2024
Association of multiple sclerosis with psychiatric disorders and homelessness among veterans in the United States Department of Veterans Affairs healthcare system.
Silveira S, Beydoun H, Tsai J. Association of multiple sclerosis with psychiatric disorders and homelessness among veterans in the United States Department of Veterans Affairs healthcare system. CNS Spectrums 2024, 1-8. PMID: 39576134, DOI: 10.1017/s1092852924002165.Peer-Reviewed Original ResearchSubstance use disordersPsychiatric disordersUse disorderMental illnessDiagnosis of cannabis use disorderAssociated with diagnosisDiagnosis of alcohol use disorderCannabis use disorderPosttraumatic stress disorderStimulant use disorderAlcohol use disorderHealthcare systemService-connected disability ratingDepartment of Veterans Affairs healthcare systemSample of veteransPrevalence of mental illnessCharlson Comorbidity IndexGroup of veteransManagement of mental illnessVeterans Affairs Healthcare SystemVA healthcare systemMS diagnosisSchizophrenia/schizoaffective disorderCorporate Data WarehouseDepressive disorderDifferential prevalence of psychiatric disorders and mental health characteristics associated with lifetime suicide attempts in the Asian American and Pacific Islander adult population
Yeh P, Tsai J. Differential prevalence of psychiatric disorders and mental health characteristics associated with lifetime suicide attempts in the Asian American and Pacific Islander adult population. Journal Of Psychiatric Research 2024, 180: 86-95. PMID: 39383714, DOI: 10.1016/j.jpsychires.2024.09.044.Peer-Reviewed Original ResearchConceptsLifetime suicide attemptsPrevalence of mental health disordersAAPI populationSuicide attemptsMental healthcare needsCulturally competent carePrevalence of psychiatric disordersMilitary service historyMental health disordersPsychiatric disordersCross-sectional dataDepressive disorder diagnosisDiagnosis of panic disorderAssociated with lifetime suicide attemptsCompetent careHistory of suicide attemptsHealthcare needsNational Epidemiologic SurveyLogistic regression analysisNational Epidemiologic Survey of AlcoholMental healthSurvey of AlcoholHealth disordersVeteran populationLifetime prevalenceRole of homelessness and psychiatric disorders in suicide deaths among veterans: A four-way decomposition analysis
Beydoun H, Szymkowiak D, Pietrzak R, Beydoun M, Treadwell R, Tsai J. Role of homelessness and psychiatric disorders in suicide deaths among veterans: A four-way decomposition analysis. Psychiatry Research 2024, 340: 116120. PMID: 39121758, DOI: 10.1016/j.psychres.2024.116120.Peer-Reviewed Original ResearchMental health disordersFour-way decomposition analysisSubstance useHealth disordersPsychiatric disordersMortality riskSuicide deathsHomeless veteransVeterans AffairsSubstance use disordersU.S. Department of Veterans AffairsDepartment of Veterans AffairsPredictors of suicide deathVA healthcare systemFully-adjusted modelsMental health characteristicsEffects of homelessnessProportion of suicide deathsSuicide riskUse disorderHealth characteristicsRetrospective cohort studySuicideHealthcare systemDisordersPrevalence of Four Types of Social Support and Their Relation to Mental Health among low-income U.S. Veterans: Implications for Community Health
Tsai J, Li Y, Maroufy V. Prevalence of Four Types of Social Support and Their Relation to Mental Health among low-income U.S. Veterans: Implications for Community Health. Community Mental Health Journal 2024, 60: 1652-1662. PMID: 38990446, DOI: 10.1007/s10597-024-01318-y.Peer-Reviewed Original ResearchSocial supportMental healthU.S. veteransPositive social interactionsAffectionate social supportCommunity health interventionsImprove mental healthLow social supportMental health functioningMental health correlatesNationally representative sampleAssociated with income levelU.S. military veteransSocial interactionAffectionate supportCommunity healthHealth interventionsHealth correlatesCommunity integrationPositive screenHealth functioningMilitary veteransRepresentative samplePsychiatric disordersPsychosocial dysfunctionIs the Risk of Alzheimer’s Disease and Related Dementias Among U.S. Veterans Influenced by the Intersectionality of Housing Status, HIV/AIDS, Hepatitis C, and Psychiatric Disorders?
Beydoun H, Szymkowiak D, Kinney R, Beydoun M, Zonderman A, Tsai J. Is the Risk of Alzheimer’s Disease and Related Dementias Among U.S. Veterans Influenced by the Intersectionality of Housing Status, HIV/AIDS, Hepatitis C, and Psychiatric Disorders? The Journals Of Gerontology Series A 2024, 79: glae153. PMID: 38869510, PMCID: PMC11519038, DOI: 10.1093/gerona/glae153.Peer-Reviewed Original ResearchADRD riskU.S. veteransHousing statusPsychiatric disordersRisk of Alzheimer's diseaseStably housed veteransMental health disordersStatistically significant mediatorCausal mediation analysisYears of follow-upADRD diagnosisADRD casesOlder veteransEligible veteransADRDHealthcare servicesRetrospective cohort studyHealth disordersYears of ageHousing instabilityCohort studyHIV/AIDSVeteransAlzheimer's diseaseSubstance useA systematic review of approaches to improve medication adherence in homeless adults with psychiatric disorders
Hird R, Radhakrishnan R, Tsai J. A systematic review of approaches to improve medication adherence in homeless adults with psychiatric disorders. Frontiers In Psychiatry 2024, 14: 1339801. PMID: 38260790, PMCID: PMC10800888, DOI: 10.3389/fpsyt.2023.1339801.Peer-Reviewed Original ResearchMedication adherenceAssertive community treatmentLong-Acting Injectable MedicationsPsychiatric disordersInjectable medicationsAdherence enhancementCommunity treatmentHomeless adultsSystematic reviewPsychiatric medication adherenceSubstance use disordersFull-text reviewModified therapeutic communityPeer-reviewed journalsInpatient interventionLarge RCTsSelf-designed scaleHomeless individualsOutpatient interventionInpatient carePharmacy clinicObservational studyInclusion criteriaUse disordersPeer-reviewed studies
2023
Epidemiology and psychiatric correlates of cancer among homeless and unstably housed veterans in the VA healthcare system
Tsai J, Szymkowiak D, Zullig L. Epidemiology and psychiatric correlates of cancer among homeless and unstably housed veterans in the VA healthcare system. Cancer Epidemiology Biomarkers & Prevention 2023, 32: 617-624. PMID: 36791363, DOI: 10.1158/1055-9965.epi-22-1154.Peer-Reviewed Original ResearchConceptsSuicidal ideation/behaviorSubstance use disordersUse disordersVA health care systemVeterans Affairs administrative dataCommon primary siteCancer diagnosisIntrahepatic bile ductsRisk of cancerVA healthcare systemAlcohol use disorderCorrelates of cancerTypes of cancerHealth care systemIncident cancerTreatment of cancerBile ductIncidence rateHigh prevalenceLower riskPsychiatric correlatesPsychiatric characteristicsPsychiatric disordersPrimary sitePsychiatric conditions
2022
Provision 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 increaseCohortLoneliness 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 populations
2021
Mental 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 StudyThe hidden burden of social anxiety disorder in U.S. military veterans: Results from the National Health and Resilience in Veterans Study
Byrne SP, Fogle BM, Asch R, Esterlis I, Harpaz-Rotem I, Tsai J, Pietrzak RH. The hidden burden of social anxiety disorder in U.S. military veterans: Results from the National Health and Resilience in Veterans Study. Journal Of Affective Disorders 2021, 291: 9-14. PMID: 34022553, DOI: 10.1016/j.jad.2021.04.088.Peer-Reviewed Original ResearchConceptsU.S. military veteransPsychiatric comorbidityPsychiatric disordersSuicidal ideationU.S. veteransAnxiety disordersComorbid psychiatric disordersMilitary veteransLifetime major depressionImportance of screeningPrevalent mental disordersSocial anxiety disorderMental health functioningCurrent suicidal ideationMeasures of functioningPosttraumatic stress disorderLifetime social anxiety disorderIncremental burdenMultivariable analysisPsychiatric morbidityNational HealthRepresentative sampleMajor depressionFunctional impairmentPsychiatric history
2018
Mental Illness and Substance Use Disorders Among Homeless Veterans
Gabrielian S, Gores A, Gelberg L, Tsai J. Mental Illness and Substance Use Disorders Among Homeless Veterans. 2018, 35-60. DOI: 10.1093/oso/9780190695132.003.0003.Peer-Reviewed Original ResearchSubstance use disordersMental illnessHomeless veteransPsychiatric disordersInfluence of psychiatric disordersVeterans with mental illnessFactors associated with homelessnessAbstract Mental illnessMental health problemsHousing outcomesUse disorderVeteran statusVeteransHealth problemsUnited States Armed ForcesDisordersRisk factorsIllnessEpidemiological dataHomelessnessCo-occurrenceStates Armed ForcesQuantitative dataOutcomesArmed forces
2015
Characteristics and Use of Services Among Literally Homeless and Unstably Housed U.S. Veterans With Custody of Minor Children
Tsai J, Rosenheck RA, Kasprow WJ, Kane V. Characteristics and Use of Services Among Literally Homeless and Unstably Housed U.S. Veterans With Custody of Minor Children. Psychiatric Services 2015, 66: 1083-1090. PMID: 25975888, DOI: 10.1176/appi.ps.201400300.Peer-Reviewed Original ResearchConceptsHomeless veteransChronic general medical conditionsGeneral medical conditionsSevere mental illnessVeterans Affairs programsClinical characteristicsAdmission patternsUse of servicesMedical conditionsPsychiatric disordersPsychotic disordersFemale veteransMental illnessU.S. veteransPsychosocial characteristicsSubstantial proportionVeteransWomenChildrenMenMinor childrenDisordersVAReferralIllnessTechnology Use and Interest in Computerized Psychotherapy: A Survey of Veterans in Treatment for Substance Use Disorders
Hermes ED, Tsai J, Rosenheck R. Technology Use and Interest in Computerized Psychotherapy: A Survey of Veterans in Treatment for Substance Use Disorders. Telemedicine Journal And E-Health 2015, 21: 721-728. PMID: 25919453, DOI: 10.1089/tmj.2014.0215.Peer-Reviewed Original ResearchConceptsSubstance useUse disordersOutpatient substance use treatmentDisorders outpatient clinicDrug use disordersMental health disordersSubstance use disordersSubstance use treatmentOutpatient clinicOutpatient treatmentVeteran dataSelf-report questionnairesPsychiatric disordersHealth disordersSurvey of VeteransUse treatmentMajority of respondentsComputerized psychotherapyFunctional problemsDisordersVeteransTreatmentAfrican AmericansNational surveyPsychotherapyBarriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States
Blais RK, Tsai J, Southwick SM, Pietrzak RH. Barriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States. Psychiatric Services 2015, 66: 500-506. PMID: 25639990, DOI: 10.1176/appi.ps.201300469.Peer-Reviewed Original ResearchConceptsMental health careMental health care utilizationHealth care utilizationOlder veteransPsychiatric disordersCare utilizationHealth careLifetime drug use disordersMental health care useMental health service utilizationNon-Hispanic veteransVeterans ages 60Lifetime posttraumatic stress disorderHealth service utilizationHealth care useCurrent psychiatric symptomsCurrent psychiatric disorderDrug use disordersMinority of veteransMental health servicesCurrent suicidal ideationPosttraumatic stress disorderOlder U.S. veteransCare useNational Health
2014
Potential mental health needs of US adult residents under different provisions of the Affordable Care Act.
Tsai J, Pilver CE, Hoff RA. Potential mental health needs of US adult residents under different provisions of the Affordable Care Act. The Journal Of Clinical Psychiatry 2014, 75: 1402-10. PMID: 25271598, DOI: 10.4088/jcp.13m08885.Peer-Reviewed Original ResearchConceptsAffordable Care ActMental health needsHigh prevalenceAssociated Disabilities Interview Schedule-IVHealth needsPotential mental health needsUS adult populationCare ActAlcohol use disorderNational Epidemiologic SurveyClinical differencesUS adult residentsPsychiatric disordersHealth insurance exchangesUse disordersEpidemiologic SurveyPsychiatric diagnosisExpansion of MedicaidUS populationAdult populationMedicaid expansionRelated conditionsAnxiety disordersAdult residentsMedicaid
2013
Predominant typologies of psychopathology in the United States: A latent class analysis
El-Gabalawy R, Tsai J, Harpaz-Rotem I, Hoff R, Sareen J, Pietrzak RH. Predominant typologies of psychopathology in the United States: A latent class analysis. Journal Of Psychiatric Research 2013, 47: 1649-1657. PMID: 23978394, DOI: 10.1016/j.jpsychires.2013.07.028.Peer-Reviewed Original ResearchConceptsPopulation-based sampleSubstance use disordersAxis IU.S. adultsLatent class analysisUse disordersSuicide attemptsMental health-related qualityHealth-related qualityLifetime psychiatric disordersRates of moodAxis II disordersNational Epidemiologic SurveyPsychiatric comorbidityOverall high ratePsychiatric disordersEpidemiologic SurveyComorbid classesMental disordersClass analysisRelated conditionsAnxiety disordersBorderline/Personality disorderDisorders