2023
Emergency Department Use Among Recently Homeless Adults in a Nationally Representative Sample
Ryus C, Stefanovics E, Tsai J, Rhee T, Rosenheck R. Emergency Department Use Among Recently Homeless Adults in a Nationally Representative Sample. Western Journal Of Emergency Medicine 2023, 0: 894-905. PMID: 37788030, PMCID: PMC10527843, DOI: 10.5811/westjem.59054.Peer-Reviewed Original Research
2022
Update on Gambling Disorder
Stefanovics EA, Potenza MN. Update on Gambling Disorder. Psychiatric Clinics Of North America 2022, 45: 483-502. PMID: 36055734, DOI: 10.1016/j.psc.2022.04.004.Peer-Reviewed Original ResearchConceptsTreatment of GDGambling disorderClinical trialsPsychiatric disordersPossible treatmentAdult populationNoninvasive neuromodulationBehavioral interventionsSpecific populationsDisordersTreatmentFormal indicationImproved identificationMedicationsEtiologyPopulationNeuromodulationEnvironmental factorsTrialsPreventionRates and correlates of dual diagnosis among adults with psychiatric and substance use disorders in a nationally representative U.S sample
Jegede O, Rhee TG, Stefanovics EA, Zhou B, Rosenheck RA. Rates and correlates of dual diagnosis among adults with psychiatric and substance use disorders in a nationally representative U.S sample. Psychiatry Research 2022, 315: 114720. PMID: 35834863, DOI: 10.1016/j.psychres.2022.114720.Peer-Reviewed Original ResearchConceptsSubstance use disordersDual diagnosisPsychiatric disordersIndependent correlatesUse disordersDrug use diagnosesService use characteristicsPoor mental HRQOLRelated Conditions Wave IIINational Epidemiologic SurveyRepresentative US sampleMental HRQOLSUD diagnosisUse diagnosesTreatment needsEpidemiologic SurveyWave IIIAdult traumaMedical problemsSuicide attemptsDiagnosisDisordersAdultsFurther studiesSocial supportGender Differences in Diagnostic Remission of Posttraumatic Stress Disorder (PTSD): Proportions and Correlates of Remission in a Nationally Representative U.S. Sample
Stefanovics EA, Rhee TG, Rosenheck RA. Gender Differences in Diagnostic Remission of Posttraumatic Stress Disorder (PTSD): Proportions and Correlates of Remission in a Nationally Representative U.S. Sample. Psychiatric Quarterly 2022, 93: 663-676. PMID: 35353267, DOI: 10.1007/s11126-022-09979-2.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderDiagnostic remissionStress disorderCorrelates of remissionEmergency room visitsLifetime PTSD diagnosisProportion of menNational Epidemiologic SurveyRelated Conditions-IIIRoom visitsGender-specific correlatesParental historyRemissionLifetime diagnosisEpidemiologic SurveyClinical disadvantagesGender differencesSuicide attemptsPast homelessnessPTSD diagnosisAge 15Violent behaviorWomenSignificant gender differencesMenPersistence of significant pain interference following substance use disorder remission: Negative association with psychosocial and physical recovery
Manhapra A, Stefanovics EA, Rhee TG, Rosenheck RA. Persistence of significant pain interference following substance use disorder remission: Negative association with psychosocial and physical recovery. Drug And Alcohol Dependence 2022, 232: 109339. PMID: 35121202, DOI: 10.1016/j.drugalcdep.2022.109339.Peer-Reviewed Original ResearchConceptsSubstance use disordersPast-year substance use disorderSevere pain interferencePain interferenceIndependent associationSUD remissionActive substance use disorderSignificant pain interferenceIndependent negative associationRelated Conditions Wave IIINegative associationPositive independent associationStrong negative associationUnited States adultsNational Epidemiologic SurveyPersistent painPhysical functionRemissionUS adultsUse disordersDisorder remissionEpidemiologic SurveyWave IIIClinical attentionStates adults“Lives of despair” at risk for “deaths of despair”: tracking an under-recognized, vulnerable population
Na PJ, Stefanovics EA, Rhee TG, Rosenheck RA. “Lives of despair” at risk for “deaths of despair”: tracking an under-recognized, vulnerable population. Social Psychiatry And Psychiatric Epidemiology 2022, 57: 1123-1134. PMID: 35028698, PMCID: PMC8757395, DOI: 10.1007/s00127-022-02218-w.Peer-Reviewed Original ResearchConceptsSubstance use disordersLifetime substance use disorderDeaths of despairSuicide attemptsUS adultsMental health service utilizationMental health care servicesQuality mental health careHealth service utilizationRelated Conditions Wave IIIMental health treatmentMental health careNational Epidemiologic SurveyQuality of lifeMore psychosocial adversityHealth care servicesCharacteristics of adultsMultivariable analysisService utilizationPsychiatric disordersUse disordersEpidemiologic SurveyWave IIIHealth treatmentAdverse experiencesReligious Institutions as a Link to Substance use Treatment: Characterizing the Potential Service Population through National Survey Data
Heikkila HD, Edens EL, Stefanovics EA, Rhee TG, Rosenheck RA. Religious Institutions as a Link to Substance use Treatment: Characterizing the Potential Service Population through National Survey Data. Substance Use & Addiction Journal 2022, 43: 699-707. PMID: 35099366, DOI: 10.1080/08897077.2021.2007510.Peer-Reviewed Original ResearchConceptsSubstance use disordersDrug use disordersSUD treatmentUse disordersLife scoresUse diagnosesPast-year substance use disorderRepresentative cross-sectional surveyDrug use diagnosesSuch service useQuarter of adultsSubstance use diagnosesNational Epidemiologic SurveyRelated Conditions-IIISubstance use treatmentCross-sectional surveyCharacteristics of adultsProportion of adultsUse of servicesCurrent alcoholMultinomial logistic regressionEpidemiologic SurveyService useAfrican American groupSocio-demographic disadvantage
2021
A population‐wide perspective on the reach of substance use disorders: Parental exposure, diagnostic remission, and current disorders
Na PJ, Stefanovics EA, Rhee TG, Rosenheck RA. A population‐wide perspective on the reach of substance use disorders: Parental exposure, diagnostic remission, and current disorders. American Journal On Addictions 2021, 31: 69-79. PMID: 34921471, DOI: 10.1111/ajad.13246.Peer-Reviewed Original ResearchConceptsCurrent substance use disorderSubstance use disordersParental substance use disordersCurrent disorderUse disordersDiagnostic remissionUS populationChildhood adversityMultivariable-adjusted logistic regressionMental health-related qualityPoorer mental health-related qualityLifetime substance use disorderHealth-related qualityPopulation-based estimatesRelated Conditions Wave IIIUS adult populationNational Epidemiologic SurveyPublic health impactPsychiatric comorbidityFunctional impairmentPsychiatric disordersEpidemiologic SurveyWave IIIUnaffected groupPsychiatric multimorbidityDiagnostic remission of substance use disorders: Racial differences and correlates of remission in a nationally representative sample
Bommersbach TJ, Jegede O, Stefanovics EA, Rhee TG, Rosenheck RA. Diagnostic remission of substance use disorders: Racial differences and correlates of remission in a nationally representative sample. Journal Of Substance Use And Addiction Treatment 2021, 136: 108659. PMID: 34785084, DOI: 10.1016/j.jsat.2021.108659.Peer-Reviewed Original ResearchTreatment of substance use disorders among black and white adults: rates, correlates, and racial discrimination
Bommersbach TJ, Jegede O, Na PJ, Stefanovics EA, Rhee TG, Rosenheck RA. Treatment of substance use disorders among black and white adults: rates, correlates, and racial discrimination. Journal Of Addictive Diseases 2021, 40: 345-356. PMID: 34747323, DOI: 10.1080/10550887.2021.1997038.Peer-Reviewed Original ResearchConceptsTreatment receiptPast-year SUDCriminal justice involvementSUD treatmentWhite individualsWhite adultsMultivariate analysisBlack individualsIndependent differentiating factorsSubstance use disorder treatmentUse disorder treatmentSubstance use disordersNational Epidemiologic SurveyRelated Conditions-IIILow social supportJustice involvementClinical correlatesRacial groupsPsychiatric disordersPsychiatric treatmentUse disordersEpidemiologic SurveyDisorder treatmentBivariate analysisSociodemographic disadvantageWho Uses Veterans Mental Health Services?
Manhapra A, Stefanovics EA, Rhee TG, Rosenheck RA. Who Uses Veterans Mental Health Services? The Journal Of Nervous And Mental Disease 2021, 209: 702-709. PMID: 33993183, DOI: 10.1097/nmd.0000000000001369.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationPosttraumatic stress disorderHealth service usersMH service usersSubstance use disorder diagnosisClinical practice guidelinesMental health servicesMental health service usersClinical characteristicsMedicaid insurancePain interferenceService usersBlack raceSimilar prevalenceMental health researchMH researchPractice guidelinesGreater prevalenceHealth AdministrationHealth servicesPTSD diagnosisRacial distributionMH statusStress disorderDisorder diagnosisLifetime risk and correlates of incarceration in a nationally representative sample of U.S. adults with non-substance-related mental illness
Nakic M, Stefanovics EA, Rhee TG, Rosenheck RA. Lifetime risk and correlates of incarceration in a nationally representative sample of U.S. adults with non-substance-related mental illness. Social Psychiatry And Psychiatric Epidemiology 2021, 57: 1839-1847. PMID: 34453553, DOI: 10.1007/s00127-021-02158-x.Peer-Reviewed Original ResearchConceptsBehavioral risk factorsSubstance use disordersDSM-5 disordersMental illnessRisk factorsPsychiatric disordersUse disordersLifetime historyCorrelates of incarcerationMethodsNationally representative dataLogistic regression analysisNational Epidemiologic SurveyRelated Conditions-IIIBorderline personality disorderAntisocial personality disorderProportion of respondentsResultsAmong adultsIndependent associationLifetime riskUS adultsDual diagnosisEpidemiologic SurveyDiagnostic groupsIllnessU.S. adultsComparison of Black and white individuals who report diagnoses of schizophrenia in a national sample of US adults: Discrimination and service use
Bommersbach TJ, Rhee TG, Stefanovics EA, Rosenheck RA. Comparison of Black and white individuals who report diagnoses of schizophrenia in a national sample of US adults: Discrimination and service use. Schizophrenia Research 2021, 253: 22-29. PMID: 34088549, DOI: 10.1016/j.schres.2021.05.017.Peer-Reviewed Original ResearchConceptsRepresentative survey dataExperiences of discriminationReligious service attendanceRecognition of disparitiesSocial assetsComparison of BlackSocial disadvantageService attendanceJob discriminationBlack AmericansViolent behaviorRepresentative U.S. sampleSurvey dataEducational attainmentSystem discriminationSocial supportNational sampleService useDiscrimination ScaleU.S. sampleWhite adultsBlacksDiscriminationBlack individualsIncarcerationImpact 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 declineDelivery
2020
Association of symptom severity, pain and other behavioral and medical comorbidities with diverse measures of functioning among adults with post-traumatic stress disorder
Manhapra A, Stefanovics EA, Rhee TG, Rosenheck RA. Association of symptom severity, pain and other behavioral and medical comorbidities with diverse measures of functioning among adults with post-traumatic stress disorder. Journal Of Psychiatric Research 2020, 134: 113-120. PMID: 33383494, DOI: 10.1016/j.jpsychires.2020.12.063.Peer-Reviewed Original ResearchConceptsMental health composite scoresPhysical function scoresPost-traumatic stress disorderSubstance use disordersMedical comorbiditiesPain interferencePTSD symptomsStatistical Manual-5 (DSM-5) criteriaSymptom severityMental health-related qualityStress disorderPast-year post-traumatic stress disorderShort Form-12Health-related qualityNational Epidemiologic SurveyNegative associationCommon comorbiditiesChronic painForm-12Medical illnessSubstantial disabilityPsychiatric comorbidityPTSD symptom severityFunction scoresIndependent associationEstimated Proportions and Characteristics of National Survey Respondents Reporting New Diagnoses of Schizophrenia or Other Psychoses in the Past Year as Compared With Prior Years.
Bommersbach T, Rhee TG, Stefanovics E, Rosenheck R. Estimated Proportions and Characteristics of National Survey Respondents Reporting New Diagnoses of Schizophrenia or Other Psychoses in the Past Year as Compared With Prior Years. The Journal Of Nervous And Mental Disease 2020, 209: 65-70. PMID: 33141782, DOI: 10.1097/nmd.0000000000001259.Peer-Reviewed Original ResearchConceptsSubstance use disordersUse disordersEarly psychosisPast-year substance use disorderInfrequency of casesFirst-time diagnosisFirst-episode psychosisPopulation-based estimatesNational Epidemiologic SurveyAlcohol use disorderRelated Conditions-IIINational survey respondentsMean ageEpidemiologic dataGeneral populationNew diagnosisEpidemiologic SurveyOlder populationPrevious yearPsychosisSchizophreniaPast yearDiagnosisDisordersSimilar elevationsImpact 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 sampleInitiating Opioid Agonist Treatment for Opioid use Disorder Nationally in the Veterans Health Administration: Who Gets What?
Manhapra A, Stefanovics E, Rosenheck R. Initiating Opioid Agonist Treatment for Opioid use Disorder Nationally in the Veterans Health Administration: Who Gets What? Substance Use & Addiction Journal 2020, 41: 110-120. PMID: 31403914, DOI: 10.1080/08897077.2019.1640831.Peer-Reviewed Original ResearchConceptsOpioid agonist treatmentOpioid use disorderMethadone maintenance treatmentUse disordersOAT initiationAgonist treatmentHigher oddsMultivariate logistic regression modelVeterans Health AdministrationNational administrative dataDrug use variablesLogistic regression modelsMMT initiationPatient characteristicsIndependent predictorsMaintenance treatmentBlack raceFiscal year 2012Inpatient treatmentLower oddsBuprenorphineHealth AdministrationOpioid crisisSociodemographic characteristicsPatients
2019
Comparing Outcomes of Women‐Only and Mixed‐Gender Intensive Posttraumatic Stress Disorder Treatment for Female Veterans
Stefanovics EA, Rosenheck RA. Comparing Outcomes of Women‐Only and Mixed‐Gender Intensive Posttraumatic Stress Disorder Treatment for Female Veterans. Journal Of Traumatic Stress 2019, 32: 606-615. PMID: 31361360, DOI: 10.1002/jts.22417.Peer-Reviewed Original ResearchConceptsFemale veteransMixed-gender programsOutcomes of womenNational program evaluation dataPosttraumatic stress disorder (PTSD) treatmentProgram entryLonger lengthTotal PTSD symptomsPTSD total scoreBaseline characteristicsPrimary outcomePTSD symptom levelsComparing outcomesSecondary measuresWomen veteransAssessment subscaleDisorders ProgramPosttraumatic Stress Disorder (CR for PTSD) programDisorder treatmentOutcome assessmentSuperior outcomesProgram evaluation dataPTSD symptomsSymptom levelsTotal score