2024
Is the Risk of Alzheimer’s Disease and Related Dementias Among U.S. Veterans Influenced by the Intersectionality of Housing Status, HIV/AIDS, Hepatitis C, and Psychiatric Disorders?
Beydoun H, Szymkowiak D, Kinney R, Beydoun M, Zonderman A, Tsai J. Is the Risk of Alzheimer’s Disease and Related Dementias Among U.S. Veterans Influenced by the Intersectionality of Housing Status, HIV/AIDS, Hepatitis C, and Psychiatric Disorders? The Journals Of Gerontology Series A 2024, 79: glae153. PMID: 38869510, PMCID: PMC11519038, DOI: 10.1093/gerona/glae153.Peer-Reviewed Original ResearchADRD riskU.S. veteransHousing statusPsychiatric disordersRisk of Alzheimer's diseaseStably housed veteransMental health disordersStatistically significant mediatorCausal mediation analysisYears of follow-upADRD diagnosisADRD casesOlder veteransEligible veteransADRDHealthcare servicesRetrospective cohort studyHealth disordersYears of ageHousing instabilityCohort studyHIV/AIDSVeteransAlzheimer's diseaseSubstance use
2023
Co-occurring Medical Multimorbidity, Mental Illness, and Substance Use Disorders Among Older Criminal Legal System-Involved Veterans
Han B, Bronson J, Washington L, Yu M, Kelton K, Tsai J, Finlay A. Co-occurring Medical Multimorbidity, Mental Illness, and Substance Use Disorders Among Older Criminal Legal System-Involved Veterans. Medical Care 2023, 61: 477-483. PMID: 37204150, PMCID: PMC10330246, DOI: 10.1097/mlr.0000000000001864.Peer-Reviewed Original ResearchConceptsMedical multimorbidityMental illnessOlder veteransCLS involvementCo-occurring mental illnessVeterans Health Administration facilitiesMultivariable logistic regression modelConcurrent mental illnessPatterns of multimorbidityDisease-specific carePoor health outcomesSubstance use disordersLogistic regression modelsHigh prevalenceHigh riskLow prevalenceMultimorbidityAppropriate careUse disordersHealth outcomesIllnessAdministration facilitiesPrevalenceHealth recordsVeterans
2022
Predicting Uptake of the COVID Coach App Among US Military Veterans: Funnel Analysis Using a Probability-Based Panel
Jaworski BK, Taylor K, Ramsey KM, Heinz AJ, Steinmetz S, Owen JE, Tsai J, Pietrzak RH. Predicting Uptake of the COVID Coach App Among US Military Veterans: Funnel Analysis Using a Probability-Based Panel. JMIR Mental Health 2022, 9: e36217. PMID: 35245204, PMCID: PMC8985691, DOI: 10.2196/36217.Peer-Reviewed Original ResearchUS military veteransOlder veteransMental health toolsDigital mental health toolsHealth toolsOlder adultsOlder veteran populationMilitary veteransMental health conditionsMobile mental health appsCOVID-19 pandemicPandemic-related stressorsPandemic-related stressMental health difficultiesMental health concernsAdverse childhood experiencesPosttraumatic stress disorder (PTSD) symptomsProspective cohortDays of useMedian timeUS veteransNational HealthVeteran characteristicsMental health appsVeteran population
2021
Understanding risk in younger Veterans: Risk and protective factors associated with suicide attempt, homelessness, and arrest in a nationally representative Veteran sample
Edwards E, Dichiara A, Gromatsky M, Tsai J, Goodman M, Pietrzak R. Understanding risk in younger Veterans: Risk and protective factors associated with suicide attempt, homelessness, and arrest in a nationally representative Veteran sample. Military Psychology 2021, 34: 175-186. PMID: 38536330, PMCID: PMC10013446, DOI: 10.1080/08995605.2021.1982632.Peer-Reviewed Original ResearchOlder veteransYounger veteransProtective factorsPrior suicidal behaviorMental health servicesUS military veteransHistory of suicideAdverse eventsRisk factorsCriminal justice involvementProtective correlationHealth servicesSuicide attemptsSuicidal behaviorSuicide riskMilitary veteransVeteran sampleVeteransOlder cohortHomelessnessRiskCohortSocial supportAge cohortsRepresentative samplePrevalence, risk and protective factors associated with suicidal ideation during the COVID-19 pandemic in U.S. military veterans with pre-existing psychiatric conditions
Na PJ, Tsai J, Hill ML, Nichter B, Norman SB, Southwick SM, Pietrzak RH. Prevalence, risk and protective factors associated with suicidal ideation during the COVID-19 pandemic in U.S. military veterans with pre-existing psychiatric conditions. Journal Of Psychiatric Research 2021, 137: 351-359. PMID: 33756377, PMCID: PMC8545743, DOI: 10.1016/j.jpsychires.2021.03.021.Peer-Reviewed Original ResearchConceptsPre-existing psychiatric conditionsPsychiatric symptom severitySuicidal ideationPsychiatric conditionsPsychiatric symptomsSymptom severityCOVID-19Protective factorsCoronavirus disease 2019 (COVID-19) pandemicPast-year suicidal ideationCOVID-19 infectionDisease 2019 pandemicLifetime suicide attemptsU.S. military veteransMultivariable analysisNational HealthOlder veteransGeneral populationRepresentative cohortU.S. veteransVeterans StudySuicide attemptsOlder ageSuicide riskPsychosocial difficulties
2020
Successful Aging in Older US Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study
Pietrzak RH, Levy BR, Tsai J, Southwick SM. Successful Aging in Older US Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2020, 29: 251-256. PMID: 32917477, PMCID: PMC10697787, DOI: 10.1016/j.jagp.2020.08.006.Peer-Reviewed Original ResearchConceptsOlder US veteransUS veteransMental health difficultiesNational HealthPsychosocial factorsVeterans StudyHealth difficultiesSuccessful agingProtective psychosocial factorsOlder veteransCurrent prevalenceTreatment effortsPsychosocial correlatesSuccessful agersVeteransStrongest correlateHealthRepresentative sampleCorrelatesAging
2015
Barriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States
Blais RK, Tsai J, Southwick SM, Pietrzak RH. Barriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States. Psychiatric Services 2015, 66: 500-506. PMID: 25639990, DOI: 10.1176/appi.ps.201300469.Peer-Reviewed Original ResearchConceptsMental health careMental health care utilizationHealth care utilizationOlder veteransPsychiatric disordersCare utilizationHealth careLifetime drug use disordersMental health care useMental health service utilizationNon-Hispanic veteransVeterans ages 60Lifetime posttraumatic stress disorderHealth service utilizationHealth care useCurrent psychiatric symptomsCurrent psychiatric disorderDrug use disordersMinority of veteransMental health servicesCurrent suicidal ideationPosttraumatic stress disorderOlder U.S. veteransCare useNational Health
2013
Successful Aging Among Older Veterans in the United States
Pietrzak RH, Tsai J, Kirwin PD, Southwick SM. Successful Aging Among Older Veterans in the United States. American Journal Of Geriatric Psychiatry 2013, 22: 551-563. PMID: 23567414, DOI: 10.1016/j.jagp.2012.11.018.Peer-Reviewed Original ResearchConceptsProtective psychosocial characteristicsPhysical health difficultiesSuccessful agingUnidimensional latent factorPsychosocial characteristicsPsychological distressHealth difficultiesLatent factorsSelf-rated successful agingAdditional positive predictorsCurrent psychological distressSelf-report measuresCorrelates of scoresAdditional negative predictorConfirmatory factor analysisCross-sectional web surveyOlder veteransSubstance abuse historyCognitive functioningPsychosocial correlatesSocial functioningPositive expectationsAbuse historyDimensional approachPositive predictor