Georgina Gross, PhD
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Featured Publications
Clinical significance of novel 8-factor model of DSM-5 PTSD in national VA PTSD residential treatment data: Internally- v. externally-cued intrusions
Gross G, Spiller T, Duek O, Pietrzak R, Harpaz-Rotem I. Clinical significance of novel 8-factor model of DSM-5 PTSD in national VA PTSD residential treatment data: Internally- v. externally-cued intrusions. Journal Of Affective Disorders 2023, 328: 255-260. PMID: 36806596, DOI: 10.1016/j.jad.2023.02.046.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPTSD symptomsDysphoric arousalDSM-5 posttraumatic stress disorderDSM-5 PTSD symptomsDistinct underlying processesSelf-report measuresGeneralized anxiety symptomsSuperior model fitPhysical health functioningCore defining featuresStructural equation modelingWorse emotional functioningAnxious arousalSymptoms of depressionNegative affectIntrusion symptomsGreater avoidanceEmotional functioningStress disorderAnxiety symptomsPTSD ChecklistIntrusion factorCross-sectional designGeneralized anxiety“We’ve Been Here All Along:” The Collective Resilience of Transgender and Gender Diverse U.S. Service Members
Eleazer J, Marchant L, Kizewski A, Gross G, Warren A, McCubbin L, Lab T. “We’ve Been Here All Along:” The Collective Resilience of Transgender and Gender Diverse U.S. Service Members. Psychological Services 2023, 20: 382-396. PMID: 36355662, DOI: 10.1037/ser0000721.Peer-Reviewed Original ResearchConceptsExperiences of oppressionIdentity-based violenceParticipatory research designGender diverse peopleMilitary serviceMilitary policyGender identityResilience factorsCollective resilienceDiverse peopleMinority stressorsOppressionSuperordinate themesTransgenderIntersubjective factorsService membersSurvival strategiesUnited StatesSocial rejectionResilienceMilitary-specific stressorsResearch designTroopsExperienceViolence
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
Clinical Outcomes of Veterans Affairs Residential PTSD Treatment for PTSD and Depressive Symptoms: 1-Year Follow-Up Outcomes and Gender Differences
Gross G, Spiller T, Carretta R, Sippel L, Smith N, Harpaz-Rotem I. Clinical Outcomes of Veterans Affairs Residential PTSD Treatment for PTSD and Depressive Symptoms: 1-Year Follow-Up Outcomes and Gender Differences. Psychological Trauma Theory Research Practice And Policy 2023, 15: 1406-1415. PMID: 37199985, DOI: 10.1037/tra0001494.Peer-Reviewed Original ResearchPosttraumatic stress disorderResidential Rehabilitation Treatment ProgramDepressive symptomsWomen veteransTime pointsTreatment gainsRehabilitation treatment programResidential treatmentDepressive symptom severityGreater symptom reductionFirst national investigationLong-term effectivenessResidential PTSD treatmentClinical outcomesYear postdischargeUp OutcomesSymptom reductionPTSD treatmentSymptom changeSymptom severitySymptomsTreatment programStress disorderPTSD symptomsLinear mixed modelsMilitary Sexual Trauma and its Association with Mental Health Among Sexual Minority and Heterosexual Veterans in the United States
Webermann A, Merians A, Gross G, Portnoy G, Rosen M, Pietrzak R. Military Sexual Trauma and its Association with Mental Health Among Sexual Minority and Heterosexual Veterans in the United States. LGBT Health 2023, 10: s61-s69. PMID: 37754922, DOI: 10.1089/lgbt.2023.0074.Peer-Reviewed Original ResearchConceptsMental health symptomsMilitary sexual traumaHealth symptomsHeterosexual veteransCurrent drug use disordersCurrent mental health symptomsCurrent posttraumatic stress disorderMultivariable logistic regressionDrug use disordersPrevalence of MSTMilitary characteristicsSexual traumaPosttraumatic stress disorderRepresentative web-based surveyHigh prevalenceUse disordersU.S. veteransWeb-based surveySociodemographic characteristicsSymptomsBivariate analysisLogistic regressionStress disorderMental healthPrevalenceIntimate Partner Violence Among Lesbian, Gay, and Bisexual Veterans
Warren A, Relyea M, Gross G, Eleazer J, Goulet J, Brandt C, Haskell S, Portnoy G. Intimate Partner Violence Among Lesbian, Gay, and Bisexual Veterans. Psychological Services 2023 PMID: 37602982, PMCID: PMC10879444, DOI: 10.1037/ser0000797.Peer-Reviewed Original Research“The VA Was the First Place as a Trainee That I Felt Like I Had to Hide Many Parts of Myself”: Lived Experiences and Recommendations for Empowering Transgender, Nonbinary, and Gender Expansive VA Psychology Supervisors and Supervisees
Hashtpari H, Privat J, Vallario M, Gross G, Kishore S, Prelli F, Eleazer J. “The VA Was the First Place as a Trainee That I Felt Like I Had to Hide Many Parts of Myself”: Lived Experiences and Recommendations for Empowering Transgender, Nonbinary, and Gender Expansive VA Psychology Supervisors and Supervisees. Psychological Services 2023, 20: 239-247. PMID: 36892915, DOI: 10.1037/ser0000748.Peer-Reviewed Original ResearchConceptsPsychology training programsPsychology traineesAmerican Psychological AssociationTraining programVA health care settingPsychological AssociationPostdoctoral levelsTraining directorsSuperviseesSupervision modelSupervisorsUnique needsGender identityTraining opportunitiesClinical supervision modelExperiences of transgenderHealth care settingsTraineesExperienceGender expressionProfessional experienceLived experiencePsychologyTransgenderTraining networkComparative 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 dataRacial and ethnic mental health disparities in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study
Merians A, Gross G, Spoont M, Bellamy C, Harpaz-Rotem I, Pietrzak R. Racial and ethnic mental health disparities in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study. Journal Of Psychiatric Research 2023, 161: 71-76. PMID: 36905842, DOI: 10.1016/j.jpsychires.2023.03.005.Peer-Reviewed Original ResearchConceptsPsychiatric disordersWhite veteransNational HealthHispanic veteransMilitary veteransBlack veteransVeterans StudyLifetime major depressive disorderLifetime posttraumatic stress disorderHigh-risk subgroupsPopulation-based studyCurrent psychiatric disorderDrug use disordersMajor depressive disorderCommon psychiatric disordersEthnic differencesPopulation-based sampleCertain psychiatric disordersPopulation-based researchLower household incomeCurrent suicidal ideationPosttraumatic stress disorderRace/ethnicityU.S. military veteransMental health disparitiesThe Functional Significance of a Novel Conceptualization of Intrusion Symptoms of PTSD
Spiller T, Gross G, Duek O, Pietrzak R, Harpaz-Rotem I. The Functional Significance of a Novel Conceptualization of Intrusion Symptoms of PTSD. European Psychiatry 2023, 66: s476-s477. PMCID: PMC10434546, DOI: 10.1192/j.eurpsy.2023.1020.Peer-Reviewed Original ResearchPosttraumatic stress disorderIntrusion symptomsResidential treatment programEmotional functioningFactors of PTSDSymptoms of PTSDSymptom clustersDistinct underlying processesDisclosure of interestSelf-report formCore defining featuresStructural equation modellingPhysical functioningGood model fitStress disorderPTSD ChecklistIntrusion factorCorresponding subscalesPreliminary empirical evidenceInitial supportDSM-5Equation modellingTreatment programSuperior fitBiological underpinnings
Links & Media
News
- March 08, 2023Source: Journal of Psychiatric Research
Racial and Ethnic Mental Health Disparities in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study
- August 16, 2022Source: Psychological Medicine
Comparative effectiveness of group v. individual trauma-focused treatment for posttraumatic stress disorder in veterans
- August 17, 2020
New Study by Yale Psychiatry Researchers Identifies How to Better Screen for Perpetrators of Intimate Partner Violence