2024
Prevalence of Four Types of Social Support and Their Relation to Mental Health among low-income U.S. Veterans: Implications for Community Health
Tsai J, Li Y, Maroufy V. Prevalence of Four Types of Social Support and Their Relation to Mental Health among low-income U.S. Veterans: Implications for Community Health. Community Mental Health Journal 2024, 1-11. PMID: 38990446, DOI: 10.1007/s10597-024-01318-y.Peer-Reviewed Original ResearchSocial supportMental healthU.S. veteransPositive social interactionsAffectionate social supportCommunity health interventionsImprove mental healthLow social supportMental health functioningMental health correlatesNationally representative sampleAssociated with income levelU.S. military veteransSocial interactionAffectionate supportCommunity healthHealth interventionsHealth correlatesCommunity integrationPositive screenHealth functioningMilitary veteransRepresentative samplePsychiatric disordersPsychosocial dysfunctionBarriers to Mental Health Care in US Military Veterans
Lewis C, Fischer I, Tsai J, Harpaz-Rotem I, Pietrzak R. Barriers to Mental Health Care in US Military Veterans. Psychiatric Quarterly 2024, 95: 367-383. PMID: 38940875, DOI: 10.1007/s11126-024-10078-7.Peer-Reviewed Original ResearchMental health careMental health treatmentHealth careHealth treatmentReduce barriersUS veteransNegative beliefsInstrumental barriersNational Health and ResiliencePromote engagementMental health servicesPopulation-based effortsUS military veteransNationally representative dataMultivariate logistic regressionPerceived stigmaHealth servicesSocial supportPsychiatric needsVeterans StudyPractical barriersLow purposeConclusionsNearly halfMilitary veteransCareThe mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans
Bulanchuk N, Edwards E, Pietrzak R, Tsai J. The mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans. Journal Of Community Psychology 2024, 52: 399-414. PMID: 38289875, DOI: 10.1002/jcop.23105.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaAdverse childhood experiencesLifetime homelessnessSocial supportSexual traumaNationally representative sampleHistory of military sexual traumaCorrelates of homelessnessAvailability of social supportPerceived social supportInterpersonal social supportLow social supportRepresentative sampleChildhood adversityHomelessnessFemale veteransChildhood experiencesCommunity integrationMale counterpartsPath analysisVeteransUS veteransTrauma ratesNationalCorrelation analysis
2023
Incidence of long COVID and associated psychosocial characteristics in a large U.S. city
Tsai J, Grace A, Espinoza R, Kurian A. Incidence of long COVID and associated psychosocial characteristics in a large U.S. city. Social Psychiatry And Psychiatric Epidemiology 2023, 59: 611-619. PMID: 37606649, DOI: 10.1007/s00127-023-02548-3.Peer-Reviewed Original ResearchPost-COVID syndromeLong COVIDLab-confirmed casesCOVID-19Public health issueMultivariable analysisInverse probability weightingMore symptomsCoronavirus diseasePsychosocial characteristicsSymptomsHealth issuesPopulation healthPsychosocial correlatesSame symptomsMonthsCOVIDIncidenceSocial supportTotal sampleOne-fifthAdultsProbability weightingParticipantsComprehensive examinationIdentifying significant correlates of purpose in life in older US military veterans: results from the national health and resilience in veterans study.
Fischer I, Feldman D, Tsai J, Harpaz-Rotem I, Lucas K, Schulenberg S, Pietrzak R. Identifying significant correlates of purpose in life in older US military veterans: results from the national health and resilience in veterans study. International Psychogeriatrics 2023, 35: 560-565. PMID: 36715004, DOI: 10.1017/s1041610222001223.Peer-Reviewed Original ResearchConceptsUS military veteransNational HealthMilitary veteransSignificant correlatesOlder US veteransAdverse health outcomesModifiable psychosocial factorsAdverse outcomesElastic net analysisUS veteransDepressive symptomsPsychosocial factorsHealth outcomesVeterans StudyPsychosocial variablesTreatment effortsCognitive outcomesCross-sectional dataVeteransOutcomesSocial supportCommunity integrationImportant correlatesHealthCorrelates
2022
Beyond Supported Housing: Correlates of Improvements in Quality of Life Among Homeless Adults with Mental Illness
O’Connell M, Tsai J, Rosenheck R. Beyond Supported Housing: Correlates of Improvements in Quality of Life Among Homeless Adults with Mental Illness. Psychiatric Quarterly 2022, 94: 49-59. PMID: 36538200, DOI: 10.1007/s11126-022-10010-x.Peer-Reviewed Original ResearchProvision of social support and mental health in U.S. military veterans
Na P, Tsai J, Southwick S, Pietrzak R. Provision of social support and mental health in U.S. military veterans. Npj Mental Health Research 2022, 1: 4. PMID: 38609471, PMCID: PMC10938859, DOI: 10.1038/s44184-022-00004-9.Peer-Reviewed Original ResearchMental healthAdverse mental health outcomesSocial supportMental health outcomesMajority of veteransU.S. military veteransUS veteransLower oddsPsychiatric disordersRepresentative cohortHealth outcomesSuicidal ideationGood healthMilitary veteransStandard deviation increaseVeteransProvision of supportHealthOddsOutcomesDeviation increaseCohortA National Study of Zoom Fatigue and Mental Health During the COVID-19 Pandemic: Implications for Future Remote Work
Elbogen EB, Lanier M, Griffin SC, Blakey SM, Gluff JA, Wagner HR, Tsai J. A National Study of Zoom Fatigue and Mental Health During the COVID-19 Pandemic: Implications for Future Remote Work. Cyberpsychology Behavior And Social Networking 2022, 25: 409-415. PMID: 35648039, DOI: 10.1089/cyber.2021.0257.Peer-Reviewed Original ResearchConceptsMental health symptomsHealth symptomsCOVID-19 pandemicMental healthSevere mental illnessQuality of lifeLow social supportZoom fatigueNonwhite raceClinical covariatesFatigue ScaleGood internal consistencyDepressive symptomsMental illnessSignificant associationSurvey criteriaSymptomsPost-high school educationWork productivitySocial isolationNational surveyInternal consistencyNational studySocial supportRacial Differences in the Psychosocial Response to the COVID-19 Pandemic in Veterans With Psychosis or Recent Homelessness
Novacek DM, Wynn JK, McCleery A, Reavis EA, Senturk D, Sugar CA, Tsai J, Green MF. Racial Differences in the Psychosocial Response to the COVID-19 Pandemic in Veterans With Psychosis or Recent Homelessness. American Journal Of Orthopsychiatry 2022, 92: 590-598. PMID: 35737567, PMCID: PMC9958263, DOI: 10.1037/ort0000633.Peer-Reviewed Original ResearchConceptsWhite veteransPsychosocial responsesControl groupBlack veteransRecent homelessnessSignificant differencesCOVID-19 pandemicVeterans Affairs (VA) healthcare servicesWorse psychosocial outcomesBaseline interviewClinical InterviewPsychosocial outcomesPsychosisRacial disparitiesTime pointsVulnerable populationsRacial differencesHealthcare servicesInitial responseVeteransSocial supportGlobal pandemic
2021
Understanding risk in younger Veterans: Risk and protective factors associated with suicide attempt, homelessness, and arrest in a nationally representative Veteran sample
Edwards E, Dichiara A, Gromatsky M, Tsai J, Goodman M, Pietrzak R. Understanding risk in younger Veterans: Risk and protective factors associated with suicide attempt, homelessness, and arrest in a nationally representative Veteran sample. Military Psychology 2021, 34: 175-186. PMID: 38536330, PMCID: PMC10013446, DOI: 10.1080/08995605.2021.1982632.Peer-Reviewed Original ResearchOlder veteransYounger veteransProtective factorsPrior suicidal behaviorMental health servicesUS military veteransHistory of suicideAdverse eventsRisk factorsCriminal justice involvementProtective correlationHealth servicesSuicide attemptsSuicidal behaviorSuicide riskMilitary veteransVeteran sampleVeteransOlder cohortHomelessnessRiskCohortSocial supportAge cohortsRepresentative sampleMental Health and Psychosocial Characteristics Associated With COVID-19 Among U.S. Adults
Tsai J, Huang M, Elbogen E. Mental Health and Psychosocial Characteristics Associated With COVID-19 Among U.S. Adults. Psychiatric Services 2021, 72: 444-447. PMID: 33530731, DOI: 10.1176/appi.ps.202000540.Peer-Reviewed Original ResearchConceptsCOVID-19 infectionMental healthCOVID-19Positive COVID-19 testCOVID-19 statusMental health characteristicsMiddle-income adultsCOVID-19 testSocial supportClinical riskHealth characteristicsPsychiatric historyNegative testHistory of homelessnessMedical needPsychosocial characteristicsU.S. adultsCurrent social supportInfectionHealthNational sampleAdultsVeteransDispositional gratitude and mental health in the U.S. veteran population: Results from the National Health and Resilience Veterans Study
McGuire AP, Fogle BM, Tsai J, Southwick SM, Pietrzak RH. Dispositional gratitude and mental health in the U.S. veteran population: Results from the National Health and Resilience Veterans Study. Journal Of Psychiatric Research 2021, 135: 279-288. PMID: 33516080, DOI: 10.1016/j.jpsychires.2021.01.020.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderDispositional gratitudePositive mental health outcomesMental healthCurrent posttraumatic stress disorderMajor depressive disorderMental health outcomesU.S. veteransReligiosity/spiritualityPsychological resilienceHigh gratitudeSocial phobiaStress disorderLow gratitudePsychiatric morbidityPsychosocial variablesAnxiety disordersSocial supportPsychosocial factorsMilitary veteransGratitudeNicotine dependenceSuicidal ideationPopulation-based dataVeterans
2020
A psychosocial mediational model of homelessness among U.S. male and female veterans who served in Iraq and Afghanistan
Spinola S, Hoff RA, Tsai J. A psychosocial mediational model of homelessness among U.S. male and female veterans who served in Iraq and Afghanistan. Health & Social Care In The Community 2020, 29: 453-463. PMID: 32662176, DOI: 10.1111/hsc.13106.Peer-Reviewed Original Research
2018
Risk Factors, Service Delivery, and Prevention of Veteran Homelessness
Tsai J, Rosenheck R. Risk Factors, Service Delivery, and Prevention of Veteran Homelessness. 2018, 183-195. DOI: 10.1007/978-1-4939-7438-2_13.Peer-Reviewed Original ResearchVeteran homelessnessRapid Rehousing ProgramTransitional housingCriminal historyHomelessnessService deliveryRisk factorsCommunity-based programsEducation benefitsNational effortsPublic concernCase studyHousingSocial supportHomeless ProgramResearch literatureLow incomeSpecial accessSubstance abuse problemsStrong risk factorPotential risk factorsResidential programsVeterans Affairs (VA) healthcareFuture researchHomeless veterans
2017
Trajectories of posttraumatic growth among US military veterans: a 4‐year nationally representative, prospective cohort study
Tsai J, Pietrzak RH. Trajectories of posttraumatic growth among US military veterans: a 4‐year nationally representative, prospective cohort study. Acta Psychiatrica Scandinavica 2017, 136: 483-492. PMID: 28846800, DOI: 10.1111/acps.12800.Peer-Reviewed Original ResearchConceptsProspective cohort studyPTG trajectoriesUS military veteransCertain psychosocial factorsPosttraumatic stress disorder (PTSD) symptomsCohort studyUS veteransPsychosocial factorsGreater severityPosttraumatic growthPsychosocial variablesPredominant trajectoriesBaseline measuresDisorder symptomsMilitary veteransModerate posttraumatic growthAvoidance symptomsSymptomsSocial supportLatent growth mixtureVeteransRepresentative surveyGrowth mixture
2015
A Comparison of Homeless Male Veterans in Metropolitan and Micropolitan Areas in Nebraska: A Methodological Caveat
Tsai J, Ramaswamy S, Bhatia SC, Rosenheck RA. A Comparison of Homeless Male Veterans in Metropolitan and Micropolitan Areas in Nebraska: A Methodological Caveat. American Journal Of Community Psychology 2015, 56: 357-367. PMID: 26354600, DOI: 10.1007/s10464-015-9746-7.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnalysis of VarianceAnxiety DisordersCitiesHealth ServicesHealth Services AccessibilityHealth StatusHealth Status IndicatorsHousingHumansIll-Housed PersonsInterviews as TopicMaleMedically UninsuredMental DisordersMiddle AgedNebraskaRural HealthSocial SupportSocioeconomic FactorsSubstance-Related DisordersTransients and MigrantsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsHomeless male veteransVeterans Affairs facilitiesMale veteransHomeless veteransHealth servicesMore medical problemsHealth service useDiagnosis of anxietyService useGreater social supportCommunity providersDifficult populationMedical problemsPsychosocial characteristicsMicropolitan areasPersonality disorderConvenience sampleVeteransResearch staffStructured interviewsSocial supportMicropolitanRural areasDiagnosis
2012
Longitudinal Association of Therapeutic Alliance and Clinical Outcomes in Supported Housing for Chronically Homeless Adults
Tsai J, Lapidos A, Rosenheck RA, Harpaz-Rotem I. Longitudinal Association of Therapeutic Alliance and Clinical Outcomes in Supported Housing for Chronically Homeless Adults. Community Mental Health Journal 2012, 49: 438-443. PMID: 22820927, DOI: 10.1007/s10597-012-9518-x.Peer-Reviewed Original ResearchConceptsPrimary mental health providersMental health providersTherapeutic allianceHealth providersClient outcomesCase managersHigh therapeutic allianceClinical outcomesBaseline differencesLongitudinal associationsHomeless adultsGroup differencesOutcomesMonthsSocial supportHomeless clientsTherapeutic relationshipAssociationParticipantsProvidersConduct disorder behaviors, childhood family instability, and childhood abuse as predictors of severity of adult homelessness among American veterans
Tsai J, Rosenheck RA. Conduct disorder behaviors, childhood family instability, and childhood abuse as predictors of severity of adult homelessness among American veterans. Social Psychiatry And Psychiatric Epidemiology 2012, 48: 477-486. PMID: 22797134, DOI: 10.1007/s00127-012-0551-4.Peer-Reviewed Original ResearchConceptsSeverity of homelessnessFamily instabilityAdult homelessnessHousing programsUrban Development-Veterans Affairs Supportive Housing (HUD-VASH) programSupportive housing programChildhood family instabilityChildhood abuseHUD-VASH programHomeless veteransFederal effortsHomelessnessSocial relationshipsHousingHomeless episodesLess social supportAbuseSocial supportAdverse childhoodConduct-disordered behaviorMethodsUsing dataNon-homeless veteransChildhood problemsAmerican veteransLifeThe Role of Coping, Resilience, and Social Support in Mediating the Relation Between PTSD and Social Functioning in Veterans Returning from Iraq and Afghanistan
Tsai J, Harpaz-Rotem I, Pietrzak RH, Southwick SM. The Role of Coping, Resilience, and Social Support in Mediating the Relation Between PTSD and Social Functioning in Veterans Returning from Iraq and Afghanistan. Psychiatry 2012, 75: 135-149. PMID: 22642433, DOI: 10.1521/psyc.2012.75.2.135.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultAfghan Campaign 2001-AfghanistanChildCross-Sectional StudiesData Interpretation, StatisticalFamily RelationsFemaleHumansInterpersonal RelationsIraqIraq War, 2003-2011MalePersonal SatisfactionResilience, PsychologicalSelf ReportSocial BehaviorSocial SupportStress Disorders, Post-TraumaticUnited StatesVeteransConceptsPosttraumatic stress disorderTreatment-seeking veteransSocial functioningSocial supportSecure relationshipsLife satisfactionRole of copingPoor social functioningSeries of questionnairesLower life satisfactionAcceptance of changeRelationship satisfactionSocial avoidanceExcessive worryRomantic partnersFamily functioningStress disorderPsychotherapeutic interventionsCommon psychiatric disordersLess cohesionFunctioningPartner satisfactionMental health careVA primary careCopingDoes Housing Chronically Homeless Adults Lead to Social Integration?
Tsai J, Mares AS, Rosenheck RA. Does Housing Chronically Homeless Adults Lead to Social Integration? Psychiatric Services 2012, 63: 427-434. PMID: 22549528, DOI: 10.1176/appi.ps.201100047.Peer-Reviewed Original Research