2024
Financial Health and Psychiatric Symptoms Among Veterans With Psychosis or Recent Homelessness During the COVID-19 Pandemic
Tsai J, McCleery A, Wynn J, Green M. Financial Health and Psychiatric Symptoms Among Veterans With Psychosis or Recent Homelessness During the COVID-19 Pandemic. Psychological Services 2024, 21: 362-368. PMID: 37410791, PMCID: PMC10770285, DOI: 10.1037/ser0000787.Peer-Reviewed Original ResearchPsychotic disorder groupPsychotic disordersPsychiatric symptomsMental healthImprove mental healthAssociated with symptomsCTL groupMental well-beingPhysical healthVeteransVeteran suicideReducing veteran suicideWell-beingCOVID-19 pandemicMaterial hardshipHoused veteransSymptomsPsychosisPsychiatricDepressionFinancial shocksHealthSuicideVulnerable groupsNO group
2023
Incidence and psychiatric predictors of Long COVID beyond 3 months in a city-wide community sample in Texas
Tsai J, Grace A, Kurian A. Incidence and psychiatric predictors of Long COVID beyond 3 months in a city-wide community sample in Texas. Journal Of Public Health 2023, 46: e51-e59. PMID: 38141051, DOI: 10.1093/pubmed/fdad276.Peer-Reviewed Original ResearchLong COVID symptomsLong COVIDCOVID symptomsDuration of illnessLaboratory-confirmed casesLongitudinal cohort studyLoss of tasteCOVID-19 symptomsBaseline depression symptomsPopulation-based sampleCOVID-19Persistent symptomsCohort studyInverse probability weightingDepression symptomsPsychiatric predictorsWhite adultsSymptomsCoronavirus diseaseGreater riskMonthsAdultsCommunity sampleCOVIDGreater anxietyHeterogeneity of COVID-19 symptoms and associated factors: Longitudinal analysis of laboratory-confirmed COVID-19 cases in San Antonio
Choi B, Grace A, Tsai J. Heterogeneity of COVID-19 symptoms and associated factors: Longitudinal analysis of laboratory-confirmed COVID-19 cases in San Antonio. PLOS ONE 2023, 18: e0295418. PMID: 38064447, PMCID: PMC10707584, DOI: 10.1371/journal.pone.0295418.Peer-Reviewed Original ResearchConceptsLaboratory-confirmed COVID-19 casesCOVID-19 symptomsCOVID-19 infectionRisk factorsCOVID-19 casesPsychiatric conditionsPotential risk factorsCategories of symptomsTypes of symptomsDifferent medical conditionsMiscellaneous symptomsAssociated FactorsFemale genderHigher oddsHispanic ethnicityMedical conditionsSociodemographic characteristicsSymptomsCoronavirus diseaseOutcome variablesGEE modelSan AntonioLongitudinal analysisInfectionLogit linkIncidence 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 examinationChanges in mental health among U.S. military veterans during the COVID-19 pandemic: A network analysis
Spiller T, Na P, Merians A, Duek O, Ben-Zion Z, Tsai J, von Känel R, Harpaz-Rotem I, Pietrzak R. Changes in mental health among U.S. military veterans during the COVID-19 pandemic: A network analysis. Journal Of Psychiatric Research 2023, 165: 352-359. PMID: 37595331, DOI: 10.1016/j.jpsychires.2023.08.003.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderSymptoms of PTSDTraumatic eventsPosttraumatic growthU.S. military veteransPTSD symptomsSuicidal ideationMental healthMilitary veteransIncrease of symptomsPopulation-based sampleCOVID-19 pandemicFirst yearStress disorderMost veteransSymptomsFirst monthPsychopathological symptomsGeneral resilienceGroup levelAnxietyVeteransIndividual reactionsDepressionSubtle increaseNot 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 eventsSeverity
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 ResearchCity-wide study of laboratory-confirmed COVID-19 cases in San Antonio: An investigation of stressful events accompanying infection and their relation to psychosocial functioning
Tsai J, Grace A, North C, Pietrzak R, Vazquez M, Kurian A. City-wide study of laboratory-confirmed COVID-19 cases in San Antonio: An investigation of stressful events accompanying infection and their relation to psychosocial functioning. Psychiatry Research 2022, 320: 115012. PMID: 36565515, PMCID: PMC9762912, DOI: 10.1016/j.psychres.2022.115012.Peer-Reviewed Original ResearchConceptsPsychosocial functioningStressful eventsStress-related symptomsPsychological symptomsLong-term psychological effectsStress-related psychological symptomsImpaired psychosocial functioningWorse psychosocial functioningStress-related psychological problemsPsychological healthPsychological effectsPsychological problemsCOVID-19 infectionFunctioningPhysical symptomsOnline assessmentLaboratory-confirmed COVID-19 casesCity-wide studyAdultsTargeted supportSymptomsFearFinancial problemsCOVID-19 casesParticipantsA 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 support
2021
Association of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic
Pietrzak RH, Tsai J, Southwick SM. Association of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic. JAMA Network Open 2021, 4: e214972. PMID: 33830230, PMCID: PMC8033430, DOI: 10.1001/jamanetworkopen.2021.4972.Peer-Reviewed Original Research
2020
Dissociative symptoms predict risk for the development of PTSD: Results from the National Health and Resilience in Veterans Study (NHRVS)
Herzog S, Fogle BM, Harpaz-Rotem I, Tsai J, DePierro J, Pietrzak RH. Dissociative symptoms predict risk for the development of PTSD: Results from the National Health and Resilience in Veterans Study (NHRVS). Journal Of Psychiatric Research 2020, 131: 215-219. PMID: 32998083, DOI: 10.1016/j.jpsychires.2020.09.018.Peer-Reviewed Original ResearchConceptsDevelopment of PTSDPosttraumatic stress disorderU.S. military veteransDissociative symptomsRisk factorsDerealization symptomsIncident posttraumatic stress disorderTrauma exposureImmutable risk factorsProspective cohort studyPopulation-based risk factorsMilitary veteransPrediction of PTSDPotential clinical utilityTrauma-related factorsTrauma-exposed veteransCohort studyNational HealthRelative riskClinical utilityU.S. veteransVeterans StudySymptomsTrauma characteristicsStress disorder
2018
Latent typologies of DSM-5 PTSD symptoms in U.S. military veterans
Byrne SP, Harpaz-Rotem I, Tsai J, Southwick SM, Pietrzak RH. Latent typologies of DSM-5 PTSD symptoms in U.S. military veterans. Psychiatry Research 2018, 273: 266-273. PMID: 30658212, DOI: 10.1016/j.psychres.2018.12.094.Peer-Reviewed Original ResearchConceptsHigh symptom classPosttraumatic stress disorderSymptom classUse disordersLifetime historyDSM-5 PTSD symptomsPTSD symptomsLatent class analysisDrug use disordersNicotine use disorderDSM-5 posttraumatic stress disorderDSM-5 criteriaU.S. military veteransMajor depressiveCognitive impairmentU.S. veteransSymptomsPersonalized approachHigher symptomsStress disorderGeneralized anxietyMilitary veteransThree-class solutionDisordersVeterans
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
2016
Late-life exacerbation of PTSD symptoms in US veterans: results from the National Health and Resilience in Veterans Study.
Mota N, Tsai J, Kirwin PD, Harpaz-Rotem I, Krystal JH, Southwick SM, Pietrzak RH. Late-life exacerbation of PTSD symptoms in US veterans: results from the National Health and Resilience in Veterans Study. The Journal Of Clinical Psychiatry 2016, 77: 348-54. PMID: 27046308, DOI: 10.4088/jcp.15m10101.Peer-Reviewed Original ResearchConceptsOlder US veteransPosttraumatic stress disorderUS veteransPTSD symptomsNational HealthVeterans StudyMultivariable logistic regression modelWorst traumaDelayed-onset posttraumatic stress disorderExecutive dysfunctionWave 2Population-based dataUS military veteransLogistic regression modelsWave 1Cohort studySignificant exacerbationGreater severitySymptomsOlder ageStress disorderSelf-reported cognitive difficultiesPotential targetMilitary veteransLater life
2015
Dissociative 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
Functional significance of a novel 7-factor model of DSM-5 PTSD symptoms: Results from the National Health and Resilience in Veterans Study
Pietrzak RH, Tsai J, Armour C, Mota N, Harpaz-Rotem I, Southwick SM. Functional significance of a novel 7-factor model of DSM-5 PTSD symptoms: Results from the National Health and Resilience in Veterans Study. Journal Of Affective Disorders 2014, 174: 522-526. PMID: 25556669, DOI: 10.1016/j.jad.2014.12.007.Peer-Reviewed Original ResearchConceptsQuality of lifePosttraumatic stress disorderDSM-5 PTSD symptomsPTSD symptomsNational HealthU.S. veteransSuicidal ideationVeterans StudySymptom clustersDysphoric arousal symptomsCross-sectional designFunctional outcomePsychiatric comorbidityClinical significancePTSD symptom clustersCurrent depressionDSM-5 PTSD symptom clustersPTSD phenotypeMental disordersSymptomsComorbid psychopathologyStress disorderFunctional correlatesStatistical ManualTreatment effortsPredictors 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 recordsSymptomsDimensional structure of DSM-5 posttraumatic stress disorder symptoms: results from the National Health and Resilience in Veterans Study.
Tsai J, Harpaz-Rotem I, Armour C, Southwick SM, Krystal JH, Pietrzak RH. Dimensional structure of DSM-5 posttraumatic stress disorder symptoms: results from the National Health and Resilience in Veterans Study. The Journal Of Clinical Psychiatry 2014, 76: 546-53. PMID: 25562376, DOI: 10.4088/jcp.14m09091.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderLifetime posttraumatic stress disorderHealth-related functioningMental health-related functioningDSM-5 posttraumatic stress disorderUS veteransSymptom clustersPTSD symptom clustersNational HealthVeterans StudyPTSD symptomsQuality of lifeDysphoric Arousal modelPosttraumatic stress disorder (PTSD) symptomsDSM-5 posttraumatic stress disorder symptomsDSM-5 PTSD symptom clustersHealth outcomesFemale veteransSuicidal ideationDSM-5 PTSD symptomsStress disorderSymptomsDisorder symptomsPTSD symptomatologyVeteransComparing four competing models of depressive symptomatology: A confirmatory factor analytic study of 986,647 U.S. veterans
Tsai J, Elhai JD, Pietrzak RH, Hoff RA, Harpaz-Rotem I. Comparing four competing models of depressive symptomatology: A confirmatory factor analytic study of 986,647 U.S. veterans. Journal Of Affective Disorders 2014, 165: 166-169. PMID: 24882195, DOI: 10.1016/j.jad.2014.04.075.Peer-Reviewed Original ResearchConceptsNon-somatic factorsU.S. veteransDepressive symptomsDepressive symptomatologyNon-veteran samplesSymptom-level dataMajor depressive symptomsMajor depression diagnosisMajor depression symptomsFeelings of worthlessnessAppetite changesPsychomotor agitationThoughts of deathDepression diagnosisMajor depressionSleep difficultiesClinical relevanceClinician-administered measuresCurrent diagnostic systemsDepression symptomsConcentration difficultiesSomatic factorsDepressed moodSymptomsVeterans
2012
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.
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