2023
Understanding veteran barriers to specialty outpatient PTSD clinical care
Rozek D, Steigerwald V, Baker S, Gross G, Maieritsch K, Hoff R, Harpaz-Rotem I, Smith N. Understanding veteran barriers to specialty outpatient PTSD clinical care. Journal Of Anxiety Disorders 2023, 95: 102675. PMID: 36854224, DOI: 10.1016/j.janxdis.2023.102675.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory CareFemaleHumansMaleMiddle AgedOutpatientsStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsSpecialty outpatient clinicsPosttraumatic stress disorderOutpatient clinicPTSD specialty clinicClinical characteristicsMale sexPTSD symptom severitySpecialty clinicWhite raceClinical careClinical concernTreatment engagementSymptom severityStress disorderClinicGreater likelihoodVeteransSignificant minorityTreatmentImpact of demographicsMulti-faceted barriersCareFiscal year 2019DemographicsNational sample
2022
Life meaning and mental health in post-9/11 veterans: the mediating role of perceived stress
Gnall K, Sacco S, Park C, Mazure C, Hoff R. Life meaning and mental health in post-9/11 veterans: the mediating role of perceived stress. Anxiety Stress & Coping 2022, 36: 743-756. PMID: 36542555, DOI: 10.1080/10615806.2022.2154341.Peer-Reviewed Original ResearchMeSH KeywordsHumansMental HealthQuality of LifeStress Disorders, Post-TraumaticStress, PsychologicalVeteransRisk for PTSD symptom worsening during new PTSD treatment episode in a nationally representative sample of treatment-seeking U.S. veterans with subthreshold PTSD
Gross GM, Pietrzak RH, Hoff RA, Katz IR, Harpaz-Rotem I. Risk for PTSD symptom worsening during new PTSD treatment episode in a nationally representative sample of treatment-seeking U.S. veterans with subthreshold PTSD. Journal Of Psychiatric Research 2022, 151: 304-310. PMID: 35526446, DOI: 10.1016/j.jpsychires.2022.04.040.Peer-Reviewed Original ResearchMeSH KeywordsHumansMalePatient Acceptance of Health CareStress Disorders, Post-TraumaticSymptom Flare UpSyndromeUnited StatesVeteransConceptsSymptom worseningRisk factorsSubthreshold PTSDPTSD symptom clustersSymptom clustersPTSD symptomsHealth care utilizationPTSD specialty clinicPoor treatment outcomesUnited States veteransBinary logistic regressionAdjusted analysisCare utilizationTreatment episodesRepresentative sampleSpecialty clinicSignificant symptomsTreatment outcomesSignificant worseningStates veteransSubthreshold symptomsEligible veteransNew episodesOutcome assessmentDiagnostic threshold
2021
Associations Between Justice Involvement and PTSD and Depressive Symptoms, Suicidal Ideation, and Suicide Attempt Among Post-9/11 Veterans
Holliday R, Hoffmire CA, Martin WB, Hoff RA, Monteith LL. Associations Between Justice Involvement and PTSD and Depressive Symptoms, Suicidal Ideation, and Suicide Attempt Among Post-9/11 Veterans. Psychological Trauma Theory Research Practice And Policy 2021, 13: 730-739. PMID: 34323570, PMCID: PMC8563447, DOI: 10.1037/tra0001038.Peer-Reviewed Original ResearchMeSH KeywordsCross-Sectional StudiesDepressionFemaleHumansMaleRisk FactorsSocial JusticeStress Disorders, Post-TraumaticSuicidal IdeationSuicide, AttemptedVeteransConceptsVHA mental health carePosttraumatic stress disorderMental health careLifetime suicide attemptsRecent suicidal ideationSuicidal ideationSuicide attemptsVHA careJustice-involved veteransDepressive symptomsPatient Health Questionnaire-8Suicide riskJustice involvementVeterans Health Administration (VHA) servicesSevere posttraumatic stress disorderColumbia-Suicide Severity Rating ScaleHealth careMental health servicesSeverity Rating ScalePost-9/11 veteransRecent usePsychiatric symptomsDepression symptomsFemale veteransHealth servicesRacial Disparities in Clinical Outcomes of Veterans Affairs Residential PTSD Treatment Between Black and White Veterans
Gross GM, Smith N, Holliday R, Rozek DC, Hoff R, Harpaz-Rotem I. Racial Disparities in Clinical Outcomes of Veterans Affairs Residential PTSD Treatment Between Black and White Veterans. Psychiatric Services 2021, 73: 126-132. PMID: 34369806, DOI: 10.1176/appi.ps.202000783.Peer-Reviewed Original ResearchMeSH KeywordsHumansPsychotherapyRacial GroupsResidential TreatmentStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsResidential Rehabilitation Treatment ProgramPosttraumatic stress disorderWhite veteransRacial disparitiesClinical outcomesBlack veteransSymptoms of PTSDPoor clinical outcomeRehabilitation treatment programRecurrence 4 monthsPoor treatment outcomesMental health treatmentPublic health issuePTSD symptom reductionResidential PTSD treatmentMental health researchTreatment outcomesPrevalence ratesSymptom reductionHealth treatmentHealth outcomesPTSD treatmentDemographic dataSymptom changeTreatment programMeaningful military engagement among male and female post‐9/11 veterans: An examination of correlates and implications for resilience
Finkelstein‐Fox L, Sinnott SM, Lee SY, Carney LM, Park CL, Mazure CM, Hoff R. Meaningful military engagement among male and female post‐9/11 veterans: An examination of correlates and implications for resilience. Journal Of Clinical Psychology 2021, 77: 2167-2186. PMID: 33960411, DOI: 10.1002/jclp.23150.Peer-Reviewed Original ResearchMeSH KeywordsCross-Sectional StudiesDepressionFemaleHumansMaleResilience, PsychologicalSexual HarassmentStress Disorders, Post-TraumaticVeteransPost‐9/11 military veterans' adjustment to civilian life over time following separation from service
Park CL, Sacco SJ, Finkelstein‐Fox L, Sinnott SM, Scoglio AAJ, Lee SY, Gnall KE, Mazure C, Shirk SD, Hoff RA, Kraus SW. Post‐9/11 military veterans' adjustment to civilian life over time following separation from service. Journal Of Clinical Psychology 2021, 77: 2077-2095. PMID: 33871869, DOI: 10.1002/jclp.23144.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHumansMaleMilitary PersonnelSleep Initiation and Maintenance DisordersStress Disorders, Post-TraumaticVeteransInfluences of religiousness/spirituality on mental and physical health in OEF/OIF/OND military veterans varies by sex and race/ethnicity
Park CL, Sacco SJ, Kraus SW, Mazure CM, Hoff RA. Influences of religiousness/spirituality on mental and physical health in OEF/OIF/OND military veterans varies by sex and race/ethnicity. Journal Of Psychiatric Research 2021, 138: 15-23. PMID: 33798785, DOI: 10.1016/j.jpsychires.2021.03.034.Peer-Reviewed Original Research
2020
Early discontinuation of pharmacotherapy in U.S. veterans diagnosed with PTSD and the role of psychotherapy
Duek O, Pietrzak RH, Petrakis I, Hoff R, Harpaz-Rotem I. Early discontinuation of pharmacotherapy in U.S. veterans diagnosed with PTSD and the role of psychotherapy. Journal Of Psychiatric Research 2020, 132: 167-173. PMID: 33126010, DOI: 10.1016/j.jpsychires.2020.10.005.Peer-Reviewed Original ResearchMeSH KeywordsHumansPsychotherapyPsychotropic DrugsStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPosttraumatic stress disorderRisk factorsEarly discontinuationMedication discontinuationPsychotropic medicationsPoor medication adherenceSimilar risk factorsStrong risk factorDeterminants of discontinuationKey risk factorsRole of psychotherapySingle medicationMedication adherenceMedication treatmentPsychiatric comorbidityAntipsychotic medicationPatient educationDiscontinuationOlder veteransMedicationsAdjunctive psychotherapyYounger veteransEarly interventionU.S. veteransVA treatment
2008
Suicide among Discharged Psychiatric Inpatients in the Department of Veterans Affairs
Desai RA, Dausey D, Rosenheck RA. Suicide among Discharged Psychiatric Inpatients in the Department of Veterans Affairs. Military Medicine 2008, 173: 721-728. PMID: 18751586, DOI: 10.7205/milmed.173.8.721.Peer-Reviewed Original Research