2017
Use and correlates of VHA tobacco cessation counseling services by veterans with post-traumatic stress disorder
Kelly M, Wang S, Rosenheck R. Use and correlates of VHA tobacco cessation counseling services by veterans with post-traumatic stress disorder. Journal Of Public Mental Health 2017, 16: 37-44. DOI: 10.1108/jpmh-08-2016-0035.Peer-Reviewed Original ResearchTobacco cessation counseling servicesCessation counseling servicesTobacco cessation counselingTobacco use disorderPost-traumatic stress disorderTobacco cessation servicesCessation counselingCessation servicesUse disordersComorbid drug use disordersStress disorderOutpatient mental healthDrug use disordersCharacteristics of veteransHigher lifetime ratesSubstance use servicesCounseling servicesFiscal year 2012VHA servicesCounseling useLifetime ratesMental healthDisordersVeteransCounseling
2013
The use of second generation antipsychotics for post-traumatic stress disorder in a US Veterans Health Administration Medical Center
Hermes E, Sernyak M, Rosenheck R. The use of second generation antipsychotics for post-traumatic stress disorder in a US Veterans Health Administration Medical Center. Epidemiology And Psychiatric Sciences 2013, 23: 281-288. PMID: 24007653, PMCID: PMC6998245, DOI: 10.1017/s2045796013000449.Peer-Reviewed Original ResearchPost-traumatic stress disorderMedical CenterUS Veterans Health Administration medical centersVeterans Health Administration medical centersSingle Veterans Affairs medical centerVeterans Affairs Medical CenterStress disorderSecond-generation antipsychoticsGoals of sedationSleep/sedationGeneration antipsychoticsAntipsychotic useParticular medicationSole diagnosisClinical correlatesSGA useProvider surveyCommon reasonPsychiatric disordersClinicians' usePsychiatric diagnosisSGALimited evidenceChi-squareDisorders
2001
Neuroleptic Use in the Treatment of Post-Traumatic Stress Disorder
Sernyak M, Kosten T, Fontana A, Rosenheck R. Neuroleptic Use in the Treatment of Post-Traumatic Stress Disorder. Psychiatric Quarterly 2001, 72: 197-213. PMID: 11467155, DOI: 10.1023/a:1010318414199.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderTreatment of PTSDNeuroleptic useOutcome studiesStress disorderSevere post-traumatic stress disorderLarge outcome studiesUse of neurolepticsNeuroleptic-treated patientsObservational outcome studyCombat-related post-traumatic stress disorderIll patientsMedication historyClinical variablesNeuroleptic prescriptionSocio-demographic characteristicsTreatment characteristicsBaseline differencesNeurolepticsPatientsSecondary analysisPTSD symptomsCombat exposureTreatmentOutpatientsCombat Trauma: Trauma with Highest Risk of Delayed Onset and Unresolved Posttraumatic Stress Disorder Symptoms, Unemployment, and Abuse Among Men
PRIGERSON H, MACIEJEWSKI P, ROSENHECK R. Combat Trauma: Trauma with Highest Risk of Delayed Onset and Unresolved Posttraumatic Stress Disorder Symptoms, Unemployment, and Abuse Among Men. The Journal Of Nervous And Mental Disease 2001, 189: 99-108. PMID: 11225693, DOI: 10.1097/00005053-200102000-00005.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderForms of dysfunctionWorst traumaComposite International Diagnostic InterviewRisk of PTSDPTSD symptom onsetLifetime posttraumatic stress disorderDiagnostic Interview ScheduleNational Comorbidity SurveyPosttraumatic stress disorder (PTSD) symptomsSymptom onsetPersons 15PTSD moduleHigh riskDiagnostic InterviewDelayed onsetStress disorderTraumaPTSD symptomsDisorder symptomsMenRepresentative national sampleCombat traumaDysfunctionSymptoms
2000
Benzodiazepine Use in Posttraumatic Stress Disorder among Veterans with Substance Abuse
KOSTEN T, FONTANA A, SERNYAK M, ROSENHECK R. Benzodiazepine Use in Posttraumatic Stress Disorder among Veterans with Substance Abuse. The Journal Of Nervous And Mental Disease 2000, 188: 454-459. PMID: 10919705, DOI: 10.1097/00005053-200007000-00010.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderHealth care utilizationSubstance abuseCare utilizationBenzodiazepine useOutpatient health care utilizationStress disorderComorbid substance abuseSubstance abuse diagnosisBenzodiazepine treatmentBaseline differencesInpatient dischargesBenzodiazepine usersAbuse diagnosisPTSD patientsAdverse effectsSubstance abusersBenzodiazepinesOutcomesVeteransDisordersAbusePatientsWorseningDiagnosisPosttraumatic Stress Disorder Among Hispanic Vietnam Veterans
Ortega A, Rosenheck R. Posttraumatic Stress Disorder Among Hispanic Vietnam Veterans. American Journal Of Psychiatry 2000, 157: 615-619. PMID: 10739422, DOI: 10.1176/appi.ajp.157.4.615.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderHispanic Vietnam veteransSevere PTSD symptomsVietnam veteransGreater riskStress disorderPTSD symptomsNon-Hispanic white veteransGreater functional impairmentNational Epidemiologic StudyNational Vietnam Veterans Readjustment StudyFunctional impairmentSecondary data analysisEpidemiologic studiesHigh riskHispanic veteransSevere symptomsMental disordersSymptom reportingWhite veteransSymptomsVeteransDisordersRiskRepresentative sampleOutcomes monitoring and the testing of new psychiatric treatments: work therapy in the treatment of chronic post-traumatic stress disorder.
Rosenheck R, Stolar M, Fontana A. Outcomes monitoring and the testing of new psychiatric treatments: work therapy in the treatment of chronic post-traumatic stress disorder. Health Services Research 2000, 35: 133-51. PMID: 10778827, PMCID: PMC1089118.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderWar-related post-traumatic stress disorderVeterans AffairsStress disorderUntested treatmentsChronic post-traumatic stress disorderTreatment of PTSDTreatment of patientsFour-month followCWT programAdministrative databasesObservational studyInpatient programOutcome measuresWork therapy programMedical statusTreatment groupsPsychiatric treatmentTherapy interventionPropensity scoringUse of outcomesDrug usePatientsTherapy programPropensity score
1999
Changing Patterns of Care for War-Related Post-Traumatic Stress Disorder at Department of Veterans Affairs Medical Centers: The Use of Performance Data to Guide Program Development
Rosenheck R, Fontana A. Changing Patterns of Care for War-Related Post-Traumatic Stress Disorder at Department of Veterans Affairs Medical Centers: The Use of Performance Data to Guide Program Development. Military Medicine 1999, 164: 795-802. PMID: 10578592, DOI: 10.1093/milmed/164.11.795.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderVeterans Affairs Medical CenterInpatient programMedical CenterOutcome studiesStress disorderSpecialized inpatient programTreatment of PTSDPatterns of careSpecialized outpatient clinicEmphasis of careVA Medical CenterSpecialized outpatient treatmentWar-related post-traumatic stress disorderHealth care systemMost health care systemsInpatient outcomesOutpatient clinicOutpatient settingOutpatient treatmentOutpatient servicesOutcome assessmentMental illnessVA treatmentCare systemAnalysis of violent behavior in Vietnam combat veteran psychiatric inpatients with posttraumatic stress disorder
McFall M, Fontana A, Raskind M, Rosenheck R. Analysis of violent behavior in Vietnam combat veteran psychiatric inpatients with posttraumatic stress disorder. Journal Of Traumatic Stress 1999, 12: 501-517. PMID: 10467558, DOI: 10.1023/a:1024771121189.Peer-Reviewed Original ResearchMeSH KeywordsCase-Control StudiesComorbidityDiagnosis, Dual (Psychiatry)Factor Analysis, StatisticalHumansInpatientsMaleMental DisordersMiddle AgedPatient Acceptance of Health CarePsychiatric Status Rating ScalesRegression AnalysisSeverity of Illness IndexStress Disorders, Post-TraumaticSubstance-Related DisordersSurveys and QuestionnairesVeteransVietnamViolenceWashingtonConceptsPTSD inpatientsInpatient treatmentPsychiatric inpatientsVietnam veteransMale Vietnam veteransPosttraumatic stress disorderMixed diagnostic groupViolent behaviorPTSD symptom severityMale psychiatric inpatientsRoutine assessmentInpatientsDiagnostic groupsSymptom severitySubstance abuseAnger dyscontrolStress disorderCorrelates of violenceSpecialized interventionsPTSDCommunity sampleComparison conditionVeteransTreatmentPhysical fightingComparison of Outcome between Homogeneous and Heterogeneous Treatment Environments in Combat-Related Posttraumatic Stress Disorder
JOHNSON D, LUBIN H, ROSENHECK R, FONTANA A, CHARNEY D, SOUTHWICK S. Comparison of Outcome between Homogeneous and Heterogeneous Treatment Environments in Combat-Related Posttraumatic Stress Disorder. The Journal Of Nervous And Mental Disease 1999, 187: 88-95. PMID: 10067948, DOI: 10.1097/00005053-199902000-00004.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude to HealthChronic DiseaseCombat DisordersFollow-Up StudiesHospitalizationHumansMaleMental DisordersPatient SatisfactionProgram EvaluationPsychiatric Status Rating ScalesPsychotherapyPsychotherapy, GroupRegression AnalysisSocial EnvironmentSocial SupportTreatment OutcomeVeteransConceptsPosttraumatic stress disorderStress disorderVietnam combat veteransChronic posttraumatic stress disorderComparison of outcomesGeneral psychiatric patientsCombat veteransTreatment environmentTreatment outcomesInpatient programPsychiatric patientsVeteran populationDisordersVeteransOutcomesMonthsHeterogeneous conditionPatientsAssessing Quality of Care
Rosenheck R, Fontana A, Stolar M. Assessing Quality of Care. Medical Care 1999, 37: 180-188. PMID: 10024122, DOI: 10.1097/00005650-199902000-00008.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareCombat DisordersFollow-Up StudiesHospitals, VeteransHumansMaleMiddle AgedOutcome and Process Assessment, Health CarePatient ReadmissionPsychiatric Department, HospitalQuality Indicators, Health CareSocial AdjustmentUnited StatesUnited States Department of Veterans AffairsVeteransConceptsClinical outcome measuresHospital readmissionClinical outcomesOutcome measuresQuality of carePosttraumatic stress disorderIndex dischargeMeasures of accessPoor outcomePatient interviewsCare indicatorsOutpatient careInpatient programAdministrative data setsHospital useReadmissionSubstance abuseStress disorderUse of qualityAdministrative dataOutcomesCareMonthsSymptomsSocial function
1998
Psychological benefits and liabilities of traumatic exposure in the war zone
Fontana A, Rosenheck R. Psychological benefits and liabilities of traumatic exposure in the war zone. Journal Of Traumatic Stress 1998, 11: 485-503. PMID: 9690189, DOI: 10.1023/a:1024452612412.Peer-Reviewed Original Research
1997
Social Support and Psychopathology in the War Zone
FONTANA1 2, ROSENHECK1 2, HORVATH2 3. Social Support and Psychopathology in the War Zone. The Journal Of Nervous And Mental Disease 1997, 185: 675-681. PMID: 9368543, DOI: 10.1097/00005053-199711000-00004.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderProtective effectMale theater veteransNational Vietnam Veterans Readjustment StudyDetrimental long-term effectsLong-term effectsDirect effectStress disorderTheater veteransHigh levelsWar zone stressSocial supportPsychopathologyUnit cohesionVeteransLow levelsSignificant relationshipLevelsUse of Medical Services by Veterans With Mental Disorders
Druss B, Rosenheck R. Use of Medical Services by Veterans With Mental Disorders. Journal Of The Academy Of Consultation-Liaison Psychiatry 1997, 38: 451-458. PMID: 9314714, DOI: 10.1016/s0033-3182(97)71422-1.Peer-Reviewed Original ResearchConceptsMedical servicesMedical service useComorbid medical disordersOutpatient mental healthMedical-surgical careVA outpatient clinicDiagnosis of schizophreniaPosttraumatic stress disorderOutpatient clinicMedical disordersPsychiatric servicesPsychiatric unitService useMedical careMental disordersSubstance abuseStress disorderMental healthDisordersCareNational sampleVeteransClinicDiagnosisSchizophreniaThe Impact of the Homecoming Reception on the Development of Posttraumatic Stress Disorder: The West Haven Homecoming Stress Scale (WHHSS)
Johnson D, Lubin H, Rosenheck R, Fontana A, Southwick S, Charney D. The Impact of the Homecoming Reception on the Development of Posttraumatic Stress Disorder: The West Haven Homecoming Stress Scale (WHHSS). Journal Of Traumatic Stress 1997, 10: 259-277. PMID: 9136091, DOI: 10.1023/a:1024830229391.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderStress disorderStress ScaleNegative interpersonal interactionsSelf-report measuresCurrent PTSD symptomatologyStressful life eventsPTSD symptomatologyIntensity of feelingsInterpersonal interactionsCombat exposureLife eventsSocial withdrawalHomecoming experiencesOrthogonal factorsVietnam veteransFactor analysisHomecoming receptionInpatient programSignificant predictorsInpatient treatmentLevel of supportVeteransCivilian traumaDisordersThe impact of the homecoming reception on the development of posttraumatic stress disorder: The West Haven Homecoming Stress Scale (WHHSS)
Johnson D, Lubin H, Rosenheck R, Fontana A, Sonthwick S, Charney D. The impact of the homecoming reception on the development of posttraumatic stress disorder: The West Haven Homecoming Stress Scale (WHHSS). Journal Of Traumatic Stress 1997, 10: 259-277. DOI: 10.1002/jts.2490100207.Peer-Reviewed Original ResearchPosttraumatic stress disorderStress disorderStress ScaleNegative interpersonal interactionsSelf-report measuresCurrent PTSD symptomatologyStressful life eventsPTSD symptomatologyIntensity of feelingsInterpersonal interactionsCombat exposureSocial withdrawalLife eventsHomecoming experiencesOrthogonal factorsVietnam veteransFactor analysisHomecoming receptionInpatient programSignificant predictorsInpatient treatmentLevel of supportVeteransCivilian traumaDisordersPosttraumatic stress disorder among female Vietnam veterans: a causal model of etiology.
Fontana A, Schwartz L, Rosenheck R. Posttraumatic stress disorder among female Vietnam veterans: a causal model of etiology. American Journal Of Public Health 1997, 87: 169-75. PMID: 9103092, PMCID: PMC1380789, DOI: 10.2105/ajph.87.2.169.Peer-Reviewed Original Research
1996
Outcome of intensive inpatient treatment for combat-related posttraumatic stress disorder
Johnson D, Rosenheck R, Fontana A, Lubin H, Charney D, Southwick S. Outcome of intensive inpatient treatment for combat-related posttraumatic stress disorder. American Journal Of Psychiatry 1996, 153: 771-777. PMID: 8633688, DOI: 10.1176/ajp.153.6.771.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultCombat DisordersCombined Modality TherapyFollow-Up StudiesHospital UnitsHospitalizationHospitals, VeteransHumansInterpersonal RelationsMaleMilieu TherapyMoralePersonality InventoryProgram EvaluationPsychiatric Status Rating ScalesSocial AdjustmentTreatment OutcomeUnited StatesVeteransVietnamConceptsPosttraumatic stress disorderCombat-related posttraumatic stress disorderIntensive inpatient treatmentInpatient treatmentStress disorderIntensive inpatient programOverall study groupLength of stayLong-term intensive inpatient treatmentForm of treatmentVietnam veteransInpatient treatment programPatient characteristicsPatient evaluationPretreatment levelsInpatient programChronic natureStudy groupPsychiatric symptomsMale veteransRehabilitation focusTreatment programSymptomsSocial functioningAdmissionRace and outcome of treatment for veterans suffering from PTSD
Rosenheck R, Fontana A. Race and outcome of treatment for veterans suffering from PTSD. Journal Of Traumatic Stress 1996, 9: 343-351. DOI: 10.1007/bf02110666.Peer-Reviewed Original ResearchPosttraumatic stress disorderImprovement ratingSevere posttraumatic stress disorderWar-related posttraumatic stress disorderOutcome of treatmentProspective studyClinical changesOutcome measuresService useWhite veteransClinician ratingsStress disorderPsychometric changesOutcomes 4Program entrySignificant differencesVeteransSustained differencesRacial groupsTreatmentImproving the efficiency of outpatient treatment for posttraumatic stress disorder
Fontana A, Rosenheck R. Improving the efficiency of outpatient treatment for posttraumatic stress disorder. Administration And Policy In Mental Health And Mental Health Services Research 1996, 23: 197-210. DOI: 10.1007/bf02108320.Peer-Reviewed Original ResearchMonths of treatmentOutpatient psychiatric treatmentDisorder treatment programsPosttraumatic stress disorderOutpatient treatmentService utilizationOutpatient programClinical gainsOutcome dataPsychiatric treatmentTreatment programVeterans AffairsStress disorderTreatmentMonthsWorkload projectionsPatientsIntensive servicesVisits