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 disorderSocioeconomic Correlates of Suicidal Ideation in Military Veterans: Examining the Interaction Between Homelessness and Financial Debt
DuBois C, Falls A, Serrano B, Wagner H, Tsai J, Elbogen E. Socioeconomic Correlates of Suicidal Ideation in Military Veterans: Examining the Interaction Between Homelessness and Financial Debt. Community Mental Health Journal 2024, 1-10. PMID: 39110293, DOI: 10.1007/s10597-024-01316-0.Peer-Reviewed Original ResearchHistory of homelessnessPosttraumatic stress disorderSuicidal ideationHigher debtHistory of criminal arrestCorrelates of suicidal ideationSample of veteransNational sample of veteransFinancial debtOdds of suicidal ideationNationally-representative studyCriminal arrestsHomelessnessStress disorderSocioeconomic correlatesMilitary veteransGreater lonelinessIdeationU.S. veteransNational sampleSuicide preventionVeteransDebtDecision-makingCurrent debtFunctional 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
Clients’ Self-reported Legal Issues in a Medical-Legal Partnership: Accuracy, Prevalence, and the Role of Mental Health
Griesemer I, Carter S, Weir A, Tsai J. Clients’ Self-reported Legal Issues in a Medical-Legal Partnership: Accuracy, Prevalence, and the Role of Mental Health. Psychological Injury And Law 2023, 16: 408-415. DOI: 10.1007/s12207-023-09484-2.Peer-Reviewed Original ResearchMedical-legal partnershipMental health diagnosesLegal issuesHealth diagnosisLegal needsMental health challengesPoisson regression modelsPosttraumatic stress disorderAlcohol use disorderVeterans Affairs Connecticut Healthcare SystemCivil legal needsComplex legal issuesNeeds screeningClient intakeMental healthHealthcare systemHealthcare facilitiesAdministrative dataStress disorderHealth challengesUse disorderMedical-legalLegal clinicsLegal centerRegression modelsChanges in mental health among U.S. military veterans during the COVID-19 pandemic: A network analysis
Spiller T, Na P, Merians A, Duek O, Ben-Zion Z, Tsai J, von Känel R, Harpaz-Rotem I, Pietrzak R. Changes in mental health among U.S. military veterans during the COVID-19 pandemic: A network analysis. Journal Of Psychiatric Research 2023, 165: 352-359. PMID: 37595331, DOI: 10.1016/j.jpsychires.2023.08.003.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderSymptoms of PTSDTraumatic eventsPosttraumatic growthU.S. military veteransPTSD symptomsSuicidal ideationMental healthMilitary veteransIncrease of symptomsPopulation-based sampleCOVID-19 pandemicFirst yearStress disorderMost veteransSymptomsFirst monthPsychopathological symptomsGeneral resilienceGroup levelAnxietyVeteransIndividual reactionsDepressionSubtle increaseNot 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 eventsSeverityPurpose in life protects against the development of suicidal thoughts and behaviors in U.S. veterans without a history of suicidality: A 10-year, nationally representative, longitudinal study
Fischer I, Nichter B, Feldman D, Na P, Tsai J, Harpaz-Rotem I, Schulenberg S, Pietrzak R. Purpose in life protects against the development of suicidal thoughts and behaviors in U.S. veterans without a history of suicidality: A 10-year, nationally representative, longitudinal study. Journal Of Affective Disorders 2023, 340: 551-554. PMID: 37557988, DOI: 10.1016/j.jad.2023.08.040.Peer-Reviewed Original ResearchConceptsIncident suicidal ideationAlcohol use disorderIncident suicide attemptsCurrent alcohol use disorderHistory of STBSuicidal ideationSuicide attemptsBaseline predictorsDaily livingPopulation-based prospective cohort studySuicidal thoughtsLow purposeCurrent posttraumatic stress disorderProspective cohort studyTraditional risk factorsLower annual household incomeMultivariable regression analysisEvidence-based interventionsUS military veteransPosttraumatic stress disorderAnnual household incomeCohort studyTrauma burdenRisk factorsNational HealthIntentional 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 ResearchConceptsTraumatic 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 codes
2022
Mental 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 ResearchConceptsPosttraumatic 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 ResearchConceptsMental 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 ResearchConceptsMajor 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
Factors associated with post-traumatic growth in response to the COVID-19 pandemic: Results from a national sample of U.S. military veterans
Na PJ, Tsai J, Southwick SM, Pietrzak RH. Factors associated with post-traumatic growth in response to the COVID-19 pandemic: Results from a national sample of U.S. military veterans. Social Science & Medicine 2021, 289: 114409. PMID: 34537394, PMCID: PMC8445520, DOI: 10.1016/j.socscimed.2021.114409.Peer-Reviewed Original ResearchConceptsPost-traumatic growthPosttraumatic stress disorderPTSD symptomsU.S. military veteransPositive psychological changesNegative psychological outcomesMilitary veteransU.S. veteransNational samplePrior traumatic eventsAvoidance symptomsTrauma survivorsPsychological outcomesTraumatic eventsPsychological changesPsychosocial interventionsStress disorderPsychological distressPsychological impactCOVID-19 pandemicMajority of researchVeterans StudyMental healthLongitudinal studyFunctional correlatesDisentangling 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 ResearchConceptsPosttraumatic stress disorderAlcohol use disorderPTSD symptomsDysphoric arousalNational HealthUse disordersU.S. veteransVeterans StudySymptom clustersModels of PTSDReceipt, Spending, and Clinical Correlates of the Economic Impact Payment Among Middle- and Low-Income U.S. Adults
Tsai J, Huang M, Montgomery AE, Elbogen EB. Receipt, Spending, and Clinical Correlates of the Economic Impact Payment Among Middle- and Low-Income U.S. Adults. Psychiatric Services 2021, 72: 1377-1384. PMID: 34074140, DOI: 10.1176/appi.ps.202100001.Peer-Reviewed Original ResearchConceptsLow-income U.S. adultsU.S. adultsMental healthUse problemsRecent suicidal ideationDrug use problemsPosttraumatic stress disorderSchizophrenia spectrum disordersSubstance abuse problemsClinical characteristicsEligible adultsAlcohol use problemsClinical correlatesLow-income populationsSuicidal ideationStress disorderAbuse problemsAdultsCOVID-19 pandemicThe 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 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 ResearchConceptsPosttraumatic 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 ResearchDrinking 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 ResearchConceptsMilitary 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 severityLongitudinal courses of suicidal ideation in U.S. military veterans: a 7-year population-based, prospective cohort study
Herzog S, Tsai J, Nichter B, Kachadourian L, Harpaz-Rotem I, Pietrzak RH. Longitudinal courses of suicidal ideation in U.S. military veterans: a 7-year population-based, prospective cohort study. Psychological Medicine 2021, 52: 3570-3579. PMID: 33602367, DOI: 10.1017/s0033291721000301.Peer-Reviewed Original ResearchNew-onset suicidal ideationChronic suicidal ideationPhysical health difficultiesPrior suicide attemptsSuicidal ideationSuicide attemptsProtective factorsSI groupLongitudinal courseHealth difficultiesProspective suicide attemptsProspective cohort studyRecent stressorsHigh ratePosttraumatic stress disorderMental health supportSuicide prevention effortsU.S. military veteransCohort studyNew onsetBaseline riskHigh riskU.S. veteransMost veteransPhysical distressMindfulness as a Mediator Between Trauma Exposure and Mental Health Outcomes: Results From the National Health and Resilience in Veterans Study
Kachadourian LK, Harpaz-Rotem I, Tsai J, Southwick S, Pietrzak RH. Mindfulness as a Mediator Between Trauma Exposure and Mental Health Outcomes: Results From the National Health and Resilience in Veterans Study. Psychological Trauma Theory Research Practice And Policy 2021, 13: 223-230. PMID: 33475404, PMCID: PMC8500672, DOI: 10.1037/tra0000995.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderAlcohol use disorderLifetime traumaTrauma-related negative affectPresent momentVeterans StudyU.S. veteransTrauma-related experiencesSuicidal ideationTraumatic life eventsLifetime trauma burdenMental health outcomesQuality of lifeMental health problemsTrauma remindersNegative affectMindful attentionTrauma exposurePTSD symptomsMental health issuesTraumatic eventsCumulative traumaStress disorderNoncombat veteransLife events