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
Purpose 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 veteransIdentifying 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
2021
Estimation of Utility Values for Computing Quality-adjusted Life Years Associated With Homelessness
Rajan SS, Tsai J. Estimation of Utility Values for Computing Quality-adjusted Life Years Associated With Homelessness. Medical Care 2021, 59: 1115-1121. PMID: 34629422, DOI: 10.1097/mlr.0000000000001647.Peer-Reviewed Original ResearchMeSH KeywordsAdultCost of IllnessCross-Sectional StudiesEconomicsFemaleHumansIll-Housed PersonsMaleMiddle AgedQuality-Adjusted Life YearsSocioeconomic FactorsUnited StatesConceptsQuality-adjusted life yearsUtility valuesLife yearsIndividual-level characteristicsLow-income adultsGeneralizable evidenceAverage utility valueHomelessness interventionsLarge national surveySocietal valuesHolistic measureComparison of interventionsValuationUnited StatesPolicyData-driven evidenceGood healthEvidenceNational surveySurveyLinear regressionBurdenHomeless groupBehavioral Epidemic of Loneliness in Older U.S. Military Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study
Straus E, Norman SB, Tripp JC, Tsai J, Sippel LM, Jeste DV, Southwick SM, Pietrzak RH. Behavioral Epidemic of Loneliness in Older U.S. Military Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2021, 30: 297-310. PMID: 34417085, DOI: 10.1016/j.jagp.2021.07.006.Peer-Reviewed Original ResearchConceptsU.S. military veteransNational HealthPhysical healthMilitary veteransSuicidal ideationVeterans StudyFunctional measuresPsychiatric risk factorsLoneliness severityCross-sectional studyU.S. veteran populationPhysical health conditionsReliable self-report assessmentsCurrent suicidal ideationRisk factorsSelf-report assessmentsTransdiagnostic preventionCurrent prevalenceVeteran populationU.S. veteransFunctional difficultiesMental healthHealth conditionsIntervention targetsReporting feeling
2020
Can military trauma promote psychological growth in combat veterans? Results from the national health and resilience in veterans study
Greenberg J, Tsai J, Southwick SM, Pietrzak RH. Can military trauma promote psychological growth in combat veterans? Results from the national health and resilience in veterans study. Journal Of Affective Disorders 2020, 282: 732-739. PMID: 33601714, DOI: 10.1016/j.jad.2020.12.077.Peer-Reviewed Original ResearchPsychosocial and Mental Health Characteristics of RePresent Game Users.
Tsai J, Huang M, Huang B, Daniels K, Harteveld C, Jackson D. Psychosocial and Mental Health Characteristics of RePresent Game Users. The Journal Of The American Academy Of Psychiatry And The Law 2020, 48: 335-344. PMID: 32404361, DOI: 10.29158/jaapl.003922-19.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 ResearchMeSH KeywordsCross-Sectional StudiesHumansPrevalenceQuality of LifeStress Disorders, Post-TraumaticSuicideUnited StatesVeteransConceptsQuality 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 ideationDynamic interplay between PTSD symptoms and posttraumatic growth in older military veterans
Whealin JM, Pitts B, Tsai J, Rivera C, Fogle BM, Southwick SM, Pietrzak RH. Dynamic interplay between PTSD symptoms and posttraumatic growth in older military veterans. Journal Of Affective Disorders 2020, 269: 185-191. PMID: 32339132, DOI: 10.1016/j.jad.2020.03.020.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesHumansPosttraumatic Growth, PsychologicalProspective StudiesStress Disorders, Post-TraumaticVeteransConceptsGreater posttraumatic growthPosttraumatic stress disorderPosttraumatic growthPTSD symptomsActive copingReligious copingOlder military veteransPositive psychological changesSubsequent posttraumatic growthMilitary veteransChronic PTSD symptomsWave 2Self-report natureSpecific symptom clustersAnxious arousalDysphoric arousalGreater severityHyperarousal symptomsTraumatic eventsPsychological changesStress disorderCopingSymptom clustersLongitudinal studyWave 3
2019
Homelessness among immigrants in the United States: rates, correlates, and differences compared with native-born adults
Tsai J, Gu X. Homelessness among immigrants in the United States: rates, correlates, and differences compared with native-born adults. Public Health 2019, 168: 107-116. PMID: 30739834, DOI: 10.1016/j.puhe.2018.12.017.Peer-Reviewed Original ResearchMeSH KeywordsAdultCross-Sectional StudiesEmigrants and ImmigrantsFemaleHumansIll-Housed PersonsMaleMiddle AgedPopulation GroupsRisk FactorsUnited StatesConceptsForeign-born adultsSubstance use disordersNative-born adultsMental healthHealthy immigrant effectNational Epidemiologic SurveyRelated Conditions-IIIRepresentative US samplePsychosocial evaluationUS adultsEpidemiologic SurveySociodemographic characteristicsLifetime incarcerationCross-sectional dataImmigrant effectHealth insuranceUse of welfareAdultsSocial functioningSignificant differencesRates of homelessnessConditions-IIIUnited StatesDisordersHealthAssociation between suicide attempts and homelessness in a population-based sample of US veterans and non-veterans
Tsai J, Cao X. Association between suicide attempts and homelessness in a population-based sample of US veterans and non-veterans. Journal Of Epidemiology & Community Health 2019, 73: 346. PMID: 30602531, DOI: 10.1136/jech-2018-211065.Peer-Reviewed Original ResearchMeSH KeywordsAdultCross-Sectional StudiesFemaleHumansIll-Housed PersonsMaleMiddle AgedPopulation SurveillanceRisk FactorsSuicide, AttemptedUnited StatesVeteransConceptsUS veteransSuicide attemptsVeterans Health AdministrationHigh-risk individualsLifetime homelessnessSame risk factorsPopulation-based sampleNational Epidemiological SurveySuicide prevention servicesRelated Conditions-IIILifetime suicide attemptsRepresentative US sampleRisk factorsUS adultsPrevention servicesEpidemiological surveyHealth AdministrationHomeless historiesVeteransConditions-IIISuicideAssociationUS sample
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 itemsSystematic review of psychosocial factors associated with evictions
Tsai J, Huang M. Systematic review of psychosocial factors associated with evictions. Health & Social Care In The Community 2018, 27: e1-e9. PMID: 30014532, DOI: 10.1111/hsc.12619.Peer-Reviewed Original Research
2017
Gender differences in mental and physical health conditions in U.S. veterans: Results from the National Health and Resilience in Veterans Study
Ziobrowski H, Sartor CE, Tsai J, Pietrzak RH. Gender differences in mental and physical health conditions in U.S. veterans: Results from the National Health and Resilience in Veterans Study. Journal Of Psychosomatic Research 2017, 101: 110-113. PMID: 28867415, PMCID: PMC5595666, DOI: 10.1016/j.jpsychores.2017.08.011.Peer-Reviewed Original ResearchMeSH KeywordsAdultChronic DiseaseCross-Sectional StudiesFemaleGender IdentityHumansMaleMental DisordersMiddle AgedUnited StatesVeteransConceptsPhysical health conditionsU.S. veteransHealth conditionsNational HealthAssaultive traumaPrevalence estimatesLifetime historyVeterans StudyMultivariable logistic regression analysisHigh blood pressureLifetime nicotine dependenceLogistic regression analysisNumerous health conditionsLower prevalence estimatesGender differencesCurrent alcohol useHigher prevalence estimatesBlood pressureMigraine headacheNicotine dependenceMale veteransHealth outcomesFemale veteransHeart attackAlcohol useMental and Physical Health Conditions in US Combat Veterans: Results From the National Health and Resilience in Veterans Study.
Thomas MM, Harpaz-Rotem I, Tsai J, Southwick SM, Pietrzak RH. Mental and Physical Health Conditions in US Combat Veterans: Results From the National Health and Resilience in Veterans Study. The Primary Care Companion For CNS Disorders 2017, 19 PMID: 28657698, DOI: 10.4088/pcc.17m02118.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsCardiovascular DiseasesCross-Sectional StudiesFemaleHealth StatusHumansMaleMental DisordersMental HealthMiddle AgedMigraine DisordersResilience, PsychologicalSex FactorsSocioeconomic FactorsSubstance-Related DisordersSuicideUnited StatesVeteransWar ExposureYoung AdultConceptsPhysical health conditionsPosttraumatic stress disorderOlder combat veteransCurrent posttraumatic stress disorderGreater oddsHealth conditionsChronic painHeart diseaseUS veteransNational HealthMigraine headacheCombat veteransSuicidal ideationVeterans StudyCurrent generalized anxiety disorderHeart attackVeterans Affairs Healthcare SystemLifetime posttraumatic stress disorderUS veteran populationElevated ratesPopulation-based burdenCurrent psychiatric disorderDrug use disordersMental health factorsGeneralized anxiety disorder
2014
Functional significance of a novel 7-factor model of DSM-5 PTSD symptoms: Results from the National Health and Resilience in Veterans Study
Pietrzak RH, Tsai J, Armour C, Mota N, Harpaz-Rotem I, Southwick SM. Functional significance of a novel 7-factor model of DSM-5 PTSD symptoms: Results from the National Health and Resilience in Veterans Study. Journal Of Affective Disorders 2014, 174: 522-526. PMID: 25556669, DOI: 10.1016/j.jad.2014.12.007.Peer-Reviewed Original ResearchConceptsQuality of lifePosttraumatic stress disorderDSM-5 PTSD symptomsPTSD symptomsNational HealthU.S. veteransSuicidal ideationVeterans StudySymptom clustersDysphoric arousal symptomsCross-sectional designFunctional outcomePsychiatric comorbidityClinical significancePTSD symptom clustersCurrent depressionDSM-5 PTSD symptom clustersPTSD phenotypeMental disordersSymptomsComorbid psychopathologyStress disorderFunctional correlatesStatistical ManualTreatment effortsA Latent Class Analysis of Pathological-Gambling Criteria Among High School Students
Kong G, Tsai J, Krishnan-Sarin S, Cavallo DA, Hoff RA, Steinberg MA, Rugle L, Potenza MN. A Latent Class Analysis of Pathological-Gambling Criteria Among High School Students. Journal Of Addiction Medicine 2014, 8: 421-430. PMID: 25275877, PMCID: PMC4667944, DOI: 10.1097/adm.0000000000000074.Peer-Reviewed Original ResearchTypologies of posttraumatic stress disorder in the U.S. adult population
Pietrzak RH, el-Gabalawy R, Tsai J, Sareen J, Neumeister A, Southwick SM. Typologies of posttraumatic stress disorder in the U.S. adult population. Journal Of Affective Disorders 2014, 162: 102-106. PMID: 24767013, DOI: 10.1016/j.jad.2014.03.024.Peer-Reviewed Original ResearchConceptsHealth-related qualityPosttraumatic stress disorderHigh symptom classU.S. adult populationTrauma-related characteristicsPsychiatric comorbidityLatent class analysisPoorer physical health-related qualityAdult populationSymptom classPhysical health-related qualityStress disorderGeneral U.S. adult populationTreatment of PTSDLogistic regression analysisDSM-IV criteriaBorderline personality disorderWorst traumatic eventMultinomial logistic regression analysisCross-sectional analysisClinical characteristicsPoor HRQoL.Nicotine dependenceHeterogeneous manifestationsSuicide attemptsHomeless and nonhomeless VA service users likely eligible for Medicaid expansion
Tsai J, Rosenheck RA. Homeless and nonhomeless VA service users likely eligible for Medicaid expansion. The Journal Of Rehabilitation Research And Development 2014, 51: 675-684. PMID: 25358031, DOI: 10.1682/jrrd.2013.10.0225.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedCross-Sectional StudiesDepressive Disorder, MajorDiagnosis, Dual (Psychiatry)Eligibility DeterminationFemaleHumansIll-Housed PersonsMaleMedicaidMiddle AgedPatient Protection and Affordable Care ActStress Disorders, Post-TraumaticSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVA service usersAffordable Care ActCare ActCross-system useSubstance use disordersMental health needsPosttraumatic stress disorderService usersFragmented careVA cliniciansVA usersPsychiatric needsUse disordersHealth needsMedicaid expansionStress disorderHousing statusAdministrative dataDisordersPatientsCliniciansMedicaidHomeless service usersCare
2013
When health insurance is not a factor: national comparison of homeless and nonhomeless US veterans who use Veterans Affairs Emergency Departments.
Tsai J, Doran KM, Rosenheck RA. When health insurance is not a factor: national comparison of homeless and nonhomeless US veterans who use Veterans Affairs Emergency Departments. American Journal Of Public Health 2013, 103 Suppl 2: s225-31. PMID: 24148061, PMCID: PMC3969129, DOI: 10.2105/ajph.2013.301307.Peer-Reviewed Original ResearchConceptsVeterans Affairs emergency departmentEmergency departmentED usersClinical characteristicsUse disordersNational integrated health care systemNational VA administrative dataIntegrated health care systemEmergency department usersDrug use disordersHealth insuranceVA administrative dataCross-sectional studyHomeless veteransSubstance abuse diagnosisAlcohol use disorderHealth care systemUS veteransMedical conditionsAbuse diagnosisPsychiatric diagnosisMultivariate analysisFiscal year 2010Outreach servicesMental health