2018
Context Matters: Social, Cultural, and Political Dimensions of PTSD Among Vietnam Veterans
Desai M, Pavlo A, Davidson L, Harpaz-Rotem I, Rosenheck R. Context Matters: Social, Cultural, and Political Dimensions of PTSD Among Vietnam Veterans. Ethical Human Psychology And Psychiatry 2018, 20: 113-119. DOI: 10.1891/1559-4343.20.2.113.Peer-Reviewed Original ResearchVietnam WarSocial determinantsSpecific social determinantsPolitical dimensionsSociopolitical meaningsPolitical milieuPeople's experiencesContextualized waySpecific contextWarCommunity interventionsJusticePsychosocial sufferingPosttraumatic stress disorderVeterans Health AdministrationRacismMasculinityExperienceMental healthcarePolicySocialMental healthBrief articleCulturalInterviews
2001
Combat Trauma: Trauma with Highest Risk of Delayed Onset and Unresolved Posttraumatic Stress Disorder Symptoms, Unemployment, and Abuse Among Men
PRIGERSON H, MACIEJEWSKI P, ROSENHECK R. Combat Trauma: Trauma with Highest Risk of Delayed Onset and Unresolved Posttraumatic Stress Disorder Symptoms, Unemployment, and Abuse Among Men. The Journal Of Nervous And Mental Disease 2001, 189: 99-108. PMID: 11225693, DOI: 10.1097/00005053-200102000-00005.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderForms of dysfunctionWorst traumaComposite International Diagnostic InterviewRisk of PTSDPTSD symptom onsetLifetime posttraumatic stress disorderDiagnostic Interview ScheduleNational Comorbidity SurveyPosttraumatic stress disorder (PTSD) symptomsSymptom onsetPersons 15PTSD moduleHigh riskDiagnostic InterviewDelayed onsetStress disorderTraumaPTSD symptomsDisorder symptomsMenRepresentative national sampleCombat traumaDysfunctionSymptoms
2000
Benzodiazepine Use in Posttraumatic Stress Disorder among Veterans with Substance Abuse
KOSTEN T, FONTANA A, SERNYAK M, ROSENHECK R. Benzodiazepine Use in Posttraumatic Stress Disorder among Veterans with Substance Abuse. The Journal Of Nervous And Mental Disease 2000, 188: 454-459. PMID: 10919705, DOI: 10.1097/00005053-200007000-00010.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderHealth care utilizationSubstance abuseCare utilizationBenzodiazepine useOutpatient health care utilizationStress disorderComorbid substance abuseSubstance abuse diagnosisBenzodiazepine treatmentBaseline differencesInpatient dischargesBenzodiazepine usersAbuse diagnosisPTSD patientsAdverse effectsSubstance abusersBenzodiazepinesOutcomesVeteransDisordersAbusePatientsWorseningDiagnosisPosttraumatic Stress Disorder Among Hispanic Vietnam Veterans
Ortega A, Rosenheck R. Posttraumatic Stress Disorder Among Hispanic Vietnam Veterans. American Journal Of Psychiatry 2000, 157: 615-619. PMID: 10739422, DOI: 10.1176/appi.ajp.157.4.615.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderHispanic Vietnam veteransSevere PTSD symptomsVietnam veteransGreater riskStress disorderPTSD symptomsNon-Hispanic white veteransGreater functional impairmentNational Epidemiologic StudyNational Vietnam Veterans Readjustment StudyFunctional impairmentSecondary data analysisEpidemiologic studiesHigh riskHispanic veteransSevere symptomsMental disordersSymptom reportingWhite veteransSymptomsVeteransDisordersRiskRepresentative sampleImpact of Combat and Sexual Harassment on the Severity of Posttraumatic Stress Disorder among Men and Women Peacekeepers in Somalia
FONTANA A, LITZ B, ROSENHECK R. Impact of Combat and Sexual Harassment on the Severity of Posttraumatic Stress Disorder among Men and Women Peacekeepers in Somalia. The Journal Of Nervous And Mental Disease 2000, 188: 163-169. PMID: 10749281, DOI: 10.1097/00005053-200003000-00006.Peer-Reviewed Original Research
1999
Analysis of violent behavior in Vietnam combat veteran psychiatric inpatients with posttraumatic stress disorder
McFall M, Fontana A, Raskind M, Rosenheck R. Analysis of violent behavior in Vietnam combat veteran psychiatric inpatients with posttraumatic stress disorder. Journal Of Traumatic Stress 1999, 12: 501-517. PMID: 10467558, DOI: 10.1023/a:1024771121189.Peer-Reviewed Original ResearchMeSH KeywordsCase-Control StudiesComorbidityDiagnosis, Dual (Psychiatry)Factor Analysis, StatisticalHumansInpatientsMaleMental DisordersMiddle AgedPatient Acceptance of Health CarePsychiatric Status Rating ScalesRegression AnalysisSeverity of Illness IndexStress Disorders, Post-TraumaticSubstance-Related DisordersSurveys and QuestionnairesVeteransVietnamViolenceWashingtonConceptsPTSD inpatientsInpatient treatmentPsychiatric inpatientsVietnam veteransMale Vietnam veteransPosttraumatic stress disorderMixed diagnostic groupViolent behaviorPTSD symptom severityMale psychiatric inpatientsRoutine assessmentInpatientsDiagnostic groupsSymptom severitySubstance abuseAnger dyscontrolStress disorderCorrelates of violenceSpecialized interventionsPTSDCommunity sampleComparison conditionVeteransTreatmentPhysical fightingComparison of Outcome between Homogeneous and Heterogeneous Treatment Environments in Combat-Related Posttraumatic Stress Disorder
JOHNSON D, LUBIN H, ROSENHECK R, FONTANA A, CHARNEY D, SOUTHWICK S. Comparison of Outcome between Homogeneous and Heterogeneous Treatment Environments in Combat-Related Posttraumatic Stress Disorder. The Journal Of Nervous And Mental Disease 1999, 187: 88-95. PMID: 10067948, DOI: 10.1097/00005053-199902000-00004.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude to HealthChronic DiseaseCombat DisordersFollow-Up StudiesHospitalizationHumansMaleMental DisordersPatient SatisfactionProgram EvaluationPsychiatric Status Rating ScalesPsychotherapyPsychotherapy, GroupRegression AnalysisSocial EnvironmentSocial SupportTreatment OutcomeVeteransConceptsPosttraumatic stress disorderStress disorderVietnam combat veteransChronic posttraumatic stress disorderComparison of outcomesGeneral psychiatric patientsCombat veteransTreatment environmentTreatment outcomesInpatient programPsychiatric patientsVeteran populationDisordersVeteransOutcomesMonthsHeterogeneous conditionPatientsAssessing Quality of Care
Rosenheck R, Fontana A, Stolar M. Assessing Quality of Care. Medical Care 1999, 37: 180-188. PMID: 10024122, DOI: 10.1097/00005650-199902000-00008.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareCombat DisordersFollow-Up StudiesHospitals, VeteransHumansMaleMiddle AgedOutcome and Process Assessment, Health CarePatient ReadmissionPsychiatric Department, HospitalQuality Indicators, Health CareSocial AdjustmentUnited StatesUnited States Department of Veterans AffairsVeteransConceptsClinical outcome measuresHospital readmissionClinical outcomesOutcome measuresQuality of carePosttraumatic stress disorderIndex dischargeMeasures of accessPoor outcomePatient interviewsCare indicatorsOutpatient careInpatient programAdministrative data setsHospital useReadmissionSubstance abuseStress disorderUse of qualityAdministrative dataOutcomesCareMonthsSymptomsSocial function
1998
Psychological benefits and liabilities of traumatic exposure in the war zone
Fontana A, Rosenheck R. Psychological benefits and liabilities of traumatic exposure in the war zone. Journal Of Traumatic Stress 1998, 11: 485-503. PMID: 9690189, DOI: 10.1023/a:1024452612412.Peer-Reviewed Original Research
1997
Social Support and Psychopathology in the War Zone
FONTANA1 2, ROSENHECK1 2, HORVATH2 3. Social Support and Psychopathology in the War Zone. The Journal Of Nervous And Mental Disease 1997, 185: 675-681. PMID: 9368543, DOI: 10.1097/00005053-199711000-00004.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderProtective effectMale theater veteransNational Vietnam Veterans Readjustment StudyDetrimental long-term effectsLong-term effectsDirect effectStress disorderTheater veteransHigh levelsWar zone stressSocial supportPsychopathologyUnit cohesionVeteransLow levelsSignificant relationshipLevelsUse of Medical Services by Veterans With Mental Disorders
Druss B, Rosenheck R. Use of Medical Services by Veterans With Mental Disorders. Journal Of The Academy Of Consultation-Liaison Psychiatry 1997, 38: 451-458. PMID: 9314714, DOI: 10.1016/s0033-3182(97)71422-1.Peer-Reviewed Original ResearchConceptsMedical servicesMedical service useComorbid medical disordersOutpatient mental healthMedical-surgical careVA outpatient clinicDiagnosis of schizophreniaPosttraumatic stress disorderOutpatient clinicMedical disordersPsychiatric servicesPsychiatric unitService useMedical careMental disordersSubstance abuseStress disorderMental healthDisordersCareNational sampleVeteransClinicDiagnosisSchizophreniaThe impact of the homecoming reception on the development of posttraumatic stress disorder: The West Haven Homecoming Stress Scale (WHHSS)
Johnson D, Lubin H, Rosenheck R, Fontana A, Sonthwick S, Charney D. The impact of the homecoming reception on the development of posttraumatic stress disorder: The West Haven Homecoming Stress Scale (WHHSS). Journal Of Traumatic Stress 1997, 10: 259-277. DOI: 10.1002/jts.2490100207.Peer-Reviewed Original ResearchPosttraumatic stress disorderStress disorderStress ScaleNegative interpersonal interactionsSelf-report measuresCurrent PTSD symptomatologyStressful life eventsPTSD symptomatologyIntensity of feelingsInterpersonal interactionsCombat exposureSocial withdrawalLife eventsHomecoming experiencesOrthogonal factorsVietnam veteransFactor analysisHomecoming receptionInpatient programSignificant predictorsInpatient treatmentLevel of supportVeteransCivilian traumaDisordersThe Impact of the Homecoming Reception on the Development of Posttraumatic Stress Disorder: The West Haven Homecoming Stress Scale (WHHSS)
Johnson D, Lubin H, Rosenheck R, Fontana A, Southwick S, Charney D. The Impact of the Homecoming Reception on the Development of Posttraumatic Stress Disorder: The West Haven Homecoming Stress Scale (WHHSS). Journal Of Traumatic Stress 1997, 10: 259-277. PMID: 9136091, DOI: 10.1023/a:1024830229391.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderStress disorderStress ScaleNegative interpersonal interactionsSelf-report measuresCurrent PTSD symptomatologyStressful life eventsPTSD symptomatologyIntensity of feelingsInterpersonal interactionsCombat exposureLife eventsSocial withdrawalHomecoming experiencesOrthogonal factorsVietnam veteransFactor analysisHomecoming receptionInpatient programSignificant predictorsInpatient treatmentLevel of supportVeteransCivilian traumaDisordersPosttraumatic stress disorder among female Vietnam veterans: a causal model of etiology.
Fontana A, Schwartz L, Rosenheck R. Posttraumatic stress disorder among female Vietnam veterans: a causal model of etiology. American Journal Of Public Health 1997, 87: 169-75. PMID: 9103092, PMCID: PMC1380789, DOI: 10.2105/ajph.87.2.169.Peer-Reviewed Original Research
1996
Outcome of intensive inpatient treatment for combat-related posttraumatic stress disorder
Johnson D, Rosenheck R, Fontana A, Lubin H, Charney D, Southwick S. Outcome of intensive inpatient treatment for combat-related posttraumatic stress disorder. American Journal Of Psychiatry 1996, 153: 771-777. PMID: 8633688, DOI: 10.1176/ajp.153.6.771.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultCombat DisordersCombined Modality TherapyFollow-Up StudiesHospital UnitsHospitalizationHospitals, VeteransHumansInterpersonal RelationsMaleMilieu TherapyMoralePersonality InventoryProgram EvaluationPsychiatric Status Rating ScalesSocial AdjustmentTreatment OutcomeUnited StatesVeteransVietnamConceptsPosttraumatic stress disorderCombat-related posttraumatic stress disorderIntensive inpatient treatmentInpatient treatmentStress disorderIntensive inpatient programOverall study groupLength of stayLong-term intensive inpatient treatmentForm of treatmentVietnam veteransInpatient treatment programPatient characteristicsPatient evaluationPretreatment levelsInpatient programChronic natureStudy groupPsychiatric symptomsMale veteransRehabilitation focusTreatment programSymptomsSocial functioningAdmissionRace and outcome of treatment for veterans suffering from PTSD
Rosenheck R, Fontana A. Race and outcome of treatment for veterans suffering from PTSD. Journal Of Traumatic Stress 1996, 9: 343-351. DOI: 10.1007/bf02110666.Peer-Reviewed Original ResearchPosttraumatic stress disorderImprovement ratingSevere posttraumatic stress disorderWar-related posttraumatic stress disorderOutcome of treatmentProspective studyClinical changesOutcome measuresService useWhite veteransClinician ratingsStress disorderPsychometric changesOutcomes 4Program entrySignificant differencesVeteransSustained differencesRacial groupsTreatmentImproving the efficiency of outpatient treatment for posttraumatic stress disorder
Fontana A, Rosenheck R. Improving the efficiency of outpatient treatment for posttraumatic stress disorder. Administration And Policy In Mental Health And Mental Health Services Research 1996, 23: 197-210. DOI: 10.1007/bf02108320.Peer-Reviewed Original ResearchMonths of treatmentOutpatient psychiatric treatmentDisorder treatment programsPosttraumatic stress disorderOutpatient treatmentService utilizationOutpatient programClinical gainsOutcome dataPsychiatric treatmentTreatment programVeterans AffairsStress disorderTreatmentMonthsWorkload projectionsPatientsIntensive servicesVisitsRace and outcome of treatment for veterans suffering from PTSD
Rosenheck R, Fontana A. Race and outcome of treatment for veterans suffering from PTSD. Journal Of Traumatic Stress 1996, 9: 343-351. PMID: 8731552, DOI: 10.1002/jts.2490090215.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderImprovement ratingSevere posttraumatic stress disorderWar-related posttraumatic stress disorderOutcome of treatmentProspective studyClinical changesOutcome measuresService useWhite veteransClinician ratingsStress disorderPsychometric changesOutcomes 4Program entrySignificant differencesVeteransSustained differencesRacial groupsTreatment
1995
Effect of clinician-veteran racial pairing in the treatment of posttraumatic stress disorder
Rosenheck R, Fontana A, Cottrol C. Effect of clinician-veteran racial pairing in the treatment of posttraumatic stress disorder. American Journal Of Psychiatry 1995, 152: 555-563. PMID: 7694904, DOI: 10.1176/ajp.152.4.555.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAntidepressive AgentsBlack or African AmericanCommunity Mental Health ServicesHumansMaleMiddle AgedPatient Acceptance of Health CarePatient DropoutsProgram EvaluationPsychotherapyPsychotropic DrugsStress Disorders, Post-TraumaticTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransWhite PeopleConceptsPosttraumatic stress disorderImprovement ratingBlack veteransWhite cliniciansWhite veteransStress disorderBlack male veteransWar-related posttraumatic stress disorderClinician raceOutcome of treatmentLow program participationVeterans' raceAntidepressant medicationPrimary clinicianClinical statusClinician characteristicsMale veteransMultivariate analysisSociodemographic characteristicsLess improvementTreatment emphasisVeterans AffairsClinician ratingsSubstance abuseMore treatmentsDo Vietnam-Era Veterans Who Suffer from Posttraumatic Stress Disorder Avoid VA Mental Health Services?
Rosenheck R, Fontana A. Do Vietnam-Era Veterans Who Suffer from Posttraumatic Stress Disorder Avoid VA Mental Health Services? Military Medicine 1995, 160: 136-142. PMID: 7783937, DOI: 10.1093/milmed/160.3.136.Peer-Reviewed Original Research