2023
Functional decline during the COVID‐19 pandemic among U.S. military veterans: Results from the National Health and Resilience in Veterans Study
Morse J, Fischer I, Na P, Afari N, Pietrzak R. Functional decline during the COVID‐19 pandemic among U.S. military veterans: Results from the National Health and Resilience in Veterans Study. International Journal Of Geriatric Psychiatry 2023, 38: e6040. PMID: 38072628, DOI: 10.1002/gps.6040.Peer-Reviewed Original ResearchConceptsAdverse childhood experiencesFunctional declineU.S. military veteransGreater adverse childhood experiencesNational HealthPhysical functioningVeterans StudyIdentification of veteransSubstantial health problemPhysical functional declineMilitary veteransMental functioningU.S. adult populationStress symptomsStrongest correlatePrevalence of veteransProtective psychosocial characteristicsMultivariable analysisPosttraumatic stress symptomsHealth problemsU.S. veteransAdult populationImprovement 1Coronavirus diseaseOlder agePurpose in life protects against the development of suicidal thoughts and behaviors in U.S. veterans without a history of suicidality: A 10-year, nationally representative, longitudinal study
Fischer I, Nichter B, Feldman D, Na P, Tsai J, Harpaz-Rotem I, Schulenberg S, Pietrzak R. Purpose in life protects against the development of suicidal thoughts and behaviors in U.S. veterans without a history of suicidality: A 10-year, nationally representative, longitudinal study. Journal Of Affective Disorders 2023, 340: 551-554. PMID: 37557988, DOI: 10.1016/j.jad.2023.08.040.Peer-Reviewed Original ResearchConceptsIncident suicidal ideationAlcohol use disorderIncident suicide attemptsCurrent alcohol use disorderHistory of STBSuicidal ideationSuicide attemptsBaseline predictorsDaily livingPopulation-based prospective cohort studySuicidal thoughtsLow purposeCurrent posttraumatic stress disorderProspective cohort studyTraditional risk factorsLower annual household incomeMultivariable regression analysisEvidence-based interventionsUS military veteransPosttraumatic stress disorderAnnual household incomeCohort studyTrauma burdenRisk factorsNational HealthPandemic-related posttraumatic psychological growth in U.S. military veterans: A 3-year, nationally representative, longitudinal study
Kang H, Na P, Fischer I, Tsai J, Tedeschi R, Pietrzak R. Pandemic-related posttraumatic psychological growth in U.S. military veterans: A 3-year, nationally representative, longitudinal study. Psychiatry Research 2023, 326: 115370. PMID: 37499281, DOI: 10.1016/j.psychres.2023.115370.Peer-Reviewed Original ResearchConceptsPosttraumatic growthU.S. military veteransPost-pandemic onsetDomains of PTGPositive psychological changesMilitary veteransPosttraumatic stress symptomsLongitudinal studyEarly life traumaPsychological growthPsychological changesPsychosocial interventionsStress symptomsLife traumaCOVID-19 vaccineVeterans StudyGreater worryMental healthStrongest correlateFull sampleNational HealthVeteransSignificant decreaseOnsetPrevalenceFunctional Disability in US Military Veterans: The Importance of Integrated Whole Health Initiatives.
Meisler A, Gianoli M, Na P, Pietrzak R. Functional Disability in US Military Veterans: The Importance of Integrated Whole Health Initiatives. The Primary Care Companion For CNS Disorders 2023, 25 PMID: 37419488, DOI: 10.4088/pcc.22m03461.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderIADL disabilityFunctional disabilityInstrumental ADLUS veteransCognitive disordersOlder ageDeployment-related injuryUS veteran populationUS military veteransLow incomeADL disabilityChronic painMale sexBlack raceClinical managementRisk factorsNational HealthSleep disordersDaily livingPsychiatric correlatesFunctional capacityVeteran populationDisability riskHealth initiativesFirearm Ownership Among a Nationally Representative Sample of U.S. Veterans
Fischer I, Aunon F, Nichter B, Hill M, Panza K, Kline A, Na P, Tsai J, Harpaz-Rotem I, Pietrzak R. Firearm Ownership Among a Nationally Representative Sample of U.S. Veterans. American Journal Of Preventive Medicine 2023, 65: 1129-1133. PMID: 37354925, DOI: 10.1016/j.amepre.2023.06.013.Peer-Reviewed Original ResearchConceptsU.S. veteransMultivariable logistic regression analysisLogistic regression analysisAlcohol use disorderSuicide prevention effortsU.S. military veteransNationally Representative SampleMale sexTrauma burdenNational HealthRepresentative sampleFirearm ownershipChi-square analysisUse disordersFirearm safetyIndependent sample t-testLifetime historyVeterans StudyPrevention effortsPsychiatric variablesMilitary veteransVeteransRegression analysisT-testSignificant main effectLongitudinal Trends in Suicidal Thoughts and Behaviors Among US Military Veterans During the COVID-19 Pandemic
Fischer I, Nichter B, Na P, Norman S, Krystal J, Pietrzak R. Longitudinal Trends in Suicidal Thoughts and Behaviors Among US Military Veterans During the COVID-19 Pandemic. JAMA Psychiatry 2023, 80: 577-584. PMID: 37017978, PMCID: PMC10077136, DOI: 10.1001/jamapsychiatry.2023.0393.Peer-Reviewed Original ResearchConceptsNew-onset suicidal ideationUS military veteransLifetime substance use disorderPast-year suicidal ideationSubstance use disordersSuicidal ideationSuicide planningMilitary veteransUse disordersPsychiatric distressCOVID-19 pandemicSuicidal thoughtsPopulation-based longitudinal studyEvidence-based preventionLongitudinal studyLongitudinal trendsCohort studyNational HealthUS veteransMAIN OUTCOMEVeterans StudySuicide attemptsSuicide riskVulnerable populationsVeteransTrajectories of alcohol consumption in U.S. military veterans: Results from a 10-year population-based longitudinal study
Na P, Montalvo-Ortiz J, Petrakis I, Krystal J, Polimanti R, Gelernter J, Pietrzak R. Trajectories of alcohol consumption in U.S. military veterans: Results from a 10-year population-based longitudinal study. Drug And Alcohol Dependence 2023, 246: 109833. PMID: 36963160, PMCID: PMC10811960, DOI: 10.1016/j.drugalcdep.2023.109833.Peer-Reviewed Original ResearchConceptsAlcohol consumption groupCurrent mental health treatmentDysphoric arousal symptomsMental health treatmentUS veteransAlcohol consumptionHealth treatmentConsumption groupArousal symptomsYounger agePopulation-based longitudinal studyPublic health problemLongitudinal studyExcessive alcohol consumptionAlcohol use disorderPosttraumatic stress disorderU.S. military veteransMedical comorbiditiesChronic courseNational HealthClose monitoringUse disordersHealth problemsVeterans StudyStress disorderPrevalence, Correlates, and Psychiatric Burden of Prolonged Grief Disorder in U.S. Military Veterans: Results From a Nationally Representative Study
Na P, Fischer I, Shear K, Pietrzak R. Prevalence, Correlates, and Psychiatric Burden of Prolonged Grief Disorder in U.S. Military Veterans: Results From a Nationally Representative Study. American Journal Of Geriatric Psychiatry 2023, 31: 543-548. PMID: 36878740, PMCID: PMC11143540, DOI: 10.1016/j.jagp.2023.02.007.Peer-Reviewed Original ResearchConceptsIndependent risk factorMajor depressive disorderUnited States veteransCoronavirus disease 2019Substance use disordersPost-traumatic stress disorderGrief disorderAdverse childhood experiencesNon-natural causesU.S. military veteransPoint prevalenceNationally Representative StudyFemale sexNational HealthRepresentative studyRisk factorsDepressive disorderPsychiatric burdenDisease 2019States veteransAdditional adjustmentPsychiatric disordersProlonged Grief DisorderUse disordersU.S. veterans
2022
Mental health of U.S. combat veterans by war era: Results from the National health and Resilience in veterans study
Na P, Schnurr P, Pietrzak R. Mental health of U.S. combat veterans by war era: Results from the National health and Resilience in veterans study. Journal Of Psychiatric Research 2022, 158: 36-40. PMID: 36565542, DOI: 10.1016/j.jpsychires.2022.12.019.Peer-Reviewed Original ResearchConceptsIraq/Afghanistan war veteransAfghanistan war veteransPosttraumatic stress disorderUS combat veteransNational HealthUse disordersWar veteransCurrent drug use disordersCombat veteransCurrent major depressive disorderCombat exposure severityCurrent alcohol use disorderEra veteransLifetime posttraumatic stress disorderAdverse psychiatric outcomesDrug use disordersMajor depressive disorderGulf War veteransCurrent suicidal thoughtsMental health factorsAlcohol use disorderCurrent suicidal ideationTrauma burdenDepressive disorderERA groupIdentifying factors associated with elevated suicidal intent among U.S. military veterans
Nichter B, Na PJ, Stanley IH, Marx BP, Herzog S, Moynahan V, Hill ML, Norman SB, Pietrzak RH. Identifying factors associated with elevated suicidal intent among U.S. military veterans. Journal Of Psychiatric Research 2022, 155: 68-74. PMID: 35988305, DOI: 10.1016/j.jpsychires.2022.08.001.Peer-Reviewed Original ResearchConceptsSuicidal intentU.S. military veteransHigh riskU.S. veteransPast-year suicidal ideationMilitary veteransPopulation-based sampleCurrent suicidal intentPrior suicide attemptsRisk factorsNational HealthCurrent insomniaCurrent depressionSuicidal ideationVeterans StudyVulnerability factorsSuicide attemptsSuicidal behaviorChildhood sexual abuseCo-occurring factorsSuicide mortalityVeterans' reportsSpecific vulnerability factorVeteransRepresentative sampleLoneliness in U.S. military veterans during the COVID-19 pandemic: A nationally representative, prospective cohort study
Na PJ, Straus E, Tsai J, Norman SB, Southwick SM, Pietrzak RH. Loneliness in U.S. military veterans during the COVID-19 pandemic: A nationally representative, prospective cohort study. Journal Of Psychiatric Research 2022, 151: 546-553. PMID: 35636030, PMCID: PMC9126310, DOI: 10.1016/j.jpsychires.2022.05.042.Peer-Reviewed Original ResearchConceptsPrevalence of lonelinessPersistent lonelinessPandemic-related social restrictionsMultivariable logistic regression modelProtective factorsCOVID-19 pandemicPre-existing psychiatric conditionsProspective cohort studyMilitary veteransPre-pandemic measuresLogistic regression modelsProtective psychosocial factorsU.S. military veteransProspective cohortCohort studyUS veteransNational HealthHigh riskPsychiatric disordersPsychosocial factorsCOVID-related stressorsPsychiatric conditionsVeterans StudyLongitudinal changesVulnerable populationsMental Health Burden in Enlisted and Commissioned U.S. Military Veterans: Importance of Indirect Trauma Exposure in Commissioned Veterans
Merians AN, Na PJ, Tsai J, Harpaz-Rotem I, Pietrzak RH. Mental Health Burden in Enlisted and Commissioned U.S. Military Veterans: Importance of Indirect Trauma Exposure in Commissioned Veterans. Psychiatry 2022, 85: 418-432. PMID: 35532217, DOI: 10.1080/00332747.2022.2068301.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderMajor depressive disorderU.S. military veteransSuicidal ideationMilitary veteransTrauma exposureMost mental health outcomesMental health burdenPast-year suicidal ideationDrug use disordersU.S. veteran populationMental health historyHigh exposureMental health outcomesMultivariable analysisDepressive disorderNational HealthHealth burdenPost-stratification weightsUse disordersVeteran populationHealth historyHealth outcomesIndirect trauma exposureVeterans StudyMilitary sexual trauma in the United States: Results from a population-based study
Nichter B, Holliday R, Monteith LL, Na PJ, Hill ML, Kline AC, Norman SB, Pietrzak RH. Military sexual trauma in the United States: Results from a population-based study. Journal Of Affective Disorders 2022, 306: 19-27. PMID: 35301038, DOI: 10.1016/j.jad.2022.03.016.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaCurrent posttraumatic stress disorderPopulation-based studyPosttraumatic stress disorderMST historyMale veteransGreater oddsFemale veteransHealth burdenPsychosocial functioningSexual traumaGeneral veteran populationPopulation-based surveyPrevalence of MSTMental health treatmentSex-stratified associationsCross-sectional designPsychiatric comorbidityNational HealthTreatment utilizationVeteran populationHealth treatmentSuicidal intentVeterans StudySomatic symptoms
2021
Epidemiology of DSM-5 alcohol use disorder in U.S. military veterans: Results from the National Health and Resilience in Veterans Study
Panza KE, Kline AC, Na PJ, Potenza MN, Norman SB, Pietrzak RH. Epidemiology of DSM-5 alcohol use disorder in U.S. military veterans: Results from the National Health and Resilience in Veterans Study. Drug And Alcohol Dependence 2021, 231: 109240. PMID: 34974271, DOI: 10.1016/j.drugalcdep.2021.109240.Peer-Reviewed Original ResearchConceptsDSM-5 alcohol use disorderAlcohol use disorderPast-year alcohol use disorderLifetime alcohol use disorderAdverse childhood experiencesNational HealthUse disordersU.S. veteransVeterans StudySuicidal behaviorPrevalent public health concernPopulation-based burdenPrevalence of lifetimeSevere alcohol use disorderPublic health concernChildhood experiencesU.S. military veteransLifetime prevalenceLifetime PTSDPsychiatric characteristicsPsychiatric disordersDiagnostic criteriaElevated oddsVeteran populationPreventive effortsPrevalence and Trends in Suicidal Behavior Among US Military Veterans During the COVID-19 Pandemic
Nichter B, Hill ML, Na PJ, Kline AC, Norman SB, Krystal JH, Southwick SM, Pietrzak RH. Prevalence and Trends in Suicidal Behavior Among US Military Veterans During the COVID-19 Pandemic. JAMA Psychiatry 2021, 78: 1218-1227. PMID: 34431973, PMCID: PMC8387942, DOI: 10.1001/jamapsychiatry.2021.2332.Peer-Reviewed Original ResearchConceptsUS military veteransCOVID-19 infectionCohort studySuicidal behaviorPast-year suicide ideationRisk factorsMilitary veteransPopulation-based prospective cohort studyCOVID-19 pandemicSuicide ideationSuicide attemptsProspective cohort studyLifetime posttraumatic stress disorderStrong risk factorCOVID-19 public health emergencyLow social supportPosttraumatic stress disorderPublic health emergencyAlcohol use disorder severityUS veteransNational HealthMAIN OUTCOMESuicide attempt historyVeterans StudyCOVID-19-related variablesNew‐onset and exacerbated insomnia symptoms during the COVID‐19 pandemic in US military veterans: A nationally representative, prospective cohort study
McCarthy E, DeViva JC, Na PJ, Pietrzak RH. New‐onset and exacerbated insomnia symptoms during the COVID‐19 pandemic in US military veterans: A nationally representative, prospective cohort study. Journal Of Sleep Research 2021, 31: e13450. PMID: 34327743, PMCID: PMC8420100, DOI: 10.1111/jsr.13450.Peer-Reviewed Original ResearchConceptsClinical insomnia symptomsInsomnia symptomsUS military veteransPandemic-related stressMilitary veteransProspective cohort studyHigh-risk populationInsomnia Severity IndexCOVID-19 pandemicPosttraumatic stress disorderPandemic-related factorsChest painCohort studyUS veteransNational HealthRepresentative sampleSubthreshold insomniaVeterans StudySymptomsIsolation restrictionsStress disorderMental healthTreatment effortsSeverity IndexPotential targetSeverity of substance use as an indicator of suicide risk among U.S. military veterans
Na PJ, Nichter B, Hill ML, Kim B, Norman SB, Pietrzak RH. Severity of substance use as an indicator of suicide risk among U.S. military veterans. Addictive Behaviors 2021, 122: 107035. PMID: 34246987, DOI: 10.1016/j.addbeh.2021.107035.Peer-Reviewed Original ResearchConceptsAlcohol Use Disorders Identification TestHigh-risk subsampleAlcohol use disorderPosttraumatic stress disorderPast-year suicidal ideationDrug use disordersMajor depressive disorderSevere alcohol use disorderUse disordersSuicide risk assessmentSuicidal ideationPast-year alcohol use disorderSubstance usePast-year drug use disordersStrong risk factorNon-prescription drugsCharacteristic curve analysisDisorders Identification TestU.S. military veteransDepressive disorderNational HealthRisk factorsClinical utilityElevated riskDrug usePrevalence, risk and protective factors of alcohol use disorder during the COVID-19 pandemic in U.S. military veterans
Na PJ, Norman SB, Nichter B, Hill ML, Rosen MI, Petrakis IL, Pietrzak RH. Prevalence, risk and protective factors of alcohol use disorder during the COVID-19 pandemic in U.S. military veterans. Drug And Alcohol Dependence 2021, 225: 108818. PMID: 34171825, PMCID: PMC9758576, DOI: 10.1016/j.drugalcdep.2021.108818.Peer-Reviewed Original ResearchConceptsProbable alcohol use disorderAlcohol use disorderUse disordersU.S. military veteransHigh riskYounger ageProtective factorsLifetime substance use disorderUse severityMilitary veteransChronic alcohol use disorderIncident alcohol use disordersSubstance use disordersLow dispositional optimismCOVID-19 pandemicCOVID-related worryAlcohol use severityDrug use severityProspective cohortUS veteransHigh-risk sampleNational HealthGeneral populationLower riskAlcohol consumptionMental health impact of the COVID-19 pandemic in U.S. military veterans: a population-based, prospective cohort study
Hill ML, Nichter B, Na PJ, Norman SB, Morland LA, Krystal JH, Pietrzak RH. Mental health impact of the COVID-19 pandemic in U.S. military veterans: a population-based, prospective cohort study. Psychological Medicine 2021, 53: 945-956. PMID: 34120667, PMCID: PMC8245339, DOI: 10.1017/s0033291721002361.Peer-Reviewed Original ResearchConceptsPositive screenPsychiatric distressU.S. military veteran populationMiddle-aged veteransProspective cohort studyProspective cohort surveyMajor depressive disorderMilitary veteran populationMental health problemsMental health impactU.S. military veteransCohort studyDepressive disorderNational HealthPsychiatric symptomsVeteran populationCohort surveyHealth problemsU.S. veteransVeterans StudyClinical implicationsCoronavirus diseaseProtective factorsMeaningful preMental healthMental health and suicidal ideation in US military veterans with histories of COVID-19 infection
Na P, Tsai J, Harpaz-Rotem I, Pietrzak R. Mental health and suicidal ideation in US military veterans with histories of COVID-19 infection. BMJ Military Health 2021, 168: 15-19. PMID: 34035155, PMCID: PMC8154290, DOI: 10.1136/bmjmilitary-2021-001846.Peer-Reviewed Original ResearchConceptsStrong independent predictorUS military veteransSuicidal ideationIndependent predictorsCOVID-19COVID-related stressorsInternalising disordersPsychiatric conditionsProtective factorsMilitary veteransCOVID-19 infectionLogistic regression analysisPsychiatric symptom severityLower household incomeCurrent suicidal ideationSubstance use problemsProspective cohortMultivariable analysisTrauma burdenPositive screenUS veteransNational HealthPsychiatric symptomsPsychiatric disordersVeterans Study