2023
Not all traumas are created equal: Phenotypic heterogeneity of PTSD symptoms in relation to index traumas in U.S. military veterans
Kachadourian L, Duek O, Tsai J, Harpaz-Rotem I, Pietrzak R. Not all traumas are created equal: Phenotypic heterogeneity of PTSD symptoms in relation to index traumas in U.S. military veterans. Journal Of Affective Disorders 2023, 340: 728-731. PMID: 37572698, PMCID: PMC10754253, DOI: 10.1016/j.jad.2023.08.012.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderU.S. military veteransMilitary veteransIndex traumaPTSD symptomsDysphoric arousal symptomsIllness/injuryGreater overall severityIndex traumatic eventClinical presentationNational HealthDiagnostic criteriaTreatment approachesGreater severityOverall severityVeterans StudyInterpersonal violenceStress disorderTraumaArousal symptomsSymptomsVeteransPhenotypic heterogeneityTraumatic eventsSeverityFirearm Ownership Among a Nationally Representative Sample of U.S. Veterans
Fischer I, Aunon F, Nichter B, Hill M, Panza K, Kline A, Na P, Tsai J, Harpaz-Rotem I, Pietrzak R. Firearm Ownership Among a Nationally Representative Sample of U.S. Veterans. American Journal Of Preventive Medicine 2023, 65: 1129-1133. PMID: 37354925, DOI: 10.1016/j.amepre.2023.06.013.Peer-Reviewed Original ResearchConceptsU.S. veteransMultivariable logistic regression analysisLogistic regression analysisAlcohol use disorderSuicide prevention effortsU.S. military veteransNationally Representative SampleMale sexTrauma burdenNational HealthRepresentative sampleFirearm ownershipChi-square analysisUse disordersFirearm safetyIndependent sample t-testLifetime historyVeterans StudyPrevention effortsPsychiatric variablesMilitary veteransVeteransRegression analysisT-testSignificant main effect
2020
Courses of suicidal ideation among military veterans in residential treatment for posttraumatic stress disorder
Smith NB, Sippel LM, Rozek DC, Spangler PT, Traber D, Straud CL, Hoff R, Harpaz‐Rotem I. Courses of suicidal ideation among military veterans in residential treatment for posttraumatic stress disorder. Depression And Anxiety 2020, 37: 273-284. PMID: 31951318, PMCID: PMC7054126, DOI: 10.1002/da.22993.Peer-Reviewed Original ResearchMeSH KeywordsHumansMilitary PersonnelResidential TreatmentStress Disorders, Post-TraumaticSuicidal IdeationVeteransConceptsPosttraumatic stress disorderBaseline posttraumatic stress disorderPTSD treatmentResidential PTSD treatmentPhysical functioningSuicidal thoughtsStress disorderPTSD symptomsSubstance useVeterans Affairs medical facilitiesWorse physical functioningLength of stayPTSD symptom improvementTrauma-focused psychotherapySpecific treatment interventionsPTSD symptom changeSeverity of suicidalSI onsetRace/ethnicitySymptom improvementPTSD improvementBaseline depressionMultinomial logistic regressionTreatment interventionsSuicidal ideation
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 ResearchMeSH KeywordsFemaleHumansMaleMilitary PersonnelResidential TreatmentSex OffensesStress Disorders, Post-TraumaticUnited StatesVeteransConceptsResidential 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 veterans
2018
BDNF Val66Met polymorphism and posttraumatic stress symptoms in U.S. military veterans: Protective effect of physical exercise
Pitts BL, Whealin JM, Harpaz-Rotem I, Duman RS, Krystal JH, Southwick SM, Pietrzak RH. BDNF Val66Met polymorphism and posttraumatic stress symptoms in U.S. military veterans: Protective effect of physical exercise. Psychoneuroendocrinology 2018, 100: 198-202. PMID: 30388593, DOI: 10.1016/j.psyneuen.2018.10.011.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmino Acid SubstitutionBrain-Derived Neurotrophic FactorCase-Control StudiesExerciseFemaleHumansMaleMethionineMiddle AgedMilitary PersonnelPolymorphism, Single NucleotideProtective FactorsResilience, PsychologicalSeverity of Illness IndexStress Disorders, Post-TraumaticUnited StatesValineVeteransConceptsMet allele carriersBDNF Val66Met polymorphismAllele carriersVal66Met polymorphismPhysical exerciseGreater severityPTSD symptomsU.S. military veteransTrauma burdenBrain-derived neurotrophic factor (BDNF) Val66Met polymorphismPast-month PTSD symptomsNeurotrophic factor Val66Met polymorphismMilitary veteransLifetime trauma burdenHigh trauma burdenVal/ValAdrenal (HPA) axis reactivityPosttraumatic stress disorder (PTSD) symptomsBDNF releaseCurrent PTSD symptomsProtective effectRe-experiencing symptomsAxis reactivityPosttraumatic stress symptomsSymptoms
2016
Accuracy of screening for posttraumatic stress disorder in specialty mental health clinics in the U.S. Veterans Affairs Healthcare System
Tsai J, Pietrzak RH, Hoff RA, Harpaz-Rotem I. Accuracy of screening for posttraumatic stress disorder in specialty mental health clinics in the U.S. Veterans Affairs Healthcare System. Psychiatry Research 2016, 240: 157-162. PMID: 27107669, DOI: 10.1016/j.psychres.2016.04.036.Peer-Reviewed Original ResearchConceptsOEF/OIF/OND veteransPTSD diagnosisU.S. Veterans Affairs healthcare systemSpecialty mental health clinicsVeterans Affairs Healthcare SystemElectronic medical record dataOptimal screening criteriaMedical record dataStructured Clinical InterviewMental health clinicsPositive PTSD screenCharacteristic curve analysisPosttraumatic stress disorderUseful screening toolPCL-M scoresVersion criteriaPTSD screenSpecialty clinicHealth clinicsMale veteransClinical InterviewFemale veteransVeteran subgroupsYouden indexProbable PTSD
2015
“I’m Coming Home, Tell the World I’m Coming Home”. The Long Homecoming and Mental Health Treatment of Iraq and Afghanistan War Veterans
Rozanova J, Noulas P, Smart K, Roy A, Southwick SM, Davidson L, Harpaz-Rotem I. “I’m Coming Home, Tell the World I’m Coming Home”. The Long Homecoming and Mental Health Treatment of Iraq and Afghanistan War Veterans. Psychiatric Quarterly 2015, 87: 427-443. PMID: 26566926, DOI: 10.1007/s11126-015-9398-7.Peer-Reviewed Original ResearchAdultAfghan Campaign 2001-Career ChoiceFemaleHumansIraq War, 2003-2011MaleMental DisordersMental Health ServicesMiddle AgedMilitary PersonnelPatient Acceptance of Health CareQualitative ResearchSocial IdentificationSocial StigmaUnited StatesUnited States Department of Veterans AffairsVeteransVocational GuidanceYoung Adult
2013
Military Sexual Assault and Homeless Women Veterans: Clinical Correlates and Treatment Preferences
Decker SE, Rosenheck RA, Tsai J, Hoff R, Harpaz-Rotem I. Military Sexual Assault and Homeless Women Veterans: Clinical Correlates and Treatment Preferences. Women's Health Issues 2013, 23: e373-e380. PMID: 24183412, DOI: 10.1016/j.whi.2013.09.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultCrime VictimsFemaleHumansIll-Housed PersonsMental HealthMiddle AgedMilitary PersonnelMultivariate AnalysisPatient Acceptance of Health CarePatient PreferencePrevalenceRetrospective StudiesRisk FactorsSelf ReportSex OffensesSocioeconomic FactorsStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMilitary sexual assaultHomeless female veteransFemale veteransSexual assaultGreater mental health symptomsMental health symptomsSerious psychological sequelaePsychological distressPsychological sequelaeHomeless women veteransHealth symptomsThird of participantsTreatment preferencesPsychiatric symptomsCurrent homelessnessVeteransWomen veteransAssaultGreater severityClinical correlatesPTSDClinical symptomsHomeless womenObservational studyHigh risk
2011
Examining the dimensionality of combat-related posttraumatic stress and depressive symptoms in treatment-seeking OEF/OIF/OND veterans
Tsai J, Pietrzak RH, Southwick SM, Harpaz-Rotem I. Examining the dimensionality of combat-related posttraumatic stress and depressive symptoms in treatment-seeking OEF/OIF/OND veterans. Journal Of Affective Disorders 2011, 135: 310-314. PMID: 21782249, DOI: 10.1016/j.jad.2011.06.057.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAfghan Campaign 2001-BehaviorDepressionDepressive DisorderDisability EvaluationEthnicityFactor Analysis, StatisticalHumansIraq War, 2003-2011Military PersonnelPatient Acceptance of Health CareResilience, PsychologicalSocial SupportStress Disorders, Post-TraumaticSurveys and QuestionnairesVeteransVeterans Disability ClaimsConceptsPosttraumatic Stress Disorder Checklist-Military versionOEF/OIF/OND veteransPosttraumatic stress disorderFour-factor solutionCognitive copingPsychological resilienceStress disorderAlcohol useSocial supportCombat-related posttraumatic stress disorderTreatment-seeking veteransDimensionality of itemsDepressive symptomsPosttraumatic stressOperations Enduring Freedom/Iraqi Freedom/New DawnExploratory factor analysisPatient Health Questionnaire-9Cross-sectional designSymptom structureMore varianceFactor structureBodily disturbancesDetachment/Cluster of symptomsFactor scores