2023
Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling Among Low-Income U.S. Veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) Study
Stefanovics E, Potenza M, Tsai J. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling Among Low-Income U.S. Veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) Study. Journal Of Gambling Studies 2023, 40: 915-935. PMID: 37751035, DOI: 10.1007/s10899-023-10257-4.Peer-Reviewed Original ResearchU.S. veteransSubstance useMental illnessDrug use disordersPoor physical functioningLogistic regression analysisNon-white veteransChi-square testU.S. military veteransClinical characteristicsDevelopment of interventionsAdjusted associationsPhysical functioningRoutine screeningClinical measuresCurrent prevalenceUse disordersRecreational gamblingLifetime historyGreater symptomsVulnerable subpopulationsPrevalence
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 ResearchConceptsCurrent 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 involvementPrevalence and characteristics associated with firearm ownership among low-income U.S. veterans
Tsai J, Testa A, Pietrzak R, Elbogen E. Prevalence and characteristics associated with firearm ownership among low-income U.S. veterans. Military Psychology 2022, 35: 132-141. PMID: 37133491, PMCID: PMC10013543, DOI: 10.1080/08995605.2022.2086415.Peer-Reviewed Original ResearchConceptsU.S. veteransMental health characteristicsLogistic regression analysisU.S. veteran populationMental health correlatesHierarchical logistic regression analysisU.S. military veteransClinical characteristicsAssociated sociodemographicFirearm ownershipHealth characteristicsVeteran populationSignificant associationTrauma exposureHealth correlatesPrevalenceMilitary veteransVeteransRegression analysisFirearm misuseRepresentative studyFirearm ownersSociodemographicsTrauma
2021
Receipt, Spending, and Clinical Correlates of the Economic Impact Payment Among Middle- and Low-Income U.S. Adults
Tsai J, Huang M, Montgomery AE, Elbogen EB. Receipt, Spending, and Clinical Correlates of the Economic Impact Payment Among Middle- and Low-Income U.S. Adults. Psychiatric Services 2021, 72: 1377-1384. PMID: 34074140, DOI: 10.1176/appi.ps.202100001.Peer-Reviewed Original ResearchConceptsLow-income U.S. adultsU.S. adultsMental healthUse problemsRecent suicidal ideationDrug use problemsPosttraumatic stress disorderSchizophrenia spectrum disordersSubstance abuse problemsClinical characteristicsEligible adultsAlcohol use problemsClinical correlatesLow-income populationsSuicidal ideationStress disorderAbuse problemsAdultsCOVID-19 pandemic
2020
Antipsychotic Medication Prescriptions for Homeless and Unstably Housed Veterans in the Veterans Affairs Health Care System.
Tsai J, Szymkowiak D, Radhakrishnan R. Antipsychotic Medication Prescriptions for Homeless and Unstably Housed Veterans in the Veterans Affairs Health Care System. The Journal Of Clinical Psychiatry 2020, 82 PMID: 33296148, DOI: 10.4088/jcp.20m13372.Peer-Reviewed Original ResearchConceptsAntipsychotic prescriptionsSevere mental illnessAntipsychotic medicationHealth care systemMedication prescriptionsPrescription practicesMental illnessVeterans Affairs Health Care SystemNational VA administrative dataVeterans AffairsVA health care servicesVA health care systemSecond-generation antipsychotic medicationsCare systemAntipsychotic medication prescriptionMore antipsychotic prescriptionsPsychotropic medication prescriptionsSecond-generation antipsychoticsVA administrative dataMore antipsychotic medicationsHealth care servicesClinical characteristicsClozapine treatmentInjectable medicationsMedications
2018
Public attitudes and literacy about posttraumatic stress disorder in U.S. adults
Tsai J, Shen J, Southwick SM, Greenberg S, Pluta A, Pietrzak RH. Public attitudes and literacy about posttraumatic stress disorder in U.S. adults. Journal Of Anxiety Disorders 2018, 55: 63-69. PMID: 29519724, DOI: 10.1016/j.janxdis.2018.02.002.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderStress disorderRates of PTSDEvidence-based treatmentsStrong public supportLittle public knowledgeMore federal fundingGood general knowledgePublic knowledgeClinical characteristicsPTSD knowledgeEffective treatmentPolitical affiliationPublic supportPublic attitudesNational online surveySociodemographic characteristicsTrauma exposureU.S. adultsAdditional varianceFederal fundingU.S. statesDisordersTreatmentAttitudes
2017
Characteristics of urban male homeless veterans and non-veterans in Omaha, Nebraska
Ramaswamy S, Driscoll D, Tsai J, Rose J, Smith L, Rosenheck R. Characteristics of urban male homeless veterans and non-veterans in Omaha, Nebraska. Journal Of Social Distress And The Homeless 2017, 26: 51-57. DOI: 10.1080/10530789.2017.1304185.Peer-Reviewed Original ResearchHomeless veteransMajor depressionMale homeless veteransProportion of veteransClinical characteristicsNon-adult childrenHigh prevalenceMultivariable modelPsychosocial factorsMedical problemsVeteransResearch staffStructured interviewsHomeless menDepressionCurrent studyHigher numberPrevious studiesPrevalenceSociodemographicsStudy
2016
S04-3 Assessing the dissociative ptsd subtype in a representative sample of us military veterans
Armour C, Tsai J, Pietrzak R. S04-3 Assessing the dissociative ptsd subtype in a representative sample of us military veterans. Occupational And Environmental Medicine 2016, 73: a100. DOI: 10.1136/oemed-2016-103951.269.Peer-Reviewed Original ResearchPosttraumatic stress disorderDissociative subtypeU.S. veteransDSM-5 posttraumatic stress disorderQuality of lifeAnonymous web-based surveyInitial screening questionsUS military veteransTrauma-exposed controlsDSM-5 versionSevere PTSD symptomsDissociative PTSD subtypeClinical characteristicsAlcohol use problemsCurrent study sampleNational HealthRepresentative sampleScreening questionsResponse rateWeb-based surveyMental disordersVeterans StudyPTSD subtypesU.S. adultsPTSD ChecklistHomelessness among a nationally representative sample of US veterans: prevalence, service utilization, and correlates
Tsai J, Link B, Rosenheck RA, Pietrzak RH. Homelessness among a nationally representative sample of US veterans: prevalence, service utilization, and correlates. Social Psychiatry And Psychiatric Epidemiology 2016, 51: 907-916. PMID: 27075492, DOI: 10.1007/s00127-016-1210-y.Peer-Reviewed Original ResearchConceptsVA homeless servicesHomeless servicesUS veteransLifetime homelessnessAccurate prevalence estimatesPrevalence of homelessnessRural areasClinical characteristicsRepresentative sampleService utilizationService usePrevalence estimatesHomelessnessPhysical healthGovernmental resourcesVeteran homelessnessPrevalenceAdult lifeVeterans
2015
U.S. Female Veterans Who Do and Do Not Rely on VA Health Care: Needs and Barriers to Mental Health Treatment
Tsai J, Mota NP, Pietrzak RH. U.S. Female Veterans Who Do and Do Not Rely on VA Health Care: Needs and Barriers to Mental Health Treatment. Psychiatric Services 2015, 66: 1200-1206. PMID: 26174948, DOI: 10.1176/appi.ps.201400550.Peer-Reviewed Original ResearchConceptsMental health service useMental health careU.S. female veteransPosttraumatic stress disorderHealth service useVA health careFemale veteransRacial-ethnic minority groupsVeterans AffairsHealth careVA patientsService useMale veteransMental health service utilizationFemale VA patientsVA service usersHealth service utilizationHealth-related functioningMental health-related functioningHealth care needsMental health treatmentSubstance use disordersMale VA patientsHigh treatment costsClinical characteristicsCharacteristics and Use of Services Among Literally Homeless and Unstably Housed U.S. Veterans With Custody of Minor Children
Tsai J, Rosenheck RA, Kasprow WJ, Kane V. Characteristics and Use of Services Among Literally Homeless and Unstably Housed U.S. Veterans With Custody of Minor Children. Psychiatric Services 2015, 66: 1083-1090. PMID: 25975888, DOI: 10.1176/appi.ps.201400300.Peer-Reviewed Original ResearchConceptsHomeless veteransChronic general medical conditionsGeneral medical conditionsSevere mental illnessVeterans Affairs programsClinical characteristicsAdmission patternsUse of servicesMedical conditionsPsychiatric disordersPsychotic disordersFemale veteransMental illnessU.S. veteransPsychosocial characteristicsSubstantial proportionVeteransWomenChildrenMenMinor childrenDisordersVAReferralIllnessDissociative subtype of DSM-5 posttraumatic stress disorder in U.S. veterans
Tsai J, Armour C, Southwick SM, Pietrzak RH. Dissociative subtype of DSM-5 posttraumatic stress disorder in U.S. veterans. Journal Of Psychiatric Research 2015, 66: 67-74. PMID: 25969340, DOI: 10.1016/j.jpsychires.2015.04.017.Peer-Reviewed Original ResearchConceptsDSM-5 posttraumatic stress disorderPosttraumatic stress disorderDissociative subtypeAlcohol use problemsU.S. veteransStress disorderDissociative symptomsUse problemsQuality of lifeTrauma-exposed controlsSevere PTSD symptomsClinical characteristicsMultivariable analysisPTSD symptom severityNational HealthVeterans StudyMental disordersSymptom severitySubtypesSymptomsMore depressionImportance of assessingPTSD symptomsStatistical ManualAnxiety symptoms
2014
Predictors of Attendance in a Group-Based Model of Case Management for Supported Housing
Tsai J, Stefanovics E, Rosenheck RA. Predictors of Attendance in a Group-Based Model of Case Management for Supported Housing. Psychiatric Rehabilitation Journal 2014, 37: 324-328. PMID: 24684180, DOI: 10.1037/prj0000059.Peer-Reviewed Original ResearchConceptsGroup attendersCase managementMore mental health symptomsMental health symptomsPredictors of attendanceMental health problemsPeer support modelClinical characteristicsGroup attendanceHealth problemsHealth symptomsVeterans AffairsPast monthAttendersMore daysSignificant differencesRegression analysisAdministrative dataMonthsGroupPredictorsGroup-based modelsAttendanceAttendance recordsSymptomsTypologies of posttraumatic stress disorder in the U.S. adult population
Pietrzak RH, el-Gabalawy R, Tsai J, Sareen J, Neumeister A, Southwick SM. Typologies of posttraumatic stress disorder in the U.S. adult population. Journal Of Affective Disorders 2014, 162: 102-106. PMID: 24767013, DOI: 10.1016/j.jad.2014.03.024.Peer-Reviewed Original ResearchConceptsHealth-related qualityPosttraumatic stress disorderHigh symptom classU.S. adult populationTrauma-related characteristicsPsychiatric comorbidityLatent class analysisPoorer physical health-related qualityAdult populationSymptom classPhysical health-related qualityStress disorderGeneral U.S. adult populationTreatment of PTSDLogistic regression analysisDSM-IV criteriaBorderline personality disorderWorst traumatic eventMultinomial logistic regression analysisCross-sectional analysisClinical characteristicsPoor HRQoL.Nicotine dependenceHeterogeneous manifestationsSuicide attempts
2013
When health insurance is not a factor: national comparison of homeless and nonhomeless US veterans who use Veterans Affairs Emergency Departments.
Tsai J, Doran KM, Rosenheck RA. When health insurance is not a factor: national comparison of homeless and nonhomeless US veterans who use Veterans Affairs Emergency Departments. American Journal Of Public Health 2013, 103 Suppl 2: s225-31. PMID: 24148061, PMCID: PMC3969129, DOI: 10.2105/ajph.2013.301307.Peer-Reviewed Original ResearchConceptsVeterans Affairs emergency departmentEmergency departmentED usersClinical characteristicsUse disordersNational integrated health care systemNational VA administrative dataIntegrated health care systemEmergency department usersDrug use disordersHealth insuranceVA administrative dataCross-sectional studyHomeless veteransSubstance abuse diagnosisAlcohol use disorderHealth care systemUS veteransMedical conditionsAbuse diagnosisPsychiatric diagnosisMultivariate analysisFiscal year 2010Outreach servicesMental healthRisk of incarceration and clinical characteristics of incarcerated veterans by race/ethnicity
Tsai J, Rosenheck RA, Kasprow WJ, McGuire JF. Risk of incarceration and clinical characteristics of incarcerated veterans by race/ethnicity. Social Psychiatry And Psychiatric Epidemiology 2013, 48: 1777-1786. PMID: 23508369, DOI: 10.1007/s00127-013-0677-z.Peer-Reviewed Original ResearchConceptsClinical characteristicsAfrican American veteransRace/ethnicityRisk of incarcerationAge groupsAfrican AmericansConclusionsRacial/ethnic differencesMental health servicesVeteran statusSubstance abuse treatmentAmerican veteransIncarcerated veteransCertain age groupsGeneral populationHispanic veteransHealth servicesMultivariate analysisRe-entry programWhite veteransAbuse treatmentEthnic minoritiesEthnic differencesVeteransNational dataNational surveyRisk of Incarceration and Other Characteristics of Iraq and Afghanistan Era Veterans in State and Federal Prisons
Tsai J, Rosenheck RA, J. Kasprow W, McGuire JF. Risk of Incarceration and Other Characteristics of Iraq and Afghanistan Era Veterans in State and Federal Prisons. Psychiatric Services 2013, 64: 36-43. PMID: 23280456, DOI: 10.1176/appi.ps.201200188.Peer-Reviewed Original ResearchConceptsOEF/OIF/ONDOEF/OIF/OND veteransPosttraumatic stress disorderRisk of incarcerationOperation Enduring FreedomMental health servicesCombat-related posttraumatic stress disorderStepwise logistic regressionAfghanistan-era veteransIncarcerated veteransClinical characteristicsOdds ratioShort incarcerationsLower riskHealth servicesLogistic regressionOutreach servicesStress disorderDrug abuseCombat exposureEra veteransHealth careVeteransNational dataWeighted sample
2012
Impact of health insurance status and a diagnosis of serious mental illness on whether chronically homeless individuals engage in primary care.
Chwastiak L, Tsai J, Rosenheck R. Impact of health insurance status and a diagnosis of serious mental illness on whether chronically homeless individuals engage in primary care. American Journal Of Public Health 2012, 102: e83-9. PMID: 23078477, PMCID: PMC3519338, DOI: 10.2105/ajph.2012.301025.Peer-Reviewed Original ResearchConceptsSerious mental illnessPrimary care providersMental illnessCare providersChronic medical illnessHealth insuranceSource of careHealth insurance statusHealth care costsClinical characteristicsMedical illnessInsurance statusPrimary carePsychiatric symptomsMedicaid coverageCare costsHealth outcomesMedical careIllnessRegular sourceEnd Chronic HomelessnessVulnerable populationsHomeless adultsCareDiagnosisExamining the relation between combat-related concussion, a novel 5-factor model of posttraumatic stress symptoms, and health-related quality of life in Iraq and Afghanistan veterans.
Tsai J, Whealin JM, Scott JC, Harpaz-Rotem I, Pietrzak RH. Examining the relation between combat-related concussion, a novel 5-factor model of posttraumatic stress symptoms, and health-related quality of life in Iraq and Afghanistan veterans. The Journal Of Clinical Psychiatry 2012, 73: 1110-8. PMID: 22781019, DOI: 10.4088/jcp.11m07587.Peer-Reviewed Original ResearchConceptsMental health-related qualityHealth-related qualityPersistent postconcussive symptomsCombat-related concussionPostconcussive symptomsAlcohol use problemsPTSD symptomsAfghanistan veteransPhysical health-related qualityForm Health SurveyDysphoric arousal symptomsUse problemsIraq/Afghanistan veteransStrongest predictorPosttraumatic stress disorder (PTSD) symptomsClinical characteristicsProgram registryHealth SurveyPsychiatric cliniciansPosttraumatic stress symptomsMultivariate analysisSymptomsConcussionBivariate analysisSymptomatic veterans