2023
Impact of multi-site clinical trial results on clinical practice: Use of risperidone to treat PTSD nationally in the veterans health administration
Rosenheck R, Kurtz S, Anand S, Hau C, Smedberg D, Sicilia R, Pontzer J, Ferguson R. Impact of multi-site clinical trial results on clinical practice: Use of risperidone to treat PTSD nationally in the veterans health administration. Psychiatry Research 2023, 321: 115071. PMID: 36720177, DOI: 10.1016/j.psychres.2023.115071.Peer-Reviewed Original ResearchMeSH KeywordsAntipsychotic AgentsHumansRisperidoneStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsClinical practiceNational VHA administrative dataOral second-generation antipsychoticsUse of risperidoneVHA administrative dataSecond-generation antipsychoticsMulti-site clinical trialVeterans Health AdministrationClinical trialsEffectiveness trialHealth AdministrationRisperidoneCooperative StudyYear of publicationAdministrative dataPTSDTrialsYearsAntipsychoticsStudy resultsAdministration
2001
Examination of predictors of severe violence in combat‐exposed Vietnam veterans
Nock M, Kaufman J, Rosenheck R. Examination of predictors of severe violence in combat‐exposed Vietnam veterans. Journal Of Traumatic Stress 2001, 14: 835-841. PMID: 11776428, DOI: 10.1023/a:1013006608880.Peer-Reviewed Original ResearchMeSH KeywordsDomestic ViolenceHumansMaleMiddle AgedSeverity of Illness IndexStress Disorders, Post-TraumaticVeteransWarfareCombat 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 sampleOutcomes monitoring and the testing of new psychiatric treatments: work therapy in the treatment of chronic post-traumatic stress disorder.
Rosenheck R, Stolar M, Fontana A. Outcomes monitoring and the testing of new psychiatric treatments: work therapy in the treatment of chronic post-traumatic stress disorder. Health Services Research 2000, 35: 133-51. PMID: 10778827, PMCID: PMC1089118.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderWar-related post-traumatic stress disorderVeterans AffairsStress disorderUntested treatmentsChronic post-traumatic stress disorderTreatment of PTSDTreatment of patientsFour-month followCWT programAdministrative databasesObservational studyInpatient programOutcome measuresWork therapy programMedical statusTreatment groupsPsychiatric treatmentTherapy interventionPropensity scoringUse of outcomesDrug usePatientsTherapy programPropensity scoreImpact 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 ResearchMortality among Homeless and Nonhomeless Mentally Ill Veterans
KASPROW W, ROSENHECK R. Mortality among Homeless and Nonhomeless Mentally Ill Veterans. The Journal Of Nervous And Mental Disease 2000, 188: 141-147. PMID: 10749278, DOI: 10.1097/00005053-200003000-00003.Peer-Reviewed Original ResearchConceptsMortality riskGeneral U.S. populationMental health programsIll veteransCohort membersMortality rateHealth programsRetrospective cohort designU.S. populationHealth care systemPrior hospitalizationAge 45Cohort designOlder veteransElevated riskGeneral populationMale veteransNonsignificant trendAge 55Medical problemsVeterans AffairsCare systemBaselineMortalityAlcohol problems
1999
Changing Patterns of Care for War-Related Post-Traumatic Stress Disorder at Department of Veterans Affairs Medical Centers: The Use of Performance Data to Guide Program Development
Rosenheck R, Fontana A. Changing Patterns of Care for War-Related Post-Traumatic Stress Disorder at Department of Veterans Affairs Medical Centers: The Use of Performance Data to Guide Program Development. Military Medicine 1999, 164: 795-802. PMID: 10578592, DOI: 10.1093/milmed/164.11.795.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory CareHealth Care CostsHospital UnitsHospitals, VeteransHumansMental Health ServicesMilitary PersonnelProgram DevelopmentStress Disorders, Post-TraumaticUnited StatesConceptsPost-traumatic stress disorderVeterans Affairs Medical CenterInpatient programMedical CenterOutcome studiesStress disorderSpecialized inpatient programTreatment of PTSDPatterns of careSpecialized outpatient clinicEmphasis of careVA Medical CenterSpecialized outpatient treatmentWar-related post-traumatic stress disorderHealth care systemMost health care systemsInpatient outcomesOutpatient clinicOutpatient settingOutpatient treatmentOutpatient servicesOutcome assessmentMental illnessVA treatmentCare systemAnalysis 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 fightingA model of war zone stressors and posttraumatic stress disorder
Fontana A, Rosenheck R. A model of war zone stressors and posttraumatic stress disorder. Journal Of Traumatic Stress 1999, 12: 111-126. PMID: 10027146, DOI: 10.1023/a:1024750417154.Peer-Reviewed Original ResearchAdultCombat DisordersHumansMaleModels, PsychologicalPrevalenceStress Disorders, Post-TraumaticUnited StatesVeteransVietnamViolenceWarfareEnhancing Medication Compliance for People with Serious Mental Illness
Cramer J, Rosenheck R. Enhancing Medication Compliance for People with Serious Mental Illness. The Journal Of Nervous And Mental Disease 1999, 187: 53-55. PMID: 9952254, DOI: 10.1097/00005053-199901000-00009.Peer-Reviewed Original ResearchConsensus criteria for traumatic grief
Prigerson H, Shear M, Jacobs S, Reynolds C, Maciejewski P, Davidson J, Rosenheck R, Pilkonis P, Wortman C, Williams J, Widiger T, Frank E, Kupfer D, Zisook S. Consensus criteria for traumatic grief. The British Journal Of Psychiatry 1999, 174: 67-73. PMID: 10211154, DOI: 10.1192/bjp.174.1.67.Peer-Reviewed Original Research
1998
Transgenerational effects of abusive violence on the children of Vietnam combat veterans
Rosenheck R, Fontana A. Transgenerational effects of abusive violence on the children of Vietnam combat veterans. Journal Of Traumatic Stress 1998, 11: 731-742. PMID: 9870224, DOI: 10.1023/a:1024445416821.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChildChild AbuseChild Behavior DisordersFamily HealthFemaleHumansMaleMiddle AgedParent-Child RelationsStress Disorders, Post-TraumaticVeteransVietnamViolenceConceptsAbusive violenceFamily relationshipsCurrent family relationshipsViolenceParent-child relationshipSpouse/partnerBehavioral disturbancesNational sampleParticipationMore behavioral disturbancesChildren of veteransMale veteransVietnam combat veteransMultivariate analysisHouseholdsInterviewsPTSD symptomsCombat exposureChildrenChild behaviorRelationshipVietnamVietnam veteransCombat veteransVeterans
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 ResearchMeSH KeywordsAdultAnalysis of VarianceHumansLife Change EventsMaleMental DisordersMilitary PersonnelPrevalenceRetrospective StudiesSocial DesirabilitySocial SupportStress Disorders, Post-TraumaticVeteransWarfareConceptsPosttraumatic stress disorderProtective effectMale theater veteransNational Vietnam Veterans Readjustment StudyDetrimental long-term effectsLong-term effectsDirect effectStress disorderTheater veteransHigh levelsWar zone stressSocial supportPsychopathologyUnit cohesionVeteransLow levelsSignificant relationshipLevelsThe 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 ResearchMeSH KeywordsAdultFemaleHumansMiddle AgedModels, PsychologicalProbabilitySex OffensesStress Disorders, Post-TraumaticUnited StatesVeteransVietnamWarfare
1995
An Etiological Model of Attempted Suicide Among Vietnam Theater Veterans
FONTANA A, ROSENHECK R. An Etiological Model of Attempted Suicide Among Vietnam Theater Veterans. The Journal Of Nervous And Mental Disease 1995, 183: 377-383. PMID: 7798086, DOI: 10.1097/00005053-199506000-00005.Peer-Reviewed Original ResearchConceptsTreatment-seeking sampleVietnam theater veteransCommunity sampleEtiological modelsTraumatic military experiencesTheater veteransPsychiatric symptomsStructural equation modelingSimilarity of findingsSignificant pathsEquation modelingBetter parsimonyHigh fitDirection of causationCausal pathsVeteransTeam ProgramAttempted SuicideMilitary experienceCommunity-based modelSuicideGeneralizabilitySymptomsSubsequent attemptsAmbiguityEffect 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