2024
Prevalence, Correlates, and Burden of Subthreshold PTSD in US Veterans.
Fischer I, Na P, Harpaz-Rotem I, Marx B, Pietrzak R. Prevalence, Correlates, and Burden of Subthreshold PTSD in US Veterans. The Journal Of Clinical Psychiatry 2024, 85 PMID: 39480145, DOI: 10.4088/jcp.24m15465.Peer-Reviewed Original ResearchConceptsSubthreshold posttraumatic stress disorderPosttraumatic stress disorderPosttraumatic stress disorder symptom clustersLifetime psychiatric disordersUS veteransUS military veteransSymptom-related distressStress disorderPsychiatric disordersSymptom clustersTreating veteransCriterion AMilitary veteransTraumatic eventsCognitive functionWorking case definitionMental healthCriterion FFunctional impairmentVeteransNationally representative sampleFunctional correlatesDisordersElevated oddsGreater oddsLoneliness Trajectories in U.S. Military Veterans: A 3-Year Longitudinal Study of Risk and Protective Factors
Ong A, Cintron D, Rottenberg J, Panaite V, Fischer I, Na P, Jeste D, Pietrzak R. Loneliness Trajectories in U.S. Military Veterans: A 3-Year Longitudinal Study of Risk and Protective Factors. The Journals Of Gerontology Series B 2024, gbae171. PMID: 39390809, DOI: 10.1093/geronb/gbae171.Peer-Reviewed Original ResearchGrowth mixture modelingU.S. military veteransLoneliness trajectoriesMilitary veteransLongitudinal Study of RiskNational Health and ResilienceEarly life adversitySelf-report ratingsProtective factorsWorse cognitive functionMental health concernsPhysical health outcomesHealth concernAdverse childhood experiencesRisk factorsLongitudinal cohort studyStudy of riskNationally representative samplePotential psychosocial riskPromote social connectednessSignificant public health concernVeterans StudyLife adversityThree-step regression analysisCognitive functionSexual Orientation Moderates the Association Between Health Care Utilization-Related Factors and Mental Health Service Nonutilization Among United States Military Veterans
Chang C, Fischer I, Harper K, Livingston N, Depp C, Norman S, Pietrzak R. Sexual Orientation Moderates the Association Between Health Care Utilization-Related Factors and Mental Health Service Nonutilization Among United States Military Veterans. Psychological Services 2024 PMID: 39347751, DOI: 10.1037/ser0000907.Peer-Reviewed Original ResearchHeterosexual veteransSexual minority veteransHealth careMinority veteransMilitary veteransPsychiatric needsMental health treatment utilizationNational Health and ResilienceSource of health careSexual minoritiesVA health careUnited States military veteransU.S. military veteransMental health problemsNationally representative sampleSexual orientationNon-VADifficulties ScheduleVeterans StudyTreatment utilizationInfluence utilizationRepresentative sampleHealth problemsVeteransMental treatmentGambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk
Stefanovics E, Potenza M, Tsai J, Pietrzak R. Gambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk. Journal Of Gambling Studies 2024, 1-21. PMID: 39342537, DOI: 10.1007/s10899-024-10359-7.Peer-Reviewed Original ResearchSubstance use disordersU.S. military veteransMental health treatmentGambling groupSUD-onlySuicide riskHealth treatmentMilitary veteransNon-suicidal self-injuryLifetime substance use disorderNational Health and ResilienceRisk of substance use disordersSUD-only groupSelf-report measuresMental health difficultiesAdverse childhood experiencesMental health burdenPast-year gamblingSelf-injurySuicidality/self-harmVeterans StudyUse disorderNicotine dependenceTrauma variablesBehavioral correlatesMulti-modal risk factors differentiate suicide attempters from ideators in military veterans with major depressive disorder
Goldstein K, Pietrzak R, Challman K, Chu K, Beck K, Brenner L, Interian A, Myers C, Shafritz K, Szeszko P, Goodman M, Haznedar M, Hazlett E. Multi-modal risk factors differentiate suicide attempters from ideators in military veterans with major depressive disorder. Journal Of Affective Disorders 2024, 369: 588-598. PMID: 39341292, DOI: 10.1016/j.jad.2024.09.149.Peer-Reviewed Original ResearchSuicide attemptsDepressive disorderGo/No-GoMilitary veteransSeverity of suicidal behaviorFractional anisotropyDecreased attentional controlUnited States military veteransDiagnosis of MDDDSM-5 diagnosisMagnetic-resonance-imagingSuicide prevention effortsDifferentiate veteransDSM-5Attentional controlSuicide attempt/sSuicidal behaviorSuicidal ideationMDDNeurocognitive assessmentHealthy control groupNeuroimaging variablesPrevention effortsIdeationSuicidePersistent distress related to systemic racism among black veterans in the United States
Whealin J, Jegede O, Na P, Haeny A, Pietrzak R. Persistent distress related to systemic racism among black veterans in the United States. Journal Of Affective Disorders 2024, 365: 375-378. PMID: 39147153, DOI: 10.1016/j.jad.2024.08.052.Peer-Reviewed Original ResearchAdverse mental health sequelaeRisk of mental health problemsMilitary veteransIncreased risk of mental health problemsEthnic minority veteransSystemic racismMental health sequelaeMental health problemsUse of self-reportsEthnic minority populationsNationally representative sampleUS military veteransMultinomial logistic regression analysisSignificant emotional burdenStudy periodNon-veteransLogistic regression analysisEmotional burdenMinority veteransBlack veteransUS veteransHealth sequelaeBaseline assessmentHealthcare systemUS populationSuccessful Aging in US Veterans with Mental Disorders: Results From the National Health and Resilience in Veterans Study
Shin J, Fischer I, Na P, Jeste D, Pietrzak R. Successful Aging in US Veterans with Mental Disorders: Results From the National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2024 PMID: 39214753, DOI: 10.1016/j.jagp.2024.07.018.Peer-Reviewed Original ResearchGeneralized anxiety disorderPosttraumatic stress disorderMental disordersSomatic symptomsNational Health and ResilienceUS military veteransSuccessful agingAnxiety disordersDepressive disorderUS veteransStress disorderPromote successful agingHigher gratitudeVeterans StudyMilitary veteransInterventions targeting psychosocial factorsOne-in-fiveVeteransMDDDisordersPsychosocial factorsGratitudeNegative associationSymptomsMultivariate logistic regressionMental Health Apps and U.S. Military Veterans: Perceived Importance and Utilization of the National Center for Posttraumatic Stress Disorder App Portfolio
Jaworski B, Ramsey K, Taylor K, Heinz A, Senti S, Mackintosh M, Rosen C, Owen J, Pietrzak R. Mental Health Apps and U.S. Military Veterans: Perceived Importance and Utilization of the National Center for Posttraumatic Stress Disorder App Portfolio. Psychological Services 2024, 21: 538-551. PMID: 37917475, DOI: 10.1037/ser0000806.Peer-Reviewed Original ResearchMental health appsPosttraumatic stress disorderU.S. veteransHealth appsStress disorderVeterans Affairs (VA) National CenterMental health treatmentLower household incomeMore mental health concernsSelf-management appMental health concernsU.S. military veteransNeeds of veteransMedical conditionsGeneral populationVeteran populationHealth treatmentWhite veteransHealth concernConsistent associationVariety of barriersHealth careMilitary veteransBlack veteransVeteransPsychological Factors, Physical Conditions, and Functioning Among US Veterans
Fischer I, Na P, Feldman D, Krist A, Kudler H, Jeste D, Pietrzak R. Psychological Factors, Physical Conditions, and Functioning Among US Veterans. JAMA Network Open 2024, 7: e2427382. PMID: 39120905, PMCID: PMC11316230, DOI: 10.1001/jamanetworkopen.2024.27382.Peer-Reviewed Original ResearchBarriers to Mental Health Care in US Military Veterans
Lewis C, Fischer I, Tsai J, Harpaz-Rotem I, Pietrzak R. Barriers to Mental Health Care in US Military Veterans. Psychiatric Quarterly 2024, 95: 367-383. PMID: 38940875, DOI: 10.1007/s11126-024-10078-7.Peer-Reviewed Original ResearchMental health careMental health treatmentHealth careHealth treatmentReduce barriersUS veteransNegative beliefsInstrumental barriersNational Health and ResiliencePromote engagementMental health servicesPopulation-based effortsUS military veteransNationally representative dataMultivariate logistic regressionPerceived stigmaHealth servicesSocial supportPsychiatric needsVeterans StudyPractical barriersLow purposeConclusionsNearly halfMilitary veteransCarePosttraumatic stress disorder and insomnia in US military veterans: Prevalence, correlates, and psychiatric and functional burden
Georgescu M, Fischer I, Beydoun M, McCarthy E, DeViva J, Pietrzak R. Posttraumatic stress disorder and insomnia in US military veterans: Prevalence, correlates, and psychiatric and functional burden. Journal Of Sleep Research 2024, e14269. PMID: 38845413, DOI: 10.1111/jsr.14269.Peer-Reviewed Original ResearchPosttraumatic stress disorderStress disorderMilitary veteransInsomnia groupCo-occurring posttraumatic stress disorderBurden of PTSDTreating posttraumatic stress disorderClinical management of insomniaRates of psychiatric conditionsGeneralized anxiety disorderCurrent suicidal ideationMitigate suicide riskUS veteransManagement of insomniaUS military veteransMental health burdenFunctional burdenAnxiety disordersDepressive disorderSuicidal ideationSuicide riskPsychiatric conditionsPsychosocial functioningSocial functioningInsomniaSuicide-Specific Cognitions and Suicidal Behavior in U.S. Military Veterans
Fischer I, Nichter B, Trachik B, Bryan C, Pietrzak R. Suicide-Specific Cognitions and Suicidal Behavior in U.S. Military Veterans. Psychiatry 2024, 87: 241-250. PMID: 38832675, DOI: 10.1080/00332747.2024.2352883.Peer-Reviewed Original ResearchSuicide-specific cognitionsU.S. military veteransMilitary veteransSuicidal ideationSuicide planLifetime history of suicide attemptsHistory of suicide attemptsAssociated with suicidal ideationSuicide Cognitions ScaleDepressive symptom severityThoughts of suicideMitigate suicide riskB-SCSAdverse childhood experiencesExploratory post hoc analysisSuicidal behaviorLifetime historySuicide riskSuicide attemptsSymptom severitySuicidal thoughtsCognitive scalesIndicator of riskChildhood experiencesIntervention effortsWell-being domains in U.S. military veterans: identifying modifiable factors to promote whole health.
Fischer I, Na P, Feldman D, Krist A, Kudler H, Jeste D, Pietrzak R. Well-being domains in U.S. military veterans: identifying modifiable factors to promote whole health. International Psychogeriatrics 2024, 1-7. PMID: 38770709, DOI: 10.1017/s1041610224000589.Peer-Reviewed Original ResearchU.S. military veteransPromotion of overall healthModifiable factorsWell-beingU.S. Department of Veterans AffairsMilitary veteransDepartment of Veterans AffairsAnalyzed cross-sectional dataModel of healthcareDisease-centred modelNationally representative samplePromote well-beingWell-being domainsWhole healthCross-sectional dataModifiable healthVeterans AffairsSocial supportPsychosocial correlatesOverall healthSocioeconomic well-beingU.S. veteransDisease preventionSocioeconomic domainsRepresentative sampleUsing the Moral Injury and Distress Scale to identify clinically meaningful moral injury
Maguen S, Griffin B, Pietrzak R, McLean C, Hamblen J, Norman S. Using the Moral Injury and Distress Scale to identify clinically meaningful moral injury. Journal Of Traumatic Stress 2024, 37: 685-696. PMID: 38655683, DOI: 10.1002/jts.23050.Peer-Reviewed Original ResearchPotentially morally injurious eventsTrauma-related guiltMoral injuryCut scoresClinically significant mental health symptomsSignificant mental health symptomsExposure to potentially morally injurious eventsSample of military veteransMental health symptomsPopulation-based sampleHealth care workersRisk of negative outcomesFunctional impairmentDepressive symptom severityMorally injurious eventsInjury carePMIE exposureNon-HispanicMental healthHealth symptomsCare workersInjury eventsPosttraumatic stressMilitary veteransSymptom severityFunctional significance of posttraumatic growth in U.S. military veterans
Gower T, Fischer I, Tsai J, Kang H, Na P, Tedeschi R, Pietrzak R. Functional significance of posttraumatic growth in U.S. military veterans. Journal Of Affective Disorders 2024, 356: 267-273. PMID: 38614442, DOI: 10.1016/j.jad.2024.04.046.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPosttraumatic stress disorder symptomsPosttraumatic growthPsychosocial functioningTraumatic eventsTrauma-exposed U.S. veteransNational Health and ResilienceMale veteran samplePost-trauma functioningPattern of findingsRetrospective self-reportsU.S. military veteransVeteran sampleStress disorderVeterans StudyExamined relationsCross-sectional designMilitary veteransNationally representative sampleU.S. veteransAssociated with functionsPhysical functionClinical interventionsPsychosocial characteristicsVeteransProblem Opioid Use Among US Military Veterans: Prevalence, Correlates, and Psychiatric Characteristics
Na P, Petrakis I, Krystal J, Pietrzak R. Problem Opioid Use Among US Military Veterans: Prevalence, Correlates, and Psychiatric Characteristics. Journal Of Addiction Medicine 2024, 18: 313-318. PMID: 38498625, PMCID: PMC11150085, DOI: 10.1097/adm.0000000000001286.Peer-Reviewed Original ResearchInstrumental activities of daily livingInstrumental activities of daily living disabilityLifetime suicide attemptsProblem opioid useUS military veteransUS veteransPsychiatric characteristicsSuicide attemptsMilitary veteransAssociated with black race/ethnicityActivities of daily livingNational Health and ResilienceLifetime alcohol use disorderMental health morbidityPosttraumatic stress disorderMental health disordersAlcohol use disorderNon-Hispanic race/ethnicityMultivariate logistic regression modelNationally representative sampleOpioid useLogistic regression modelsInstrumental activitiesHealth morbidityDaily livingSex, Adverse Childhood Experiences, and Substance Use Disorders in US Military Veterans: Results From the National Health and Resilience in Veterans Study
Moore A, Stefanovics E, Jankovsky A, Potenza M, Pietrzak R. Sex, Adverse Childhood Experiences, and Substance Use Disorders in US Military Veterans: Results From the National Health and Resilience in Veterans Study. Journal Of Addiction Medicine 2024, 18: 432-436. PMID: 38598295, DOI: 10.1097/adm.0000000000001306.Peer-Reviewed Original ResearchCurrent alcohol use disorderAlcohol use disorderSubstance use disordersDrug use disordersAdverse childhood experiencesNational Health and ResilienceUse disorderVeterans StudyChildhood experiencesSexual abuseMentally ill family memberSex moderated associationsSelf-report measuresChildhood sexual abuseUS military veteransIncarcerated family memberChildhood traumaPhysical neglectIll family memberMilitary veteransFemale veteransMale veteransFamily membersTreatment effortsModerate associationObesity in Latinx and White U.S. military veterans: Mental health, psychosocial burden, non-suicidal self-injury and suicidal behavior
Stefanovics E, Grilo C, Potenza M, Pietrzak R. Obesity in Latinx and White U.S. military veterans: Mental health, psychosocial burden, non-suicidal self-injury and suicidal behavior. Psychiatry Research 2024, 335: 115844. PMID: 38484606, DOI: 10.1016/j.psychres.2024.115844.Peer-Reviewed Original ResearchNon-suicidal self-injuryDrug use disordersU.S. military veteransMental health problemsMilitary veteransSelf-injuryUse disorderSymptoms of internalizing disordersLevels of childhood traumaNational Health and ResiliencePost-traumatic stress disorderIncreased risk of mental health problemsWhite veteransCoping self-efficacyRisk of mental health problemsLatinx ethnicityGeneralized anxietyStress disorderChildhood traumaHealth problemsSuicidal behaviorVeterans StudyCorrelates of obesityCulturally sensitive preventionNationally representative sampleDifferential associations of adverse childhood experiences and mental health outcomes in U.S. military veterans
Slavin A, Fischer I, Pietrzak R. Differential associations of adverse childhood experiences and mental health outcomes in U.S. military veterans. Journal Of Psychiatric Research 2024, 172: 261-265. PMID: 38412789, DOI: 10.1016/j.jpsychires.2024.02.040.Peer-Reviewed Original ResearchConceptsAdverse childhood experiencesMental health outcomesChildhood traumaEmotional neglectMilitary veteransChildhood experiencesNational Health and ResiliencePrevalence of childhood traumaAssociated with adverse mental health outcomesHealth outcomesChildhood emotional neglectPosttraumatic stress disorderEffects of adverse childhood experiencesU.S. military veteransAssociation of adverse childhood experiencesSample of veteransAdverse mental health outcomesAdverse mental health effectsStress disorderGeneralized anxietyPopulation-based sample of veteransVeterans StudySuicidal thoughtsPopulation-based sampleIndividual adverse childhood experiencesHealth and psychiatric impairment associated with moral injury, military sexual trauma, and their co-occurrence in U.S. combat veterans
Nichter B, Hill M, Maguen S, Norman S, Fischer I, Pietrzak R. Health and psychiatric impairment associated with moral injury, military sexual trauma, and their co-occurrence in U.S. combat veterans. Journal Of Psychosomatic Research 2024, 179: 111617. PMID: 38394711, DOI: 10.1016/j.jpsychores.2024.111617.Peer-Reviewed Original ResearchMilitary sexual traumaExposure to military sexual traumaU.S. combat veteransCombat veteransMoral injurySexual traumaNational Health and ResilienceSeverity of posttraumatic stressPast-year suicidal ideationPrevalence of military sexual traumaPhysical health comorbiditiesCo-occurrenceChronic medical conditionsGeneralized anxietyPopulation-based studyPosttraumatic stressSuicidal ideationVeterans StudySomatic complaintsPsychosocial functioningInsomnia symptomsMilitary veteransLifetime prevalencePMIEsHealth comorbidities