2023
Exacerbated PTSD symptoms among older U.S. military veterans during the COVID-19 pandemic: Results from the national health and resilience in veterans study
Cations M, Cook J, Fischer I, Pietrzak R. Exacerbated PTSD symptoms among older U.S. military veterans during the COVID-19 pandemic: Results from the national health and resilience in veterans study. Journal Of Psychiatric Research 2023, 163: 386-390. PMID: 37269773, PMCID: PMC10227439, DOI: 10.1016/j.jpsychires.2023.05.078.Peer-Reviewed Original ResearchMeSH KeywordsAgedCOVID-19HumansMiddle AgedPandemicsStress Disorders, Post-TraumaticSymptom Flare UpUnited StatesVeteransConceptsU.S. military veteransPTSD symptomsSymptom exacerbationNational HealthMedical conditionsU.S. veteransTrauma exposureMilitary veteransUnited States veteransCOVID-19 pandemicCoronavirus 2019 (COVID-19) pandemicOlder U.S. veteransPost-traumatic stress disorder (PTSD) symptomologyOlder veteransStates veteransExacerbationVeterans StudyPTSD ChecklistSymptomsLatent growth mixture modelMental healthAdditional riskRestriction stressLater lifeVeterans
2020
Implementation Patterns of Two Evidence‐Based Psychotherapies in Veterans Affairs Residential Posttraumatic Stress Disorder Programs: A Five‐Point Longitudinal National Investigation
Cook JM, Simiola V, Thompson R, Mackintosh M, Rosen C, Sayer N, Schnurr PP. Implementation Patterns of Two Evidence‐Based Psychotherapies in Veterans Affairs Residential Posttraumatic Stress Disorder Programs: A Five‐Point Longitudinal National Investigation. Journal Of Traumatic Stress 2020, 33: 432-442. PMID: 32583606, PMCID: PMC7719091, DOI: 10.1002/jts.22557.Peer-Reviewed Original ResearchConceptsEvidence-based psychotherapiesDisorder treatment programsCognitive processing therapyMore patientsCertain patientsDisorders ProgramPosttraumatic Stress Disorder (CR for PTSD) programTreatment programStudy periodAssessment pointsIndividual basisImplementation sciencePatientsResidential settingsOne-fifthPresent studyNational investigationTime 5Qualitative interviewsTime 3Most programsResource-intensive natureUse of PEPsychotherapyTherapyComparisons Between Patients Diagnosed with PTSD in Primary Care Versus Mental Health Care in Five Large Civilian Health Care Systems
Cook JM, Zeber JE, Simiola V, Rossom R, Scherrer JF, Owen-Smith AA, Ahmedani BK, Zolfaghari K, Copeland LA. Comparisons Between Patients Diagnosed with PTSD in Primary Care Versus Mental Health Care in Five Large Civilian Health Care Systems. Journal Of Clinical Psychology In Medical Settings 2020, 28: 221-228. PMID: 32048114, PMCID: PMC7515602, DOI: 10.1007/s10880-020-09706-8.Peer-Reviewed Original ResearchMeSH KeywordsDelivery of Health CareHumansMental HealthPrimary Health CareStress Disorders, Post-TraumaticUnited StatesVeteransConceptsMental health carePosttraumatic stress disorderPrimary careSpecialty mental health careSerious mental health disordersHealth care utilizationHealth careDiagnosis of PTSDMedical record dataMental health disordersCivilian health care systemsHealth care systemClinical characteristicsCare utilizationPC providersTreatment modalitiesPC settingsProfit healthcare systemProvider typePatientsPTSD patientsHealth disordersStress disorderCare systemRecord dataProvider General Attitudes Versus Specific Perceptions of Evidence-Based Psychotherapies for PTSD
Cook JM, Thompson R, Simiola V, Stirman S, Schnurr PP. Provider General Attitudes Versus Specific Perceptions of Evidence-Based Psychotherapies for PTSD. Psychological Services 2020, 17: 46-53. PMID: 30265069, PMCID: PMC6437015, DOI: 10.1037/ser0000280.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelCognitive Behavioral TherapyEvidence-Based PracticeFemaleHealth Knowledge, Attitudes, PracticeHumansImplosive TherapyMaleMiddle AgedPsychotherapy, GroupResidential TreatmentStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsConceptsCognitive processing therapyEvidence-based psychotherapiesPosttraumatic stress disorderResidential PTSD programsGeneral attitudesUse of PERole of attitudesSpecific perceptionsPTSD programStress disorderTreatment developersSelf-reported useExposure componentPositive perceptionsTreatment providersPerceptionOnline surveyAttitudesPsychotherapyDelivery-related variablesProlonged exposurePotential predictorsGroup basisPredictorsSkills
2019
Posttraumatic stress symptom courses in U.S. military veterans: A seven-year, nationally representative, prospective cohort study
Mota NP, Cook JM, Smith NB, Tsai J, Harpaz-Rotem I, Krystal JH, Southwick SM, Pietrzak RH. Posttraumatic stress symptom courses in U.S. military veterans: A seven-year, nationally representative, prospective cohort study. Journal Of Psychiatric Research 2019, 119: 23-31. PMID: 31546045, DOI: 10.1016/j.jpsychires.2019.09.005.Peer-Reviewed Original ResearchConceptsPTSD symptom courseSymptom courseU.S. military veteransLatent growth mixture modelingProspective cohort studyMilitary veteransLifetime psychiatric historyMental health treatmentPhysical health difficultiesLifetime traumatic eventsTrauma-exposed veteransProtective psychosocial characteristicsCohort studyProspective cohortModerate symptomsModifiable correlatesNational HealthSymptomatic coursePsychiatric historyHealth treatmentU.S. veteransVeterans StudyPsychosocial characteristicsHigher symptomsHealth difficultiesTrauma Training: Competencies, Initiatives, and Resources
Cook JM, Newman E, Simiola V. Trauma Training: Competencies, Initiatives, and Resources. Psychotherapy 2019, 56: 409-421. PMID: 31282716, DOI: 10.1037/pst0000233.Peer-Reviewed Original ResearchConceptsTrauma competenciesRelevance of traumaPsychology graduate studentsAmerican Psychological AssociationMental health effectsTraumatic stressCounseling psychologyPsychological AssociationClinical populationsClients' livesTraining issuesPsychologistsCurriculum developmentComprehensive modelCompetenciesGraduate-level educationProfessional practiceFoundational knowledgeGraduate studentsPsychologyTraumaStandard curriculumOrganization educationTraining policiesSkillsRandomized Controlled Trial of Imagery Rehearsal for Posttraumatic Nightmares in Combat Veterans.
Harb GC, Cook JM, Phelps AJ, Gehrman PR, Forbes D, Localio R, Harpaz-Rotem I, Gur RC, Ross RJ. Randomized Controlled Trial of Imagery Rehearsal for Posttraumatic Nightmares in Combat Veterans. Journal Of Clinical Sleep Medicine 2019, 15: 757-767. PMID: 31053215, PMCID: PMC6510682, DOI: 10.5664/jcsm.7770.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyPosttraumatic stress disorderNightmare Distress QuestionnaireNightmare Frequency QuestionnaireBehavioral therapySevere posttraumatic stress disorderUnited States veteransOperation Enduring Freedom/Operation Iraqi Freedom veteransImagery rehearsalOperation Iraqi Freedom veteransSubgroups of veteransIraqi Freedom veteransFrequency questionnaireControlled TrialsPrimary outcomeLikelihood ratio chi-squareStates veteransDistress QuestionnaireStress disorderChi-squareRecurrent nightmaresConfidence intervalsMilitary veteransVeteransCombat veteransAdoption by VA Residential Programs of Two Evidence-Based Psychotherapies for PTSD: Effect on Patient Outcomes
Cook JM, Schnurr PP, Simiola V, Thompson R, Hoff R, Harpaz-Rotem I. Adoption by VA Residential Programs of Two Evidence-Based Psychotherapies for PTSD: Effect on Patient Outcomes. Psychiatric Services 2019, 70: 553-560. PMID: 30966944, PMCID: PMC6690369, DOI: 10.1176/appi.ps.201800338.Peer-Reviewed Original ResearchMeSH KeywordsAdultCognitive Behavioral TherapyComorbidityDepressionFemaleHumansImplosive TherapyMaleMiddle AgedOutcome and Process Assessment, Health CarePsychological DistressResidential TreatmentStress Disorders, Post-TraumaticSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPosttraumatic stress disorderCognitive processing therapyEvidence-based psychotherapiesVeterans Affairs residential treatment programsAdoption groupsAlcohol useResidential treatment programSample of veteransGroup × time interactionPTSD symptomsStress disorderGroup formatProgram intakeResidential programs× time interactionDepression symptomsTreatment programPsychotherapyBasis of responsesPatient outcomesTime interactionProgram dischargeQualitative interviewsMonths postdischargeVeterans
2018
Which patients initiate cognitive processing therapy and prolonged exposure in department of veterans affairs PTSD clinics?
Rosen CS, Bernardy NC, Chard KM, Clothier B, Cook JM, Crowley J, Eftekhari A, Kehle-Forbes SM, Mohr DC, Noorbaloochi S, Orazem RJ, Ruzek JI, Schnurr PP, Smith BN, Sayer NA. Which patients initiate cognitive processing therapy and prolonged exposure in department of veterans affairs PTSD clinics? Journal Of Anxiety Disorders 2018, 62: 53-60. PMID: 30550959, DOI: 10.1016/j.janxdis.2018.11.003.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory CareAmbulatory Care FacilitiesCognitionCognitive Behavioral TherapyComorbidityFacilities and Services UtilizationFemaleHumansImplosive TherapyMaleMiddle AgedPatient Acceptance of Health CareStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsCognitive processing therapyCo-occurring psychiatric diagnosesVeterans AffairsVeterans Affairs PTSD clinicVA administrative dataVA Medical CenterService-connected disabilityMore comorbiditiesMost patientsVA clinicsSpecialty clinicPsychiatric hospitalizationPTSD clinicMedical CenterPsychiatric diagnosisPatientsExposure therapyClinicTherapyClinical suitabilityEthnic differencesFurther studiesAdministrative dataPTSDDepartmentPosttraumatic Stress Disorder in Older Adults: A Conceptual Review
Kaiser A, Cook JM, Glick DM, Moye J. Posttraumatic Stress Disorder in Older Adults: A Conceptual Review. Clinical Gerontologist 2018, 42: 359-376. PMID: 30422749, PMCID: PMC6666306, DOI: 10.1080/07317115.2018.1539801.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCognitive AgingCognitive DysfunctionCommunity Mental Health ServicesComorbidityFemaleHumansMaleMiddle AgedMilitary HealthPrevalencePsychotherapyRandomized Controlled Trials as TopicStress Disorders, Post-TraumaticTerminal CareUnited StatesVeteransWounds and InjuriesConceptsPosttraumatic stress disorderOlder adultsStress disorderRates of PTSDNon-pharmacological treatmentPartial posttraumatic stress disorderImportant clinical considerationsAcademic Search Premier databasesU.S. military veteransIntact older adultsMental health practitionersPatient functioningClinical considerationsTreatment adaptationClinical perspectiveHealth practitionersPremier databasePTSD symptomsYoung adultsTrauma historyMilitary veteransLater lifeAdultsPTSD experiencesDisordersThe Influence of Team Functioning and Workload on Sustainability of Trauma-Focused Evidence-Based Psychotherapies
Mohr DC, Rosen CS, Schnurr PP, Orazem RJ, Noorbaloochi S, Clothier BA, Eftekhari A, Bernardy NC, Chard KM, Crowley JJ, Cook JM, Kehle-Forbes SM, Ruzek JI, Sayer NA. The Influence of Team Functioning and Workload on Sustainability of Trauma-Focused Evidence-Based Psychotherapies. Psychiatric Services 2018, 69: 879-886. PMID: 29793398, DOI: 10.1176/appi.ps.201700432.Peer-Reviewed Original ResearchMeasuring Use of Evidence-Based Psychotherapy for PTSD in VA Residential Treatment Settings with Clinician Survey and Electronic Medical Record Templates
Shiner B, Leonard Westgate C, Simiola V, Thompson R, Schnurr PP, Cook JM. Measuring Use of Evidence-Based Psychotherapy for PTSD in VA Residential Treatment Settings with Clinician Survey and Electronic Medical Record Templates. Military Medicine 2018, 183: e539-e546. PMID: 29547909, PMCID: PMC6115864, DOI: 10.1093/milmed/usy008.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedElectronic Health RecordsEvidence-Based PracticeFemaleHumansMaleMiddle AgedPatient Acceptance of Health CarePsychotherapyResidential FacilitiesRetrospective StudiesStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsResidential PTSD programsEvidence-based psychotherapiesPTSD programEBP deliveryElectronic medical recordsTherapist factorsCognitive processing therapyNegative predictorResidential treatment settingsPatient factorsEMR templateIndividual formatGroup formatMultiple patient factorsProportion of patientsPatient-level predictorsMultivariable logistic regressionPTSDPatient-level dataPositive predictorTherapistsDisorders ProgramRobust standard error estimationElectronic medical record templatesTreatment settingsVA Residential Treatment Providers’ Use of Two Evidence-Based Psychotherapies for PTSD: Global Endorsement Versus Specific Components
Thompson R, Simiola V, Schnurr PP, Stirman SW, Cook JM. VA Residential Treatment Providers’ Use of Two Evidence-Based Psychotherapies for PTSD: Global Endorsement Versus Specific Components. Psychological Trauma Theory Research Practice And Policy 2018, 10: 131-139. PMID: 27893265, PMCID: PMC5446934, DOI: 10.1037/tra0000220.Peer-Reviewed Original Research
2017
The Influence of Patient Readiness on Implementation of Evidence-Based PTSD Treatments in Veterans Affairs Residential Programs
Cook JM, Simiola V, Hamblen JL, Bernardy N, Schnurr PP. The Influence of Patient Readiness on Implementation of Evidence-Based PTSD Treatments in Veterans Affairs Residential Programs. Psychological Trauma Theory Research Practice And Policy 2017, 9: 51-58. PMID: 27348065, PMCID: PMC5192004, DOI: 10.1037/tra0000162.Peer-Reviewed Original ResearchMeSH KeywordsCognitionCognitive Behavioral TherapyComorbidityEmotional IntelligenceEvidence-Based PracticeHealth PersonnelHumansImplosive TherapyInterviews as TopicMotivationPatient Acceptance of Health CareQualitative ResearchResidential TreatmentStress Disorders, Post-TraumaticSuperior Sagittal SinusUnited StatesUnited States Department of Veterans AffairsVeteransConceptsTrauma-focused evidence-based treatmentsCognitive processing therapyEvidence-based treatmentsPosttraumatic stress disorderResidential PTSD treatment programPTSD treatment programConcept of readinessMental health providers' perceptionsStress disorderGeneral readinessFuture research directionsVeterans' perceptionsTreatment programSpecific skillsPerceptionPatient readinessVeterans AffairsProlonged exposureResidential stayPsychiatric stabilityQualitative interviewsReadinessHealth providers' perceptionsResearch directionsMental health directorsDifferential predictive value of PTSD symptom clusters for mental health care among Iraq and Afghanistan veterans following PTSD diagnosis
Smith NB, Tsai J, Pietrzak RH, Cook JM, Hoff R, Harpaz-Rotem I. Differential predictive value of PTSD symptom clusters for mental health care among Iraq and Afghanistan veterans following PTSD diagnosis. Psychiatry Research 2017, 256: 32-39. PMID: 28622572, DOI: 10.1016/j.psychres.2017.06.005.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderAfghanistan veteransPTSD symptom clustersNational VA administrative dataVeterans AffairsSymptom clustersMental health service utilizationTreatment-related variablesHealth service utilizationVA administrative dataSelection of treatmentMental health carePTSD symptom cluster severitySymptom cluster severityTrauma-exposed veteransInitial diagnosisClinical variablesPsychotherapy visitsAdequate doseService utilizationDifferential predictive valueLarge cohortCombination treatmentPsychotherapy initiationTreatment approachesContext Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration
Sayer NA, Rosen CS, Bernardy NC, Cook JM, Orazem RJ, Chard KM, Mohr DC, Kehle-Forbes SM, Eftekhari A, Crowley J, Ruzek JI, Smith BN, Schnurr PP. Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration. Administration And Policy In Mental Health And Mental Health Services Research 2017, 44: 904-918. PMID: 28597238, PMCID: PMC5640758, DOI: 10.1007/s10488-017-0809-y.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory Care FacilitiesAttitude of Health PersonnelCognitive Behavioral TherapyEnvironmentEvidence-Based MedicineHumansImplosive TherapyMental Health ServicesOrganizational CultureStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsWork EngagementImproving and sustaining delivery of CPT for PTSD in mental health systems: a cluster randomized trial
Wiltsey Stirman S, Finley EP, Shields N, Cook J, Haine-Schlagel R, Burgess JF, Dimeff L, Koerner K, Suvak M, Gutner CA, Gagnon D, Masina T, Beristianos M, Mallard K, Ramirez V, Monson C. Improving and sustaining delivery of CPT for PTSD in mental health systems: a cluster randomized trial. Implementation Science 2017, 12: 32. PMID: 28264720, PMCID: PMC5339953, DOI: 10.1186/s13012-017-0544-5.Peer-Reviewed Original ResearchConceptsEvidence-based psychotherapiesMental health systemCognitive processing therapyTreatment protocolHealth systemRoutine care settingsFull treatment protocolCohort of cliniciansMental health clinicsQuality of lifePosttraumatic stress disorderPTSD symptom changeEligible patientsClinical outcomesHealthcare utilizationHealth clinicsCare settingsSymptom changeClinical settingStress disorderMental healthPhysical healthTeam of investigatorsContinuous quality improvementHealthcare system
2016
Psychological resilience in U.S. military veterans: A 2-year, nationally representative prospective cohort study
Isaacs K, Mota NP, Tsai J, Harpaz-Rotem I, Cook JM, Kirwin PD, Krystal JH, Southwick SM, Pietrzak RH. Psychological resilience in U.S. military veterans: A 2-year, nationally representative prospective cohort study. Journal Of Psychiatric Research 2016, 84: 301-309. PMID: 27814502, DOI: 10.1016/j.jpsychires.2016.10.017.Peer-Reviewed Original ResearchConceptsU.S. military veteransTrauma-exposed veteransPsychological resilienceTrauma exposureMilitary veteransResilient groupTrauma-related psychological symptomsDistressed groupHigh trauma exposureCurrent psychological distressLifetime trauma exposurePhysical health difficultiesSense of purposeProspective cohort studyDispositional gratitudePosttraumatic stressTraumatic eventsEmotional stabilityPsychological distressCurrent distressLifetime traumaAnxiety disordersDistress symptomsHealth difficultiesPsychological symptomsA Review of Studies on the System-Wide Implementation of Evidence-Based Psychotherapies for Posttraumatic Stress Disorder in the Veterans Health Administration
Rosen C, Matthieu M, Wiltsey Stirman S, Cook J, Landes S, Bernardy N, Chard K, Crowley J, Eftekhari A, Finley E, Hamblen J, Harik J, Kehle-Forbes S, Meis L, Osei-Bonsu P, Rodriguez A, Ruggiero K, Ruzek J, Smith B, Trent L, Watts B. A Review of Studies on the System-Wide Implementation of Evidence-Based Psychotherapies for Posttraumatic Stress Disorder in the Veterans Health Administration. Administration And Policy In Mental Health And Mental Health Services Research 2016, 43: 957-977. PMID: 27474040, DOI: 10.1007/s10488-016-0755-0.Peer-Reviewed Original ResearchConceptsEvidence-based psychotherapiesVeterans Health AdministrationPosttraumatic stress disorderSystem-wide implementationHealth AdministrationStress disorderLarge health care systemHealth care systemVHA settingsConsolidated FrameworkCare systemImplementation researchImplementation outcomesSustainment (EPIS) frameworkAdministrationEPIS frameworkPilot databaseDisordersReview of studiesMaintenance frameworkTraining programFuture effortsPsychotherapyPubMed
2015
Mental Health Treatment for Older Veterans Newly Diagnosed with PTSD: A National Investigation
Smith NB, Cook JM, Pietrzak R, Hoff R, Harpaz-Rotem I. Mental Health Treatment for Older Veterans Newly Diagnosed with PTSD: A National Investigation. American Journal Of Geriatric Psychiatry 2015, 24: 201-212. PMID: 25772341, DOI: 10.1016/j.jagp.2015.02.001.Peer-Reviewed Original ResearchConceptsMental health treatmentPosttraumatic stress disorderOlder veteransVA healthcare systemHealth treatmentClinical characteristicsDecreased oddsNational administrative data setVeterans AffairsMental health service utilizationAppropriate mental health treatmentOdds of treatmentMental health visitsHealth service utilizationHealthcare systemPharmacy recordsHealth visitsCox regressionPsychiatric comorbidityPsychotherapy visitsService utilizationLarge cohortMedical appointmentsAdministrative data setsNew diagnosis