2024
Gambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk
Stefanovics E, Potenza M, Tsai J, Pietrzak R. Gambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk. Journal Of Gambling Studies 2024, 1-21. PMID: 39342537, DOI: 10.1007/s10899-024-10359-7.Peer-Reviewed Original ResearchSubstance use disordersU.S. military veteransMental health treatmentGambling groupSUD-onlySuicide riskHealth treatmentMilitary veteransNon-suicidal self-injuryLifetime substance use disorderNational Health and ResilienceRisk of substance use disordersSUD-only groupSelf-report measuresMental health difficultiesAdverse childhood experiencesMental health burdenPast-year gamblingSelf-injurySuicidality/self-harmVeterans StudyUse disorderNicotine dependenceTrauma variablesBehavioral correlatesMental Health and Social Correlates of Reincarceration of Youths as Adults.
Buchanan A, Zhou B, Rhee T, Stefanovics E, Rosenheck R. Mental Health and Social Correlates of Reincarceration of Youths as Adults. The Journal Of The American Academy Of Psychiatry And The Law 2024, 52: 294-303. PMID: 39048309, DOI: 10.29158/jaapl.240039-24.Peer-Reviewed Original ResearchSubstance use disordersU.S. prison populationIncarceration of childrenAssociated with incarcerationCriminological researchPrison populationReduce reincarcerationHeightened scrutinyReincarcerationNational Epidemiologic SurveyIncarcerationCross-sectional representative surveyPsychiatric treatmentU.S. populationBipolar disorderClinical interviewNESARC-IIIPsychometric instrumentsRepresentative surveySocial correlatesMental healthRelated conditionsDisordersU.S.AdultsSex, Adverse Childhood Experiences, and Substance Use Disorders in US Military Veterans: Results From the National Health and Resilience in Veterans Study
Moore A, Stefanovics E, Jankovsky A, Potenza M, Pietrzak R. Sex, Adverse Childhood Experiences, and Substance Use Disorders in US Military Veterans: Results From the National Health and Resilience in Veterans Study. Journal Of Addiction Medicine 2024, 18: 432-436. PMID: 38598295, DOI: 10.1097/adm.0000000000001306.Peer-Reviewed Original ResearchCurrent alcohol use disorderAlcohol use disorderSubstance use disordersDrug use disordersAdverse childhood experiencesNational Health and ResilienceUse disorderVeterans StudyChildhood experiencesSexual abuseMentally ill family memberSex moderated associationsSelf-report measuresChildhood sexual abuseUS military veteransIncarcerated family memberChildhood traumaPhysical neglectIll family memberMilitary veteransFemale veteransMale veteransFamily membersTreatment effortsModerate association
2023
Multimorbidity and Correlates of Comorbid Depression and Generalized Anxiety Disorder in a Nationally Representative US Sample
Jegede O, Stefanovics E, Rhee T, Rosenheck R. Multimorbidity and Correlates of Comorbid Depression and Generalized Anxiety Disorder in a Nationally Representative US Sample. The Journal Of Nervous And Mental Disease 2023, 211: 355-361. PMID: 36807207, DOI: 10.1097/nmd.0000000000001625.Peer-Reviewed Original ResearchConceptsMajor depressive disorderAdditional psychiatric diagnosesRepresentative US sampleComorbid groupPsychiatric disordersPsychiatric diagnosisPoor mental health qualityMental health-related qualityPoorer mental health-related qualityAnxiety disordersHealth-related qualityAdditional psychiatric disordersNationally Representative US SampleMental health qualityLogistic regression analysisSubstance use disordersNational Epidemiologic SurveyMDD-only groupRelated Conditions-IIISingle disorder groupsGeneralized anxiety disorderSingle diagnosis groupsPsychiatric comorbidityComorbid depressionDepressive disorder
2022
Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans
Stefanovics E, Potenza M, Tsai J, Pietrzak R. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans. Journal Of Gambling Studies 2022, 39: 1077-1097. PMID: 36378356, DOI: 10.1007/s10899-022-10165-z.Peer-Reviewed Original ResearchConceptsCurrent psychiatric diagnosisU.S. military veteransUse disordersPsychiatric diagnosisMilitary veteransU.S. veteransDrug use disordersMental health treatmentSubstance use disordersChi-square testClinical characteristicsTrauma burdenNational HealthAdjusted associationsRoutine screeningClinical measuresRecreational gamblingCurrent prevalenceMale veteransHealth treatmentHigher household incomeSuicidal ideationVeterans StudyLogistic regressionExtensive involvementRates and correlates of dual diagnosis among adults with psychiatric and substance use disorders in a nationally representative U.S sample
Jegede O, Rhee TG, Stefanovics EA, Zhou B, Rosenheck RA. Rates and correlates of dual diagnosis among adults with psychiatric and substance use disorders in a nationally representative U.S sample. Psychiatry Research 2022, 315: 114720. PMID: 35834863, DOI: 10.1016/j.psychres.2022.114720.Peer-Reviewed Original ResearchConceptsSubstance use disordersDual diagnosisPsychiatric disordersIndependent correlatesUse disordersDrug use diagnosesService use characteristicsPoor mental HRQOLRelated Conditions Wave IIINational Epidemiologic SurveyRepresentative US sampleMental HRQOLSUD diagnosisUse diagnosesTreatment needsEpidemiologic SurveyWave IIIAdult traumaMedical problemsSuicide attemptsDiagnosisDisordersAdultsFurther studiesSocial supportWomen’s Use of Substance Use Disorder Treatment Services: Rates, Correlates, and Comparisons to Men
Falker CG, Stefanovics EA, Rhee TG, Rosenheck RA. Women’s Use of Substance Use Disorder Treatment Services: Rates, Correlates, and Comparisons to Men. Psychiatric Quarterly 2022, 93: 737-752. PMID: 35661318, DOI: 10.1007/s11126-022-09989-0.Peer-Reviewed Original ResearchConceptsSubstance use disordersSUD treatmentSubstance use disorder treatment servicesDSM-5 SUD diagnosesSUD treatment useReceipt of treatmentPast-year treatmentDisorder treatment servicesTreatment receiptSUD diagnosisTreatment useService useUse disordersGender differencesTreatment servicesWomenSignificant gender differencesMenSignificant differencesTreatmentSpite of evidenceWomen's useReceiptCorrelatesLittle informationPersistence of significant pain interference following substance use disorder remission: Negative association with psychosocial and physical recovery
Manhapra A, Stefanovics EA, Rhee TG, Rosenheck RA. Persistence of significant pain interference following substance use disorder remission: Negative association with psychosocial and physical recovery. Drug And Alcohol Dependence 2022, 232: 109339. PMID: 35121202, DOI: 10.1016/j.drugalcdep.2022.109339.Peer-Reviewed Original ResearchConceptsSubstance use disordersPast-year substance use disorderSevere pain interferencePain interferenceIndependent associationSUD remissionActive substance use disorderSignificant pain interferenceIndependent negative associationRelated Conditions Wave IIINegative associationPositive independent associationStrong negative associationUnited States adultsNational Epidemiologic SurveyPersistent painPhysical functionRemissionUS adultsUse disordersDisorder remissionEpidemiologic SurveyWave IIIClinical attentionStates adults“Lives of despair” at risk for “deaths of despair”: tracking an under-recognized, vulnerable population
Na PJ, Stefanovics EA, Rhee TG, Rosenheck RA. “Lives of despair” at risk for “deaths of despair”: tracking an under-recognized, vulnerable population. Social Psychiatry And Psychiatric Epidemiology 2022, 57: 1123-1134. PMID: 35028698, PMCID: PMC8757395, DOI: 10.1007/s00127-022-02218-w.Peer-Reviewed Original ResearchConceptsSubstance use disordersLifetime substance use disorderDeaths of despairSuicide attemptsUS adultsMental health service utilizationMental health care servicesQuality mental health careHealth service utilizationRelated Conditions Wave IIIMental health treatmentMental health careNational Epidemiologic SurveyQuality of lifeMore psychosocial adversityHealth care servicesCharacteristics of adultsMultivariable analysisService utilizationPsychiatric disordersUse disordersEpidemiologic SurveyWave IIIHealth treatmentAdverse experiencesReligious Institutions as a Link to Substance use Treatment: Characterizing the Potential Service Population through National Survey Data
Heikkila HD, Edens EL, Stefanovics EA, Rhee TG, Rosenheck RA. Religious Institutions as a Link to Substance use Treatment: Characterizing the Potential Service Population through National Survey Data. Substance Abuse 2022, 43: 699-707. PMID: 35099366, DOI: 10.1080/08897077.2021.2007510.Peer-Reviewed Original ResearchConceptsSubstance use disordersDrug use disordersSUD treatmentUse disordersLife scoresUse diagnosesPast-year substance use disorderRepresentative cross-sectional surveyDrug use diagnosesSuch service useQuarter of adultsSubstance use diagnosesNational Epidemiologic SurveyRelated Conditions-IIISubstance use treatmentCross-sectional surveyCharacteristics of adultsProportion of adultsUse of servicesCurrent alcoholMultinomial logistic regressionEpidemiologic SurveyService useAfrican American groupSocio-demographic disadvantage
2021
A population‐wide perspective on the reach of substance use disorders: Parental exposure, diagnostic remission, and current disorders
Na PJ, Stefanovics EA, Rhee TG, Rosenheck RA. A population‐wide perspective on the reach of substance use disorders: Parental exposure, diagnostic remission, and current disorders. American Journal On Addictions 2021, 31: 69-79. PMID: 34921471, DOI: 10.1111/ajad.13246.Peer-Reviewed Original ResearchConceptsCurrent substance use disorderSubstance use disordersParental substance use disordersCurrent disorderUse disordersDiagnostic remissionUS populationChildhood adversityMultivariable-adjusted logistic regressionMental health-related qualityPoorer mental health-related qualityLifetime substance use disorderHealth-related qualityPopulation-based estimatesRelated Conditions Wave IIIUS adult populationNational Epidemiologic SurveyPublic health impactPsychiatric comorbidityFunctional impairmentPsychiatric disordersEpidemiologic SurveyWave IIIUnaffected groupPsychiatric multimorbidityTreatment of substance use disorders among black and white adults: rates, correlates, and racial discrimination
Bommersbach TJ, Jegede O, Na PJ, Stefanovics EA, Rhee TG, Rosenheck RA. Treatment of substance use disorders among black and white adults: rates, correlates, and racial discrimination. Journal Of Addictive Diseases 2021, 40: 345-356. PMID: 34747323, DOI: 10.1080/10550887.2021.1997038.Peer-Reviewed Original ResearchConceptsTreatment receiptPast-year SUDCriminal justice involvementSUD treatmentWhite individualsWhite adultsMultivariate analysisBlack individualsIndependent differentiating factorsSubstance use disorder treatmentUse disorder treatmentSubstance use disordersNational Epidemiologic SurveyRelated Conditions-IIILow social supportJustice involvementClinical correlatesRacial groupsPsychiatric disordersPsychiatric treatmentUse disordersEpidemiologic SurveyDisorder treatmentBivariate analysisSociodemographic disadvantagePsychiatric and Substance Use Disorders and Related Service Use in the Diverse Black Sub-Populations in the United States
Jegede O, Na PJ, Rhee TG, Stefanovics EA, Rosenheck RA. Psychiatric and Substance Use Disorders and Related Service Use in the Diverse Black Sub-Populations in the United States. Journal Of Racial And Ethnic Health Disparities 2021, 9: 2237-2247. PMID: 34590245, DOI: 10.1007/s40615-021-01163-9.Peer-Reviewed Original ResearchConceptsRelated service useSubstance use diagnosesSubstance use disordersService useUse diagnosesUse disordersRelated Conditions Wave IIILogistic regression analysisNational Epidemiologic SurveyDiverse black populationsAfrican AmericansMultinomial logistic regression analysisBlack/African AmericanBlack populationClinical characteristicsMethodsThe dataWave IIIEpidemiologic SurveyMeasures of qualityMental healthPhysical healthReference groupSubstance useGroup differencesBlack individualsLifetime risk and correlates of incarceration in a nationally representative sample of U.S. adults with non-substance-related mental illness
Nakic M, Stefanovics EA, Rhee TG, Rosenheck RA. Lifetime risk and correlates of incarceration in a nationally representative sample of U.S. adults with non-substance-related mental illness. Social Psychiatry And Psychiatric Epidemiology 2021, 57: 1839-1847. PMID: 34453553, DOI: 10.1007/s00127-021-02158-x.Peer-Reviewed Original ResearchConceptsBehavioral risk factorsSubstance use disordersDSM-5 disordersMental illnessRisk factorsPsychiatric disordersUse disordersLifetime historyCorrelates of incarcerationMethodsNationally representative dataLogistic regression analysisNational Epidemiologic SurveyRelated Conditions-IIIBorderline personality disorderAntisocial personality disorderProportion of respondentsResultsAmong adultsIndependent associationLifetime riskUS adultsDual diagnosisEpidemiologic SurveyDiagnostic groupsIllnessU.S. adultsLong-term impact of the U.S. Armed forces Zero-Tolerance drug policy on female veterans
Stefanovics EA, Rhee TG, Rosenheck RA. Long-term impact of the U.S. Armed forces Zero-Tolerance drug policy on female veterans. Journal Of Addictive Diseases 2021, 40: 26-34. PMID: 33988491, DOI: 10.1080/10550887.2021.1922049.Peer-Reviewed Original ResearchConceptsSubstance use disordersUse disordersSubstance useMultivariate interaction analysisSubstance use diagnosesAlcohol use disorderIllicit substance useLong-term effectsUse diagnosesPsychiatric disordersPsychiatric diagnosisFemale veteransYounger groupOlder groupCohortDisordersU.S. Armed ForcesVeteransVeteran statusNational survey dataDiagnosisWomenSignificant changesAge cohortsLong-term impactThe association of opioid use disorder and homelessness nationally in the veterans health administration
Manhapra A, Stefanovics E, Rosenheck R. The association of opioid use disorder and homelessness nationally in the veterans health administration. Drug And Alcohol Dependence 2021, 223: 108714. PMID: 33865213, DOI: 10.1016/j.drugalcdep.2021.108714.Peer-Reviewed Original ResearchConceptsOpioid use disorderSubstance use disordersVeterans Health AdministrationRisk factorsUse disordersHealth AdministrationUnited States Veterans Health AdministrationCo-morbid risk factorsPrevalence of OUDMajor risk factorMultivariate logistic regressionHomeless veteransHigher unadjusted oddsCross-sectional analysisClinical factorsVHA patientsNon-homeless veteransUnadjusted oddsVHA careFiscal year 2012US veteransOdds ratioHigh prevalenceHigher oddsPsychiatric diagnosis
2020
Association of symptom severity, pain and other behavioral and medical comorbidities with diverse measures of functioning among adults with post-traumatic stress disorder
Manhapra A, Stefanovics EA, Rhee TG, Rosenheck RA. Association of symptom severity, pain and other behavioral and medical comorbidities with diverse measures of functioning among adults with post-traumatic stress disorder. Journal Of Psychiatric Research 2020, 134: 113-120. PMID: 33383494, DOI: 10.1016/j.jpsychires.2020.12.063.Peer-Reviewed Original ResearchConceptsMental health composite scoresPhysical function scoresPost-traumatic stress disorderSubstance use disordersMedical comorbiditiesPain interferencePTSD symptomsStatistical Manual-5 (DSM-5) criteriaSymptom severityMental health-related qualityStress disorderPast-year post-traumatic stress disorderShort Form-12Health-related qualityNational Epidemiologic SurveyNegative associationCommon comorbiditiesChronic painForm-12Medical illnessSubstantial disabilityPsychiatric comorbidityPTSD symptom severityFunction scoresIndependent associationEstimated Proportions and Characteristics of National Survey Respondents Reporting New Diagnoses of Schizophrenia or Other Psychoses in the Past Year as Compared With Prior Years.
Bommersbach T, Rhee TG, Stefanovics E, Rosenheck R. Estimated Proportions and Characteristics of National Survey Respondents Reporting New Diagnoses of Schizophrenia or Other Psychoses in the Past Year as Compared With Prior Years. The Journal Of Nervous And Mental Disease 2020, 209: 65-70. PMID: 33141782, DOI: 10.1097/nmd.0000000000001259.Peer-Reviewed Original ResearchConceptsSubstance use disordersUse disordersEarly psychosisPast-year substance use disorderInfrequency of casesFirst-time diagnosisFirst-episode psychosisPopulation-based estimatesNational Epidemiologic SurveyAlcohol use disorderRelated Conditions-IIINational survey respondentsMean ageEpidemiologic dataGeneral populationNew diagnosisEpidemiologic SurveyOlder populationPrevious yearPsychosisSchizophreniaPast yearDiagnosisDisordersSimilar elevations
2018
Mental health multimorbidity and poor quality of life in patients with schizophrenia
Bhalla IP, Stefanovics EA, Rosenheck RA. Mental health multimorbidity and poor quality of life in patients with schizophrenia. Schizophrenia Research 2018, 201: 39-45. PMID: 29709490, DOI: 10.1016/j.schres.2018.04.035.Peer-Reviewed Original ResearchConceptsAdditional psychiatric comorbiditySubstance use disordersPsychiatric comorbidityPsychiatric disordersUse disordersMental health multimorbiditySubstance use comorbiditiesAdditional psychiatric disordersComorbid psychiatric disordersComorbid substance useComplex clinical presentationClinical Antipsychotic TrialsSelf-reported QoLSimilar adverse effectsMultimorbidity frameworkPoor qualityClinical presentationWorse QoLBetter QOLAntipsychotic TrialsComorbiditiesDual diagnosisQoLPatientsMultimorbidity
2017
Clinical Epidemiology of Single Versus Multiple Substance Use Disorders
Bhalla IP, Stefanovics EA, Rosenheck RA. Clinical Epidemiology of Single Versus Multiple Substance Use Disorders. Medical Care 2017, 55: s24-s32. PMID: 28806363, DOI: 10.1097/mlr.0000000000000731.Peer-Reviewed Original ResearchConceptsSingle substance use disorderPolysubstance use disorderSubstance use disordersUse disordersNational Veterans Health Administration dataVeterans Health Administration dataMultiple logistic regression analysisMultiple substance use disordersPsychotropic medication prescriptionsHealth Administration dataPsychiatric inpatient careMajor depressive disorderPsychiatric service utilizationLogistic regression analysisMedical morbidityMedication prescriptionsPsychotropic medicationsFiscal year 2012Hepatic diseaseDepressive disorderInpatient careRehabilitative treatmentService utilizationClinical epidemiologyBipolar disorder