2024
The association of perceived social support, resilience, and posttraumatic stress symptoms among coronavirus disease patients in the United States
Li J, Wisnivesky J, Gonzalez A, Feder A, Pietrzak R, Chanumolu D, Hu L, Kale M. The association of perceived social support, resilience, and posttraumatic stress symptoms among coronavirus disease patients in the United States. Journal Of Affective Disorders 2024, 368: 390-397. PMID: 39293600, DOI: 10.1016/j.jad.2024.09.091.Peer-Reviewed Original ResearchCOVID-19-related posttraumatic stress disorderPosttraumatic stress disorderPre-existing mental disordersSocial supportMental disordersPosttraumatic Stress Disorder ChecklistPosttraumatic stress disorder symptomsRisk of posttraumatic stress disorderCD-RISCPosttraumatic stress symptomsAcute careAssociation of perceived social supportMedical Outcomes Study Social Support SurveyTargeting of preventive interventionsConnor-Davidson Resilience ScalePsychological consequences of COVID-19Low social supportSocial Support SurveyMeasures of resilienceDSM-5Associated with lower oddsStress disorderStress symptomsCross-sectional designPsychological resilienceBarriers 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 veteransCareWell-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 sampleProblematic Alcohol Use Trajectories in U.S. Military Veterans during a Public Health Crisis: Results from a 3-year, Nationally Representative, Longitudinal Study
Na P, Fischer I, Petrakis I, Pietrzak R. Problematic Alcohol Use Trajectories in U.S. Military Veterans during a Public Health Crisis: Results from a 3-year, Nationally Representative, Longitudinal Study. Psychiatric Quarterly 2024, 95: 157-171. PMID: 38319532, PMCID: PMC11521206, DOI: 10.1007/s11126-024-10067-w.Peer-Reviewed Original ResearchConceptsDrug use disordersProblematic alcohol useAlcohol use trajectoriesLow social supportAdverse childhood experiencesAlcohol useGreater household incomeSocial supportUS veteransLongitudinal studyNational Health and ResilienceLatent growth mixture modelingU.S. military veteransHousehold incomeGrowth mixture modelingNon-household membersCOVID-19 pandemicVeterans StudyUse disorderMilitary veteransChildhood experiencesPublic health crisisPsychosocial characteristicsPrevention effortsVeteransThe mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans
Bulanchuk N, Edwards E, Pietrzak R, Tsai J. The mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans. Journal Of Community Psychology 2024, 52: 399-414. PMID: 38289875, DOI: 10.1002/jcop.23105.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaAdverse childhood experiencesLifetime homelessnessSocial supportSexual traumaNationally representative sampleHistory of military sexual traumaCorrelates of homelessnessAvailability of social supportPerceived social supportInterpersonal social supportLow social supportRepresentative sampleChildhood adversityHomelessnessFemale veteransChildhood experiencesCommunity integrationMale counterpartsPath analysisVeteransUS veteransTrauma ratesNationalCorrelation analysis
2023
Identifying significant correlates of purpose in life in older US military veterans: results from the national health and resilience in veterans study.
Fischer I, Feldman D, Tsai J, Harpaz-Rotem I, Lucas K, Schulenberg S, Pietrzak R. Identifying significant correlates of purpose in life in older US military veterans: results from the national health and resilience in veterans study. International Psychogeriatrics 2023, 35: 560-565. PMID: 36715004, DOI: 10.1017/s1041610222001223.Peer-Reviewed Original ResearchConceptsUS military veteransNational HealthMilitary veteransSignificant correlatesOlder US veteransAdverse health outcomesModifiable psychosocial factorsAdverse outcomesElastic net analysisUS veteransDepressive symptomsPsychosocial factorsHealth outcomesVeterans StudyPsychosocial variablesTreatment effortsCognitive outcomesCross-sectional dataVeteransOutcomesSocial supportCommunity integrationImportant correlatesHealthCorrelates
2022
Downstream consequences of moral distress in COVID-19 frontline healthcare workers: Longitudinal associations with moral injury-related guilt
Fischer I, Norman S, Feder A, Feingold J, Peccoralo L, Ripp J, Pietrzak R. Downstream consequences of moral distress in COVID-19 frontline healthcare workers: Longitudinal associations with moral injury-related guilt. General Hospital Psychiatry 2022, 79: 158-161. PMID: 36403350, PMCID: PMC9664834, DOI: 10.1016/j.genhosppsych.2022.11.003.Peer-Reviewed Original ResearchConceptsHealthcare workersMoral distressLongitudinal associationsCOVID-19 healthcare workersFrontline healthcare workersCOVID-19 pandemicDevelopment of MIOccupational cohortEarly intervention effortsSocial supportIntervention effortsInitial peakMonthsAssociationMoral injuryMIDistressNew York CityPotential moderatorsHigh levelsPandemicDownstream consequencesGreater levelsInjuryCohortCultural Adaptation and Validation of the General Self-Efficacy Scale in Ugandan Community Health Workers
Hennein R, Nanziri L, Musinguzi J, Ggita J, Turimumahoro P, Ochom E, Gupta A, Halder A, Katamba A, White M, Pietrzak R, Armstrong-Hough M, Davis J. Cultural Adaptation and Validation of the General Self-Efficacy Scale in Ugandan Community Health Workers. Global Implementation Research And Applications 2022, 2: 371-383. PMID: 37736283, PMCID: PMC10512428, DOI: 10.1007/s43477-022-00064-1.Peer-Reviewed Original ResearchGeneral Self-Efficacy ScaleSelf-Efficacy ScaleFactor structureTotal scalePromising psychometric propertiesScale's factor structureThree-factor solutionGood model fitExploratory factor analysisCognitive interviewsDiscriminant validityConvergent validitySocial supportGeneral SelfPsychometric propertiesInternal consistencyEfficacy ScaleFactor analysisHigher educational attainmentModel fitMultidisciplinary research teamCultural adaptationEducational attainmentEnglishValidityProvision of social support and mental health in U.S. military veterans
Na P, Tsai J, Southwick S, Pietrzak R. Provision of social support and mental health in U.S. military veterans. Npj Mental Health Research 2022, 1: 4. PMID: 38609471, PMCID: PMC10938859, DOI: 10.1038/s44184-022-00004-9.Peer-Reviewed Original ResearchMental healthAdverse mental health outcomesSocial supportMental health outcomesMajority of veteransU.S. military veteransUS veteransLower oddsPsychiatric disordersRepresentative cohortHealth outcomesSuicidal ideationGood healthMilitary veteransStandard deviation increaseVeteransProvision of supportHealthOddsOutcomesDeviation increaseCohort
2021
Understanding risk in younger Veterans: Risk and protective factors associated with suicide attempt, homelessness, and arrest in a nationally representative Veteran sample
Edwards E, Dichiara A, Gromatsky M, Tsai J, Goodman M, Pietrzak R. Understanding risk in younger Veterans: Risk and protective factors associated with suicide attempt, homelessness, and arrest in a nationally representative Veteran sample. Military Psychology 2021, 34: 175-186. PMID: 38536330, PMCID: PMC10013446, DOI: 10.1080/08995605.2021.1982632.Peer-Reviewed Original ResearchOlder veteransYounger veteransProtective factorsPrior suicidal behaviorMental health servicesUS military veteransHistory of suicideAdverse eventsRisk factorsCriminal justice involvementProtective correlationHealth servicesSuicide attemptsSuicidal behaviorSuicide riskMilitary veteransVeteran sampleVeteransOlder cohortHomelessnessRiskCohortSocial supportAge cohortsRepresentative sample
2017
Apolipoprotein E gene polymorphism, trauma burden, and posttraumatic stress symptoms in U.S. military veterans: Results from the National Health and Resilience in Veterans Study
Mota NP, Han S, Harpaz‐Rotem I, Maruff P, Krystal JH, Southwick SM, Gelernter J, Pietrzak RH. Apolipoprotein E gene polymorphism, trauma burden, and posttraumatic stress symptoms in U.S. military veterans: Results from the National Health and Resilience in Veterans Study. Depression And Anxiety 2017, 35: 168-177. PMID: 29172227, PMCID: PMC5794529, DOI: 10.1002/da.22698.Peer-Reviewed Original ResearchConceptsΕ4 allele carriersApolipoprotein E gene polymorphismE gene polymorphismTrauma burdenU.S. military veteransAllele carriersPosttraumatic stress disorderPTSD symptomsNational HealthGreater social supportGene polymorphismsGreater severityMilitary veteransVeterans StudyAPOE ε4 carrier statusSocial supportΕ4 carrier statusAPOE genotypeΕ4 noncarriersPosttraumatic stress symptomsIndependent replication sampleSymptomsPTSD riskStress disorderCarrier status
2010
Posttraumatic growth in Veterans of Operations Enduring Freedom and Iraqi Freedom
Pietrzak RH, Goldstein MB, Malley JC, Rivers AJ, Johnson DC, Morgan CA, Southwick SM. Posttraumatic growth in Veterans of Operations Enduring Freedom and Iraqi Freedom. Journal Of Affective Disorders 2010, 126: 230-235. PMID: 20399504, DOI: 10.1016/j.jad.2010.03.021.Peer-Reviewed Original ResearchConceptsOperation Enduring FreedomMild traumatic brain injuryGreater posttraumatic stress disorder (PTSD) symptomsTraumatic brain injuryEnduring FreedomIraqi FreedomCorrelates of psychopathologyPosttraumatic stress disorder (PTSD) symptomsOEF-OIF veteransAnonymous mail surveyBrain injuryPosttraumatic growthSurvey return rateYounger ageOIF veteransPsychosocial functioningPerception of effortCombat exposureDisorder symptomsVeteransRegression analysisMember supportDeleterious effectsSocial support