2024
Unraveling PTSD: Symptom Cluster Change During and 1 Year After Veterans’ Residential PTSD Treatment
Gross G, Spiller T, Ben-Zion Z, Rubenstein A, Pietrzak R, Duek O, Hoff R, Harpaz-Rotem I. Unraveling PTSD: Symptom Cluster Change During and 1 Year After Veterans’ Residential PTSD Treatment. Psychological Trauma Theory Research Practice And Policy 2024 PMID: 38990694, DOI: 10.1037/tra0001734.Peer-Reviewed Original ResearchPosttraumatic stress disorderPosttraumatic stress disorder symptom clustersPosttraumatic stress disorder clustersSymptom clustersIntrusive symptomsResidential treatmentTreatment of posttraumatic stress disorderPosttraumatic stress disorder symptomsResidential PTSD treatmentPTSD symptom clustersNovel treatment interventionsDifferential treatment responseReduce symptom severityDifferential patterns of changeAvoidance symptomsPTSD treatmentTreatment gainsStress disorderVeterans AffairsSymptom severityCluster CTreatment interventionsCluster BIndividual symptomsCohort of veterans
2023
Comparative effectiveness of evidence-based psychotherapies for PTSD delivered in VA residential PTSD treatment
Sippel L, Gross G, Spiller T, Duek O, Smith N, Hoff R, Harpaz-Rotem I. Comparative effectiveness of evidence-based psychotherapies for PTSD delivered in VA residential PTSD treatment. Psychological Medicine 2023, 53: 6859-6866. PMID: 36971021, DOI: 10.1017/s0033291723000375.Peer-Reviewed Original ResearchResidential Rehabilitation Treatment ProgramPosttraumatic stress disorderCognitive processing therapyComparative effectivenessProlonged exposureFirst-line treatmentSevere posttraumatic stress disorderRehabilitation treatment programSelf-reported posttraumatic stress disorderDepressive symptom outcomesDepressive symptom severityEvidence-based psychotherapiesElectronic medical recordsResidential PTSD treatmentSymptomatic patientsComorbid conditionsMedical recordsPE groupSymptom outcomesIndividual cognitive processing therapyDepressive symptomsPTSD treatmentSymptom severityTreatment programProgram evaluation dataUnderstanding 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
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 programPost‐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 Research
2020
Early 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 treatment
2018
A review of research on smoking among United States Veterans with posttraumatic stress disorder (2006–2016)
Lee C, Shpigel D, Segal K, Esan H, Estey D, Hunt M, Hoff R, Weinberger A. A review of research on smoking among United States Veterans with posttraumatic stress disorder (2006–2016). Military Psychology 2018, 30: 10-26. DOI: 10.1080/08995605.2017.1419020.Peer-Reviewed Original ResearchPosttraumatic stress disorderU.S. veteransSmoking behaviorStress disorderPTSD symptomsLate-onset smokingRates of smokingHigh smoking prevalenceCommon psychiatric disordersSmoking-related behaviorsUnited States veteransGeneral U.S. populationHeavy smokingSmoking prevalenceFavorable outcomePTSD clinicInclusion criteriaStates veteransTreatment needsNicotine dependencePsychiatric disordersSmokingCombat exposurePsycINFO searchesU.S. population