2021
Military sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment
Decker SE, Ramsey CM, Ronzitti S, Kerns RD, Driscoll MA, Dziura J, Skanderson M, Bathulapalli H, Brandt CA, Haskell SG, Goulet JL. Military sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment. Psychiatry Research 2021, 303: 114089. PMID: 34247061, DOI: 10.1016/j.psychres.2021.114089.Peer-Reviewed Original ResearchConceptsMental health diagnosesMilitary sexual traumaVeterans Healthcare AdministrationSuicidal ideationHealth diagnosisSexual traumaRelative risk estimatesOEF/OIF/OND veteransSample of veteransPost-9/11 veteransSuicide risk factorsMental health concernsClinical remindersRisk factorsRelative riskHigh riskMen veteransMental healthcareHealth concernRisk estimatesMST survivorsWomenDiagnosisTraumaVeterans
2018
Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care
Lisi AJ, Corcoran KL, DeRycke EC, Bastian LA, Becker WC, Edmond SN, Goertz CM, Goulet JL, Haskell SG, Higgins DM, Kawecki T, Kerns RD, Mattocks K, Ramsey C, Ruser CB, Brandt CA. Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care. Pain Medicine 2018, 19: s54-s60. PMID: 30203014, DOI: 10.1093/pm/pny114.Peer-Reviewed Original ResearchConceptsOEF/OIF/OND veteransOpioid prescriptionsChiropractic visitsOpioid useChiropractic careOperations Enduring Freedom/Iraqi Freedom/New DawnMore opioid prescriptionsVA chiropractic servicesPercentage of veteransCross-sectional analysisOpioid receiptClinic visitsClinical characteristicsCurrent smokingSevere painChiropractic clinicChiropractic servicesVisitsHigher likelihoodVeteransPrescriptionCareFurther studiesAdministrative dataOne-thirdPosttraumatic stress disorder diagnosis and gender are associated with accelerated weight gain trajectories in veterans during the post-deployment period
Buta E, Masheb R, Gueorguieva R, Bathulapalli H, Brandt CA, Goulet JL. Posttraumatic stress disorder diagnosis and gender are associated with accelerated weight gain trajectories in veterans during the post-deployment period. Eating Behaviors 2018, 29: 8-13. PMID: 29413821, PMCID: PMC5935565, DOI: 10.1016/j.eatbeh.2018.01.002.Peer-Reviewed Original ResearchConceptsStress disorder diagnosisPosttraumatic stress disorder (PTSD) diagnosisMedian ageBMI measurementsPost-deployment periodVeterans Affairs (VA) electronic health record dataWeight gainDisorder diagnosisOverweight/obeseOverweight/obesityWeight management servicesElectronic health record dataAccelerated weight gainHealth record dataWeight gain trajectoriesBMI growth ratePost-deployment veteransRelevant psychiatric diagnosisMedical visitsPotential confoundersNew Dawn veteransPsychiatric diagnosisWomen veteransWeight trajectoriesTreatment interventions
2017
Incident Cardiovascular Risk Factors Among Men and Women Veterans After Return From Deployment
Haskell SG, Brandt C, Burg M, Bastian L, Driscoll M, Goulet J, Mattocks K, Dziura J. Incident Cardiovascular Risk Factors Among Men and Women Veterans After Return From Deployment. Medical Care 2017, 55: 948-955. PMID: 28984707, DOI: 10.1097/mlr.0000000000000801.Peer-Reviewed Original ResearchConceptsCardiovascular risk factorsCV risk factorsRisk factorsImpact of sexWomen veteransClinical Modification diagnostic codesIncident cardiovascular risk factorsPrimary care visitsCoronary artery diseaseElectronic health record dataRisk of obesityVeterans Health AdministrationIncident risk factorsHealth record dataMental health conditionsBlack womenNew International ClassificationCare visitsCohort studyArtery diseaseFemale sexDiagnostic codesIncidence rateProtective effectInternational Classification
2016
Incidence of Mental Health Diagnoses in Veterans of Operations Iraqi Freedom, Enduring Freedom, and New Dawn, 2001-2014.
Ramsey C, Dziura J, Justice AC, Altalib HH, Bathulapalli H, Burg M, Decker S, Driscoll M, Goulet J, Haskell S, Kulas J, Wang KH, Mattocks K, Brandt C. Incidence of Mental Health Diagnoses in Veterans of Operations Iraqi Freedom, Enduring Freedom, and New Dawn, 2001-2014. American Journal Of Public Health 2016, 107: 329-335. PMID: 27997229, PMCID: PMC5227942, DOI: 10.2105/ajph.2016.303574.Peer-Reviewed Original ResearchConceptsMental health diagnosesMajor depressive disorderPosttraumatic stress disorderHealth diagnosisIncidence rateDrug use disorder diagnosisIncident posttraumatic stress disorderOperation Iraqi FreedomAge 18Veterans Health Administration electronic health recordsDisorder diagnosisIncident bipolar disorderHigh-risk groupSociodemographic risk factorsAlcohol use disorder diagnosisMental health conditionsEnduring FreedomIraqi FreedomRace/ethnicityElectronic health recordsIncident schizophreniaRisk factorsDepressive disorderAge 45MDD diagnosisStatistical Models for the Analysis of Zero-Inflated Pain Intensity Numeric Rating Scale Data
Goulet JL, Buta E, Bathulapalli H, Gueorguieva R, Brandt CA. Statistical Models for the Analysis of Zero-Inflated Pain Intensity Numeric Rating Scale Data. Journal Of Pain 2016, 18: 340-348. PMID: 27919777, DOI: 10.1016/j.jpain.2016.11.008.Peer-Reviewed Original ResearchConceptsStatistical modelStatistical methodsExcess of zerosAlternative statistical methodsFollowing statistical modelsNumeric rating scaleNRS scoresDiscrete valuesOrdinal dataLarge cohortLinear modelCumulative logit modelMusculoskeletal disordersRight-skewed distributionZerosObservational cross-sectional studyInterpretability of resultsMean NRS painPainful musculoskeletal disordersPredictor effectsVeterans Affairs (VA) carePain intensity dataCross-sectional studyNRS dataDiagnosis dateCigarette Smoking Status and Receipt of an Opioid Prescription Among Veterans of Recent Wars
Bastian LA, Driscoll MA, Heapy AA, Becker WC, Goulet JL, Kerns RD, DeRycke EC, Perez E, Lynch SM, Mattocks K, Kroll-Desrosiers AR, Brandt CA, Skanderson M, Bathulapalli H, Haskell SG. Cigarette Smoking Status and Receipt of an Opioid Prescription Among Veterans of Recent Wars. Pain Medicine 2016, 18: 1089-1097. PMID: 27659441, DOI: 10.1093/pm/pnw223.Peer-Reviewed Original ResearchConceptsCurrent pain intensityOpioid prescriptionsPain intensitySmoking statusOEF/OIF/OND veteransCurrent smokersFormer smokersOpioid useVeterans Health Administration primary care clinicsOperations Enduring Freedom/Iraqi Freedom/New DawnMild pain intensityMore opioid prescriptionsSevere pain intensityNumeric rating scalePrimary care clinicsCigarette smoking statusCross-sectional analysisOpioid receiptFormer smokingCohort studyCurrent smokingCare clinicsChronic painCigarette smokersSmoking cessation
2015
Smoking Status and Pain Intensity Among OEF/OIF/OND Veterans
Volkman JE, DeRycke EC, Driscoll MA, Becker WC, Brandt CA, Mattocks KM, Haskell SG, Bathulapalli H, Goulet JL, Bastian LA. Smoking Status and Pain Intensity Among OEF/OIF/OND Veterans. Pain Medicine 2015, 16: 1690-1696. PMID: 25917639, DOI: 10.1111/pme.12753.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-FemaleHumansIraq War, 2003-2011MalePainPain MeasurementPrevalenceSmokingVeteransConceptsOEF/OIF/OND veteransSevere pain intensityPain intensityFormer smokersSmoking statusCurrent smokersCurrent smokingPain numerical rating scaleMultivariable logistic regression analysisCurrent pain intensityCurrent smoking statusPrimary outcome measureHigher pain intensityNumerical rating scaleLogistic regression analysisService-connected disabilityPost-traumatic stress disorderSample mean ageReported pain intensityElectronic medical recordsNon-veteran populationsFormer smokingMild painSevere painTraumatic Stress DisorderTrauma, Social Support, Family Conflict, and Chronic Pain in Recent Service Veterans: Does Gender Matter?
Driscoll MA, Higgins DM, Seng EK, Buta E, Goulet JL, Heapy AA, Kerns RD, Brandt CA, Haskell SG. Trauma, Social Support, Family Conflict, and Chronic Pain in Recent Service Veterans: Does Gender Matter? Pain Medicine 2015, 16: 1101-1111. PMID: 25930005, DOI: 10.1111/pme.12744.Peer-Reviewed Original ResearchConceptsChronic painDepressive symptom severityPain interferencePain severitySymptom severitySocial supportCombat exposurePerpetuation of painChildhood interpersonal traumaMilitary sexual traumaInterpersonal traumaHigh prevalencePainDepressive symptomsWomen veteransService veteransTraumatic life eventsTraumatic sexual experiencesTraumaBaseline surveyMarital statusSeverityFamily conflictVeteransSexual trauma
2014
STI Diagnosis and HIV Testing Among OEF/OIF/OND Veterans
Goulet JL, Martinello RA, Bathulapalli H, Higgins D, Driscoll MA, Brandt CA, Womack JA. STI Diagnosis and HIV Testing Among OEF/OIF/OND Veterans. Medical Care 2014, 52: 1064-1067. PMID: 25334054, PMCID: PMC4232995, DOI: 10.1097/mlr.0000000000000253.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusHIV testing ratesSTI diagnosisHIV testingTesting ratesPatient characteristicsHigher HIV testing ratesPrevious HIV test resultsVeterans Health Administration (VHA) servicesRoutine HIV testingVHA administrative dataHIV test resultsRelative risk regressionSubstance abuse disordersPositive test resultsOEF/OIF/OND veteransPosttraumatic stress disorderHIV testImmunodeficiency virusRisk regressionInfection diagnosisMAIN OUTCOMEAbuse disordersService veteransOlder ageGestational Diabetes and Hypertensive Disorders of Pregnancy Among Women Veterans Deployed in Service of Operations in Afghanistan and Iraq
Katon J, Mattocks K, Zephyrin L, Reiber G, Yano EM, Callegari L, Schwarz EB, Goulet J, Shaw J, Brandt C, Haskell S. Gestational Diabetes and Hypertensive Disorders of Pregnancy Among Women Veterans Deployed in Service of Operations in Afghanistan and Iraq. Journal Of Women's Health 2014, 23: 792-800. PMID: 25090022, PMCID: PMC4195229, DOI: 10.1089/jwh.2013.4681.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAfghan Campaign 2001-AfghanistanDiabetes, GestationalFemaleHospitals, VeteransHumansHypertension, Pregnancy-InducedIraqIraq War, 2003-2011Kaplan-Meier EstimateMaternal Health ServicesPregnancyPrevalenceRiskStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransYoung AdultConceptsOEF/OIF/OND veteransStandardized incidence ratiosPregnancy complicationsUse of VAGestational diabetesHypertensive disordersWomen veteransOperation Enduring Freedom/Operation Iraqi Freedom/Operation New DawnRate of GDMNationwide Inpatient SampleProportional hazards regressionYear of deliveryVeteran statusOperation New DawnIncidence ratiosHazards regressionNinth RevisionMaternity benefitsOutpatient filesVA providersInpatient SamplePostpartum healthVA inpatientClinical dataStudy populationPersistent Pain and Comorbidity Among Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans
Higgins DM, Kerns RD, Brandt CA, Haskell SG, Bathulapalli H, Gilliam W, Goulet JL. Persistent Pain and Comorbidity Among Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans. Pain Medicine 2014, 15: 782-790. PMID: 24548466, DOI: 10.1111/pme.12388.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Chronic PainComorbidityDepressive DisorderFemaleHumansIraq War, 2003-2011Logistic ModelsLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisObesityPrevalenceStress Disorders, Post-TraumaticSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVeterans Health AdministrationTraumatic brain injuryPersistent painBody mass indexMental health conditionsChronic painOperation Enduring FreedomHealth conditionsElectronic medical record dataChronic pain conditionsPredictors of incidentMedical record dataLongitudinal clinical dataImportant clinical implicationsSubstance use disordersOEF/OIF/OND veteransPost-traumatic stress disorderArmy service membersLogistic regression modelsPain conditionsComorbid conditionsClinical evidenceMass indexBrain injuryClinical data
2013
Prevalence and correlates of suicidal ideation among Operation Enduring Freedom and Operation Iraqi Freedom veterans
Corson K, Denneson LM, Bair MJ, Helmer DA, Goulet JL, Dobscha SK. Prevalence and correlates of suicidal ideation among Operation Enduring Freedom and Operation Iraqi Freedom veterans. Journal Of Affective Disorders 2013, 149: 291-298. PMID: 23531358, DOI: 10.1016/j.jad.2013.01.043.Peer-Reviewed Original ResearchConceptsOEF/OIF veteransPositive depression screenOperation Iraqi Freedom veteransSuicidal ideationIraqi Freedom veteransOIF veteransDepression screenPrimary careOperation Enduring FreedomNon-Hispanic white veteransPHQ-2 scoreAdjusted odds ratioPatient Health QuestionnaireMental health clinicsManual chart reviewHigher PHQ-2 scoresEnduring FreedomOdds of SIPost-traumatic stress disorderNon-white veteransSuicidal ideation assessmentValidity of toolsRisk assessment toolChart reviewPatient population
2012
Prevalence of Painful Musculoskeletal Conditions in Female and Male Veterans in 7 Years After Return From Deployment in Operation Enduring Freedom/Operation Iraqi Freedom
Haskell SG, Ning Y, Krebs E, Goulet J, Mattocks K, Kerns R, Brandt C. Prevalence of Painful Musculoskeletal Conditions in Female and Male Veterans in 7 Years After Return From Deployment in Operation Enduring Freedom/Operation Iraqi Freedom. The Clinical Journal Of Pain 2012, 28: 163-167. PMID: 21677563, DOI: 10.1097/ajp.0b013e318223d951.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-ArthralgiaFemaleHumansIraq War, 2003-2011MalePrevalenceRisk AssessmentRisk FactorsSex DistributionUnited StatesVeteransConceptsPainful musculoskeletal conditionsMusculoskeletal conditionsVeterans AffairsMale veteransBack problemsFemale veteransOperation Iraqi FreedomFemale veteran populationSignificant demographic differencesIraqi FreedomOperation Enduring Freedom/Operation Iraqi FreedomMusculoskeletal painVA careJoint disordersMusculoskeletal problemsObservational studyOperation Enduring FreedomVeteran populationWomen veteransWomen's healthYear 1Clinical databaseQuality careOIF veteransTreatment program
2011
VA Health Care Utilization and Costs Among Male and Female Veterans in the Year After Service in Afghanistan and Iraq
Leslie DL, Goulet J, Skanderson M, Mattocks K, Haskell S, Brandt C. VA Health Care Utilization and Costs Among Male and Female Veterans in the Year After Service in Afghanistan and Iraq. Military Medicine 2011, 176: 265-269. PMID: 21456351, DOI: 10.7205/milmed-d-10-00142.Peer-Reviewed Original ResearchConceptsHealth care service useCare service useService useFemale veteransVA health care utilizationUnadjusted total costsHealth care utilizationVA administrative dataRace/ethnicityCare utilizationPharmacy costsInpatient costsOutpatient careInpatient careUnadjusted differencesBranch of serviceLast deploymentPrescription drugsChi-squareLog linkCareT-testAdministrative dataVeteransMalesThe Burden of Illness in the First Year Home: Do Male and Female VA Users Differ in Health Conditions and Healthcare Utilization
Haskell SG, Mattocks K, Goulet JL, Krebs EE, Skanderson M, Leslie D, Justice AC, Yano EM, Brandt C. The Burden of Illness in the First Year Home: Do Male and Female VA Users Differ in Health Conditions and Healthcare Utilization. Women's Health Issues 2011, 21: 92-97. PMID: 21185994, PMCID: PMC3138124, DOI: 10.1016/j.whi.2010.08.001.Peer-Reviewed Original ResearchConceptsFemale veteransHealth servicesComprehensive women's health servicesHealth care service useVeterans Health Administration (VHA) servicesHealth conditionsCare service useBurden of illnessHealth care utilizationWomen's health servicesPercent of womenMental health clinicsOperation Enduring Freedom/Operation Iraqi Freedom veteransMental health disordersReproductive health needsMental health conditionsOperation Iraqi Freedom veteransVeterans' health careSignificant demographic differencesPosttraumatic stress disorderIraqi Freedom veteransCare utilizationClinical data basesGynecologic examinationHealthcare utilization
2010
Pregnancy and Mental Health Among Women Veterans Returning from Iraq and Afghanistan
Mattocks KM, Skanderson M, Goulet JL, Brandt C, Womack J, Krebs E, Desai R, Justice A, Yano E, Haskell S. Pregnancy and Mental Health Among Women Veterans Returning from Iraq and Afghanistan. Journal Of Women's Health 2010, 19: 2159-2166. PMID: 21039234, PMCID: PMC3052271, DOI: 10.1089/jwh.2009.1892.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAfghan Campaign 2001-Analysis of VarianceCurrent Procedural TerminologyFemaleHumansIraq War, 2003-2011Mental DisordersMiddle AgedMilitary PersonnelPregnancyPregnancy ComplicationsPregnancy OutcomePregnancy TestsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMental health problemsOEF/OIF veteransMental health conditionsPregnancy-related carePosttraumatic stress disorderWomen veteransHealth problemsOIF veteransVeterans Health Administration systemICD-9-CM codesFemale OEF/OIF veteransHealth conditionsMore mental health diagnosesMental healthcare useDiagnosis of depressionMental health diagnosesHealth Administration systemInstances of pregnancyPregnancy outcomesAdministrative cohortPregnancy careHealthcare usePrenatal careOperation Enduring FreedomPregnancyComparison of outpatient health care utilization among returning women and men Veterans from Afghanistan and Iraq
Duggal M, Goulet JL, Womack J, Gordon K, Mattocks K, Haskell SG, Justice AC, Brandt CA. Comparison of outpatient health care utilization among returning women and men Veterans from Afghanistan and Iraq. BMC Health Services Research 2010, 10: 175. PMID: 20565985, PMCID: PMC2910695, DOI: 10.1186/1472-6963-10-175.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Ambulatory Care FacilitiesCohort StudiesFemaleHumansIraq War, 2003-2011MaleRetrospective StudiesUnited StatesVeteransConceptsVA health careOEF/OIF veteransHealth care servicesCare servicesMen veteransOperation Enduring FreedomWomen veteransOIF veteransOperation Iraqi FreedomOutpatient health care utilizationVA electronic medical recordsOutpatient health care servicesVeterans AdministrationSingle VA facilityHealth care utilizationHealth careOutpatient care servicesElectronic medical recordsNonuse of servicesGender differencesRetrospective cohortCare utilizationProspective studyMedical recordsVA facilities
2009
Pain among Veterans of Operations Enduring Freedom and Iraqi Freedom: Do Women and Men Differ?
Haskell SG, Brandt CA, Krebs EE, Skanderson M, Kerns RD, Goulet JL. Pain among Veterans of Operations Enduring Freedom and Iraqi Freedom: Do Women and Men Differ? Pain Medicine 2009, 10: 1167-1173. PMID: 19818028, DOI: 10.1111/j.1526-4637.2009.00714.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultCombat DisordersFemaleGulf WarHumansIncidenceIraq War, 2003-2011MalePainRisk AssessmentRisk FactorsSex FactorsUnited StatesVeteransConceptsModerate-severe painPersistent painFemale veteransPain assessmentOperation Enduring FreedomVeterans Administration servicesPrevalence of painTreatment of painVA outpatient clinicEnduring FreedomIraqi FreedomSex differencesOverall painObservational cohortPain disordersOutpatient clinicPain measuresVA carePainLast deploymentMen DifferVeteransSignificant differencesPrevalenceYears of observation