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
Life meaning and mental health in post-9/11 veterans: the mediating role of perceived stress
Gnall K, Sacco S, Park C, Mazure C, Hoff R. Life meaning and mental health in post-9/11 veterans: the mediating role of perceived stress. Anxiety Stress & Coping 2022, 36: 743-756. PMID: 36542555, DOI: 10.1080/10615806.2022.2154341.Peer-Reviewed Original ResearchCorrection 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 thresholdInterpreting patient reports of perceived change during treatment for depression: Findings from the Veterans Outcome Assessment survey
Liebmann EP, Resnick SG, Hoff RA, Katz IR. Interpreting patient reports of perceived change during treatment for depression: Findings from the Veterans Outcome Assessment survey. Psychiatry Research 2022, 309: 114402. PMID: 35114571, DOI: 10.1016/j.psychres.2022.114402.Peer-Reviewed Original ResearchConceptsPatient Health Questionnaire-9Patient-reported outcome measuresVeterans Outcome Assessment surveyExperience of carePatient reportsRatings of communicationPatients' perceptionsGeneral mental health clinicsMental health comorbiditiesPHQ-9 scoresHealth Outcomes SurveyProblems/symptomsMental health clinicsAssessment surveyCurrent clinical stateHealth comorbiditiesQuestionnaire-9Depressive disorderHealth clinicsClinical stateClinical conditionsOutcome measuresOutcome SurveyDepressive symptomsLinear regression models
2021
Associations Between Justice Involvement and PTSD and Depressive Symptoms, Suicidal Ideation, and Suicide Attempt Among Post-9/11 Veterans
Holliday R, Hoffmire CA, Martin WB, Hoff RA, Monteith LL. Associations Between Justice Involvement and PTSD and Depressive Symptoms, Suicidal Ideation, and Suicide Attempt Among Post-9/11 Veterans. Psychological Trauma Theory Research Practice And Policy 2021, 13: 730-739. PMID: 34323570, PMCID: PMC8563447, DOI: 10.1037/tra0001038.Peer-Reviewed Original ResearchConceptsVHA mental health carePosttraumatic stress disorderMental health careLifetime suicide attemptsRecent suicidal ideationSuicidal ideationSuicide attemptsVHA careJustice-involved veteransDepressive symptomsPatient Health Questionnaire-8Suicide riskJustice involvementVeterans Health Administration (VHA) servicesSevere posttraumatic stress disorderColumbia-Suicide Severity Rating ScaleHealth careMental health servicesSeverity Rating ScalePost-9/11 veteransRecent usePsychiatric symptomsDepression symptomsFemale veteransHealth servicesRacial 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 programPerformance of the PHQ-9 across conditions and comorbidities: Findings from the Veterans Outcome Assessment survey
Katz IR, Liebmann EP, Resnick SG, Hoff RA. Performance of the PHQ-9 across conditions and comorbidities: Findings from the Veterans Outcome Assessment survey. Journal Of Affective Disorders 2021, 294: 864-867. PMID: 34378538, DOI: 10.1016/j.jad.2021.07.108.Peer-Reviewed Original ResearchConceptsPatient Health Questionnaire-9Patient-reported outcome measuresVeterans Outcome Assessment surveyRange of diagnosesPatient groupMajor depressionRate of responseGeneral mental health clinicsDSM-IV major depressionDisease-specific scalesMajor depressive disorderMost patient groupsMental health clinicsAssessment surveyQuestionnaire-9Depressive disorderHealth clinicsOutcome measuresComorbiditiesCriterion symptomsClinical diagnosisClinical settingRelated diagnosesPatientsDiagnosisA sex-stratified analysis of suicidal ideation correlates among deployed post-9/11 veterans: Results from the survey of experiences of returning veterans
Hoffmire CA, Monteith LL, Denneson LM, Holliday R, Park CL, Mazure CM, Hoff RA. A sex-stratified analysis of suicidal ideation correlates among deployed post-9/11 veterans: Results from the survey of experiences of returning veterans. Journal Of Affective Disorders 2021, 294: 824-830. PMID: 34375209, DOI: 10.1016/j.jad.2021.07.015.Peer-Reviewed Original ResearchAssociations 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 treatmentMeaningful military engagement among male and female post‐9/11 veterans: An examination of correlates and implications for resilience
Finkelstein‐Fox L, Sinnott SM, Lee SY, Carney LM, Park CL, Mazure CM, Hoff R. Meaningful military engagement among male and female post‐9/11 veterans: An examination of correlates and implications for resilience. Journal Of Clinical Psychology 2021, 77: 2167-2186. PMID: 33960411, DOI: 10.1002/jclp.23150.Peer-Reviewed Original ResearchPost‐9/11 military veterans' adjustment to civilian life over time following separation from service
Park CL, Sacco SJ, Finkelstein‐Fox L, Sinnott SM, Scoglio AAJ, Lee SY, Gnall KE, Mazure C, Shirk SD, Hoff RA, Kraus SW. Post‐9/11 military veterans' adjustment to civilian life over time following separation from service. Journal Of Clinical Psychology 2021, 77: 2077-2095. PMID: 33871869, DOI: 10.1002/jclp.23144.Peer-Reviewed Original ResearchInfluences 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 surveyClinicEvaluationFindingsPerceived 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