2024
Generalized 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 sampleSymptoms
2023
Chronically 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 attainmentSex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans
Stefanovics E, Potenza M, Tsai J, Nichter B, Pietrzak R. Sex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans. Journal Of Affective Disorders 2023, 328: 303-311. PMID: 36775254, DOI: 10.1016/j.jad.2023.02.025.Peer-Reviewed Original ResearchConceptsSuicidal ideationMale veteransFemale veteransU.S. military veteransRisk factorsGender-specific risk factorsPrevalence of SISex-specific riskMilitary veteransDifferent risk factorsAlcohol use disorderLow psychological resilienceMultivariable analysisNational HealthRepresentative sampleUse disordersU.S. veteransVeterans StudySuicide preventionTreatment effortsVeteransLow purposeStrongest correlatePrevalenceIdeation
2021
Long-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 impactImpact of COVID-19–Related Social Distancing on Delivery of Intensive Case Management
Rosenheck R, Johnson B, Deegan D, Stefanovics E. Impact of COVID-19–Related Social Distancing on Delivery of Intensive Case Management. The Journal Of Nervous And Mental Disease 2021, 209: 543-546. PMID: 34009864, DOI: 10.1097/nmd.0000000000001358.Peer-Reviewed Original ResearchConceptsTherapeutic allianceVeterans Affairs Medical CenterTreatment of adultsCOVID-19-Related Social DistancingSerious mental illnessIntensive case managementMore telephone contactsCommunity-based careCommunity-based treatment programsSocial distancingSelf-reported declineClinical statusTelephone contactMedical CenterService deliveryClinical status indicatorsMental illnessTreatment programCase managementFace service deliveryCOVID-19Status indicatorsVeteransParallel declineDeliveryPersonality and Body Mass Index in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study
Stefanovics EA, Edwards LM, Pietrzak RH. Personality and Body Mass Index in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study. Psychiatric Quarterly 2021, 92: 917-923. PMID: 33389478, DOI: 10.1007/s11126-020-09878-4.Peer-Reviewed Original ResearchConceptsBody mass indexLower body mass indexFemale veteransU.S. military veteransMass indexMale veteransHigher body mass indexMilitary veteransGender-specific associationsPosttraumatic stress disorderEffect of ageMultivariable analysisObesity managementNational HealthPhysical activityVeterans StudyStress disorderVeteransRepresentative sampleAssociation
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 agentsBaselineDaysDisordersTreatmentIncreasing the Numbers of Homeless Veterans Served by the Veterans Health Administration from 2008 to 2015: maintaining focus on the intended target population and on sustaining service intensity
Rosenheck R, Sorkin H, Stefanovics E. Increasing the Numbers of Homeless Veterans Served by the Veterans Health Administration from 2008 to 2015: maintaining focus on the intended target population and on sustaining service intensity. Journal Of Social Distress And The Homeless 2020, 30: 66-76. DOI: 10.1080/10530789.2020.1753914.Peer-Reviewed Original ResearchIntended target populationHomeless veteransTarget populationVeterans AffairsVeterans Health AdministrationMental health servicesNon-homeless veteransIntensity of servicesHealth AdministrationHealth servicesSociodemographic characteristicsHealth careVeteransSuccessful maintenanceDelivery of servicesPopulationLittle evidenceVeteran homelessnessHigh levelsService intensity
2019
Prevalence and multi-morbid correlates of homelessness among veterans with HIV infection nationally in the veterans health administration
Stefanovics EA, Rosenheck RA. Prevalence and multi-morbid correlates of homelessness among veterans with HIV infection nationally in the veterans health administration. Psychology Health & Medicine 2019, 24: 1123-1136. PMID: 30900465, DOI: 10.1080/13548506.2019.1595680.Peer-Reviewed Original ResearchConceptsRisk factorsNational VHA administrative dataVeterans Health Administration (VHA) servicesVHA administrative dataVeterans Health AdministrationHIV-positive veteransPreventive psychosocial interventionsHIV-positive usersHIV diagnosisHIV infectionUnadjusted riskFiscal year 2012Independent riskHigh riskHIVPsychosocial interventionsHealth AdministrationSubstantial riskIndependent effectsVeteransRiskAdministrative dataRisk of homelessnessCorrelatesInfection
2017
Psychotropic Medication Prescribing in Iraq/Afghanistan Veterans and Vietnam Era Veterans With Posttraumatic Stress Disorder
Vojvoda D, Stefanovics EA, Rosenheck RA. Psychotropic Medication Prescribing in Iraq/Afghanistan Veterans and Vietnam Era Veterans With Posttraumatic Stress Disorder. The Journal Of Nervous And Mental Disease 2017, 205: 848-854. PMID: 28953506, DOI: 10.1097/nmd.0000000000000755.Peer-Reviewed Original ResearchConceptsIraq/Afghanistan veteransPosttraumatic stress disorderVietnam-era veteransAfghanistan veteransEra veteransAnxiolytics/sedatives/hypnoticsVeterans Health Administration (VHA) administrative dataStress disorderSedative/hypnoticsPsychotropic medication prescribingVeterans Health AdministrationNumber of prescriptionsProportion of veteransIraq/Afghanistan warMedication prescribingPsychotropic medicationsPsychotropic pharmacotherapyFiscal year 2012Psychopharmacological treatmentSame diagnosisHealth AdministrationYounger groupVeteransPrazosinAdministrative dataReasons for job loss among homeless veterans in supported employment
Stacy M, Stefanovics E, Rosenheck R. Reasons for job loss among homeless veterans in supported employment. American Journal Of Psychiatric Rehabilitation 2017, 20: 16-33. DOI: 10.1080/15487768.2016.1267049.Peer-Reviewed Original ResearchSerious mental illnessVeterans Healthcare AdministrationDrug/alcohol useDrugs/alcoholPhysical health problemsAlcohol use diagnosisSubstance-using populationsCompetitive employment ratesVeteran characteristicsUse diagnosesIPS clientsHealth problemsMental illnessAlcohol useIPS participantsHomeless veteransIndividual PlacementVocational servicesVeteransHealthcare administrationGreater scoresHomeless individualsWork-related challengesDurationUnique role
2014
Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes
Leddy M, Stefanovics E, Rosenheck R. Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes. The Journal Of Rehabilitation Research And Development 2014, 51: 161-174. PMID: 24805902, DOI: 10.1682/jrrd.2013.01.0011.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalysis of VarianceAttitude to HealthEmployment, SupportedFemaleHealth StatusHumansIll-Housed PersonsMaleMental DisordersMiddle AgedOccupational TherapyPatient Outcome AssessmentPersonal SatisfactionQuality of LifeRehabilitation, VocationalSelf ConceptSocial SupportStress Disorders, Post-TraumaticUnited StatesVeteransConceptsNon-vocational outcomesSix-month outcomesHomeless veteransSerious mental illnessGreater increaseCompetitive employment ratesTreatment daysPublic support incomeMental illnessSecondary analysisVeterans AffairsGreater decreaseIndividual PlacementOutcomesVeteransVocational servicesGreater improvementSupported EmploymentDaysDiverse outcomes