2024
Barriers to Mental Health Care in US Military Veterans
Lewis C, Fischer I, Tsai J, Harpaz-Rotem I, Pietrzak R. Barriers to Mental Health Care in US Military Veterans. Psychiatric Quarterly 2024, 95: 367-383. PMID: 38940875, DOI: 10.1007/s11126-024-10078-7.Peer-Reviewed Original ResearchMental health careMental health treatmentHealth careHealth treatmentReduce barriersUS veteransNegative beliefsInstrumental barriersNational Health and ResiliencePromote engagementMental health servicesPopulation-based effortsUS military veteransNationally representative dataMultivariate logistic regressionPerceived stigmaHealth servicesSocial supportPsychiatric needsVeterans StudyPractical barriersLow purposeConclusionsNearly halfMilitary veteransCare
2023
Purpose in life protects against the development of suicidal thoughts and behaviors in U.S. veterans without a history of suicidality: A 10-year, nationally representative, longitudinal study
Fischer I, Nichter B, Feldman D, Na P, Tsai J, Harpaz-Rotem I, Schulenberg S, Pietrzak R. Purpose in life protects against the development of suicidal thoughts and behaviors in U.S. veterans without a history of suicidality: A 10-year, nationally representative, longitudinal study. Journal Of Affective Disorders 2023, 340: 551-554. PMID: 37557988, DOI: 10.1016/j.jad.2023.08.040.Peer-Reviewed Original ResearchConceptsIncident suicidal ideationAlcohol use disorderIncident suicide attemptsCurrent alcohol use disorderHistory of STBSuicidal ideationSuicide attemptsBaseline predictorsDaily livingPopulation-based prospective cohort studySuicidal thoughtsLow purposeCurrent posttraumatic stress disorderProspective cohort studyTraditional risk factorsLower annual household incomeMultivariable regression analysisEvidence-based interventionsUS military veteransPosttraumatic stress disorderAnnual household incomeCohort studyTrauma burdenRisk factorsNational HealthIdentifying significant correlates of purpose in life in older US military veterans: results from the national health and resilience in veterans study.
Fischer I, Feldman D, Tsai J, Harpaz-Rotem I, Lucas K, Schulenberg S, Pietrzak R. Identifying significant correlates of purpose in life in older US military veterans: results from the national health and resilience in veterans study. International Psychogeriatrics 2023, 35: 560-565. PMID: 36715004, DOI: 10.1017/s1041610222001223.Peer-Reviewed Original ResearchConceptsUS military veteransNational HealthMilitary veteransSignificant correlatesOlder US veteransAdverse health outcomesModifiable psychosocial factorsAdverse outcomesElastic net analysisUS veteransDepressive symptomsPsychosocial factorsHealth outcomesVeterans StudyPsychosocial variablesTreatment effortsCognitive outcomesCross-sectional dataVeteransOutcomesSocial supportCommunity integrationImportant correlatesHealthCorrelates
2022
Predicting Uptake of the COVID Coach App Among US Military Veterans: Funnel Analysis Using a Probability-Based Panel
Jaworski BK, Taylor K, Ramsey KM, Heinz AJ, Steinmetz S, Owen JE, Tsai J, Pietrzak RH. Predicting Uptake of the COVID Coach App Among US Military Veterans: Funnel Analysis Using a Probability-Based Panel. JMIR Mental Health 2022, 9: e36217. PMID: 35245204, PMCID: PMC8985691, DOI: 10.2196/36217.Peer-Reviewed Original ResearchUS military veteransOlder veteransMental health toolsDigital mental health toolsHealth toolsOlder adultsOlder veteran populationMilitary veteransMental health conditionsMobile mental health appsCOVID-19 pandemicPandemic-related stressorsPandemic-related stressMental health difficultiesMental health concernsAdverse childhood experiencesPosttraumatic stress disorder (PTSD) symptomsProspective cohortDays of useMedian timeUS veteransNational HealthVeteran characteristicsMental health appsVeteran population
2021
Understanding risk in younger Veterans: Risk and protective factors associated with suicide attempt, homelessness, and arrest in a nationally representative Veteran sample
Edwards E, Dichiara A, Gromatsky M, Tsai J, Goodman M, Pietrzak R. Understanding risk in younger Veterans: Risk and protective factors associated with suicide attempt, homelessness, and arrest in a nationally representative Veteran sample. Military Psychology 2021, 34: 175-186. PMID: 38536330, PMCID: PMC10013446, DOI: 10.1080/08995605.2021.1982632.Peer-Reviewed Original ResearchOlder veteransYounger veteransProtective factorsPrior suicidal behaviorMental health servicesUS military veteransHistory of suicideAdverse eventsRisk factorsCriminal justice involvementProtective correlationHealth servicesSuicide attemptsSuicidal behaviorSuicide riskMilitary veteransVeteran sampleVeteransOlder cohortHomelessnessRiskCohortSocial supportAge cohortsRepresentative sampleMental health and suicidal ideation in US military veterans with histories of COVID-19 infection
Na P, Tsai J, Harpaz-Rotem I, Pietrzak R. Mental health and suicidal ideation in US military veterans with histories of COVID-19 infection. BMJ Military Health 2021, 168: 15-19. PMID: 34035155, PMCID: PMC8154290, DOI: 10.1136/bmjmilitary-2021-001846.Peer-Reviewed Original ResearchConceptsStrong independent predictorUS military veteransSuicidal ideationIndependent predictorsCOVID-19COVID-related stressorsInternalising disordersPsychiatric conditionsProtective factorsMilitary veteransCOVID-19 infectionLogistic regression analysisPsychiatric symptom severityLower household incomeCurrent suicidal ideationSubstance use problemsProspective cohortMultivariable analysisTrauma burdenPositive screenUS veteransNational HealthPsychiatric symptomsPsychiatric disordersVeterans Study
2019
Posttraumatic Stress Disorder Symptoms, Functioning, and Suicidal Ideation in US Military Veterans: A Symptomics Approach.
Kachadourian LK, Harpaz-Rotem I, Tsai J, Southwick SM, Pietrzak RH. Posttraumatic Stress Disorder Symptoms, Functioning, and Suicidal Ideation in US Military Veterans: A Symptomics Approach. The Primary Care Companion For CNS Disorders 2019, 21 PMID: 31050228, DOI: 10.4088/pcc.18m02402.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPositive affectMeasures of functioningCognitive functioningNegative thoughtsPTSD symptomsConcentration difficultiesSleep difficultiesTreatment of PTSDUS military veteransSeverity of PTSDPosttraumatic stress disorder (PTSD) symptomsSuicidal ideationDSM-5 PTSD symptomsMilitary veteransLifetime trauma burdenIrritability/aggressionHyperarousal symptomsDisorder symptomsStress disorderPsychogenic amnesiaPTSD diagnosisQuality of lifeMental functioningMost variance
2017
Trajectories of posttraumatic growth among US military veterans: a 4‐year nationally representative, prospective cohort study
Tsai J, Pietrzak RH. Trajectories of posttraumatic growth among US military veterans: a 4‐year nationally representative, prospective cohort study. Acta Psychiatrica Scandinavica 2017, 136: 483-492. PMID: 28846800, DOI: 10.1111/acps.12800.Peer-Reviewed Original ResearchConceptsProspective cohort studyPTG trajectoriesUS military veteransCertain psychosocial factorsPosttraumatic stress disorder (PTSD) symptomsCohort studyUS veteransPsychosocial factorsGreater severityPosttraumatic growthPsychosocial variablesPredominant trajectoriesBaseline measuresDisorder symptomsMilitary veteransModerate posttraumatic growthAvoidance symptomsSymptomsSocial supportLatent growth mixtureVeteransRepresentative surveyGrowth mixture
2016
S04-3 Assessing the dissociative ptsd subtype in a representative sample of us military veterans
Armour C, Tsai J, Pietrzak R. S04-3 Assessing the dissociative ptsd subtype in a representative sample of us military veterans. Occupational And Environmental Medicine 2016, 73: a100. DOI: 10.1136/oemed-2016-103951.269.Peer-Reviewed Original ResearchPosttraumatic stress disorderDissociative subtypeU.S. veteransDSM-5 posttraumatic stress disorderQuality of lifeAnonymous web-based surveyInitial screening questionsUS military veteransTrauma-exposed controlsDSM-5 versionSevere PTSD symptomsDissociative PTSD subtypeClinical characteristicsAlcohol use problemsCurrent study sampleNational HealthRepresentative sampleScreening questionsResponse rateWeb-based surveyMental disordersVeterans StudyPTSD subtypesU.S. adultsPTSD ChecklistLate-life exacerbation of PTSD symptoms in US veterans: results from the National Health and Resilience in Veterans Study.
Mota N, Tsai J, Kirwin PD, Harpaz-Rotem I, Krystal JH, Southwick SM, Pietrzak RH. Late-life exacerbation of PTSD symptoms in US veterans: results from the National Health and Resilience in Veterans Study. The Journal Of Clinical Psychiatry 2016, 77: 348-54. PMID: 27046308, DOI: 10.4088/jcp.15m10101.Peer-Reviewed Original ResearchConceptsOlder US veteransPosttraumatic stress disorderUS veteransPTSD symptomsNational HealthVeterans StudyMultivariable logistic regression modelWorst traumaDelayed-onset posttraumatic stress disorderExecutive dysfunctionWave 2Population-based dataUS military veteransLogistic regression modelsWave 1Cohort studySignificant exacerbationGreater severitySymptomsOlder ageStress disorderSelf-reported cognitive difficultiesPotential targetMilitary veteransLater life