2023
Military 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 healthPrevalenceRacial 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 disparitiesUnderstanding 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 sampleThe Effect of Military Sexual Trauma on Competitive Employment Status Following Veterans Health Administration Supported Employment Services
Gross GM, Kaczynski R, Resnick S. The Effect of Military Sexual Trauma on Competitive Employment Status Following Veterans Health Administration Supported Employment Services. Psychological Services 2023, 20: 196-201. PMID: 35225642, DOI: 10.1037/ser0000635.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaVeterans Health AdministrationHigh-risk groupEffects of MSTMental health treatmentSexual traumaCompetitive employmentElectronic health recordsMST screenMedical comorbiditiesAdjusted analysisPsychiatric comorbiditySupported Employment ServicesMedical recordsTrauma-informed careMST historyHealth treatmentHealth AdministrationHealth recordsCompetitive employment outcomesLower likelihoodTreatment planningComorbiditiesVeteransTrauma
2022
Treatment utilization and modality preference among veterans receiving outpatient substance use disorder treatment during a pandemic
Meshberg‐Cohen S, Farook M, Gross G, Levina V, DeViva J. Treatment utilization and modality preference among veterans receiving outpatient substance use disorder treatment during a pandemic. American Journal On Addictions 2022, 32: 32-39. PMID: 36286598, DOI: 10.1111/ajad.13347.Peer-Reviewed Original ResearchConceptsAlcohol use disorderTreatment modalitiesUse disordersClinical variablesCOVID-19Outpatient substance use disorder treatmentElectronic medical record dataSubstance use disorder treatmentTreatment utilization patternsMain treatment modalityRetrospective electronic medical record dataEmergency room visitsOpioid use disorderPsychiatric emergency room visitsMedical record dataUse disorder treatmentUtilization patternsCocaine use disorderBinary logistic regressionRoom visitsSUD diagnosisTelephone appointmentsTreatment utilizationChi-square analysisNumber of visitsComparative effectiveness of group v. individual trauma-focused treatment for posttraumatic stress disorder in veterans
Spiller TR, Duek O, Buta E, Gross G, Smith NB, Harpaz-Rotem I. Comparative effectiveness of group v. individual trauma-focused treatment for posttraumatic stress disorder in veterans. Psychological Medicine 2022, 53: 4561-4568. PMID: 35959560, PMCID: PMC10388318, DOI: 10.1017/s0033291722001441.Peer-Reviewed Original ResearchConceptsGroup cognitive processing therapyCognitive processing therapyPosttraumatic stress disorderIndividual cognitive processing therapyPTSD symptom severitySymptom severityStress disorderReal-world effectivenessComparative effectiveness studiesResidential treatmentEffective treatmentComparative effectivenessVeterans AffairsEffectiveness studiesPTSD ChecklistPTSD severityGroup therapySeverityVeteransTreatmentDSM-5Group V.TherapyDisordersSmall reductionRisk 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
Binge drinking following residential treatment for posttraumatic stress disorder among veterans with and without alcohol use disorder
Meshberg-Cohen S, Gross GM, Kachadourian LK, Harpaz-Rotem I. Binge drinking following residential treatment for posttraumatic stress disorder among veterans with and without alcohol use disorder. Journal Of Psychiatric Research 2021, 143: 202-208. PMID: 34500350, DOI: 10.1016/j.jpsychires.2021.09.024.Peer-Reviewed Original ResearchMeSH KeywordsAlcoholismBinge DrinkingHumansResidential TreatmentStress Disorders, Post-TraumaticVeteransConceptsPosttraumatic stress disorderMilitary sexual traumaAlcohol use disorderPTSD symptom improvementResidential treatmentBinge drinkingStress disorderPTSD symptom changeResidential PTSD treatmentPTSD symptom decreaseUse disordersBinge drinking daysAlcohol-related variablesPTSD treatmentTrauma typesSexual traumaProblematic drinkingCombat exposureDrinking outcomesSymptom changeGreater likelihoodSymptom improvementBingeSymptom decreaseAlcohol useRacial 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 program
2020
Perceived 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 mediatorSex Differences in Associations Between Depression and Posttraumatic Stress Disorder Symptoms and Tobacco Use Among Veterans of Recent Conflicts
Gross GM, Bastian LA, Smith NB, Harpaz-Rotem I, Hoff R. Sex Differences in Associations Between Depression and Posttraumatic Stress Disorder Symptoms and Tobacco Use Among Veterans of Recent Conflicts. Journal Of Women's Health 2020, 29: 677-685. PMID: 31934813, DOI: 10.1089/jwh.2019.8082.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderTobacco usePTSD symptomsFemale veteransSex differencesAssociation of depressionTobacco use cessationBaseline interview dataCross-sectional associationsMental health conditionsLogistic regression modelsPosttraumatic stress disorder (PTSD) symptomsBinary logistic regression modelSex-specific barriersTobacco usersSymptomsStress disorderAlcohol useHealth conditionsDepressionDisorder symptomsVeteran sampleMH conditionsIntervention strategiesEffects of demographics
2019
Comparing the effectiveness of VA residential PTSD treatment for veterans who do and do not report a history of MST: A national investigation
Holliday R, Smith NB, Holder N, Gross GM, Monteith LL, Maguen S, Hoff RA, Harpaz-Rotem I. Comparing the effectiveness of VA residential PTSD treatment for veterans who do and do not report a history of MST: A national investigation. Journal Of Psychiatric Research 2019, 122: 42-47. PMID: 31923834, DOI: 10.1016/j.jpsychires.2019.12.012.Peer-Reviewed Original ResearchConceptsResidential Rehabilitation Treatment ProgramMilitary sexual traumaPosttraumatic stress disorderPTSD symptomsMST survivorsPTSD treatmentVeterans AffairsProgram completionRehabilitation treatment programSymptom severity scoresEffects of MSTExperience of MSTHistory of MSTPTSD symptom severity scoresPost-treatment gainsRace/ethnicityImpact of MSTSevere PTSD symptomsResidential PTSD treatmentAdjunctive servicesPsychiatric comorbiditySeverity scoreHealth sequelaeIncrease riskWomen veteransA Longitudinal Investigation of Military Sexual Trauma and Perinatal Depression
Gross GM, Kroll-Desrosiers A, Mattocks K. A Longitudinal Investigation of Military Sexual Trauma and Perinatal Depression. Journal Of Women's Health 2019, 29: 38-45. PMID: 31560602, DOI: 10.1089/jwh.2018.7628.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaPerinatal mental healthPostnatal depressionSuicidal ideationPerinatal depressionPrenatal depressionWomen veteransEdinburgh Postnatal Depression ScalePostnatal Depression ScaleRisk of depressionVeterans Health AdministrationMental health careSexual traumaObstetrical carePostnatal symptomsDepression ScaleHigh riskPrenatal stressBivariate statistical testsHayes mediation modelHealth AdministrationImpact of MSTMental healthDepressionHealth careMeaning in life following deployment sexual trauma: Prediction of posttraumatic stress symptoms, depressive symptoms, and suicidal ideation
Gross GM, Laws H, Park CL, Hoff R, Hoffmire CA. Meaning in life following deployment sexual trauma: Prediction of posttraumatic stress symptoms, depressive symptoms, and suicidal ideation. Psychiatry Research 2019, 278: 78-85. PMID: 31158725, DOI: 10.1016/j.psychres.2019.05.037.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderSuicidal ideationDepressive symptomsPosttraumatic stress symptomsImportant clinical factorsBaseline interview dataCross-sectional associationsDeleterious mental health outcomesSexual traumaStress symptomsMental health outcomesMental health consequencesClinical factorsHayes mediation modelHealth outcomesSymptomsHealth consequencesProtective factorsStress disorderPoints of interventionTraumaVeteran sampleSI severityCombat traumaDecreased sense
2017
Wall/Object Punching: An Important but Under‐Recognized Form of Nonsuicidal Self‐Injury
Kimbrel N, Thomas S, Hicks T, Hertzberg M, Clancy C, Elbogen E, Meyer E, DeBeer B, Gross G, Silvia P, Morissette S, Gratz K, Calhoun P, Beckham J. Wall/Object Punching: An Important but Under‐Recognized Form of Nonsuicidal Self‐Injury. Suicide And Life-Threatening Behavior 2017, 48: 501-511. PMID: 28925016, PMCID: PMC6366325, DOI: 10.1111/sltb.12371.Peer-Reviewed Original Research