2024
Functional 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 characteristicsVeterans
2023
Not all traumas are created equal: Phenotypic heterogeneity of PTSD symptoms in relation to index traumas in U.S. military veterans
Kachadourian L, Duek O, Tsai J, Harpaz-Rotem I, Pietrzak R. Not all traumas are created equal: Phenotypic heterogeneity of PTSD symptoms in relation to index traumas in U.S. military veterans. Journal Of Affective Disorders 2023, 340: 728-731. PMID: 37572698, PMCID: PMC10754253, DOI: 10.1016/j.jad.2023.08.012.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderU.S. military veteransMilitary veteransIndex traumaPTSD symptomsDysphoric arousal symptomsIllness/injuryGreater overall severityIndex traumatic eventClinical presentationNational HealthDiagnostic criteriaTreatment approachesGreater severityOverall severityVeterans StudyInterpersonal violenceStress disorderTraumaArousal symptomsSymptomsVeteransPhenotypic heterogeneityTraumatic eventsSeverityIntentional Self-Harm Among US Veterans With Traumatic Brain Injury or Posttraumatic Stress Disorder: Retrospective Cohort Study From 2008 to 2017
Rawat B, Reisman J, Pogoda T, Liu W, Rongali S, Aseltine R, Chen K, Tsai J, Berlowitz D, Yu H, Carlson K. Intentional Self-Harm Among US Veterans With Traumatic Brain Injury or Posttraumatic Stress Disorder: Retrospective Cohort Study From 2008 to 2017. JMIR Public Health And Surveillance 2023, 9: e42803. PMID: 37486751, PMCID: PMC10407646, DOI: 10.2196/42803.Peer-Reviewed Original ResearchMeSH KeywordsBrain Injuries, TraumaticHumansRetrospective StudiesSelf-Injurious BehaviorStress Disorders, Post-TraumaticVeteransConceptsTraumatic brain injurySelf-harm diagnosisVeterans Health AdministrationPrior traumatic brain injuryPosttraumatic stress disorderVHA health careIndex dateVHA utilizationHealth care encountersPTSD diagnosisUS veteransBrain injuryPrevalence of TBICharlson Comorbidity Index scoreUS Veterans Health AdministrationStress disorderComorbidity Index scoreRetrospective cohort studyAdjusted odds ratioHealth careSuicide prevention effortsVHA visitCohort studyPotential confoundersInjury codesPandemic-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 ResearchMeSH KeywordsAdaptation, PsychologicalCOVID-19COVID-19 VaccinesHumansLongitudinal StudiesPandemicsPosttraumatic Growth, PsychologicalStress Disorders, Post-TraumaticVeteransConceptsPosttraumatic 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 decreaseOnsetPrevalencePurpose in life and physical health in older U.S. military veterans: Cross-sectional results from the National Health and Resilience in Veterans Study
Fischer I, Feldman D, Tsai J, Harpaz-Rotem I, McCutcheon V, Schulenberg S, Pietrzak R. Purpose in life and physical health in older U.S. military veterans: Cross-sectional results from the National Health and Resilience in Veterans Study. Preventive Medicine 2023, 170: 107495. PMID: 37001606, DOI: 10.1016/j.ypmed.2023.107495.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedCross-Sectional StudiesDisabled PersonsHumansSelf ReportStress Disorders, Post-TraumaticVeteransConceptsPhysical health conditionsPhysical healthNational HealthDaily livingVeterans StudyHealth conditionsHigher bodily painPhysical role limitationsGeneral population studiesOverall self-reported healthPhysical health difficultiesHigher PILSelf-reported healthOlder U.S. veteransU.S. military veteransBodily painRole limitationsPhysical functioningSleep disordersInstrumental activitiesSelf-report assessmentsCurrent prevalenceCross-sectional resultsU.S. veteransMost veteransSex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans
Stefanovics E, Potenza M, Tsai J, Nichter B, Pietrzak R. Sex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans. Journal Of Affective Disorders 2023, 328: 303-311. PMID: 36775254, DOI: 10.1016/j.jad.2023.02.025.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHumansMaleRisk FactorsStress Disorders, Post-TraumaticSuicidal IdeationSuicide PreventionSurveys and QuestionnairesVeteransConceptsSuicidal ideationMale veteransFemale veteransU.S. military veteransRisk factorsGender-specific risk factorsPrevalence of SISex-specific riskMilitary veteransDifferent risk factorsAlcohol use disorderLow psychological resilienceMultivariable analysisNational HealthRepresentative sampleUse disordersU.S. veteransVeterans StudySuicide preventionTreatment effortsVeteransLow purposeStrongest correlatePrevalenceIdeationIdentifying 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 ResearchMeSH KeywordsAgedAgingCross-Sectional StudiesHumansResilience, PsychologicalStress Disorders, Post-TraumaticSurveys and QuestionnairesVeteransConceptsUS 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
Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans
Stefanovics E, Potenza M, Tsai J, Pietrzak R. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans. Journal Of Gambling Studies 2022, 39: 1077-1097. PMID: 36378356, DOI: 10.1007/s10899-022-10165-z.Peer-Reviewed Original ResearchMeSH KeywordsGamblingHumansMalePrevalenceStress Disorders, Post-TraumaticSubstance-Related DisordersSuicidal IdeationVeteransConceptsCurrent psychiatric diagnosisU.S. military veteransUse disordersPsychiatric diagnosisMilitary veteransU.S. veteransDrug use disordersMental health treatmentSubstance use disordersChi-square testClinical characteristicsTrauma burdenNational HealthAdjusted associationsRoutine screeningClinical measuresRecreational gamblingCurrent prevalenceMale veteransHealth treatmentHigher household incomeSuicidal ideationVeterans StudyLogistic regressionExtensive involvementPerceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study
Fischer IC, Tsai J, Harpaz-Rotem I, McCutcheon VE, Schulenberg SE, Pietrzak RH. Perceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2022, 31: 87-93. PMID: 36253289, DOI: 10.1016/j.jagp.2022.09.010.Peer-Reviewed Original ResearchMeSH KeywordsAgedDepressive Disorder, MajorHumansMental HealthStress Disorders, Post-TraumaticSuicidal IdeationSuicideVeteransConceptsMental disordersNational HealthU.S. veteransVeterans StudyHigher PILSubstance use disordersOlder U.S. veteransU.S. military veteransMajor depressiveSelf-report assessmentsLower oddsCurrent prevalenceUse disordersMost veteransSuicide attemptsMental healthGeneralized anxietySuicidalityDisordersMilitary veteransVeteransPosttraumatic stressHealthOddsRepresentative sampleErectile Dysfunction in a U.S. National Sample of Male Military Veterans
Way BM, Griffin KR, Kraus SW, Tsai J, Pietrzak RH. Erectile Dysfunction in a U.S. National Sample of Male Military Veterans. Military Medicine 2022, 188: 2837-2843. PMID: 35792506, DOI: 10.1093/milmed/usac187.Peer-Reviewed Original ResearchMeSH KeywordsDepressive Disorder, MajorErectile DysfunctionHumansMaleMilitary PersonnelStress Disorders, Post-TraumaticSuicidal IdeationVeteransConceptsProbable post-traumatic stress disorderMajor depressive disorderPhysical health conditionsWeighted lifetime prevalenceErectile dysfunctionMental health issuesHealth conditionsHealth burdenLifetime prevalenceSelf-report assessmentsOdds of MDDProbable PTSDU.S. veteransSuicidal ideationAnxiety disordersHealth issuesPrevalent sexual dysfunctionHigh blood pressureMental health burdenMale U.S. veteransMilitary veteransU.S. veteran populationMental health conditionsPost-traumatic stress disorderRepresentative sampleMental 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 ResearchMeSH KeywordsDepressive Disorder, MajorHumansMental HealthStress Disorders, Post-TraumaticSubstance-Related DisordersSuicidal IdeationVeteransConceptsPosttraumatic 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 StudyPrevalence, correlates, and mental health burden associated with homelessness in U.S. military veterans
Nichter B, Tsai J, Pietrzak RH. Prevalence, correlates, and mental health burden associated with homelessness in U.S. military veterans. Psychological Medicine 2022, 53: 3952-3962. PMID: 35301973, PMCID: PMC10317824, DOI: 10.1017/s0033291722000617.Peer-Reviewed Original ResearchMeSH KeywordsAftercareChild, PreschoolDepressive Disorder, MajorHumansIll-Housed PersonsMental HealthPatient DischargePrevalenceStress Disorders, Post-TraumaticSubstance-Related DisordersSuicidal IdeationVeteransConceptsMental health burdenAdverse childhood experiencesDrug use disordersU.S. military veteransHealth burdenUse disordersMajor public health problemPopulation-based dataProbable posttraumatic stress disorderMilitary veteransPublic health problemLifetime suicide attemptsPoor mental healthEarly childhood adversityPosttraumatic stress disorderMental health consequencesTrauma burdenIndependent associationNational HealthFirst episodeLifetime prevalenceMajor depressiveHealth problemsHistory of homelessnessPsychiatric conditionsDispositional gratitude predicts the development of psychopathology and suicidal behaviors: Results from a 7-year population-based study of U.S. military veterans
McGuire AP, Fagan JG, Tsai J, Merians AN, Nichter B, Norman SB, Southwick SM, Pietrzak RH. Dispositional gratitude predicts the development of psychopathology and suicidal behaviors: Results from a 7-year population-based study of U.S. military veterans. Journal Of Psychiatric Research 2022, 149: 168-176. PMID: 35278781, PMCID: PMC9017955, DOI: 10.1016/j.jpsychires.2022.02.028.Peer-Reviewed Original ResearchMeSH KeywordsDepressive Disorder, MajorHumansMilitary PersonnelRisk FactorsStress Disorders, Post-TraumaticSuicidal IdeationSuicide, AttemptedVeteransConceptsMajor depressive disorderPosttraumatic stress disorderU.S. military veteransSuicidal ideationMental health outcomesSuicide attemptsSuicidal behaviorDevelopment of psychopathologyHealth outcomesMilitary veteransAdverse mental health outcomesPopulation-based studyPopulation-based samplePrimary prevention effortsMultivariable analysisDepressive disorderHigh riskBaseline levelsU.S. veteransStress disorderAnxiety disordersPrevention effortsIncident outcomesService membersVeterans
2021
Mental Health Care Use Among U.S. Military Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study
Kline AC, Panza KE, Nichter B, Tsai J, Harpaz-Rotem I, Norman SB, Pietrzak RH. Mental Health Care Use Among U.S. Military Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study. Psychiatric Services 2021, 73: 628-635. PMID: 34775790, DOI: 10.1176/appi.ps.202100112.Peer-Reviewed Original ResearchMeSH KeywordsHumansMental HealthPatient Acceptance of Health CarePrevalenceStress Disorders, Post-TraumaticUnited StatesVeteransConceptsMental health careMental health care utilizationHealth care utilizationSubstance use disordersCare utilizationU.S. military veteransMental dysfunctionNational HealthUse disordersHealth careVeterans StudyMental health care usePrimary health care providersHealth care useMilitary veteransHealth care providersUse of careHierarchical logistic regressionCare usePosttraumatic stress disorder (PTSD) symptom severitySleep disordersCare providersDisorder symptom severityU.S. veteransNeed factorsResilience in the Face of the COVID-19 Pandemic: A National Study of US Military Veterans.
Kachadourian L, Tsai J, Na PJ, Krystal JH, Southwick SM, Pietrzak RH. Resilience in the Face of the COVID-19 Pandemic: A National Study of US Military Veterans. The Primary Care Companion For CNS Disorders 2021, 23 PMID: 34763375, DOI: 10.4088/pcc.21br03075.Peer-Reviewed Original ResearchDisentangling the association between PTSD symptom heterogeneity and alcohol use disorder: Results from the 2019–2020 National Health and Resilience in Veterans Study
Palmisano AN, Fogle BM, Tsai J, Petrakis IL, Pietrzak RH. Disentangling the association between PTSD symptom heterogeneity and alcohol use disorder: Results from the 2019–2020 National Health and Resilience in Veterans Study. Journal Of Psychiatric Research 2021, 142: 179-187. PMID: 34359013, DOI: 10.1016/j.jpsychires.2021.07.046.Peer-Reviewed Original ResearchThe 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 ResearchMeSH KeywordsChildComorbidityFemaleHumansPhobia, SocialPrevalenceStress Disorders, Post-TraumaticSuicidal IdeationVeteransConceptsU.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 historyThe impact of sleep quality on the incidence of PTSD: Results from a 7-Year, Nationally Representative, Prospective Cohort of U.S. Military Veterans
DeViva JC, McCarthy E, Southwick SM, Tsai J, Pietrzak RH. The impact of sleep quality on the incidence of PTSD: Results from a 7-Year, Nationally Representative, Prospective Cohort of U.S. Military Veterans. Journal Of Anxiety Disorders 2021, 81: 102413. PMID: 33991819, PMCID: PMC10693322, DOI: 10.1016/j.janxdis.2021.102413.Peer-Reviewed Original ResearchMeSH KeywordsCohort StudiesHumansIncidenceProspective StudiesSleepStress Disorders, Post-TraumaticVeteransConceptsPosttraumatic stress disorderSleep qualityNew-onset posttraumatic stress disorderIncidence of PTSDSelf-reported sleep qualityProspective cohort studyProbable posttraumatic stress disorderPoor sleep qualityPotential risk factorsDevelopment of PTSDU.S. veteran populationFair sleep qualityWave 1U.S. military veteransCohort studyProspective cohortIndependent determinantsClinical variablesRisk factorsNational HealthLifetime depressionVeteran populationMultivariate analysisU.S. veteransGreater traumaAssociation of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic
Pietrzak RH, Tsai J, Southwick SM. Association of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic. JAMA Network Open 2021, 4: e214972. PMID: 33830230, PMCID: PMC8033430, DOI: 10.1001/jamanetworkopen.2021.4972.Peer-Reviewed Original ResearchMeSH KeywordsAgedCOVID-19FemaleHumansLogistic ModelsMaleMiddle AgedPosttraumatic Growth, PsychologicalQuarantineSARS-CoV-2Stress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesVeteransDrinking to Cope with Posttraumatic Stress: A Nationally Representative Study of Men with and without Military Combat Experience
Blakey SM, Tsai J, Elbogen EB. Drinking to Cope with Posttraumatic Stress: A Nationally Representative Study of Men with and without Military Combat Experience. Journal Of Dual Diagnosis 2021, 17: 101-112. PMID: 33730991, DOI: 10.1080/15504263.2021.1891360.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultAlcohol-Related DisordersCombat DisordersHumansMaleMilitary PersonnelStress Disorders, Post-TraumaticUnited StatesVeteransConceptsMilitary combat experiencePosttraumatic stress disorderMilitary combat veteransPTSD symptomsPTSD symptom countCombat experienceHazardous alcohol useAlcohol abuse/dependenceTrauma survivorsAbuse/dependencePTSD diagnosisCombat veteransAlcohol useLifetime trauma exposureSymptom countsTrauma-exposed menLifetime PTSD severityLifetime alcohol abuse/dependenceLifetime PTSD diagnosisLifetime traumatic experiencesFace interview studyMultivariate analysisPosttraumatic stressTrauma exposurePTSD severity