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 effectChronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences
Stefanovics E, Potenza M, Szymkowiak D, Tsai J. Chronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences. Journal Of Psychiatric Research 2023, 164: 118-124. PMID: 37339548, DOI: 10.1016/j.jpsychires.2023.05.062.Peer-Reviewed Original ResearchConceptsPsychiatric treatmentGambling disorderChi-square testChronic homelessnessClinical correlatesDescriptive epidemiologyLow educational attainmentElevated oddsSuicidal thoughtsLogistic regressionTraumatic experiencesMental healthSubstance useHomeless veteransHomeless ProgramVeteransTreatmentLower ratesEpidemiologyBehavioral concernsDisordersStudy of factorsCorrelatesAnalysis of varianceEducational attainment
2022
Criminal Legal Involvement Among Recently Separated Veterans: Findings From the LIMBIC Study
Elbogen EB, Amuan M, Kennedy E, Blakey SM, Graziano RC, Hooshyar D, Tsai J, Nelson RE, Vanneman ME, Jones AL, Pugh MJ. Criminal Legal Involvement Among Recently Separated Veterans: Findings From the LIMBIC Study. Law And Human Behavior 2022, 46: 385-394. PMID: 36227321, DOI: 10.1037/lhb0000497.Peer-Reviewed Original ResearchMeSH KeywordsCriminalsFemaleHumansLongitudinal StudiesMaleMilitary PersonnelSubstance-Related DisordersUnited StatesVeteransConceptsSerious mental illnessSubstance use disordersMilitary dischargeRisk factorsPersonality disorderUse disordersTransition Assistance ProgramMental illnessCo-occurring mental disordersCo-occurring substance use disordersVeterans Affairs (VA) health careLongitudinal cohort studyTraumatic brain injuryNeighborhood-level risk factorsPhysical health conditionsDisadvantaged neighborhoodsLegal involvementLarger longitudinal studyCohort studyMultivariable analysisBrain injuryNeighborhood of residenceHigh riskLarge effect sizesMental disordersDisentangling Associations Between Military Service, Race, and Incarceration in the U.S. Population
Tsai J, Edwards E, Cao X, Finlay AK. Disentangling Associations Between Military Service, Race, and Incarceration in the U.S. Population. Psychological Services 2022, 19: 431-442. PMID: 35878068, DOI: 10.1037/ser0000537.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHumansIll-Housed PersonsMaleMilitary PersonnelPrevalenceSubstance-Related DisordersUnited StatesVeteransConceptsLifetime incarcerationPsychosocial characteristicsSubstance abuse factorsSubstance use disordersU.S. adult populationVeteran statusBorderline personality disorderRisk adultsMale genderUse disordersHistory of homelessnessAdult populationU.S. adultsBehavioral healthMental healthCivilian settingsPersonality disorderU.S. populationSociodemographic backgroundAdultsIncarceration historyAbuse factorsVeteransPrevalence of incarcerationStructured interviewsErectile Dysfunction in a U.S. National Sample of Male Military Veterans
Way BM, Griffin KR, Kraus SW, Tsai J, Pietrzak RH. Erectile Dysfunction in a U.S. National Sample of Male Military Veterans. Military Medicine 2022, 188: 2837-2843. PMID: 35792506, DOI: 10.1093/milmed/usac187.Peer-Reviewed Original ResearchMeSH KeywordsDepressive Disorder, MajorErectile DysfunctionHumansMaleMilitary PersonnelStress Disorders, Post-TraumaticSuicidal IdeationVeteransConceptsProbable post-traumatic stress disorderMajor depressive disorderPhysical health conditionsWeighted lifetime prevalenceErectile dysfunctionMental health issuesHealth conditionsHealth burdenLifetime prevalenceSelf-report assessmentsOdds of MDDProbable PTSDU.S. veteransSuicidal ideationAnxiety disordersHealth issuesPrevalent sexual dysfunctionHigh blood pressureMental health burdenMale U.S. veteransMilitary veteransU.S. veteran populationMental health conditionsPost-traumatic stress disorderRepresentative sampleDispositional gratitude predicts the development of psychopathology and suicidal behaviors: Results from a 7-year population-based study of U.S. military veterans
McGuire AP, Fagan JG, Tsai J, Merians AN, Nichter B, Norman SB, Southwick SM, Pietrzak RH. Dispositional gratitude predicts the development of psychopathology and suicidal behaviors: Results from a 7-year population-based study of U.S. military veterans. Journal Of Psychiatric Research 2022, 149: 168-176. PMID: 35278781, PMCID: PMC9017955, DOI: 10.1016/j.jpsychires.2022.02.028.Peer-Reviewed Original ResearchMeSH KeywordsDepressive Disorder, MajorHumansMilitary PersonnelRisk FactorsStress Disorders, Post-TraumaticSuicidal IdeationSuicide, AttemptedVeteransConceptsMajor depressive disorderPosttraumatic stress disorderU.S. military veteransSuicidal ideationMental health outcomesSuicide attemptsSuicidal behaviorDevelopment of psychopathologyHealth outcomesMilitary veteransAdverse mental health outcomesPopulation-based studyPopulation-based samplePrimary prevention effortsMultivariable analysisDepressive disorderHigh riskBaseline levelsU.S. veteransStress disorderAnxiety disordersPrevention effortsIncident outcomesService membersVeterans
2021
Drinking to Cope with Posttraumatic Stress: A Nationally Representative Study of Men with and without Military Combat Experience
Blakey SM, Tsai J, Elbogen EB. Drinking to Cope with Posttraumatic Stress: A Nationally Representative Study of Men with and without Military Combat Experience. Journal Of Dual Diagnosis 2021, 17: 101-112. PMID: 33730991, DOI: 10.1080/15504263.2021.1891360.Peer-Reviewed Original ResearchConceptsMilitary combat experiencePosttraumatic stress disorderMilitary combat veteransPTSD symptomsPTSD symptom countCombat experienceHazardous alcohol useAlcohol abuse/dependenceTrauma survivorsAbuse/dependencePTSD diagnosisCombat veteransAlcohol useLifetime trauma exposureSymptom countsTrauma-exposed menLifetime PTSD severityLifetime alcohol abuse/dependenceLifetime PTSD diagnosisLifetime traumatic experiencesFace interview studyMultivariate analysisPosttraumatic stressTrauma exposurePTSD severity
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
2014
Military sexual trauma in US veterans: results from the National Health and Resilience in Veterans Study.
Klingensmith K, Tsai J, Mota N, Southwick SM, Pietrzak RH. Military sexual trauma in US veterans: results from the National Health and Resilience in Veterans Study. The Journal Of Clinical Psychiatry 2014, 75: e1133-9. PMID: 25373123, DOI: 10.4088/jcp.14m09244.Peer-Reviewed Original ResearchConceptsMental health treatment utilizationQuality of lifeMilitary sexual traumaUS veteransPsychiatric morbidityNational HealthHealth burdenTreatment utilizationVeterans StudyDSM-IV mental disordersCurrent major depressive disorderUS veteran populationMajor depressive disorderFunctioning/qualityMental health treatmentMilitary characteristicsMental health factorsSexual traumaHistory of MSTCurrent suicidal ideationPosttraumatic stress disorderElevated ratesPsychiatric comorbidityPsychotropic medicationsOverall prevalenceElucidating the transdiagnostic dimensional structure of trauma-related psychopathology: Findings from VA cooperative study 504 – risperidone treatment for military service related chronic post traumatic stress disorder
Pietrzak RH, Rosenheck RA, Cramer JA, Vessichio JC, Tsai J, Southwick SM, Krystal JH, Group F. Elucidating the transdiagnostic dimensional structure of trauma-related psychopathology: Findings from VA cooperative study 504 – risperidone treatment for military service related chronic post traumatic stress disorder. Journal Of Affective Disorders 2014, 172: 331-336. PMID: 25451434, DOI: 10.1016/j.jad.2014.10.025.Peer-Reviewed Original Research
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
2012
Mental Health of Asian American and Pacific Islander Military Veterans: Brief Review of an Understudied Group
Tsai J, Kong G. Mental Health of Asian American and Pacific Islander Military Veterans: Brief Review of an Understudied Group. Military Medicine 2012, 177: 1438-1444. PMID: 23198528, DOI: 10.7205/milmed-d-12-00214.Peer-Reviewed Original ResearchConceptsMental healthSevere post-traumatic stress disorder symptomsPost-traumatic stress disorder symptomsMental health servicesHealth Literature databasesPost-traumatic stress disorderPoor mental healthPaucity of studiesHealth functioningPacific Islander veteransHealth servicesLiterature searchStress disorderLiterature databasesExhaustive literature searchDisorder symptomsMilitary veteransVeteransVietnam veteransRace-related stressorsHealthPrior reviewsAsian AmericansMore researchReview
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