2023
Gambling participation among Connecticut adolescents from 2007 to 2019: Potential risk and protective factors
Stefanovics E, Gueorguieva R, Zhai Z, Potenza M. Gambling participation among Connecticut adolescents from 2007 to 2019: Potential risk and protective factors. Journal Of Behavioral Addictions 2023, 12: 490-499. PMID: 37335777, PMCID: PMC10316163, DOI: 10.1556/2006.2023.00027.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdolescent BehaviorConnecticutCross-Sectional StudiesFemaleGamblingHumansMaleProtective FactorsRisk FactorsSubstance-Related DisordersConceptsPrevalence of gamblingGambling participationPatterns of gamblingSocial supportSocial support programsGambling advertisementsTraumatic experiencesMedia coverageState of ConnecticutSocio-demographic characteristicsAffective concernsSubstance useConnecticut high school studentsGamblingAdolescent gamblingAnonymous self-completed questionnairePotential risk factorsParticipationSupport programsPublic health concernSelf-completed questionnaireCurrent substance useSocio-demographic dataCross-sectional surveyWarrants further studyChronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences
Stefanovics E, Potenza M, Szymkowiak D, Tsai J. Chronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences. Journal Of Psychiatric Research 2023, 164: 118-124. PMID: 37339548, DOI: 10.1016/j.jpsychires.2023.05.062.Peer-Reviewed Original ResearchMeSH KeywordsGamblingHumansIll-Housed PersonsMaleMilitary PersonnelSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPsychiatric treatmentGambling disorderChi-square testChronic homelessnessClinical correlatesDescriptive epidemiologyLow educational attainmentElevated oddsSuicidal thoughtsLogistic regressionTraumatic experiencesMental healthSubstance useHomeless veteransHomeless ProgramVeteransTreatmentLower ratesEpidemiologyBehavioral concernsDisordersStudy of factorsCorrelatesAnalysis of varianceEducational attainment
2022
Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans
Stefanovics E, Potenza M, Tsai J, Pietrzak R. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans. Journal Of Gambling Studies 2022, 39: 1077-1097. PMID: 36378356, DOI: 10.1007/s10899-022-10165-z.Peer-Reviewed Original ResearchMeSH KeywordsGamblingHumansMalePrevalenceStress Disorders, Post-TraumaticSubstance-Related DisordersSuicidal IdeationVeteransConceptsCurrent psychiatric diagnosisU.S. military veteransUse disordersPsychiatric diagnosisMilitary veteransU.S. veteransDrug use disordersMental health treatmentSubstance use disordersChi-square testClinical characteristicsTrauma burdenNational HealthAdjusted associationsRoutine screeningClinical measuresRecreational gamblingCurrent prevalenceMale veteransHealth treatmentHigher household incomeSuicidal ideationVeterans StudyLogistic regressionExtensive involvementRates and correlates of dual diagnosis among adults with psychiatric and substance use disorders in a nationally representative U.S sample
Jegede O, Rhee TG, Stefanovics EA, Zhou B, Rosenheck RA. Rates and correlates of dual diagnosis among adults with psychiatric and substance use disorders in a nationally representative U.S sample. Psychiatry Research 2022, 315: 114720. PMID: 35834863, DOI: 10.1016/j.psychres.2022.114720.Peer-Reviewed Original ResearchMeSH KeywordsAdultBehavior, AddictiveChildComorbidityDiagnosis, Dual (Psychiatry)HumansIll-Housed PersonsMental DisordersQuality of LifeSubstance-Related DisordersConceptsSubstance use disordersDual diagnosisPsychiatric disordersIndependent correlatesUse disordersDrug use diagnosesService use characteristicsPoor mental HRQOLRelated Conditions Wave IIINational Epidemiologic SurveyRepresentative US sampleMental HRQOLSUD diagnosisUse diagnosesTreatment needsEpidemiologic SurveyWave IIIAdult traumaMedical problemsSuicide attemptsDiagnosisDisordersAdultsFurther studiesSocial supportWomen’s Use of Substance Use Disorder Treatment Services: Rates, Correlates, and Comparisons to Men
Falker CG, Stefanovics EA, Rhee TG, Rosenheck RA. Women’s Use of Substance Use Disorder Treatment Services: Rates, Correlates, and Comparisons to Men. Psychiatric Quarterly 2022, 93: 737-752. PMID: 35661318, DOI: 10.1007/s11126-022-09989-0.Peer-Reviewed Original ResearchMeSH KeywordsDiagnostic and Statistical Manual of Mental DisordersFemaleHumansMalePrevalenceSex FactorsSubstance-Related DisordersConceptsSubstance use disordersSUD treatmentSubstance use disorder treatment servicesDSM-5 SUD diagnosesSUD treatment useReceipt of treatmentPast-year treatmentDisorder treatment servicesTreatment receiptSUD diagnosisTreatment useService useUse disordersGender differencesTreatment servicesWomenSignificant gender differencesMenSignificant differencesTreatmentSpite of evidenceWomen's useReceiptCorrelatesLittle informationPersistence of significant pain interference following substance use disorder remission: Negative association with psychosocial and physical recovery
Manhapra A, Stefanovics EA, Rhee TG, Rosenheck RA. Persistence of significant pain interference following substance use disorder remission: Negative association with psychosocial and physical recovery. Drug And Alcohol Dependence 2022, 232: 109339. PMID: 35121202, DOI: 10.1016/j.drugalcdep.2022.109339.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttentionCross-Sectional StudiesHumansMental HealthPainSubstance-Related DisordersUnited StatesConceptsSubstance use disordersPast-year substance use disorderSevere pain interferencePain interferenceIndependent associationSUD remissionActive substance use disorderSignificant pain interferenceIndependent negative associationRelated Conditions Wave IIINegative associationPositive independent associationStrong negative associationUnited States adultsNational Epidemiologic SurveyPersistent painPhysical functionRemissionUS adultsUse disordersDisorder remissionEpidemiologic SurveyWave IIIClinical attentionStates adults“Lives of despair” at risk for “deaths of despair”: tracking an under-recognized, vulnerable population
Na PJ, Stefanovics EA, Rhee TG, Rosenheck RA. “Lives of despair” at risk for “deaths of despair”: tracking an under-recognized, vulnerable population. Social Psychiatry And Psychiatric Epidemiology 2022, 57: 1123-1134. PMID: 35028698, PMCID: PMC8757395, DOI: 10.1007/s00127-022-02218-w.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol-Related DisordersHumansQuality of LifeSubstance-Related DisordersSuicide, AttemptedVulnerable PopulationsConceptsSubstance use disordersLifetime substance use disorderDeaths of despairSuicide attemptsUS adultsMental health service utilizationMental health care servicesQuality mental health careHealth service utilizationRelated Conditions Wave IIIMental health treatmentMental health careNational Epidemiologic SurveyQuality of lifeMore psychosocial adversityHealth care servicesCharacteristics of adultsMultivariable analysisService utilizationPsychiatric disordersUse disordersEpidemiologic SurveyWave IIIHealth treatmentAdverse experiencesReligious Institutions as a Link to Substance use Treatment: Characterizing the Potential Service Population through National Survey Data
Heikkila HD, Edens EL, Stefanovics EA, Rhee TG, Rosenheck RA. Religious Institutions as a Link to Substance use Treatment: Characterizing the Potential Service Population through National Survey Data. Substance Use & Addiction Journal 2022, 43: 699-707. PMID: 35099366, DOI: 10.1080/08897077.2021.2007510.Peer-Reviewed Original ResearchConceptsSubstance use disordersDrug use disordersSUD treatmentUse disordersLife scoresUse diagnosesPast-year substance use disorderRepresentative cross-sectional surveyDrug use diagnosesSuch service useQuarter of adultsSubstance use diagnosesNational Epidemiologic SurveyRelated Conditions-IIISubstance use treatmentCross-sectional surveyCharacteristics of adultsProportion of adultsUse of servicesCurrent alcoholMultinomial logistic regressionEpidemiologic SurveyService useAfrican American groupSocio-demographic disadvantage
2021
A population‐wide perspective on the reach of substance use disorders: Parental exposure, diagnostic remission, and current disorders
Na PJ, Stefanovics EA, Rhee TG, Rosenheck RA. A population‐wide perspective on the reach of substance use disorders: Parental exposure, diagnostic remission, and current disorders. American Journal On Addictions 2021, 31: 69-79. PMID: 34921471, DOI: 10.1111/ajad.13246.Peer-Reviewed Original ResearchMeSH KeywordsAdultChildComorbidityHealth StatusHumansParentsQuality of LifeSubstance-Related DisordersUnited StatesConceptsCurrent substance use disorderSubstance use disordersParental substance use disordersCurrent disorderUse disordersDiagnostic remissionUS populationChildhood adversityMultivariable-adjusted logistic regressionMental health-related qualityPoorer mental health-related qualityLifetime substance use disorderHealth-related qualityPopulation-based estimatesRelated Conditions Wave IIIUS adult populationNational Epidemiologic SurveyPublic health impactPsychiatric comorbidityFunctional impairmentPsychiatric disordersEpidemiologic SurveyWave IIIUnaffected groupPsychiatric multimorbidityDiagnostic remission of substance use disorders: Racial differences and correlates of remission in a nationally representative sample
Bommersbach TJ, Jegede O, Stefanovics EA, Rhee TG, Rosenheck RA. Diagnostic remission of substance use disorders: Racial differences and correlates of remission in a nationally representative sample. Journal Of Substance Use And Addiction Treatment 2021, 136: 108659. PMID: 34785084, DOI: 10.1016/j.jsat.2021.108659.Peer-Reviewed Original ResearchAdultAlcoholismAlcohol-Related DisordersEthnicityHispanic or LatinoHumansRace FactorsSubstance-Related DisordersUnited StatesTreatment of substance use disorders among black and white adults: rates, correlates, and racial discrimination
Bommersbach TJ, Jegede O, Na PJ, Stefanovics EA, Rhee TG, Rosenheck RA. Treatment of substance use disorders among black and white adults: rates, correlates, and racial discrimination. Journal Of Addictive Diseases 2021, 40: 345-356. PMID: 34747323, DOI: 10.1080/10550887.2021.1997038.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol-Related DisordersHumansRacial GroupsRacismSubstance-Related DisordersUnited StatesConceptsTreatment receiptPast-year SUDCriminal justice involvementSUD treatmentWhite individualsWhite adultsMultivariate analysisBlack individualsIndependent differentiating factorsSubstance use disorder treatmentUse disorder treatmentSubstance use disordersNational Epidemiologic SurveyRelated Conditions-IIILow social supportJustice involvementClinical correlatesRacial groupsPsychiatric disordersPsychiatric treatmentUse disordersEpidemiologic SurveyDisorder treatmentBivariate analysisSociodemographic disadvantageWho Uses Veterans Mental Health Services?
Manhapra A, Stefanovics EA, Rhee TG, Rosenheck RA. Who Uses Veterans Mental Health Services? The Journal Of Nervous And Mental Disease 2021, 209: 702-709. PMID: 33993183, DOI: 10.1097/nmd.0000000000001369.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationPosttraumatic stress disorderHealth service usersMH service usersSubstance use disorder diagnosisClinical practice guidelinesMental health servicesMental health service usersClinical characteristicsMedicaid insurancePain interferenceService usersBlack raceSimilar prevalenceMental health researchMH researchPractice guidelinesGreater prevalenceHealth AdministrationHealth servicesPTSD diagnosisRacial distributionMH statusStress disorderDisorder diagnosisPsychiatric and Substance Use Disorders and Related Service Use in the Diverse Black Sub-Populations in the United States
Jegede O, Na PJ, Rhee TG, Stefanovics EA, Rosenheck RA. Psychiatric and Substance Use Disorders and Related Service Use in the Diverse Black Sub-Populations in the United States. Journal Of Racial And Ethnic Health Disparities 2021, 9: 2237-2247. PMID: 34590245, DOI: 10.1007/s40615-021-01163-9.Peer-Reviewed Original ResearchMeSH KeywordsBlack or African AmericanBlack PeopleChildEmigrants and ImmigrantsHumansQuality of LifeSubstance-Related DisordersUnited StatesConceptsRelated service useSubstance use diagnosesSubstance use disordersService useUse diagnosesUse disordersRelated Conditions Wave IIILogistic regression analysisNational Epidemiologic SurveyDiverse black populationsAfrican AmericansMultinomial logistic regression analysisBlack/African AmericanBlack populationClinical characteristicsMethodsThe dataWave IIIEpidemiologic SurveyMeasures of qualityMental healthPhysical healthReference groupSubstance useGroup differencesBlack individualsLifetime risk and correlates of incarceration in a nationally representative sample of U.S. adults with non-substance-related mental illness
Nakic M, Stefanovics EA, Rhee TG, Rosenheck RA. Lifetime risk and correlates of incarceration in a nationally representative sample of U.S. adults with non-substance-related mental illness. Social Psychiatry And Psychiatric Epidemiology 2021, 57: 1839-1847. PMID: 34453553, DOI: 10.1007/s00127-021-02158-x.Peer-Reviewed Original ResearchConceptsBehavioral risk factorsSubstance use disordersDSM-5 disordersMental illnessRisk factorsPsychiatric disordersUse disordersLifetime historyCorrelates of incarcerationMethodsNationally representative dataLogistic regression analysisNational Epidemiologic SurveyRelated Conditions-IIIBorderline personality disorderAntisocial personality disorderProportion of respondentsResultsAmong adultsIndependent associationLifetime riskUS adultsDual diagnosisEpidemiologic SurveyDiagnostic groupsIllnessU.S. adultsComparison of Black and white individuals who report diagnoses of schizophrenia in a national sample of US adults: Discrimination and service use
Bommersbach TJ, Rhee TG, Stefanovics EA, Rosenheck RA. Comparison of Black and white individuals who report diagnoses of schizophrenia in a national sample of US adults: Discrimination and service use. Schizophrenia Research 2021, 253: 22-29. PMID: 34088549, DOI: 10.1016/j.schres.2021.05.017.Peer-Reviewed Original ResearchMeSH KeywordsAdultBlack or African AmericanHumansPerceived DiscriminationQuality of LifeSchizophreniaSocial Determinants of HealthSubstance-Related DisordersUnited StatesWhiteConceptsRepresentative survey dataExperiences of discriminationReligious service attendanceRecognition of disparitiesSocial assetsComparison of BlackSocial disadvantageService attendanceJob discriminationBlack AmericansViolent behaviorRepresentative U.S. sampleSurvey dataEducational attainmentSystem discriminationSocial supportNational sampleService useDiscrimination ScaleU.S. sampleWhite adultsBlacksDiscriminationBlack individualsIncarcerationLong-term impact of the U.S. Armed forces Zero-Tolerance drug policy on female veterans
Stefanovics EA, Rhee TG, Rosenheck RA. Long-term impact of the U.S. Armed forces Zero-Tolerance drug policy on female veterans. Journal Of Addictive Diseases 2021, 40: 26-34. PMID: 33988491, DOI: 10.1080/10550887.2021.1922049.Peer-Reviewed Original ResearchConceptsSubstance use disordersUse disordersSubstance useMultivariate interaction analysisSubstance use diagnosesAlcohol use disorderIllicit substance useLong-term effectsUse diagnosesPsychiatric disordersPsychiatric diagnosisFemale veteransYounger groupOlder groupCohortDisordersU.S. Armed ForcesVeteransVeteran statusNational survey dataDiagnosisWomenSignificant changesAge cohortsLong-term impact
2020
Estimated Proportions and Characteristics of National Survey Respondents Reporting New Diagnoses of Schizophrenia or Other Psychoses in the Past Year as Compared With Prior Years.
Bommersbach T, Rhee TG, Stefanovics E, Rosenheck R. Estimated Proportions and Characteristics of National Survey Respondents Reporting New Diagnoses of Schizophrenia or Other Psychoses in the Past Year as Compared With Prior Years. The Journal Of Nervous And Mental Disease 2020, 209: 65-70. PMID: 33141782, DOI: 10.1097/nmd.0000000000001259.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcoholismComorbidityCross-Sectional StudiesFemaleHumansMalePsychotic DisordersSchizophreniaSubstance-Related DisordersSurveys and QuestionnairesUnited StatesConceptsSubstance use disordersUse disordersEarly psychosisPast-year substance use disorderInfrequency of casesFirst-time diagnosisFirst-episode psychosisPopulation-based estimatesNational Epidemiologic SurveyAlcohol use disorderRelated Conditions-IIINational survey respondentsMean ageEpidemiologic dataGeneral populationNew diagnosisEpidemiologic SurveyOlder populationPrevious yearPsychosisSchizophreniaPast yearDiagnosisDisordersSimilar elevations
2019
Adverse Consequences of Co-Occurring Opioid Use Disorder and Cannabis Use Disorder Compared to Opioid Use Disorder Only
De Aquino JP, Sofuoglu M, Stefanovics E, Rosenheck R. Adverse Consequences of Co-Occurring Opioid Use Disorder and Cannabis Use Disorder Compared to Opioid Use Disorder Only. The American Journal Of Drug And Alcohol Abuse 2019, 45: 527-537. PMID: 31112429, DOI: 10.1080/00952990.2019.1607363.Peer-Reviewed Original ResearchConceptsDrug use disordersOpioid use disorderUse disordersOpioid prescriptionsCo-occurring opioid use disordersNational Veterans Health Administration dataVeterans Health Administration dataCo-occurring opioidEmergency department visitsHealth Administration dataInpatient psychiatric admissionCannabis use disorderOpioid prescribingClinical characteristicsED visitsDepartment visitsInpatient admissionsPsychiatric admissionsFiscal year 2012Lower riskPatientsBivariate analysisAdministration dataDisordersHigher likelihoodPrevalence and multi-morbid correlates of homelessness among veterans with HIV infection nationally in the veterans health administration
Stefanovics EA, Rosenheck RA. Prevalence and multi-morbid correlates of homelessness among veterans with HIV infection nationally in the veterans health administration. Psychology Health & Medicine 2019, 24: 1123-1136. PMID: 30900465, DOI: 10.1080/13548506.2019.1595680.Peer-Reviewed Original ResearchConceptsRisk factorsNational VHA administrative dataVeterans Health Administration (VHA) servicesVHA administrative dataVeterans Health AdministrationHIV-positive veteransPreventive psychosocial interventionsHIV-positive usersHIV diagnosisHIV infectionUnadjusted riskFiscal year 2012Independent riskHigh riskHIVPsychosocial interventionsHealth AdministrationSubstantial riskIndependent effectsVeteransRiskAdministrative dataRisk of homelessnessCorrelatesInfection
2018
Polysubstance Use Among Veterans in Intensive PTSD Programs: Association With Symptoms and Outcomes Following Treatment
Bhalla IP, Stefanovics EA, Rosenheck RA. Polysubstance Use Among Veterans in Intensive PTSD Programs: Association With Symptoms and Outcomes Following Treatment. Journal Of Dual Diagnosis 2018, 15: 36-45. PMID: 30444189, DOI: 10.1080/15504263.2018.1535150.Peer-Reviewed Original ResearchMeSH KeywordsHumansSeverity of Illness IndexStress Disorders, Post-TraumaticSubstance-Related DisordersTreatment OutcomeVeteransConceptsPolysubstance useTotal daysSubstance usePTSD symptomsInnovative trial designsAddictive substancesPolysubstance use disorderMore total daysSevere PTSD symptomsBaseline characteristicsSuch patientsPTSD symptom severitySevere symptomsUse disordersDual diagnosisTrial designDifferent addictive substancesDisorders ProgramPosttraumatic Stress Disorder (CR for PTSD) programPatientsComplex interventionsSimilar associationBivariate analysisPTSD programSymptom severity