2022
Perceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study
Fischer IC, Tsai J, Harpaz-Rotem I, McCutcheon VE, Schulenberg SE, Pietrzak RH. Perceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2022, 31: 87-93. PMID: 36253289, DOI: 10.1016/j.jagp.2022.09.010.Peer-Reviewed Original ResearchMeSH KeywordsAgedDepressive Disorder, MajorHumansMental HealthStress Disorders, Post-TraumaticSuicidal IdeationSuicideVeteransConceptsMental disordersNational HealthU.S. veteransVeterans StudyHigher PILSubstance use disordersOlder U.S. veteransU.S. military veteransMajor depressiveSelf-report assessmentsLower oddsCurrent prevalenceUse disordersMost veteransSuicide attemptsMental healthGeneralized anxietySuicidalityDisordersMilitary veteransVeteransPosttraumatic stressHealthOddsRepresentative sampleErectile Dysfunction in a U.S. National Sample of Male Military Veterans
Way BM, Griffin KR, Kraus SW, Tsai J, Pietrzak RH. Erectile Dysfunction in a U.S. National Sample of Male Military Veterans. Military Medicine 2022, 188: 2837-2843. PMID: 35792506, DOI: 10.1093/milmed/usac187.Peer-Reviewed Original ResearchMeSH KeywordsDepressive Disorder, MajorErectile DysfunctionHumansMaleMilitary PersonnelStress Disorders, Post-TraumaticSuicidal IdeationVeteransConceptsProbable post-traumatic stress disorderMajor depressive disorderPhysical health conditionsWeighted lifetime prevalenceErectile dysfunctionMental health issuesHealth conditionsHealth burdenLifetime prevalenceSelf-report assessmentsOdds of MDDProbable PTSDU.S. veteransSuicidal ideationAnxiety disordersHealth issuesPrevalent sexual dysfunctionHigh blood pressureMental health burdenMale U.S. veteransMilitary veteransU.S. veteran populationMental health conditionsPost-traumatic stress disorderRepresentative sampleMental 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 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 ResearchMeSH KeywordsDepressive Disorder, MajorHumansMilitary PersonnelRisk FactorsStress Disorders, Post-TraumaticSuicidal IdeationSuicide, AttemptedVeteransConceptsMajor 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
Utilization of Electroconvulsive Therapy for Older Homeless Adults Covered by Medicare
Wilkinson ST, Rhee TG, Tsai J. Utilization of Electroconvulsive Therapy for Older Homeless Adults Covered by Medicare. Psychiatric Quarterly 2021, 92: 1825-1837. PMID: 34468909, DOI: 10.1007/s11126-021-09946-3.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedDepressive Disorder, MajorElectroconvulsive TherapyHumansIll-Housed PersonsInpatientsMedicareUnited StatesConceptsElectroconvulsive therapyOlder Medicare beneficiariesECT useMedicare beneficiariesOutpatient electroconvulsive therapyMajor depressive disorderLower odds ratioHomeless individualsOlder homeless adultsECT coursePsychiatric comorbidityUnadjusted ratesOutpatient settingDepressive disorderOdds ratioNon-homeless individualsHomeless patientsPsychosocial supportSociodemographic characteristicsSignificant covariatesOlder homeless individualsHomeless adultsTherapyLower ratesHomeless groupMental 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 ResearchMeSH KeywordsCOVID-19Depressive Disorder, MajorHumansMental HealthProspective StudiesSARS-CoV-2Suicidal IdeationVeteransConceptsStrong 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 StudyBarriers to the Implementation of Electroconvulsive Therapy (ECT): Results From a Nationwide Survey of ECT Practitioners
Wilkinson ST, Kitay BM, Harper A, Rhee TG, Sint K, Ghosh A, Lopez MO, Saenz S, Tsai J. Barriers to the Implementation of Electroconvulsive Therapy (ECT): Results From a Nationwide Survey of ECT Practitioners. Psychiatric Services 2021, 72: 752-757. PMID: 33971727, DOI: 10.1176/appi.ps.202000387.Peer-Reviewed Original ResearchMeSH KeywordsAgedDepressive Disorder, MajorElectroconvulsive TherapyHumansMedicareNew EnglandSurveys and QuestionnairesUnited StatesPsychological distress and alcohol use disorder during the COVID-19 era among middle- and low-income U.S. adults
Tsai J, Elbogen EB, Huang M, North CS, Pietrzak RH. Psychological distress and alcohol use disorder during the COVID-19 era among middle- and low-income U.S. adults. Journal Of Affective Disorders 2021, 288: 41-49. PMID: 33839557, PMCID: PMC9754659, DOI: 10.1016/j.jad.2021.03.085.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcoholismCOVID-19Depressive Disorder, MajorHumansPsychological DistressSARS-CoV-2ConceptsMajor depressive disorderAlcohol use disorderCOVID-19 infectionSuicidal ideationUse disordersPatient Health Questionnaire-2Generalized Anxiety Disorder-2Anxiety disordersHistory of AUDPopulation-based preventionPsychological distressCurrent alcohol use disorderCOVID-19 statusLow-income U.S. adultsMultivariable analysisU.S adultsDepressive disorderDisorder-2Psychiatric problemsYounger ageU.S. adultsPTSD ChecklistQuestionnaire-2Alcohol useTreatment effortsDispositional gratitude and mental health in the U.S. veteran population: Results from the National Health and Resilience Veterans Study
McGuire AP, Fogle BM, Tsai J, Southwick SM, Pietrzak RH. Dispositional gratitude and mental health in the U.S. veteran population: Results from the National Health and Resilience Veterans Study. Journal Of Psychiatric Research 2021, 135: 279-288. PMID: 33516080, DOI: 10.1016/j.jpsychires.2021.01.020.Peer-Reviewed Original ResearchMeSH KeywordsDepressive Disorder, MajorHumansMental HealthResilience, PsychologicalStress Disorders, Post-TraumaticSuicidal IdeationUnited StatesVeteransConceptsPosttraumatic stress disorderDispositional gratitudePositive mental health outcomesMental healthCurrent posttraumatic stress disorderMajor depressive disorderMental health outcomesU.S. veteransReligiosity/spiritualityPsychological resilienceHigh gratitudeSocial phobiaStress disorderLow gratitudePsychiatric morbidityPsychosocial variablesAnxiety disordersSocial supportPsychosocial factorsMilitary veteransGratitudeNicotine dependenceSuicidal ideationPopulation-based dataVeterans
2020
Longitudinal study of the housing and mental health outcomes of tenants appearing in eviction court
Tsai J, Jones N, Szymkowiak D, Rosenheck RA. Longitudinal study of the housing and mental health outcomes of tenants appearing in eviction court. Social Psychiatry And Psychiatric Epidemiology 2020, 56: 1679-1686. PMID: 32926182, DOI: 10.1007/s00127-020-01953-2.Peer-Reviewed Original ResearchMeSH KeywordsAdultDepressive Disorder, MajorHousingHumansIll-Housed PersonsLongitudinal StudiesOutcome Assessment, Health CareConceptsMental health outcomesHealth outcomesMental healthMajor depressive disorderMental health treatmentMental health symptomsGeneralized anxiety disorderPosttraumatic stress disorderMental health issuesHousing instabilityResultsAt baselineMethodsOne hundredDepressive disorderPsychosocial statusInverse probability weightingHealth treatmentHealth symptomsSuicidal ideationSizable subgroupStress disorderAnxiety disordersHealth issuesLongitudinal studyDisordersBaseline
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 itemsLatent typologies of DSM-5 PTSD symptoms in U.S. military veterans
Byrne SP, Harpaz-Rotem I, Tsai J, Southwick SM, Pietrzak RH. Latent typologies of DSM-5 PTSD symptoms in U.S. military veterans. Psychiatry Research 2018, 273: 266-273. PMID: 30658212, DOI: 10.1016/j.psychres.2018.12.094.Peer-Reviewed Original ResearchConceptsHigh symptom classPosttraumatic stress disorderSymptom classUse disordersLifetime historyDSM-5 PTSD symptomsPTSD symptomsLatent class analysisDrug use disordersNicotine use disorderDSM-5 posttraumatic stress disorderDSM-5 criteriaU.S. military veteransMajor depressiveCognitive impairmentU.S. veteransSymptomsPersonalized approachHigher symptomsStress disorderGeneralized anxietyMilitary veteransThree-class solutionDisordersVeterans
2014
Elucidating the transdiagnostic dimensional structure of trauma-related psychopathology: Findings from VA cooperative study 504 – risperidone treatment for military service related chronic post traumatic stress disorder
Pietrzak RH, Rosenheck RA, Cramer JA, Vessichio JC, Tsai J, Southwick SM, Krystal JH, Group F. Elucidating the transdiagnostic dimensional structure of trauma-related psychopathology: Findings from VA cooperative study 504 – risperidone treatment for military service related chronic post traumatic stress disorder. Journal Of Affective Disorders 2014, 172: 331-336. PMID: 25451434, DOI: 10.1016/j.jad.2014.10.025.Peer-Reviewed Original ResearchComparing four competing models of depressive symptomatology: A confirmatory factor analytic study of 986,647 U.S. veterans
Tsai J, Elhai JD, Pietrzak RH, Hoff RA, Harpaz-Rotem I. Comparing four competing models of depressive symptomatology: A confirmatory factor analytic study of 986,647 U.S. veterans. Journal Of Affective Disorders 2014, 165: 166-169. PMID: 24882195, DOI: 10.1016/j.jad.2014.04.075.Peer-Reviewed Original ResearchMeSH KeywordsAdultDepressive Disorder, MajorFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedModels, PsychologicalUnited StatesVeteransConceptsNon-somatic factorsU.S. veteransDepressive symptomsDepressive symptomatologyNon-veteran samplesSymptom-level dataMajor depressive symptomsMajor depression diagnosisMajor depression symptomsFeelings of worthlessnessAppetite changesPsychomotor agitationThoughts of deathDepression diagnosisMajor depressionSleep difficultiesClinical relevanceClinician-administered measuresCurrent diagnostic systemsDepression symptomsConcentration difficultiesSomatic factorsDepressed moodSymptomsVeteransHomeless 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
2009
Housing Preferences and Choices Among Adults with Mental Illness and Substance Use Disorders: A Qualitative Study
Tsai J, Bond GR, Salyers MP, Godfrey JL, Davis KE. Housing Preferences and Choices Among Adults with Mental Illness and Substance Use Disorders: A Qualitative Study. Community Mental Health Journal 2009, 46: 381-388. PMID: 19898935, PMCID: PMC2891397, DOI: 10.1007/s10597-009-9268-6.Peer-Reviewed Original ResearchMeSH KeywordsAdultBipolar DisorderCase ManagementChicagoChoice BehaviorDecision MakingDepressive Disorder, MajorDiagnosis, Dual (Psychiatry)FemaleGroup HomesHalfway HousesHealth Services AccessibilityHousingHumansIll-Housed PersonsIndependent LivingMaleMiddle AgedPatient PreferencePopulation DynamicsSchizophreniaSchizophrenic PsychologySubstance-Related DisordersConceptsSubstance use disordersUse disordersMental illnessCo-occurring substance use disordersSevere mental illnessMajority of clientsDual disordersProvider recommendationCurrent living situationsCommon barriersSupervised housingDisordersAdultsIllnessLiving situationsIndependent housingHousing instabilityQualitative studyHousing arrangements