2024
Clinical characteristics associated with problematic pornography use among individuals seeking treatment for opioid use disorder.
Stefanovics E, Kraus S, Madden L, Farnum S, Cannata E, Potenza M, Barry D. Clinical characteristics associated with problematic pornography use among individuals seeking treatment for opioid use disorder. Journal Of Behavioral Addictions 2024 PMID: 39298267, DOI: 10.1556/2006.2024.00037.Peer-Reviewed Original ResearchBrief Pornography ScreenOpioid use disorderPornography useOpioid use disorder treatmentUse disorderMeasures of substance useMeasures of impulsivityProblematic pornography useMinority of individualsNegative urgencyPositive urgencyPsychotic symptomsSelf-reported dataBehavioral addictionsGambling disorderPsychiatric disordersPsychiatric symptomsSensation-seekingEmotional labilitySelf-harmSubstance useDisordersOpioidIndividualsSymptomsAn Exploratory Study of Prescription Pain Medication Misuse with and without Heroin Use Among Adolescents
Jalilian-Khave L, Stefanovics E, Zhai Z, Potenza M. An Exploratory Study of Prescription Pain Medication Misuse with and without Heroin Use Among Adolescents. SUCHT - Zeitschrift Für Wissenschaft Und Praxis / Journal Of Addiction Research And Practice 2024, 70: 87-96. DOI: 10.1024/0939-5911/a000860.Peer-Reviewed Original ResearchPrescription pain medication misusePain medication misuseMental healthHeroin usePrescription pain medicationMedication misusePoorer mental healthYouth Risk Behavior SurveySubstance useOpioid usePain medicationRisk Behavior SurveySubstance use measuresOpioid misuseOdds ratioAssociated with suicideOpioidSchool propertyChi-squareHigh school respondentsSchool-basedBehavior SurveyNon-whiteDemographic variablesSuicide measures
2023
Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling Among Low-Income U.S. Veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) Study
Stefanovics E, Potenza M, Tsai J. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling Among Low-Income U.S. Veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) Study. Journal Of Gambling Studies 2023, 40: 915-935. PMID: 37751035, DOI: 10.1007/s10899-023-10257-4.Peer-Reviewed Original ResearchU.S. veteransSubstance useMental illnessDrug use disordersPoor physical functioningLogistic regression analysisNon-white veteransChi-square testU.S. military veteransClinical characteristicsDevelopment of interventionsAdjusted associationsPhysical functioningRoutine screeningClinical measuresCurrent prevalenceUse disordersRecreational gamblingLifetime historyGreater symptomsVulnerable subpopulationsPrevalenceGambling participation among Connecticut adolescents from 2007 to 2019: Potential risk and protective factors
Stefanovics E, Gueorguieva R, Zhai Z, Potenza M. Gambling participation among Connecticut adolescents from 2007 to 2019: Potential risk and protective factors. Journal Of Behavioral Addictions 2023, 12: 490-499. PMID: 37335777, PMCID: PMC10316163, DOI: 10.1556/2006.2023.00027.Peer-Reviewed Original ResearchConceptsPrevalence of gamblingGambling participationPatterns of gamblingSocial supportSocial support programsGambling advertisementsTraumatic experiencesMedia coverageState of ConnecticutSocio-demographic characteristicsAffective concernsSubstance useConnecticut high school studentsGamblingAdolescent gamblingAnonymous self-completed questionnairePotential risk factorsParticipationSupport programsPublic health concernSelf-completed questionnaireCurrent substance useSocio-demographic dataCross-sectional surveyWarrants further studyChronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences
Stefanovics E, Potenza M, Szymkowiak D, Tsai J. Chronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences. Journal Of Psychiatric Research 2023, 164: 118-124. PMID: 37339548, DOI: 10.1016/j.jpsychires.2023.05.062.Peer-Reviewed Original ResearchConceptsPsychiatric treatmentGambling disorderChi-square testChronic homelessnessClinical correlatesDescriptive epidemiologyLow educational attainmentElevated oddsSuicidal thoughtsLogistic regressionTraumatic experiencesMental healthSubstance useHomeless veteransHomeless ProgramVeteransTreatmentLower ratesEpidemiologyBehavioral concernsDisordersStudy of factorsCorrelatesAnalysis of varianceEducational attainmentVictimization in schizophrenia and its relation to violence
Buchanan A, Stefanovics E, Rosenheck R. Victimization in schizophrenia and its relation to violence. Schizophrenia Research 2023, 255: 52-58. PMID: 36963231, DOI: 10.1016/j.schres.2023.03.018.Peer-Reviewed Original ResearchConceptsIntervention Effectiveness (CATIE) trialMental health symptomsStudy entryCross-sectional designAntipsychotic treatmentEffectiveness trialSchizophrenia symptomsMultivariate analysisHealth symptomsSchizophreniaViolent behaviorSubstance useSymptomsRecent victimizationPotential causesAggressive behaviorChildhood experiencesBaselineMore incidentsCorrelatesTreatmentVictims of violenceSexual abuseClose friendsMost perpetrators
2021
Psychiatric 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 individualsLong-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 impact
2020
Impact of cannabis on non-medical opioid use and symptoms of posttraumatic stress disorder: a nationwide longitudinal VA study
De Aquino JP, Sofuoglu M, Stefanovics EA, Rosenheck RA. Impact of cannabis on non-medical opioid use and symptoms of posttraumatic stress disorder: a nationwide longitudinal VA study. The American Journal Of Drug And Alcohol Abuse 2020, 46: 812-822. PMID: 33035104, DOI: 10.1080/00952990.2020.1818248.Peer-Reviewed Original ResearchConceptsNon-medical opioid usePosttraumatic stress disorderOpioid useNon-medical opioidsPTSD symptomsCannabis useStress disorderSubstance useBaseline cannabis useImpact of cannabisSevere PTSD symptomsIntensive PTSD treatmentMore PTSD symptomsPTSD treatmentU.S. veteransSymptomsVA studyCannabisVeteransOpioidsSubstitution agentsBaselineDaysDisordersTreatmentGender Differences in Outcomes Following Specialized Intensive PTSD Treatment in the Veterans Health Administration
Stefanovics EA, Rosenheck RA. Gender Differences in Outcomes Following Specialized Intensive PTSD Treatment in the Veterans Health Administration. Psychological Trauma Theory Research Practice And Policy 2020, 12: 272-280. PMID: 31282719, DOI: 10.1037/tra0000495.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderTotal PTSD symptom scoresPTSD symptomsNational program evaluation dataVeterans Health AdministrationVeterans Health Administration programGreater improvementPTSD symptom scoresIntensive PTSD treatmentSymptom scoresTreatment outcomesProgram participationMale veteransGender differencesHealth AdministrationPTSD treatmentFemale veteransPTSD programProgram evaluation dataMedium effect size differencesStress disorderGender-based differencesEffect size differencesSubstance useStudy sample
2018
Polysubstance Use Among Veterans in Intensive PTSD Programs: Association With Symptoms and Outcomes Following Treatment
Bhalla IP, Stefanovics EA, Rosenheck RA. Polysubstance Use Among Veterans in Intensive PTSD Programs: Association With Symptoms and Outcomes Following Treatment. Journal Of Dual Diagnosis 2018, 15: 36-45. PMID: 30444189, DOI: 10.1080/15504263.2018.1535150.Peer-Reviewed Original ResearchConceptsPolysubstance useTotal daysSubstance usePTSD symptomsInnovative trial designsAddictive substancesPolysubstance use disorderMore total daysSevere PTSD symptomsBaseline characteristicsSuch patientsPTSD symptom severitySevere symptomsUse disordersDual diagnosisTrial designDifferent addictive substancesDisorders ProgramPosttraumatic Stress Disorder (CR for PTSD) programPatientsComplex interventionsSimilar associationBivariate analysisPTSD programSymptom severity
2017
Correlates of Reduced Violent Behavior Among Patients Receiving Intensive Treatment for Posttraumatic Stress Disorder
Buchanan A, Stefanovics E, Rosenheck RA. Correlates of Reduced Violent Behavior Among Patients Receiving Intensive Treatment for Posttraumatic Stress Disorder. Psychiatric Services 2017, 69: 424-430. PMID: 29241432, DOI: 10.1176/appi.ps.201700253.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderIntensive treatmentStress disorderSubstance useWar-related posttraumatic stress disorderPTSD symptomatologySpectrum of careProgram entryViolent behaviorU.S. military veteransModerate effect sizeClinical factorsPTSD symptom severityShort-term supportObservational studyBaseline levelsPTSD programSymptom severitySpecific causesFour monthsPTSD changeMilitary veteransIncarceration historyEffect sizeTreatment
2015
Treatment outcomes for veterans with PTSD and substance use: Impact of specific substances and achievement of abstinence
Manhapra A, Stefanovics E, Rosenheck R. Treatment outcomes for veterans with PTSD and substance use: Impact of specific substances and achievement of abstinence. Drug And Alcohol Dependence 2015, 156: 70-77. PMID: 26429726, PMCID: PMC4633308, DOI: 10.1016/j.drugalcdep.2015.08.036.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderAchievement of abstinenceEffect of abstinenceTreatment outcomesSubstance useRates of abstinenceNational program evaluationSubstance abuse groupClinical outcomesBaseline variablesAnalysis of covariancePTSD patientsSpecific substancesMedical problemsPTSD programStress disorderAbstinencePTSD symptomsScant longitudinal dataUse outcomesSelf-reported dataAbuse groupOutcomesSignificant differencesGreater improvement