosttraumatic stress disorderPatient characteristicsPatient subgroupsPatient satisfactionPsychiatric patientsPatientsCare servicesMedical careMental illnessStress disorderSuch disordersDrug abuseSubjective healthHealth diagnosisLower satisfaction ratingsDiagnosis