2024
Correlates of six-month housing instability among U.S. adults by veteran status: Exploratory study using data from the All of Us Program
Beydoun H, Vieytes C, Beydoun M, Lampros A, Tsai J. Correlates of six-month housing instability among U.S. adults by veteran status: Exploratory study using data from the All of Us Program. PLOS ONE 2024, 19: e0314339. PMID: 39576824, PMCID: PMC11584138, DOI: 10.1371/journal.pone.0314339.Peer-Reviewed Original ResearchConceptsHousing instabilityVeteran statusNon-veteran populationsNon-veteransSocial determinants of healthHealth insurance availabilityU.S. adultsRate of HIDeterminants of healthHomeless servicesUs Research ProgramAssociated with lower likelihoodLifetime cigarette smokingAssociation of HICross-sectional dataWorse healthSix-month prevalenceSocial determinantsLogistic regression modelsLifetime alcohol consumptionInsurance availabilitySubstance useHealth characteristicsHigher incomeRacial disparitiesDifferential 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 prevalenceObesity in U.S. low-income veterans:Prevalence, clinical characteristics, and homelessness
Stefanovics E, Potenza M, Tsai J. Obesity in U.S. low-income veterans:Prevalence, clinical characteristics, and homelessness. Journal Of Psychiatric Research 2024, 173: 317-325. PMID: 38574595, DOI: 10.1016/j.jpsychires.2024.03.041.Peer-Reviewed Original ResearchConceptsLow-income veteransU.S. veteransPrevalence estimates of obesityAssociated with low socioeconomic statusEstimates of obesityBurden of obesityWeight management programAssociated with co-occurrenceLow socioeconomic statusPrevalence of obesityPsychiatric medication useImprove overall healthU.S. veteran populationNationally representative sampleQuality of lifePositive reframingSocioeconomic statusPrevalence estimatesTargeted interventionsVeteran populationActive copingMedication useOverall healthCoping stylesRepresentative sample
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 ResearchConceptsCurrent 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 involvementDisentangling Associations Between Military Service, Race, and Incarceration in the U.S. Population
Tsai J, Edwards E, Cao X, Finlay AK. Disentangling Associations Between Military Service, Race, and Incarceration in the U.S. Population. Psychological Services 2022, 19: 431-442. PMID: 35878068, DOI: 10.1037/ser0000537.Peer-Reviewed Original ResearchConceptsLifetime incarcerationPsychosocial characteristicsSubstance abuse factorsSubstance use disordersU.S. adult populationVeteran statusBorderline personality disorderRisk adultsMale genderUse disordersHistory of homelessnessAdult populationU.S. adultsBehavioral healthMental healthCivilian settingsPersonality disorderU.S. populationSociodemographic backgroundAdultsIncarceration historyAbuse factorsVeteransPrevalence of incarcerationStructured interviewsPrevalence and characteristics associated with firearm ownership among low-income U.S. veterans
Tsai J, Testa A, Pietrzak R, Elbogen E. Prevalence and characteristics associated with firearm ownership among low-income U.S. veterans. Military Psychology 2022, 35: 132-141. PMID: 37133491, PMCID: PMC10013543, DOI: 10.1080/08995605.2022.2086415.Peer-Reviewed Original ResearchConceptsU.S. veteransMental health characteristicsLogistic regression analysisU.S. veteran populationMental health correlatesHierarchical logistic regression analysisU.S. military veteransClinical characteristicsAssociated sociodemographicFirearm ownershipHealth characteristicsVeteran populationSignificant associationTrauma exposureHealth correlatesPrevalenceMilitary veteransVeteransRegression analysisFirearm misuseRepresentative studyFirearm ownersSociodemographicsTraumaPrevalence, 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 conditions
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 ResearchConceptsMental 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 factorsPrevalence of Alzheimer's disease and related dementias among veterans experiencing housing insecurity
Jutkowitz E, Halladay C, Tsai J, Hooshyar D, Quach L, O'Toole T, Rudolph JL. Prevalence of Alzheimer's disease and related dementias among veterans experiencing housing insecurity. Alzheimer's & Dementia 2021, 18: 1306-1313. PMID: 34757668, PMCID: PMC10257219, DOI: 10.1002/alz.12476.Peer-Reviewed Original ResearchMeSH KeywordsAlzheimer DiseaseHousingHousing InstabilityHumansIll-Housed PersonsPrevalenceUnited StatesVeteransConceptsADRD diagnosisAcute careAlzheimer's diseaseLong-term care useMore acute careNursing home admissionCommunity-based careAD/ADRDHome admissionCare useOverall prevalenceVeterans AffairsPrevalenceDiseaseDiagnosisHomeless veteransVeteransCareHousing statusDementiaRiskHousing insecurityAdmissionADRDThe 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 historyPrevalence, risk and protective factors associated with suicidal ideation during the COVID-19 pandemic in U.S. military veterans with pre-existing psychiatric conditions
Na PJ, Tsai J, Hill ML, Nichter B, Norman SB, Southwick SM, Pietrzak RH. Prevalence, risk and protective factors associated with suicidal ideation during the COVID-19 pandemic in U.S. military veterans with pre-existing psychiatric conditions. Journal Of Psychiatric Research 2021, 137: 351-359. PMID: 33756377, PMCID: PMC8545743, DOI: 10.1016/j.jpsychires.2021.03.021.Peer-Reviewed Original ResearchConceptsPre-existing psychiatric conditionsPsychiatric symptom severitySuicidal ideationPsychiatric conditionsPsychiatric symptomsSymptom severityCOVID-19Protective factorsCoronavirus disease 2019 (COVID-19) pandemicPast-year suicidal ideationCOVID-19 infectionDisease 2019 pandemicLifetime suicide attemptsU.S. military veteransMultivariable analysisNational HealthOlder veteransGeneral populationRepresentative cohortU.S. veteransVeterans StudySuicide attemptsOlder ageSuicide riskPsychosocial difficulties
2020
Prevalence of Hoarding Behavior Among Formerly Homeless Persons Living in Supported Housing.
Greig A, Tolin D, Tsai J. Prevalence of Hoarding Behavior Among Formerly Homeless Persons Living in Supported Housing. The Journal Of Nervous And Mental Disease 2020, 208: 822-827. PMID: 33002938, DOI: 10.1097/nmd.0000000000001205.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedFemaleHoardingHousingHumansIll-Housed PersonsMaleMiddle AgedPrevalenceYoung AdultIs homelessness a traumatic event? Results from the 2019–2020 National Health and Resilience in Veterans Study
Tsai J, Schick V, Hernandez B, Pietrzak RH. Is homelessness a traumatic event? Results from the 2019–2020 National Health and Resilience in Veterans Study. Depression And Anxiety 2020, 37: 1137-1145. PMID: 32949084, DOI: 10.1002/da.23098.Peer-Reviewed Original ResearchDissociative Symptoms in a Nationally Representative Sample of Trauma-Exposed U.S. Military Veterans: Prevalence, Comorbidities, and Suicidality
Herzog S, Fogle BM, Harpaz-Rotem I, Tsai J, Pietrzak RH. Dissociative Symptoms in a Nationally Representative Sample of Trauma-Exposed U.S. Military Veterans: Prevalence, Comorbidities, and Suicidality. Journal Of Affective Disorders 2020, 272: 138-145. PMID: 32379605, DOI: 10.1016/j.jad.2020.03.177.Peer-Reviewed Original ResearchConceptsQuality of lifeU.S. veteransDissociative symptomsPsychiatric comorbidityGreater likelihoodPoor mental health outcomesCurrent suicidal ideationNon-veteran populationsMental health outcomesPTSD diagnostic statusDirectionality of findingsLevel of functioningU.S. military veteransNationally Representative SampleClinical correlatesTrauma-exposed populationsRepresentative sampleRisk factorsSevere dissociative symptomsLifetime suicide attempt historySuicide attempt historyPsychiatric characteristicsComorbiditiesHealth outcomesSuicidal ideation
2018
Protective correlates of suicidality among veterans with histories of posttraumatic stress disorder and major depressive disorder: Results from the National Health and Resilience in Veterans Study
Kachadourian LK, Tsai J, Harpaz-Rotem I, Southwick SM, Pietrzak RH. Protective correlates of suicidality among veterans with histories of posttraumatic stress disorder and major depressive disorder: Results from the National Health and Resilience in Veterans Study. Journal Of Affective Disorders 2018, 246: 731-737. PMID: 30616162, DOI: 10.1016/j.jad.2018.12.058.Peer-Reviewed Original ResearchMeSH KeywordsAdultCross-Sectional StudiesDepressive Disorder, MajorFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOptimismPrevalenceProtective FactorsResilience, PsychologicalRisk FactorsStress Disorders, Post-TraumaticSuicidal IdeationSuicideSuicide, AttemptedSurveys and QuestionnairesUnited StatesVeteransYoung AdultConceptsMajor depressive disorderPosttraumatic stress disorderProtective correlatesSuicidal ideationSuicide attemptsProtective factorsDepressive disorderNational HealthVeterans StudyMultivariable logistic regression analysisSuicidal behaviorStress disorderHistory of PTSDLogistic regression analysisSample of veteransAssessment of suicidalityLifetime suicide attemptsRisk factorsHigh-risk sampleTreatment approachesU.S. veteransWeb-based surveyCross-sectional natureSuicide riskSelf-report items
2017
Lifetime and 1-year prevalence of homelessness in the US population: results from the National Epidemiologic Survey on Alcohol and Related Conditions-III
Tsai J. Lifetime and 1-year prevalence of homelessness in the US population: results from the National Epidemiologic Survey on Alcohol and Related Conditions-III. Journal Of Public Health 2017, 40: 65-74. PMID: 28335013, DOI: 10.1093/pubmed/fdx034.Peer-Reviewed Original ResearchConceptsNational Epidemiologic SurveyPersonality disorderEpidemiologic SurveySuicidal attemptsUS populationMajor public health problemRecent epidemiological studiesLifetime homelessnessBehavioral health conditionsTobacco use disorderPublic health problemHistory of incarcerationRelated Conditions-IIIBorderline personality disorderPast-year homelessnessLow incomeAntisocial personality disorderUS adultsEpidemiological studiesGeneral populationUse disordersHealth problemsRelated conditionsHealth conditionsPrevalence
2016
Accuracy of screening for posttraumatic stress disorder in specialty mental health clinics in the U.S. Veterans Affairs Healthcare System
Tsai J, Pietrzak RH, Hoff RA, Harpaz-Rotem I. Accuracy of screening for posttraumatic stress disorder in specialty mental health clinics in the U.S. Veterans Affairs Healthcare System. Psychiatry Research 2016, 240: 157-162. PMID: 27107669, DOI: 10.1016/j.psychres.2016.04.036.Peer-Reviewed Original ResearchConceptsOEF/OIF/OND veteransPTSD diagnosisU.S. Veterans Affairs healthcare systemSpecialty mental health clinicsVeterans Affairs Healthcare SystemElectronic medical record dataOptimal screening criteriaMedical record dataStructured Clinical InterviewMental health clinicsPositive PTSD screenCharacteristic curve analysisPosttraumatic stress disorderUseful screening toolPCL-M scoresVersion criteriaPTSD screenSpecialty clinicHealth clinicsMale veteransClinical InterviewFemale veteransVeteran subgroupsYouden indexProbable PTSDHomelessness among a nationally representative sample of US veterans: prevalence, service utilization, and correlates
Tsai J, Link B, Rosenheck RA, Pietrzak RH. Homelessness among a nationally representative sample of US veterans: prevalence, service utilization, and correlates. Social Psychiatry And Psychiatric Epidemiology 2016, 51: 907-916. PMID: 27075492, DOI: 10.1007/s00127-016-1210-y.Peer-Reviewed Original ResearchConceptsVA homeless servicesHomeless servicesUS veteransLifetime homelessnessAccurate prevalence estimatesPrevalence of homelessnessRural areasClinical characteristicsRepresentative sampleService utilizationService usePrevalence estimatesHomelessnessPhysical healthGovernmental resourcesVeteran homelessnessPrevalenceAdult lifeVeteransNature and determinants of suicidal ideation among U.S. veterans: Results from the national health and resilience in veterans study
Smith NB, Mota N, Tsai J, Monteith L, Harpaz-Rotem I, Southwick SM, Pietrzak RH. Nature and determinants of suicidal ideation among U.S. veterans: Results from the national health and resilience in veterans study. Journal Of Affective Disorders 2016, 197: 66-73. PMID: 26970267, DOI: 10.1016/j.jad.2016.02.069.Peer-Reviewed Original ResearchConceptsChronic suicidal ideationPhysical health difficultiesSuicidal ideationU.S. veteransProtective psychosocial characteristicsNational HealthPsychosocial characteristicsHealth difficultiesSI onsetMajor public health concernProspective cohort studyPublic health concernSubstance abuse historyWave 1Majority of veteransU.S. military veteransCohort studyProtective correlatesTwo-week timeframePsychiatric distressVeterans StudySociodemographic characteristicsSuicidal thoughtsHealth concernTreatment efforts
2014
Dimensional structure of DSM-5 posttraumatic stress disorder symptoms: results from the National Health and Resilience in Veterans Study.
Tsai J, Harpaz-Rotem I, Armour C, Southwick SM, Krystal JH, Pietrzak RH. Dimensional structure of DSM-5 posttraumatic stress disorder symptoms: results from the National Health and Resilience in Veterans Study. The Journal Of Clinical Psychiatry 2014, 76: 546-53. PMID: 25562376, DOI: 10.4088/jcp.14m09091.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderLifetime posttraumatic stress disorderHealth-related functioningMental health-related functioningDSM-5 posttraumatic stress disorderUS veteransSymptom clustersPTSD symptom clustersNational HealthVeterans StudyPTSD symptomsQuality of lifeDysphoric Arousal modelPosttraumatic stress disorder (PTSD) symptomsDSM-5 posttraumatic stress disorder symptomsDSM-5 PTSD symptom clustersHealth outcomesFemale veteransSuicidal ideationDSM-5 PTSD symptomsStress disorderSymptomsDisorder symptomsPTSD symptomatologyVeterans