2024
Mental Health Apps and U.S. Military Veterans: Perceived Importance and Utilization of the National Center for Posttraumatic Stress Disorder App Portfolio
Jaworski B, Ramsey K, Taylor K, Heinz A, Senti S, Mackintosh M, Rosen C, Owen J, Pietrzak R. Mental Health Apps and U.S. Military Veterans: Perceived Importance and Utilization of the National Center for Posttraumatic Stress Disorder App Portfolio. Psychological Services 2024, 21: 538-551. PMID: 37917475, DOI: 10.1037/ser0000806.Peer-Reviewed Original ResearchMental health appsPosttraumatic stress disorderU.S. veteransHealth appsStress disorderVeterans Affairs (VA) National CenterMental health treatmentLower household incomeMore mental health concernsSelf-management appMental health concernsU.S. military veteransNeeds of veteransMedical conditionsGeneral populationVeteran populationHealth treatmentWhite veteransHealth concernConsistent associationVariety of barriersHealth careMilitary veteransBlack veteransVeteransPsychological Factors, Physical Conditions, and Functioning Among US Veterans
Fischer I, Na P, Feldman D, Krist A, Kudler H, Jeste D, Pietrzak R. Psychological Factors, Physical Conditions, and Functioning Among US Veterans. JAMA Network Open 2024, 7: e2427382. PMID: 39120905, PMCID: PMC11316230, DOI: 10.1001/jamanetworkopen.2024.27382.Peer-Reviewed Original ResearchSuccessful Aging in US Veterans with Mental Disorders: Results From the National Health and Resilience in Veterans Study
Shin J, Fischer I, Na P, Jeste D, Pietrzak R. Successful Aging in US Veterans with Mental Disorders: Results From the National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2024 DOI: 10.1016/j.jagp.2024.07.018.Peer-Reviewed Original ResearchGeneralized anxiety disorderPosttraumatic stress disorderMental disordersSomatic symptomsNational Health and ResilienceUS military veteransSuccessful agingAnxiety disordersDepressive disorderUS veteransStress disorderPromote successful agingHigher gratitudeVeterans StudyMilitary veteransInterventions targeting psychosocial factorsOne-in-fiveVeteransMDDDisordersPsychosocial factorsGratitudeNegative associationSymptomsMultivariate logistic regressionBarriers to Mental Health Care in US Military Veterans
Lewis C, Fischer I, Tsai J, Harpaz-Rotem I, Pietrzak R. Barriers to Mental Health Care in US Military Veterans. Psychiatric Quarterly 2024, 1-17. PMID: 38940875, DOI: 10.1007/s11126-024-10078-7.Peer-Reviewed Original ResearchMental health careMental health treatmentHealth careHealth treatmentReduce barriersUS veteransNegative beliefsInstrumental barriersNational Health and ResiliencePromote engagementMental health servicesPopulation-based effortsUS military veteransNationally representative dataMultivariate logistic regressionPerceived stigmaHealth servicesSocial supportPsychiatric needsVeterans StudyPractical barriersLow purposeConclusionsNearly halfMilitary veteransCarePosttraumatic stress disorder and insomnia in US military veterans: Prevalence, correlates, and psychiatric and functional burden
Georgescu M, Fischer I, Beydoun M, McCarthy E, DeViva J, Pietrzak R. Posttraumatic stress disorder and insomnia in US military veterans: Prevalence, correlates, and psychiatric and functional burden. Journal Of Sleep Research 2024, e14269. PMID: 38845413, DOI: 10.1111/jsr.14269.Peer-Reviewed Original ResearchPosttraumatic stress disorderStress disorderMilitary veteransInsomnia groupCo-occurring posttraumatic stress disorderBurden of PTSDTreating posttraumatic stress disorderClinical management of insomniaRates of psychiatric conditionsGeneralized anxiety disorderCurrent suicidal ideationMitigate suicide riskUS veteransManagement of insomniaUS military veteransMental health burdenFunctional burdenAnxiety disordersDepressive disorderSuicidal ideationSuicide riskPsychiatric conditionsPsychosocial functioningSocial functioningInsomniaSuicide-Specific Cognitions and Suicidal Behavior in U.S. Military Veterans
Fischer I, Nichter B, Trachik B, Bryan C, Pietrzak R. Suicide-Specific Cognitions and Suicidal Behavior in U.S. Military Veterans. Psychiatry 2024, ahead-of-print: 1-10. PMID: 38832675, DOI: 10.1080/00332747.2024.2352883.Peer-Reviewed Original ResearchSuicide-specific cognitionsU.S. military veteransMilitary veteransSuicidal ideationSuicide planLifetime history of suicide attemptsHistory of suicide attemptsAssociated with suicidal ideationSuicide Cognitions ScaleDepressive symptom severityThoughts of suicideMitigate suicide riskB-SCSAdverse childhood experiencesExploratory post hoc analysisSuicidal behaviorLifetime historySuicide riskSuicide attemptsSymptom severitySuicidal thoughtsCognitive scalesIndicator of riskChildhood experiencesIntervention effortsWell-Being Domains in U.S. Military Veterans: Identifying Modifiable Factors to Promote Whole Health.
Fischer I, Na P, Feldman D, Krist A, Kudler H, Jeste D, Pietrzak R. Well-Being Domains in U.S. Military Veterans: Identifying Modifiable Factors to Promote Whole Health. International Psychogeriatrics 2024, 1-12. PMID: 38770709, DOI: 10.1017/s1041610224000589.Peer-Reviewed Original ResearchU.S. military veteransPromotion of overall healthModifiable factorsWell-beingU.S. Department of Veterans AffairsMilitary veteransDepartment of Veterans AffairsAnalyzed cross-sectional dataModel of healthcareDisease-centred modelNationally representative samplePromote well-beingWell-being domainsWhole healthCross-sectional dataModifiable healthVeterans AffairsSocial supportPsychosocial correlatesOverall healthSocioeconomic well-beingU.S. veteransDisease preventionSocioeconomic domainsRepresentative sampleUsing the Moral Injury and Distress Scale to identify clinically meaningful moral injury
Maguen S, Griffin B, Pietrzak R, McLean C, Hamblen J, Norman S. Using the Moral Injury and Distress Scale to identify clinically meaningful moral injury. Journal Of Traumatic Stress 2024, 37: 685-696. PMID: 38655683, DOI: 10.1002/jts.23050.Peer-Reviewed Original ResearchPotentially morally injurious eventsTrauma-related guiltMoral injuryCut scoresClinically significant mental health symptomsSignificant mental health symptomsExposure to potentially morally injurious eventsSample of military veteransMental health symptomsPopulation-based sampleHealth care workersRisk of negative outcomesFunctional impairmentDepressive symptom severityMorally injurious eventsInjury carePMIE exposureNon-HispanicMental healthHealth symptomsCare workersInjury eventsPosttraumatic stressMilitary veteransSymptom severityFunctional significance of posttraumatic growth in U.S. military veterans
Gower T, Fischer I, Tsai J, Kang H, Na P, Tedeschi R, Pietrzak R. Functional significance of posttraumatic growth in U.S. military veterans. Journal Of Affective Disorders 2024, 356: 267-273. PMID: 38614442, DOI: 10.1016/j.jad.2024.04.046.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPosttraumatic stress disorder symptomsPosttraumatic growthPsychosocial functioningTraumatic eventsTrauma-exposed U.S. veteransNational Health and ResilienceMale veteran samplePost-trauma functioningPattern of findingsRetrospective self-reportsU.S. military veteransVeteran sampleStress disorderVeterans StudyExamined relationsCross-sectional designMilitary veteransNationally representative sampleU.S. veteransAssociated with functionsPhysical functionClinical interventionsPsychosocial characteristicsVeteransSex, 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 associationProblem Opioid Use Among US Military Veterans: Prevalence, Correlates, and Psychiatric Characteristics
Na P, Petrakis I, Krystal J, Pietrzak R. Problem Opioid Use Among US Military Veterans: Prevalence, Correlates, and Psychiatric Characteristics. Journal Of Addiction Medicine 2024, 18: 313-318. PMID: 38498625, PMCID: PMC11150085, DOI: 10.1097/adm.0000000000001286.Peer-Reviewed Original ResearchInstrumental activities of daily livingInstrumental activities of daily living disabilityLifetime suicide attemptsProblem opioid useUS military veteransUS veteransPsychiatric characteristicsSuicide attemptsMilitary veteransAssociated with black race/ethnicityActivities of daily livingNational Health and ResilienceLifetime alcohol use disorderMental health morbidityPosttraumatic stress disorderMental health disordersAlcohol use disorderNon-Hispanic race/ethnicityMultivariate logistic regression modelNationally representative sampleOpioid useLogistic regression modelsInstrumental activitiesHealth morbidityDaily livingObesity in Latinx and White U.S. military veterans: Mental health, psychosocial burden, non-suicidal self-injury and suicidal behavior
Stefanovics E, Grilo C, Potenza M, Pietrzak R. Obesity in Latinx and White U.S. military veterans: Mental health, psychosocial burden, non-suicidal self-injury and suicidal behavior. Psychiatry Research 2024, 335: 115844. PMID: 38484606, DOI: 10.1016/j.psychres.2024.115844.Peer-Reviewed Original ResearchNon-suicidal self-injuryDrug use disordersU.S. military veteransMental health problemsMilitary veteransSelf-injuryUse disorderSymptoms of internalizing disordersLevels of childhood traumaNational Health and ResiliencePost-traumatic stress disorderIncreased risk of mental health problemsWhite veteransCoping self-efficacyRisk of mental health problemsLatinx ethnicityGeneralized anxietyStress disorderChildhood traumaHealth problemsSuicidal behaviorVeterans StudyCorrelates of obesityCulturally sensitive preventionNationally representative sampleDifferential associations of adverse childhood experiences and mental health outcomes in U.S. military veterans
Slavin A, Fischer I, Pietrzak R. Differential associations of adverse childhood experiences and mental health outcomes in U.S. military veterans. Journal Of Psychiatric Research 2024, 172: 261-265. PMID: 38412789, DOI: 10.1016/j.jpsychires.2024.02.040.Peer-Reviewed Original ResearchConceptsAdverse childhood experiencesMental health outcomesChildhood traumaEmotional neglectMilitary veteransChildhood experiencesNational Health and ResiliencePrevalence of childhood traumaAssociated with adverse mental health outcomesHealth outcomesChildhood emotional neglectPosttraumatic stress disorderEffects of adverse childhood experiencesU.S. military veteransAssociation of adverse childhood experiencesSample of veteransAdverse mental health outcomesAdverse mental health effectsStress disorderGeneralized anxietyPopulation-based sample of veteransVeterans StudySuicidal thoughtsPopulation-based sampleIndividual adverse childhood experiencesHealth and psychiatric impairment associated with moral injury, military sexual trauma, and their co-occurrence in U.S. combat veterans
Nichter B, Hill M, Maguen S, Norman S, Fischer I, Pietrzak R. Health and psychiatric impairment associated with moral injury, military sexual trauma, and their co-occurrence in U.S. combat veterans. Journal Of Psychosomatic Research 2024, 179: 111617. PMID: 38394711, DOI: 10.1016/j.jpsychores.2024.111617.Peer-Reviewed Original ResearchMilitary sexual traumaExposure to military sexual traumaU.S. combat veteransCombat veteransMoral injurySexual traumaNational Health and ResilienceSeverity of posttraumatic stressPast-year suicidal ideationPrevalence of military sexual traumaPhysical health comorbiditiesCo-occurrenceChronic medical conditionsGeneralized anxietyPopulation-based studyPosttraumatic stressSuicidal ideationVeterans StudySomatic complaintsPsychosocial functioningInsomnia symptomsMilitary veteransLifetime prevalencePMIEsHealth comorbiditiesProblematic Alcohol Use Trajectories in U.S. Military Veterans during a Public Health Crisis: Results from a 3-year, Nationally Representative, Longitudinal Study
Na P, Fischer I, Petrakis I, Pietrzak R. Problematic Alcohol Use Trajectories in U.S. Military Veterans during a Public Health Crisis: Results from a 3-year, Nationally Representative, Longitudinal Study. Psychiatric Quarterly 2024, 95: 157-171. PMID: 38319532, DOI: 10.1007/s11126-024-10067-w.Peer-Reviewed Original ResearchConceptsDrug use disordersProblematic alcohol useAlcohol use trajectoriesLow social supportAdverse childhood experiencesAlcohol useGreater household incomeSocial supportUS veteransLongitudinal studyNational Health and ResilienceLatent growth mixture modelingU.S. military veteransHousehold incomeGrowth mixture modelingNon-household membersCOVID-19 pandemicVeterans StudyUse disorderMilitary veteransChildhood experiencesPublic health crisisPsychosocial characteristicsPrevention effortsVeteransGeneralized anxiety and mild anxiety symptoms in U.S. military veterans: Prevalence, characteristics, and functioning
Macdonald-Gagnon G, Stefanovics E, Potenza M, Pietrzak R. Generalized anxiety and mild anxiety symptoms in U.S. military veterans: Prevalence, characteristics, and functioning. Journal Of Psychiatric Research 2024, 171: 263-270. PMID: 38325107, DOI: 10.1016/j.jpsychires.2024.02.013.Peer-Reviewed Original ResearchConceptsGeneralized anxiety disorderMild anxiety symptomsAnxiety symptomsMilitary veteransU.S. veteransCorrelates of generalized anxiety disorderCorrelates of anxiety symptomsAnxiety symptom severityU.S. military veteransAnxiety disordersGeneralized anxietyPoor mental healthSuicidal thoughtsSymptom severityMental disordersExcessive anxietyAnxietyMagnitude associationsMental healthFunctional impairmentVeteransFunctional correlatesClinical samplesNationally representative sampleSymptomsFirearm storage practices among military veterans in the United States: Findings from a nationally representative survey
Nichter B, Hill M, Fischer I, Panza K, Kline A, Na P, Norman S, Rowcliffe M, Pietrzak R. Firearm storage practices among military veterans in the United States: Findings from a nationally representative survey. Journal Of Affective Disorders 2024, 351: 82-89. PMID: 38280567, DOI: 10.1016/j.jad.2024.01.179.Peer-Reviewed Original ResearchConceptsFirearm storage practicesContemporary population-based dataNational Health and ResiliencePromote safe firearm storageTrauma exposureAssociated with increased risk of suicidePopulation-based dataCross-sectional designStorage of firearmsAssociated with increased riskRisk of suicideNationally representative surveyDrug use disordersHealthcare professionalsSociodemographic characteristicsVeterans StudyFirearm storageTraumatic brain injuryU.S. veteransService membersMilitary veteransStorage practicesTraining initiativesVeteransRisk statusNegative aging stereotypes in U.S. military veterans: results from the National Health and Resilience in Veterans Study.
Georgescu M, Fischer I, Beydoun M, Pietrzak R. Negative aging stereotypes in U.S. military veterans: results from the National Health and Resilience in Veterans Study. International Psychogeriatrics 2024, 1-6. PMID: 38230487, DOI: 10.1017/s1041610223004507.Peer-Reviewed Original ResearchNegative age stereotypesU.S. military veteransHealth conditionsAge stereotypesU.S. veteransMilitary veteransNational Health and ResilienceOlder ageNationally representative sampleNon-veteransPromote healthCognitive healthPsychosocial factorsEmotional healthVeterans StudyRelative weight analysisRepresentative sampleVeteransHealthLow gritCognitive agingIndependent correlatesIncreased riskEmotional stabilityEmotional agingFunctional correlates of a novel 8-factor model of PTSD in U.S. military veterans: Results from the National Health and Resilience in Veterans Study
Stiltner B, Fischer I, Duek O, Polimanti R, Harpaz-Rotem I, Pietrzak R. Functional correlates of a novel 8-factor model of PTSD in U.S. military veterans: Results from the National Health and Resilience in Veterans Study. Journal Of Psychiatric Research 2024, 171: 69-74. PMID: 38244335, DOI: 10.1016/j.jpsychires.2024.01.017.Peer-Reviewed Original ResearchConceptsModels of posttraumatic stress disorderPosttraumatic stress disorderNational Health and ResilienceU.S. military veteransArousal symptomsSuicidal ideationVeterans StudyCurrent depressionSymptom clustersMilitary veteransPosttraumatic stress disorder symptom clustersPosttraumatic stress disorder symptomsPosttraumatic Stress Disorder ChecklistAnxious arousal symptomsDysphoric arousal symptomsIntrusive symptom clustersOdds of suicidal ideationFunctional correlatesMulti-faceted disorderExternalizing behavioral symptomsAssociated with lower oddsAssociated with higher oddsSymptom structureAvoidance symptomsDSM-5
2023
Functional decline during the COVID‐19 pandemic among U.S. military veterans: Results from the National Health and Resilience in Veterans Study
Morse J, Fischer I, Na P, Afari N, Pietrzak R. Functional decline during the COVID‐19 pandemic among U.S. military veterans: Results from the National Health and Resilience in Veterans Study. International Journal Of Geriatric Psychiatry 2023, 38: e6040. PMID: 38072628, DOI: 10.1002/gps.6040.Peer-Reviewed Original ResearchConceptsAdverse childhood experiencesFunctional declineU.S. military veteransGreater adverse childhood experiencesNational HealthPhysical functioningVeterans StudyIdentification of veteransSubstantial health problemPhysical functional declineMilitary veteransMental functioningU.S. adult populationStress symptomsStrongest correlatePrevalence of veteransProtective psychosocial characteristicsMultivariable analysisPosttraumatic stress symptomsHealth problemsU.S. veteransAdult populationImprovement 1Coronavirus diseaseOlder age