2023
Outcomes for treatment of depression in the Veterans Health Administration: Rates of response and remission calculated from clinical and survey data
Liebmann E, Resnick S, Hoff R, Katz I. Outcomes for treatment of depression in the Veterans Health Administration: Rates of response and remission calculated from clinical and survey data. Psychiatry Research 2023, 324: 115196. PMID: 37058792, DOI: 10.1016/j.psychres.2023.115196.Peer-Reviewed Original ResearchConceptsElectronic health recordsVeteran patient populationPatient populationRate of responseEHR dataInformation Set (HEDIS) quality measuresHealthcare Effectiveness DataPatient-reported outcomesPatient Health QuestionnaireTreatment of depressionVeterans Health AdministrationRoutine clinical assessmentPHQ-9 dataGroup of veteransClinical characteristicsVeteran patientsPatient outcomesClinical assessmentDepression responseHealth QuestionnaireHealth AdministrationEffectiveness dataOverall populationRemissionHealth recordsUnderstanding veteran barriers to specialty outpatient PTSD clinical care
Rozek D, Steigerwald V, Baker S, Gross G, Maieritsch K, Hoff R, Harpaz-Rotem I, Smith N. Understanding veteran barriers to specialty outpatient PTSD clinical care. Journal Of Anxiety Disorders 2023, 95: 102675. PMID: 36854224, DOI: 10.1016/j.janxdis.2023.102675.Peer-Reviewed Original ResearchConceptsSpecialty outpatient clinicsPosttraumatic stress disorderOutpatient clinicPTSD specialty clinicClinical characteristicsMale sexPTSD symptom severitySpecialty clinicWhite raceClinical careClinical concernTreatment engagementSymptom severityStress disorderClinicGreater likelihoodVeteransSignificant minorityTreatmentImpact of demographicsMulti-faceted barriersCareFiscal year 2019DemographicsNational sample
2022
Correction to Resnick and Hoff (2020)
Resnick SG, Hoff RA. Correction to Resnick and Hoff (2020). Psychological Services 2022, 19: 636-636. PMID: 34735196, DOI: 10.1037/ser0000566.Peer-Reviewed Original ResearchProgress toward a performance measure for mental health based on a generic patient- reported outcome measure: Findings from the Veterans Outcome Assessment survey
Katz IR, Liebmann EP, Resnick SG, Hoff RA, Schmidt EM. Progress toward a performance measure for mental health based on a generic patient- reported outcome measure: Findings from the Veterans Outcome Assessment survey. Psychiatry Research 2022, 317: 114797. PMID: 36030700, DOI: 10.1016/j.psychres.2022.114797.Peer-Reviewed Original ResearchConceptsPatient-reported outcome measuresVeterans Outcome Assessment surveyGeneric patient-reported outcome measuresMCS-12 scoresOutcome measuresGeneral mental health clinicsMental health-related qualityMental component scoreHealth-related qualityMental health diagnosesVeterans Affairs facilitiesMental health clinicsQuality of careStaffing levelsMental health systemAssessment surveyMCS-12Medical recordsHealth clinicsBaseline scoresSignificant associationCase-mix adjustment variablesHealth systemDiagnostic categoriesMental healthRisk for PTSD symptom worsening during new PTSD treatment episode in a nationally representative sample of treatment-seeking U.S. veterans with subthreshold PTSD
Gross GM, Pietrzak RH, Hoff RA, Katz IR, Harpaz-Rotem I. Risk for PTSD symptom worsening during new PTSD treatment episode in a nationally representative sample of treatment-seeking U.S. veterans with subthreshold PTSD. Journal Of Psychiatric Research 2022, 151: 304-310. PMID: 35526446, DOI: 10.1016/j.jpsychires.2022.04.040.Peer-Reviewed Original ResearchConceptsSymptom worseningRisk factorsSubthreshold PTSDPTSD symptom clustersSymptom clustersPTSD symptomsHealth care utilizationPTSD specialty clinicPoor treatment outcomesUnited States veteransBinary logistic regressionAdjusted analysisCare utilizationTreatment episodesRepresentative sampleSpecialty clinicSignificant symptomsTreatment outcomesSignificant worseningStates veteransSubthreshold symptomsEligible veteransNew episodesOutcome assessmentDiagnostic threshold
2021
Racial Disparities in Clinical Outcomes of Veterans Affairs Residential PTSD Treatment Between Black and White Veterans
Gross GM, Smith N, Holliday R, Rozek DC, Hoff R, Harpaz-Rotem I. Racial Disparities in Clinical Outcomes of Veterans Affairs Residential PTSD Treatment Between Black and White Veterans. Psychiatric Services 2021, 73: 126-132. PMID: 34369806, DOI: 10.1176/appi.ps.202000783.Peer-Reviewed Original ResearchConceptsResidential Rehabilitation Treatment ProgramPosttraumatic stress disorderWhite veteransRacial disparitiesClinical outcomesBlack veteransSymptoms of PTSDPoor clinical outcomeRehabilitation treatment programRecurrence 4 monthsPoor treatment outcomesMental health treatmentPublic health issuePTSD symptom reductionResidential PTSD treatmentMental health researchTreatment outcomesPrevalence ratesSymptom reductionHealth treatmentHealth outcomesPTSD treatmentDemographic dataSymptom changeTreatment programAssociations between patient experience and clinical outcomes in substance use disorder clinics: Findings from the veterans outcomes assessment survey
Liebmann EP, Resnick SG, Hoff RA, Katz IR. Associations between patient experience and clinical outcomes in substance use disorder clinics: Findings from the veterans outcomes assessment survey. Journal Of Substance Use And Addiction Treatment 2021, 133: 108505. PMID: 34148757, DOI: 10.1016/j.jsat.2021.108505.Peer-Reviewed Original ResearchConceptsVeterans Outcome Assessment surveyPatient experience measuresSUD careProvider communicationRoutine assessmentRatings of communicationBrief Addiction MonitorSubstance use disorder treatmentShort Form-12Patient-reported outcomesHealth Outcomes SurveyMeasurement-based careUse disorder treatmentExperience of careAssessment surveyTreatment discontinuationClinical outcomesTreatment initiationSpecialty careDisorders ClinicOutcome SurveyPatient reportsHighest possible ratingPatient experienceDisorder treatmentInfluences of religiousness/spirituality on mental and physical health in OEF/OIF/OND military veterans varies by sex and race/ethnicity
Park CL, Sacco SJ, Kraus SW, Mazure CM, Hoff RA. Influences of religiousness/spirituality on mental and physical health in OEF/OIF/OND military veterans varies by sex and race/ethnicity. Journal Of Psychiatric Research 2021, 138: 15-23. PMID: 33798785, DOI: 10.1016/j.jpsychires.2021.03.034.Peer-Reviewed Original Research
2020
Associations between patient experience and clinical outcomes in general mental health clinics: Findings from the veterans outcomes assessment survey
Katz IR, Resnick S, Hoff R. Associations between patient experience and clinical outcomes in general mental health clinics: Findings from the veterans outcomes assessment survey. Psychiatry Research 2020, 295: 113554. PMID: 33183768, DOI: 10.1016/j.psychres.2020.113554.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAmbulatory Care FacilitiesCommunicationFemaleHumansMaleMental HealthMental Health ServicesMiddle AgedOutcome Assessment, Health CarePatient Reported Outcome MeasuresPatient SatisfactionPhysician-Patient RelationsQuality of Health CareSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsGeneral mental health clinicsVeterans Outcome Assessment surveyMental health clinicsPatient experienceHealth clinicsAssessment of symptomsPatient-reported outcomesHealth Outcomes SurveyMeasurement-based careBetter patient experienceMental health careExperience of careMental health programsAssessment surveyClinical outcomesRatings of communicationFavorable outcomeTreatment outcomesPatient reportsOutcome SurveyEarly identificationHealth programsSignificant associationMental healthCareEarly discontinuation of pharmacotherapy in U.S. veterans diagnosed with PTSD and the role of psychotherapy
Duek O, Pietrzak RH, Petrakis I, Hoff R, Harpaz-Rotem I. Early discontinuation of pharmacotherapy in U.S. veterans diagnosed with PTSD and the role of psychotherapy. Journal Of Psychiatric Research 2020, 132: 167-173. PMID: 33126010, DOI: 10.1016/j.jpsychires.2020.10.005.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderRisk factorsEarly discontinuationMedication discontinuationPsychotropic medicationsPoor medication adherenceSimilar risk factorsStrong risk factorDeterminants of discontinuationKey risk factorsRole of psychotherapySingle medicationMedication adherenceMedication treatmentPsychiatric comorbidityAntipsychotic medicationPatient educationDiscontinuationOlder veteransMedicationsAdjunctive psychotherapyYounger veteransEarly interventionU.S. veteransVA treatmentA psychosocial mediational model of homelessness among U.S. male and female veterans who served in Iraq and Afghanistan
Spinola S, Hoff RA, Tsai J. A psychosocial mediational model of homelessness among U.S. male and female veterans who served in Iraq and Afghanistan. Health & Social Care In The Community 2020, 29: 453-463. PMID: 32662176, DOI: 10.1111/hsc.13106.Peer-Reviewed Original ResearchUsing patient-reported outcome measures for program evaluation: Design and findings on intention-to-treat outcomes from the Veterans Outcome Assessment survey
Katz IR, Resnick SG, Kasprow WJ, Boden MT, Cherkasova E, Fielstein EM, Trafton JA, Hoff RA. Using patient-reported outcome measures for program evaluation: Design and findings on intention-to-treat outcomes from the Veterans Outcome Assessment survey. Psychiatry Research 2020, 291: 113226. PMID: 32590230, DOI: 10.1016/j.psychres.2020.113226.Peer-Reviewed Original ResearchConceptsPatient-reported outcome measuresMeasurement-based careTreat outcomesOutcome measuresGeneral mental health clinicsOngoing mental health careVeterans Outcome Assessment surveyVeterans Health Administration patientsAssessment of patientsMental health clinicsMental health treatmentMental health careProgram evaluationOngoing treatmentHealth clinicsHealth treatmentPatientsHealth careCareOutcomesTreatmentAssessment surveyClinicEvaluationFindingsValidation of a Brief Pornography Screen across multiple samples
Kraus SW, Gola M, Grubbs JB, Kowalewska E, Hoff RA, Lew-Starowicz M, Martino S, Shirk SD, Potenza MN. Validation of a Brief Pornography Screen across multiple samples. Journal Of Behavioral Addictions 2020, 9: 259-271. PMID: 32644937, PMCID: PMC8939429, DOI: 10.1556/2006.2020.00038.Peer-Reviewed Original ResearchConceptsCompulsive sexual behavior disorderMale patientsU.S. representative sampleU.S. veteransBehavior disorderHigh internal consistencyReceiver Operating Characteristic (ROC) curveCharacteristic curveOne-factor solutionFactor structureOperating Characteristic curveFive-itemPolish adultsSexual behavior disorderInternal consistencyPsychometric propertiesRepresentative sampleDiscriminant validityProblematic pornography useScoresItem endorsementStudy 1PatientsIndependent samplesCurrent gapsPerceived Stress Mediates the Association between Deployment Sexual Trauma and Nicotine Dependence in Women Veterans
Gross GM, Colon R, Bastian LA, Hoff R. Perceived Stress Mediates the Association between Deployment Sexual Trauma and Nicotine Dependence in Women Veterans. Women's Health Issues 2020, 30: 214-220. PMID: 32317136, DOI: 10.1016/j.whi.2020.03.001.Peer-Reviewed Original ResearchConceptsNicotine dependenceWomen veteransSexual traumaBaseline interview dataRates of smokingCross-sectional associationsRelated health consequencesDeleterious health outcomesPerceived stressMilitary sexual traumaRisk factorsTobacco useHayes mediation modelHealth outcomesClinical targetsHealth consequencesTraumaVeteran sampleSmokingVeteransAssociationPresent studySurvey of experiencesCivilian counterpartsSignificant mediator
2012
Previous Use of Alcohol, Cigarettes, and Marijuana and Subsequent Abuse of Prescription Opioids in Young Adults
Fiellin LE, Tetrault JM, Becker WC, Fiellin DA, Hoff RA. Previous Use of Alcohol, Cigarettes, and Marijuana and Subsequent Abuse of Prescription Opioids in Young Adults. Journal Of Adolescent Health 2012, 52: 158-163. PMID: 23332479, PMCID: PMC3552239, DOI: 10.1016/j.jadohealth.2012.06.010.Peer-Reviewed Original ResearchConceptsPrescription opioidsPrevious marijuana usePrevious substance usePrevious alcoholMarijuana useSubsequent abuseYoung womenSubstance useYoung adulthoodCommunity-dwelling individualsLogistic regression analysisCurrent abusePrevious alcohol useClinical dataOpioidsDrug useSubstance abuseAlcohol useCigarettesPrevention effortsPrevious useYoung adultsYoung individualsYoung menYear olds
2010
Health advantage for black women: patterns in pre-menstrual dysphoric disorder
Pilver CE, Kasl S, Desai R, Levy BR. Health advantage for black women: patterns in pre-menstrual dysphoric disorder. Psychological Medicine 2010, 41: 1741-1750. PMID: 21108869, PMCID: PMC3404818, DOI: 10.1017/s0033291710002321.Peer-Reviewed Original ResearchConceptsPre-menstrual dysphoric disorderPre-menstrual symptomsWhite womenDysphoric disorderBlack womenHealth advantagesOral contraceptive useBody mass indexCollaborative Psychiatric Epidemiology SurveysDSM-IV criteriaLogistic regression modelingMultinomial logistic regression modelingPsychological risk factorsSmoking statusMass indexProvisional diagnosisRisk factorsContraceptive useMood disordersEpidemiology SurveysPsychiatric disordersWomen's healthRacial disparitiesSymptomsWomen
2009
A cross-sectional study of problem and pathological gambling in patients with schizophrenia/schizoaffective disorder.
Desai RA, Potenza MN. A cross-sectional study of problem and pathological gambling in patients with schizophrenia/schizoaffective disorder. The Journal Of Clinical Psychiatry 2009, 70: 1250-7. PMID: 19538900, PMCID: PMC3695825, DOI: 10.4088/jcp.08m04359.Peer-Reviewed Original ResearchConceptsSchizophrenia/schizoaffective disorderProblem/pathological gamblingSchizoaffective disorderPsychotic disordersPathological gamblingGreater alcohol use severityVA Connecticut Healthcare SystemConnecticut Mental Health CenterMental health care utilizationHealth care utilizationCross-sectional studyMental health centersHigher depression scoresLogistic regression modelsAlcohol use severityMultinomial logistic regression modelsAlcohol use problemsCare utilizationClinical correlatesOutpatient subjectsHealth centersMultivariable modelHigh riskImproved preventionDepression scoresRelationship of nicotine dependence, subsyndromal and pathological gambling, and other psychiatric disorders: data from the National Epidemiologic Survey on Alcohol and Related Conditions.
Grant JE, Desai RA, Potenza MN. Relationship of nicotine dependence, subsyndromal and pathological gambling, and other psychiatric disorders: data from the National Epidemiologic Survey on Alcohol and Related Conditions. The Journal Of Clinical Psychiatry 2009, 70: 334-43. PMID: 19254518, PMCID: PMC3691098, DOI: 10.4088/jcp.08m04211.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAlcoholismAnxiety DisordersBipolar DisorderComorbidityCross-Sectional StudiesDepressive Disorder, MajorFemaleGamblingHealth SurveysHumansMaleMental DisordersMiddle AgedPersonality DisordersPhobic DisordersRisk AssessmentSocioeconomic FactorsTobacco Use DisorderUnited StatesYoung AdultConceptsNicotine dependenceNational Epidemiologic SurveyPsychiatric disordersAxis IEpidemiologic SurveyRelated conditionsPathological gamblingPathological levelsCurrent nicotine dependenceMultiple Axis IMain outcome measuresDSM-IV nicotine dependenceNicotine-dependent subjectsMultiple psychiatric disordersProblem/pathological gamblingOutcome measuresElevated riskDependent respondentsDiagnostic criteriaSubsyndromal levelsSpecific preventionSignificant psychopathologySignificant nicotinePathological gambling severityDisorders
2008
Suicide among Discharged Psychiatric Inpatients in the Department of Veterans Affairs
Desai RA, Dausey D, Rosenheck RA. Suicide among Discharged Psychiatric Inpatients in the Department of Veterans Affairs. Military Medicine 2008, 173: 721-728. PMID: 18751586, DOI: 10.7205/milmed.173.8.721.Peer-Reviewed Original Research
2000
Cross‐system service use among psychiatric patients: Data from the Department of Veterans Affairs
Hoff R, Rosenheck R. Cross‐system service use among psychiatric patients: Data from the Department of Veterans Affairs. The Journal Of Behavioral Health Services & Research 2000, 27: 98-106. PMID: 10695244, DOI: 10.1007/bf02287807.Peer-Reviewed Original ResearchConceptsCross-system useNon-VA servicesPsychiatric patientsVA service-connected disabilityVeterans Affairs servicesMental health patientsService-connected disabilityMental health outpatientsHealth care systemSelf-reported useHealth patientsService useVA servicesVeterans AffairsPatientsCare systemVA utilizationDemographic informationSubstantial proportionTwo-week periodUtilization patternsDiagnosisMonthsWeeksVA