2024
Trauma-Related Nightmares Among U.S. Veterans: Findings from a Nationally Representative Study
Worley C, Meshberg-Cohen S, Fischer I, Pietrzak R. Trauma-Related Nightmares Among U.S. Veterans: Findings from a Nationally Representative Study. Sleep Medicine 2024 DOI: 10.1016/j.sleep.2024.11.031.Peer-Reviewed Original ResearchTrauma-related nightmaresNationally representative sampleSuicidal ideationTreatment of trauma-related nightmaresRepresentative sampleAssociated with adverse mental healthExposure to adverse childhood eventsTrauma-exposed veteransAssociated with elevated oddsAdverse mental healthIncreased suicide riskNationally representative studyAdverse childhood eventsUS military veteransTransdiagnostic assessmentNightmare severityTrauma exposureHealth historySociodemographic factorsMental healthSuicide riskTrauma typesPsychiatric conditionsSociodemographic characteristicsPsychosocial functioningMild Traumatic Brain Injury in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study
Meshberg-Cohen S, Cook J, Fischer I, Pietrzak R. Mild Traumatic Brain Injury in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study. Psychiatry 2024, 87: 314-328. PMID: 39186319, DOI: 10.1080/00332747.2024.2392226.Peer-Reviewed Original ResearchMild traumatic brain injuryNational Health and ResilienceU.S. military veteransPsychosocial functioningTraumatic brain injuryVeterans StudyMilitary veteransCurrent posttraumatic stress disorderOutcomes of mild traumatic brain injuryLifetime psychiatric conditionsGeneralized anxiety disorderComorbid psychiatric diagnosesPosttraumatic stress disorderPoor psychosocial functioningMild traumatic brain injury eventDrug use disordersBrain injuryPrevention of disabilityAssociated with increased oddsAnxiety disordersDepressive disorderStress disorderPsychiatric diagnosisMTBI symptomsPsychiatric characteristicsClinical Documentation of Patient Identities in the Electronic Health Record: Ethical Principles to Consider
Decker S, Farook M, Meshberg-Cohen S, Matsuura T, Manning M, Abel E, Blakley L, Prelli F. Clinical Documentation of Patient Identities in the Electronic Health Record: Ethical Principles to Consider. Psychological Services 2024, 21: 589-600. PMID: 37917474, DOI: 10.1037/ser0000816.Peer-Reviewed Original ResearchMulticultural guidelinesAmerican Psychological Association’s multicultural guidelinesFluid identitiesLanguageLived experienceIdentitySet of questionsIdentity variablesPurpose of documentationEthical dilemmasDocumentation approachAssociation CodePsychologistsPatient identityEthical principlesOrganizational mandatesDocumentationGeneral principlesArticleDilemmaQuestionsExperienceLittle guidanceA Systematic Review Evaluating PTSD Treatment Effects on Intermediate Phenotypes of PTSD
Palmisano A, Meshberg-Cohen S, Petrakis I, Sofuoglu M. A Systematic Review Evaluating PTSD Treatment Effects on Intermediate Phenotypes of PTSD. Psychological Trauma Theory Research Practice And Policy 2024, 16: 768-783. PMID: 36595460, DOI: 10.1037/tra0001410.Peer-Reviewed Original ResearchPosttraumatic stress disorderBehavioral treatment outcomesEvidence-based treatmentsCognitive controlThreat processingBody of researchPTSD outcomesPTSD treatmentPaucity of researchStress disorderPreliminary supportIntermediate phenotypesTreatment dropoutMethodological limitationsStudy limitationsTreatment effectsCurrent researchTreatment approachesStrong conclusionsNovel treatment approachesEmpirical studyTreatment outcomesTreatment efficacyResearchMemoryDo veterans with risky substance use (RSU) use distinct pain treatment modalities?
Meshberg‐Cohen S, Gilstad‐Hayden K, Martino S, Lazar C, Sellinger J, Rosen M. Do veterans with risky substance use (RSU) use distinct pain treatment modalities? American Journal On Addictions 2024, 33: 675-684. PMID: 38849976, DOI: 10.1111/ajad.13620.Peer-Reviewed Original ResearchRisky substance usePain treatment modalitiesTreatment modalitiesPain treatmentPrescribed opioidsPain treatment utilizationSubstance Involvement TestNonopioid pain treatmentPain treatment outcomesSubstance useOver-the-counter medicationsNumerical rating scalePrimary careMusculoskeletal conditionsAssociated with numberPain serviceNonopioid treatmentsPrescription medicationsOpioid medicationsChronic painOpioid prescriptionsOver-the-counterVeteransDisability claimsOpioidCognitive processing therapy (CPT) versus individual drug counseling (IDC) for PTSD for veterans with opioid use disorder maintained on buprenorphine
Petrakis I, Meshberg‐Cohen S, Nich C, Kelly M, Claudio T, Jane J, Pisani E, Ralevski E. Cognitive processing therapy (CPT) versus individual drug counseling (IDC) for PTSD for veterans with opioid use disorder maintained on buprenorphine. American Journal On Addictions 2024, 33: 525-533. PMID: 38624259, DOI: 10.1111/ajad.13557.Peer-Reviewed Original ResearchCognitive processing therapyIndividual drug counselingPosttraumatic stress disorderOpioid use disorderSubstance use disordersDrug counselingProcessing therapyPTSD symptomsUse disorderCognitive processing therapy groupEvidence-based trauma-focused psychotherapiesSelf-reported PTSD symptomsPosttraumatic stress disorder symptomsPosttraumatic stress disorder treatmentRemission of PTSD symptomsPosttraumatic Stress Disorder ChecklistComorbid opioid use disorderTrauma-focused psychotherapyTrauma-focused treatmentRates of comorbidityTreatment group differencesPCL-5Stress disorderGroup differencesRandomized clinical trialsGiving Voice to Women with Substance Use Disorder: Findings from Expressive Writing About Trauma
Jallo N, Kinser P, Eglovitch M, Worcman N, Webster P, Alvanzo A, Svikis D, Meshberg-Cohen S. Giving Voice to Women with Substance Use Disorder: Findings from Expressive Writing About Trauma. Women's Health Reports 2024, 5: 223-230. PMID: 38516652, PMCID: PMC10956529, DOI: 10.1089/whr.2023.0173.Peer-Reviewed Original ResearchSubstance use disordersExpressive writingTrauma eventsResidential SUD treatmentResidential SUD programsInterpersonal traumaTrauma exposureInterpersonal betrayalUse disorderSelf-conceptAddiction treatmentSUD programsTrauma experiencesSUD treatmentParental neglectWritten wordWriting sessionsEmotional consequencesEW conditionSecondary data analysisDisordersParticipantsTraumaSexual violenceAddictionWritten exposure therapy for veterans with co-occurring substance use disorders and PTSD: Study design of a randomized clinical trial
Meshberg-Cohen S, Cook J, Bin-Mahfouz A, Petrakis I. Written exposure therapy for veterans with co-occurring substance use disorders and PTSD: Study design of a randomized clinical trial. Contemporary Clinical Trials 2024, 139: 107475. PMID: 38365173, DOI: 10.1016/j.cct.2024.107475.Peer-Reviewed Original ResearchWritten exposure therapyPosttraumatic stress disorderEvidence-based psychotherapiesSubstance use disordersExposure therapyReduce symptoms of posttraumatic stress disorderSymptoms of posttraumatic stress disorderPTSD specialty clinicRates of posttraumatic stress disorderCo-occurring substance use disordersComorbid posttraumatic stress disorderSubstance use disorder outcomesDays of substance useTreatment-seeking veteransSubstance use disorder treatmentStress disorderAddiction outcomesTherapist involvementAddiction programsSUD treatmentSubstance useTrauma treatmentRandomized clinical trialsWriting conditionsHomework assignments
2022
Treatment utilization and modality preference among veterans receiving outpatient substance use disorder treatment during a pandemic
Meshberg‐Cohen S, Farook M, Gross G, Levina V, DeViva J. Treatment utilization and modality preference among veterans receiving outpatient substance use disorder treatment during a pandemic. American Journal On Addictions 2022, 32: 32-39. PMID: 36286598, DOI: 10.1111/ajad.13347.Peer-Reviewed Original ResearchConceptsAlcohol use disorderTreatment modalitiesUse disordersClinical variablesCOVID-19Outpatient substance use disorder treatmentElectronic medical record dataSubstance use disorder treatmentTreatment utilization patternsMain treatment modalityRetrospective electronic medical record dataEmergency room visitsOpioid use disorderPsychiatric emergency room visitsMedical record dataUse disorder treatmentUtilization patternsCocaine use disorderBinary logistic regressionRoom visitsSUD diagnosisTelephone appointmentsTreatment utilizationChi-square analysisNumber of visits
2021
Comparison of attitudes towards the service connection claims process among veterans filing for PTSD and veterans filing for musculoskeletal disorders
Spinola S, Fenton BT, Meshberg-Cohen S, Black AC, Rosen MI. Comparison of attitudes towards the service connection claims process among veterans filing for PTSD and veterans filing for musculoskeletal disorders. Medicine 2021, 100: e27068. PMID: 34477140, PMCID: PMC8415949, DOI: 10.1097/md.0000000000027068.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderMusculoskeletal disordersPTSD groupDisorder groupPTSD claimantsClinical characteristicsOperation New Dawn veteransSecondary data analysisNew Dawn veteransOperation Enduring FreedomPTSD claimsOperation Iraqi FreedomNegative expectationsStress disorderDisordersDepressionVeteransEffects of demographicsEnduring FreedomIraqi FreedomInventory subscalesBinge drinking following residential treatment for posttraumatic stress disorder among veterans with and without alcohol use disorder
Meshberg-Cohen S, Gross GM, Kachadourian LK, Harpaz-Rotem I. Binge drinking following residential treatment for posttraumatic stress disorder among veterans with and without alcohol use disorder. Journal Of Psychiatric Research 2021, 143: 202-208. PMID: 34500350, DOI: 10.1016/j.jpsychires.2021.09.024.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderMilitary sexual traumaAlcohol use disorderPTSD symptom improvementResidential treatmentBinge drinkingStress disorderPTSD symptom changeResidential PTSD treatmentPTSD symptom decreaseUse disordersBinge drinking daysAlcohol-related variablesPTSD treatmentTrauma typesSexual traumaProblematic drinkingCombat exposureDrinking outcomesSymptom changeGreater likelihoodSymptom improvementBingeSymptom decreaseAlcohol useTreatment outcomes in individuals diagnosed with comorbid opioid use disorder and Posttraumatic stress disorder: A review
Meshberg-Cohen S, MacLean R, Martin A, Sofuoglu M, Petrakis IL. Treatment outcomes in individuals diagnosed with comorbid opioid use disorder and Posttraumatic stress disorder: A review. Addictive Behaviors 2021, 122: 107026. PMID: 34182307, DOI: 10.1016/j.addbeh.2021.107026.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderComorbid opioid use disorderStress disorderImpact of PTSDPresence of PTSDComorbid posttraumatic stress disorderUse disordersOpioid use disorderMultiple mental health problemsMental health problemsPTSD treatmentComparison participantsTreatment outcomesPTSD diagnosisPsychosocial problemsStandardized assessmentConcurrent diagnosisPsychiatric conditionsMedical record diagnosisDrug useIndividualsDisordersPublic health emergencyRecord diagnosisInclusion criteria
2020
Zonisamide as an Adjunctive Treatment to Cognitive Processing Therapy for Veterans With Posttraumatic Stress Disorder and Comorbid Alcohol Use Disorder: A Pilot Study
Petrakis I, Ralevski E, Arias AJ, DeNegre D, Newcomb J, Gianoli M, McCarthy E, Meshberg‐Cohen S, Yoon G. Zonisamide as an Adjunctive Treatment to Cognitive Processing Therapy for Veterans With Posttraumatic Stress Disorder and Comorbid Alcohol Use Disorder: A Pilot Study. American Journal On Addictions 2020, 29: 515-524. PMID: 32462773, DOI: 10.1111/ajad.13061.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAlcohol-Related DisordersAnticonvulsantsCognitive Behavioral TherapyCombined Modality TherapyDiagnosis, Dual (Psychiatry)Double-Blind MethodFeasibility StudiesFemaleHumansMaleMiddle AgedPatient SatisfactionPilot ProjectsStress Disorders, Post-TraumaticTreatment OutcomeVeterans HealthZonisamideConceptsAlcohol use disorderPosttraumatic stress disorderCognitive processing therapyComorbid alcohol use disorderSymptoms of PTSDUse disordersStress disorderPilot studyNonsignificant higher rateDouble-blind fashionReal-world treatmentCurrent alcohol dependenceEvidence-based psychotherapiesHigh rateAdjunctive treatmentPreliminary efficacyTreatment strategiesPsychosocial treatmentsPTSD outcomesZonisamideAlcohol dependencePlaceboLarger studyAlcohol useDisorders
2018
Veterans’ compensation claims beliefs predict timing of PTSD treatment use relative to compensation and pension exam
Black AC, Meshberg-Cohen S, Perez-Ortiz AC, Thornhill TA, Rosen MI. Veterans’ compensation claims beliefs predict timing of PTSD treatment use relative to compensation and pension exam. PLOS ONE 2018, 13: e0209488. PMID: 30589882, PMCID: PMC6307722, DOI: 10.1371/journal.pone.0209488.Peer-Reviewed Original ResearchConceptsMental health treatment useTreatment useMental health treatmentExamination statusPTSD treatmentTreatment benefitVeterans' useHealth treatmentEffective PTSD treatmentPTSD treatment engagementElectronic health recordsClinical trialsTreatment engagementBaseline assessmentCompensation examinationsHealth recordsPension examinationsVeterans' beliefsTreatmentVeteransBeliefs ScalePTSDDisability-related benefitsExaminationStatusTrauma treatment for veterans in buprenorphine maintenance treatment for opioid use disorder
Meshberg-Cohen S, Black AC, DeViva JC, Petrakis IL, Rosen MI. Trauma treatment for veterans in buprenorphine maintenance treatment for opioid use disorder. Addictive Behaviors 2018, 89: 29-34. PMID: 30243036, DOI: 10.1016/j.addbeh.2018.09.010.Peer-Reviewed Original ResearchConceptsBuprenorphine maintenanceChart reviewBuprenorphine treatmentTrauma treatmentPTSD diagnosisReference groupRetrospective chart reviewBuprenorphine maintenance treatmentOpioid use disorderFuture clinical trialsLogistic regression analysisEvidence-based psychotherapiesTimes greater oddsTrauma-focused treatmentBuprenorphine retentionOpioid typeOUD treatmentMaintenance treatmentWorse outcomesClinical trialsConsecutive referralsGreater oddsUse disordersComorbid PTSDDisorder rates
2017
Relationship between substance use and attitudes towards seeking professional psychological help among veterans filing PTSD claims
Meshberg-Cohen S, Kachadourian L, Black AC, Rosen MI. Relationship between substance use and attitudes towards seeking professional psychological help among veterans filing PTSD claims. Addictive Behaviors 2017, 74: 9-12. PMID: 28558337, DOI: 10.1016/j.addbeh.2017.05.024.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderSubstance use disordersPsychological helpCo-occurring substance use disordersProfessional Psychological Help-Short FormMale OEF/OIF veteransProfessional psychological helpSubstance useOEF/OIF veteransDemographic covariatesSample of veteransMental health treatmentStress disorderOIF veteransTreatment viewsTreatment attitudesHealth treatmentUse disordersFavorable attitudesVeteransBaseline assessmentAttitudesGeneral skepticismSubscale analysisComplicate treatment
2016
Counseling Veterans Applying for Service Connection Status for Mental Health Conditions
Meshberg-Cohen S, DeViva JC, Rosen MI. Counseling Veterans Applying for Service Connection Status for Mental Health Conditions. Psychiatric Services 2016, 68: 396-399. PMID: 27629795, DOI: 10.1176/appi.ps.201500533.Peer-Reviewed Original ResearchPosttraumatic Stress Disorder, Health Problems, and Depression Among African American Women in Residential Substance Use Treatment
Meshberg-Cohen S, Presseau C, Thacker LR, Hefner K, Svikis D. Posttraumatic Stress Disorder, Health Problems, and Depression Among African American Women in Residential Substance Use Treatment. Journal Of Women's Health 2016, 25: 729-737. PMID: 27387193, PMCID: PMC4939368, DOI: 10.1089/jwh.2015.5328.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPosttraumatic Stress Diagnostic ScaleProbable PTSD diagnosisBrief Symptom InventorySubstance use disordersStress disorderPTSD diagnosisAfrican American womenLikely posttraumatic stress disorderResidential substance use treatmentTrauma symptom severityResidential SUD treatmentPrevalence of traumaMeeting DSM-IV criteriaPredictive valueSubstance use treatmentHealth problemsEmotional conditionsLifetime traumaAmerican womenLimbic LanguidnessTrauma historyDSM-IV criteriaPennebaker InventoryResidential treatment
2015
Treatment of Compulsive Pornography Use With Naltrexone: A Case Report
Kraus SW, Meshberg-Cohen S, Martino S, Quinones LJ, Potenza MN. Treatment of Compulsive Pornography Use With Naltrexone: A Case Report. American Journal Of Psychiatry 2015, 172: 1260-1261. PMID: 26619775, DOI: 10.1176/appi.ajp.2015.15060843.Peer-Reviewed Original ResearchComorbid Alcohol Disorder Intensifies Patterns of Psychological Symptoms Among Women
Newland P, Meshberg-Cohen S, Flick L, Beatty K, Smith J. Comorbid Alcohol Disorder Intensifies Patterns of Psychological Symptoms Among Women. The Journal For Nurse Practitioners 2015, 11: 618-625. DOI: 10.1016/j.nurpra.2015.03.016.Peer-Reviewed Original ResearchAlcohol use disorderPsychological symptomsBrief Symptom Inventory subscalesDrug use disordersCo-occurring psychological symptomsUse disordersSubstance abuse treatmentPhobic anxietyParanoid ideationAbuse treatmentPsychoticism scoresInventory subscalesPractice implicationsAnxietyNurse practitionersSecondary analysisSymptomsDisordersAdverse effectsPsychoticismHigh levelsSubscalesWomenCertain patternsIdeation