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 ResearchConceptsSubthreshold 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 oddsT4. RELATIONSHIP OF GENETICALLY-INDEXED PHYSICAL ACTIVITY WITH MENTAL DISORDERS
Galimberti M, Gupta P, Deak J, Dao C, Nitin R, Zhou H, Harrington K, Na P, Topiwala A, Davis L, Gaziano M, Levey D, Stein M, Gelernter J. T4. RELATIONSHIP OF GENETICALLY-INDEXED PHYSICAL ACTIVITY WITH MENTAL DISORDERS. European Neuropsychopharmacology 2024, 87: 157-158. DOI: 10.1016/j.euroneuro.2024.08.314.Peer-Reviewed Original ResearchProtective effect of PAMental health traitsMillion Veteran ProgramEffects of PAGenome-wide association studiesPhysical activityLocal genetic correlationAlcohol consumptionPosttraumatic stress disorderSmoking initiationLeisure time PARelationship of PAUse disorderMental health outcomesPsychiatric disordersSelf-reported informationSubstance useAttention-deficit/hyperactivity disorderGenetic correlation analysisLocal genetic correlation analysisTime PAGenome-wide association study statisticsHealth traitsMR analysisResults PA
2023
Prevalence, 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 ResearchConceptsIndependent 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
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“Lives of despair” at risk for “deaths of despair”: tracking an under-recognized, vulnerable population
Na PJ, Stefanovics EA, Rhee TG, Rosenheck RA. “Lives of despair” at risk for “deaths of despair”: tracking an under-recognized, vulnerable population. Social Psychiatry And Psychiatric Epidemiology 2022, 57: 1123-1134. PMID: 35028698, PMCID: PMC8757395, DOI: 10.1007/s00127-022-02218-w.Peer-Reviewed Original ResearchConceptsSubstance use disordersLifetime substance use disorderDeaths of despairSuicide attemptsUS adultsMental health service utilizationMental health care servicesQuality mental health careHealth service utilizationRelated Conditions Wave IIIMental health treatmentMental health careNational Epidemiologic SurveyQuality of lifeMore psychosocial adversityHealth care servicesCharacteristics of adultsMultivariable analysisService utilizationPsychiatric disordersUse disordersEpidemiologic SurveyWave IIIHealth treatmentAdverse experiences
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 ResearchConceptsDSM-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 effortsA population‐wide perspective on the reach of substance use disorders: Parental exposure, diagnostic remission, and current disorders
Na PJ, Stefanovics EA, Rhee TG, Rosenheck RA. A population‐wide perspective on the reach of substance use disorders: Parental exposure, diagnostic remission, and current disorders. American Journal On Addictions 2021, 31: 69-79. PMID: 34921471, DOI: 10.1111/ajad.13246.Peer-Reviewed Original ResearchConceptsCurrent substance use disorderSubstance use disordersParental substance use disordersCurrent disorderUse disordersDiagnostic remissionUS populationChildhood adversityMultivariable-adjusted logistic regressionMental health-related qualityPoorer mental health-related qualityLifetime substance use disorderHealth-related qualityPopulation-based estimatesRelated Conditions Wave IIIUS adult populationNational Epidemiologic SurveyPublic health impactPsychiatric comorbidityFunctional impairmentPsychiatric disordersEpidemiologic SurveyWave IIIUnaffected groupPsychiatric multimorbidityTreatment of substance use disorders among black and white adults: rates, correlates, and racial discrimination
Bommersbach TJ, Jegede O, Na PJ, Stefanovics EA, Rhee TG, Rosenheck RA. Treatment of substance use disorders among black and white adults: rates, correlates, and racial discrimination. Journal Of Addictive Diseases 2021, 40: 345-356. PMID: 34747323, DOI: 10.1080/10550887.2021.1997038.Peer-Reviewed Original ResearchConceptsTreatment receiptPast-year SUDCriminal justice involvementSUD treatmentWhite individualsWhite adultsMultivariate analysisBlack individualsIndependent differentiating factorsSubstance use disorder treatmentUse disorder treatmentSubstance use disordersNational Epidemiologic SurveyRelated Conditions-IIILow social supportJustice involvementClinical correlatesRacial groupsPsychiatric disordersPsychiatric treatmentUse disordersEpidemiologic SurveyDisorder treatmentBivariate analysisSociodemographic disadvantageMental 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 Study