2022
Risk for PTSD symptom worsening during new PTSD treatment episode in a nationally representative sample of treatment-seeking U.S. veterans with subthreshold PTSD
Gross GM, Pietrzak RH, Hoff RA, Katz IR, Harpaz-Rotem I. Risk for PTSD symptom worsening during new PTSD treatment episode in a nationally representative sample of treatment-seeking U.S. veterans with subthreshold PTSD. Journal Of Psychiatric Research 2022, 151: 304-310. PMID: 35526446, DOI: 10.1016/j.jpsychires.2022.04.040.Peer-Reviewed Original ResearchMeSH KeywordsHumansMalePatient Acceptance of Health CareStress Disorders, Post-TraumaticSymptom Flare UpSyndromeUnited StatesVeteransConceptsSymptom worseningRisk factorsSubthreshold PTSDPTSD symptom clustersSymptom clustersPTSD symptomsHealth care utilizationPTSD specialty clinicPoor treatment outcomesUnited States veteransBinary logistic regressionAdjusted analysisCare utilizationTreatment episodesRepresentative sampleSpecialty clinicSignificant symptomsTreatment outcomesSignificant worseningStates veteransSubthreshold symptomsEligible veteransNew episodesOutcome assessmentDiagnostic threshold
2021
Mental Health Care Use Among U.S. Military Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study
Kline AC, Panza KE, Nichter B, Tsai J, Harpaz-Rotem I, Norman SB, Pietrzak RH. Mental Health Care Use Among U.S. Military Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study. Psychiatric Services 2021, 73: 628-635. PMID: 34775790, DOI: 10.1176/appi.ps.202100112.Peer-Reviewed Original ResearchMeSH KeywordsHumansMental HealthPatient Acceptance of Health CarePrevalenceStress Disorders, Post-TraumaticUnited StatesVeteransConceptsMental health careMental health care utilizationHealth care utilizationSubstance use disordersCare utilizationU.S. military veteransMental dysfunctionNational HealthUse disordersHealth careVeterans StudyMental health care usePrimary health care providersHealth care useMilitary veteransHealth care providersUse of careHierarchical logistic regressionCare usePosttraumatic stress disorder (PTSD) symptom severitySleep disordersCare providersDisorder symptom severityU.S. veteransNeed factors
2017
Psychotherapy Utilization and Retention in a National Sample of Veterans With PTSD
Doran JM, Pietrzak RH, Hoff R, Harpaz‐Rotem I. Psychotherapy Utilization and Retention in a National Sample of Veterans With PTSD. Journal Of Clinical Psychology 2017, 73: 1259-1279. PMID: 28186638, DOI: 10.1002/jclp.22445.Peer-Reviewed Original Research
2015
“I’m Coming Home, Tell the World I’m Coming Home”. The Long Homecoming and Mental Health Treatment of Iraq and Afghanistan War Veterans
Rozanova J, Noulas P, Smart K, Roy A, Southwick SM, Davidson L, Harpaz-Rotem I. “I’m Coming Home, Tell the World I’m Coming Home”. The Long Homecoming and Mental Health Treatment of Iraq and Afghanistan War Veterans. Psychiatric Quarterly 2015, 87: 427-443. PMID: 26566926, DOI: 10.1007/s11126-015-9398-7.Peer-Reviewed Original ResearchAdultAfghan Campaign 2001-Career ChoiceFemaleHumansIraq War, 2003-2011MaleMental DisordersMental Health ServicesMiddle AgedMilitary PersonnelPatient Acceptance of Health CareQualitative ResearchSocial IdentificationSocial StigmaUnited StatesUnited States Department of Veterans AffairsVeteransVocational GuidanceYoung Adult“I Want to Come Home”: Vietnam-Era Veterans’ Presenting for Mental Health Care, Roughly 40 Years After Vietnam
Desai MU, Pavlo AJ, Davidson L, Harpaz-Rotem I, Rosenheck R. “I Want to Come Home”: Vietnam-Era Veterans’ Presenting for Mental Health Care, Roughly 40 Years After Vietnam. Psychiatric Quarterly 2015, 87: 229-239. PMID: 26156261, DOI: 10.1007/s11126-015-9382-2.Peer-Reviewed Original ResearchMeSH KeywordsAgedFemaleHumansMaleMental Health ServicesMiddle AgedPatient Acceptance of Health CareTime FactorsVeteransVietnam ConflictConceptsPhenomenological qualitative methodMental health clinicsExperiences of rejectionEveryday waysGovernmental institutionsPervasive stigmatizationVietnam-era veteransHealth clinicsQualitative methodsLongstanding experienceStrong bridgesSocial rejectionVeterans Health AdministrationVA Medical CenterMental health careOwn preferencesProblematic patternsExperienceVietnamMeaningLong processDiagnosis of PTSDCare seekingMedical CenterVeterans HomeMental 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
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
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 scoresServing Those Who Served: Retention of Newly Returning Veterans From Iraq and Afghanistan in Mental Health Treatment
Harpaz-Rotem I, Rosenheck RA. Serving Those Who Served: Retention of Newly Returning Veterans From Iraq and Afghanistan in Mental Health Treatment. Psychiatric Services 2011, 62: 22-27. PMID: 21209295, DOI: 10.1176/ps.62.1.pss6201_0022.Peer-Reviewed Original ResearchMeSH KeywordsAfghan Campaign 2001-Case-Control StudiesComorbidityFemaleHealth Services AccessibilityHumansIraq War, 2003-2011MaleMental DisordersMental Health ServicesMiddle AgedMultivariate AnalysisPatient Acceptance of Health CarePatient DropoutsProportional Hazards ModelsStress Disorders, Post-TraumaticSurvival AnalysisUnited StatesVeteransConceptsMental health visitsMental health treatmentPosttraumatic stress disorderVietnam-era veteransHealth visitsHealth treatmentPTSD treatmentMental health statusMental health servicesComorbid conditionsInitial diagnosisNumber of visitsNew diagnosisPsychiatric treatmentComorbid diagnosesHealth statusPoisson regressionSurvival analysisFunction of ageHealth servicesMultivariate analysisMore visitsVeterans AffairsStress disorder