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 ResearchMeSH KeywordsAdultAgedComorbidityCost of IllnessDepressive Disorder, MajorFemaleHumansMaleMiddle AgedPrevalenceStress Disorders, Post-TraumaticUnited StatesVeteransYoung AdultConceptsSubthreshold 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 oddsFunctional 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 characteristicsVeteransProblematic 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 ResearchMeSH KeywordsCOVID-19HumansLongitudinal StudiesMalePandemicsPublic HealthStress Disorders, Post-TraumaticVeteransConceptsDrug 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 effortsVeterans
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 ResearchMeSH KeywordsCOVID-19HumansLongitudinal StudiesPandemicsResilience, PsychologicalStress Disorders, Post-TraumaticVeteransConceptsAdverse 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 agePandemic-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 decreaseOnsetPrevalenceTrajectories 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 ResearchMeSH KeywordsAlcohol DrinkingAlcoholismHumansLongitudinal StudiesStress Disorders, Post-TraumaticVeteransConceptsAlcohol 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 ResearchMeSH KeywordsCOVID-19Depressive Disorder, MajorFemaleHumansPrevalenceProlonged Grief DisorderStress Disorders, Post-TraumaticSuicidal IdeationUnited StatesVeteransConceptsIndependent 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 ResearchMeSH KeywordsAfghan Campaign 2001-Depressive Disorder, MajorFemaleHumansMental HealthMilitary PersonnelStress Disorders, Post-TraumaticVeteransConceptsIraq/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 groupMoral injury among U.S. combat veterans with and without PTSD and depression
Norman SB, Nichter B, Maguen S, Na PJ, Schnurr PP, Pietrzak RH. Moral injury among U.S. combat veterans with and without PTSD and depression. Journal Of Psychiatric Research 2022, 154: 190-197. PMID: 35947898, DOI: 10.1016/j.jpsychires.2022.07.033.Peer-Reviewed Original ResearchConceptsProbable posttraumatic stress disorderPosttraumatic stress disorderCombat veteransInjurious eventsU.S. combat veteransProbable depressionFunctional impairmentMost veteransStress disorderDepressionVeteransPrevalenceDisordersRepresentative studyRepresentative sampleMoral injuryPMIEsParticipantsAssociation of Symptoms of Posttraumatic Stress Disorder and GrimAge, an Epigenetic Marker of Mortality Risk, in US Military Veterans.
Na PJ, Montalvo-Ortiz JL, Nagamatsu ST, Southwick SM, Krystal JH, Gelernter J, Pietrzak RH. Association of Symptoms of Posttraumatic Stress Disorder and GrimAge, an Epigenetic Marker of Mortality Risk, in US Military Veterans. The Journal Of Clinical Psychiatry 2022, 83 PMID: 35802930, PMCID: PMC10859885, DOI: 10.4088/jcp.21br14309.Peer-Reviewed Original ResearchMental 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 StudyCo-occurring alcohol use disorder and obesity in U.S. military veterans: Prevalence, risk factors, and clinical features
Carr MM, Serowik KL, Na PJ, Potenza MN, Martino S, Masheb RM, Pietrzak RH. Co-occurring alcohol use disorder and obesity in U.S. military veterans: Prevalence, risk factors, and clinical features. Journal Of Psychiatric Research 2022, 150: 64-70. PMID: 35358833, DOI: 10.1016/j.jpsychires.2022.03.039.Peer-Reviewed Original ResearchMeSH KeywordsAlcoholismComorbidityFemaleHumansMaleObesityPrevalenceRisk FactorsStress Disorders, Post-TraumaticVeteransConceptsAlcohol use disorderCo-occurring alcohol use disorderCo-occurring obesityU.S. military veteransRisk factorsUse disordersProbable alcohol use disorderAlcohol Use Disorders Identification TestMore adverse childhood experiencesBody mass indexMilitary veteransSelf-reported heightDisorders Identification TestAdverse childhood experiencesClinical featuresClinical presentationMass indexNeeds of veteransClinical correlatesClinical conditionsMultinomial logistic regressionObesityChildhood adversityLogistic regressionEffective interventionsMilitary 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 ResearchMeSH KeywordsCross-Sectional StudiesFemaleHumansMaleMilitary PersonnelSex OffensesSexual TraumaStress Disorders, Post-TraumaticUnited StatesVeteransConceptsMilitary 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 symptomsCannabis use among U.S. military veterans with subthreshold or threshold posttraumatic stress disorder: Psychiatric comorbidities, functioning, and strategies for coping with posttraumatic stress symptoms
Hill ML, Loflin M, Nichter B, Na PJ, Herzog S, Norman SB, Pietrzak RH. Cannabis use among U.S. military veterans with subthreshold or threshold posttraumatic stress disorder: Psychiatric comorbidities, functioning, and strategies for coping with posttraumatic stress symptoms. Journal Of Traumatic Stress 2022, 35: 1154-1166. PMID: 35275431, DOI: 10.1002/jts.22823.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalCannabisHumansStress Disorders, Post-TraumaticSuicidal IdeationVeteransConceptsU.S. military veteransFull PTSDCannabis usePTSD symptomsPosttraumatic stress disorder (PTSD) symptomsThreshold Posttraumatic Stress DisorderMilitary veteransPosttraumatic stress symptomsPosttraumatic stress disorderPsychiatric symptomsFrequent cannabis useMental health treatmentCurrent psychiatric symptomsCo-occurring depressionCognitive functioningBehavioral disengagementDisorder symptomsStress disorderStress symptomsFrequent cannabisTreatment engagementPTSDVeterans StudyHealth treatmentSubstance use
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 ResearchMeSH KeywordsAlcoholismDiagnostic and Statistical Manual of Mental DisordersHumansMalePrevalenceStress Disorders, Post-TraumaticSuicidal IdeationVeteransConceptsDSM-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 effortsResilience 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 ResearchNew‐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 ResearchMeSH KeywordsCOVID-19HumansPandemicsProspective StudiesSARS-CoV-2Sleep Initiation and Maintenance DisordersStress Disorders, Post-TraumaticVeteransConceptsClinical 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 ResearchMeSH KeywordsAlcoholismDepressive Disorder, MajorHumansRisk FactorsStress Disorders, Post-TraumaticSuicidal IdeationSuicideVeteransConceptsAlcohol 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 useMental 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 ResearchMeSH KeywordsCOVID-19Depressive Disorder, MajorHumansMental HealthMiddle AgedPandemicsProspective StudiesStress Disorders, Post-TraumaticVeteransConceptsPositive 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 healthPosttraumatic Distress Symptoms and Their Response to Treatment in Adults With Prolonged Grief Disorder.
Na PJ, Adhikari S, Szuhany KL, Chen AZ, Suzuki RR, Malgaroli M, Robinaugh DJ, Bui E, Mauro C, Skritskaya NA, Lebowitz BD, Zisook S, Reynolds CF, Shear MK, Simon NM. Posttraumatic Distress Symptoms and Their Response to Treatment in Adults With Prolonged Grief Disorder. The Journal Of Clinical Psychiatry 2021, 82 PMID: 34000119, DOI: 10.4088/jcp.20m13576.Peer-Reviewed Original ResearchConceptsPosttraumatic stress symptomsPosttraumatic distress symptomsNonviolent deathsGrief disorderPosttraumatic stress disorderBereaved adultsPrimary diagnosisFunctional impairmentMixed-effects regressionPlaceboProlonged Grief DisorderGrief treatmentMajor life stressorsCitalopramSecondary analysisAntidepressant citalopramDistress symptomsStress disorderPoor functioningLife stressorsAdultsDisordersTreatmentStress symptomsSymptoms