2024
Obesity in Latinx and White U.S. military veterans: Mental health, psychosocial burden, non-suicidal self-injury and suicidal behavior
Stefanovics E, Grilo C, Potenza M, Pietrzak R. Obesity in Latinx and White U.S. military veterans: Mental health, psychosocial burden, non-suicidal self-injury and suicidal behavior. Psychiatry Research 2024, 335: 115844. PMID: 38484606, DOI: 10.1016/j.psychres.2024.115844.Peer-Reviewed Original ResearchNon-suicidal self-injuryDrug use disordersU.S. military veteransMental health problemsMilitary veteransSelf-injuryUse disorderSymptoms of internalizing disordersLevels of childhood traumaNational Health and ResiliencePost-traumatic stress disorderIncreased risk of mental health problemsWhite veteransCoping self-efficacyRisk of mental health problemsLatinx ethnicityGeneralized anxietyStress disorderChildhood traumaHealth problemsSuicidal behaviorVeterans StudyCorrelates of obesityCulturally sensitive preventionNationally representative sample
2022
Gender Differences in Diagnostic Remission of Posttraumatic Stress Disorder (PTSD): Proportions and Correlates of Remission in a Nationally Representative U.S. Sample
Stefanovics EA, Rhee TG, Rosenheck RA. Gender Differences in Diagnostic Remission of Posttraumatic Stress Disorder (PTSD): Proportions and Correlates of Remission in a Nationally Representative U.S. Sample. Psychiatric Quarterly 2022, 93: 663-676. PMID: 35353267, DOI: 10.1007/s11126-022-09979-2.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderDiagnostic remissionStress disorderCorrelates of remissionEmergency room visitsLifetime PTSD diagnosisProportion of menNational Epidemiologic SurveyRelated Conditions-IIIRoom visitsGender-specific correlatesParental historyRemissionLifetime diagnosisEpidemiologic SurveyClinical disadvantagesGender differencesSuicide attemptsPast homelessnessPTSD diagnosisAge 15Violent behaviorWomenSignificant gender differencesMen
2021
Who Uses Veterans Mental Health Services?
Manhapra A, Stefanovics EA, Rhee TG, Rosenheck RA. Who Uses Veterans Mental Health Services? The Journal Of Nervous And Mental Disease 2021, 209: 702-709. PMID: 33993183, DOI: 10.1097/nmd.0000000000001369.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationPosttraumatic stress disorderHealth service usersMH service usersSubstance use disorder diagnosisClinical practice guidelinesMental health servicesMental health service usersClinical characteristicsMedicaid insurancePain interferenceService usersBlack raceSimilar prevalenceMental health researchMH researchPractice guidelinesGreater prevalenceHealth AdministrationHealth servicesPTSD diagnosisRacial distributionMH statusStress disorderDisorder diagnosisPersonality and Body Mass Index in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study
Stefanovics EA, Edwards LM, Pietrzak RH. Personality and Body Mass Index in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study. Psychiatric Quarterly 2021, 92: 917-923. PMID: 33389478, DOI: 10.1007/s11126-020-09878-4.Peer-Reviewed Original ResearchConceptsBody mass indexLower body mass indexFemale veteransU.S. military veteransMass indexMale veteransHigher body mass indexMilitary veteransGender-specific associationsPosttraumatic stress disorderEffect of ageMultivariable analysisObesity managementNational HealthPhysical activityVeterans StudyStress disorderVeteransRepresentative sampleAssociation
2020
Association of symptom severity, pain and other behavioral and medical comorbidities with diverse measures of functioning among adults with post-traumatic stress disorder
Manhapra A, Stefanovics EA, Rhee TG, Rosenheck RA. Association of symptom severity, pain and other behavioral and medical comorbidities with diverse measures of functioning among adults with post-traumatic stress disorder. Journal Of Psychiatric Research 2020, 134: 113-120. PMID: 33383494, DOI: 10.1016/j.jpsychires.2020.12.063.Peer-Reviewed Original ResearchConceptsMental health composite scoresPhysical function scoresPost-traumatic stress disorderSubstance use disordersMedical comorbiditiesPain interferencePTSD symptomsStatistical Manual-5 (DSM-5) criteriaSymptom severityMental health-related qualityStress disorderPast-year post-traumatic stress disorderShort Form-12Health-related qualityNational Epidemiologic SurveyNegative associationCommon comorbiditiesChronic painForm-12Medical illnessSubstantial disabilityPsychiatric comorbidityPTSD symptom severityFunction scoresIndependent associationImpact of cannabis on non-medical opioid use and symptoms of posttraumatic stress disorder: a nationwide longitudinal VA study
De Aquino JP, Sofuoglu M, Stefanovics EA, Rosenheck RA. Impact of cannabis on non-medical opioid use and symptoms of posttraumatic stress disorder: a nationwide longitudinal VA study. The American Journal Of Drug And Alcohol Abuse 2020, 46: 812-822. PMID: 33035104, DOI: 10.1080/00952990.2020.1818248.Peer-Reviewed Original ResearchConceptsNon-medical opioid usePosttraumatic stress disorderOpioid useNon-medical opioidsPTSD symptomsCannabis useStress disorderSubstance useBaseline cannabis useImpact of cannabisSevere PTSD symptomsIntensive PTSD treatmentMore PTSD symptomsPTSD treatmentU.S. veteransSymptomsVA studyCannabisVeteransOpioidsSubstitution agentsBaselineDaysDisordersTreatmentGender Differences in Outcomes Following Specialized Intensive PTSD Treatment in the Veterans Health Administration
Stefanovics EA, Rosenheck RA. Gender Differences in Outcomes Following Specialized Intensive PTSD Treatment in the Veterans Health Administration. Psychological Trauma Theory Research Practice And Policy 2020, 12: 272-280. PMID: 31282719, DOI: 10.1037/tra0000495.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderTotal PTSD symptom scoresPTSD symptomsNational program evaluation dataVeterans Health AdministrationVeterans Health Administration programGreater improvementPTSD symptom scoresIntensive PTSD treatmentSymptom scoresTreatment outcomesProgram participationMale veteransGender differencesHealth AdministrationPTSD treatmentFemale veteransPTSD programProgram evaluation dataMedium effect size differencesStress disorderGender-based differencesEffect size differencesSubstance useStudy sample
2019
Predictors of Post-Discharge Suicide Attempt Among Veterans Receiving Specialized Intensive Treatment for Posttraumatic Stress Disorder.
Stefanovics EA, Rosenheck RA. Predictors of Post-Discharge Suicide Attempt Among Veterans Receiving Specialized Intensive Treatment for Posttraumatic Stress Disorder. The Journal Of Clinical Psychiatry 2019, 80 PMID: 31412170, DOI: 10.4088/jcp.19m12745.Peer-Reviewed Original ResearchConceptsPost-discharge suicide attemptsPosttraumatic stress disorderSuicide attemptsAlcohol useSuicidal ideationStress disorderSubstance abuse comorbidityMultivariable logistic regressionNational program evaluation dataVeterans Health AdministrationAssociation of changesIntensive treatment programViolent behaviorBaseline characteristicsClinical correlatesUS veteransClinical changesIntensive treatmentHigh riskHealth AdministrationAdmissionBivariate analysisPTSD programTreatment programGreater risk
2017
Correlates of Reduced Violent Behavior Among Patients Receiving Intensive Treatment for Posttraumatic Stress Disorder
Buchanan A, Stefanovics E, Rosenheck RA. Correlates of Reduced Violent Behavior Among Patients Receiving Intensive Treatment for Posttraumatic Stress Disorder. Psychiatric Services 2017, 69: 424-430. PMID: 29241432, DOI: 10.1176/appi.ps.201700253.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderIntensive treatmentStress disorderSubstance useWar-related posttraumatic stress disorderPTSD symptomatologySpectrum of careProgram entryViolent behaviorU.S. military veteransModerate effect sizeClinical factorsPTSD symptom severityShort-term supportObservational studyBaseline levelsPTSD programSymptom severitySpecific causesFour monthsPTSD changeMilitary veteransIncarceration historyEffect sizeTreatmentPsychotropic Medication Prescribing in Iraq/Afghanistan Veterans and Vietnam Era Veterans With Posttraumatic Stress Disorder
Vojvoda D, Stefanovics EA, Rosenheck RA. Psychotropic Medication Prescribing in Iraq/Afghanistan Veterans and Vietnam Era Veterans With Posttraumatic Stress Disorder. The Journal Of Nervous And Mental Disease 2017, 205: 848-854. PMID: 28953506, DOI: 10.1097/nmd.0000000000000755.Peer-Reviewed Original ResearchConceptsIraq/Afghanistan veteransPosttraumatic stress disorderVietnam-era veteransAfghanistan veteransEra veteransAnxiolytics/sedatives/hypnoticsVeterans Health Administration (VHA) administrative dataStress disorderSedative/hypnoticsPsychotropic medication prescribingVeterans Health AdministrationNumber of prescriptionsProportion of veteransIraq/Afghanistan warMedication prescribingPsychotropic medicationsPsychotropic pharmacotherapyFiscal year 2012Psychopharmacological treatmentSame diagnosisHealth AdministrationYounger groupVeteransPrazosinAdministrative data
2016
Correlates of Improvement in Substance Abuse Among Dually Diagnosed Veterans With Post-Traumatic Stress Disorder in Specialized Intensive VA Treatment
Coker KL, Stefanovics E, Rosenheck R. Correlates of Improvement in Substance Abuse Among Dually Diagnosed Veterans With Post-Traumatic Stress Disorder in Specialized Intensive VA Treatment. Psychological Trauma Theory Research Practice And Policy 2016, 8: 41-48. PMID: 26121176, PMCID: PMC4487392, DOI: 10.1037/tra0000061.Peer-Reviewed Original ResearchMeSH KeywordsComorbidityDiagnosis, Dual (Psychiatry)HumansLinear ModelsMiddle AgedMultivariate AnalysisPsychiatric Status Rating ScalesPsychotropic DrugsStress Disorders, Post-TraumaticSubstance-Related DisordersTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransViolenceConceptsPost-traumatic stress disorderSubstance abuseEvidence-based substance abuse treatmentStress disorderSevere post-traumatic stress disorderPTSD symptomsProper discharge planningDuration of treatmentCorrelates of improvementAddiction Severity Index AlcoholSubstance use disordersSubstance abuse treatmentEffect sizeDischarge planningPsychiatric medicationsImproved outcomesUse disordersBetter outcomesSynergistic treatment effectSubstance use measuresMultivariate analysisVA treatmentPTSD programAbuse treatmentViolent behavior
2015
Treatment outcomes for veterans with PTSD and substance use: Impact of specific substances and achievement of abstinence
Manhapra A, Stefanovics E, Rosenheck R. Treatment outcomes for veterans with PTSD and substance use: Impact of specific substances and achievement of abstinence. Drug And Alcohol Dependence 2015, 156: 70-77. PMID: 26429726, PMCID: PMC4633308, DOI: 10.1016/j.drugalcdep.2015.08.036.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderAchievement of abstinenceEffect of abstinenceTreatment outcomesSubstance useRates of abstinenceNational program evaluationSubstance abuse groupClinical outcomesBaseline variablesAnalysis of covariancePTSD patientsSpecific substancesMedical problemsPTSD programStress disorderAbstinencePTSD symptomsScant longitudinal dataUse outcomesSelf-reported dataAbuse groupOutcomesSignificant differencesGreater improvementMarijuana use is associated with worse outcomes in symptom severity and violent behavior in patients with posttraumatic stress disorder.
Wilkinson ST, Stefanovics E, Rosenheck RA. Marijuana use is associated with worse outcomes in symptom severity and violent behavior in patients with posttraumatic stress disorder. The Journal Of Clinical Psychiatry 2015, 76: 1174-80. PMID: 26455669, PMCID: PMC6258013, DOI: 10.4088/jcp.14m09475.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPTSD symptomsSymptom severityPTSD symptom severityWorse outcomesObservational studyMarijuana useStress disorderAlcohol useRelevant baseline covariatesWorse PTSD symptomsEffect sizeViolent behaviorBaseline characteristicsIntensive treatmentPrevention of useMeasures of alcoholAnalysis of covarianceDrug useAdmissionBaseline covariatesSymptomsTreatment programRelevant covariatesMedical marijuana
2014
Symptom structure and severity: A comparison of responses to the positive and negative syndrome scale (PANSS) between patients with PTSD or schizophrenia
Stefanovics EA, Krystal JH, Rosenheck RA. Symptom structure and severity: A comparison of responses to the positive and negative syndrome scale (PANSS) between patients with PTSD or schizophrenia. Comprehensive Psychiatry 2014, 55: 887-895. PMID: 24602497, DOI: 10.1016/j.comppsych.2014.01.014.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAntipsychotic AgentsChronic DiseaseCombat DisordersDiagnosis, DifferentialDouble-Blind MethodFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesPsychometricsRisperidoneSchizophreniaSchizophrenic PsychologyStress Disorders, Post-TraumaticVeteransYoung AdultConceptsPost-traumatic stress disorderNegative Syndrome ScaleSyndrome ScalePTSD samplePlacebo-controlled trialPsychosis-related factorsClinical trial patientsClinical Antipsychotic TrialsT-testSchizophrenia sampleExploratory factor analysisSymptoms of schizophreniaMilitary-related post-traumatic stress disorderSymptom structureAdjunctive risperidoneTrial patientsTraumatic Stress DisorderAntipsychotic TrialsSecondary data analysisSevere symptomsIndependent factorsDepressive factorsPatientsSymptom ratingsStress disorder
2005
The Role of Psychiatric Diagnosis in Satisfaction With Primary Care
Desai RA, Stefanovics EA, Rosenheck RA. The Role of Psychiatric Diagnosis in Satisfaction With Primary Care. Medical Care 2005, 43: 1208-1216. PMID: 16299432, DOI: 10.1097/01.mlr.0000185747.79104.90.Peer-Reviewed Original ResearchConceptsPrimary carePsychiatric illnessPsychiatric disordersPsychiatric diagnosisVeterans AffairsOutpatient primary carePrimary care servicesSatisfaction ratingsMental health diagnosesPosttraumatic stress disorderPatient characteristicsPatient subgroupsPatient satisfactionPsychiatric patientsPatientsCare servicesMedical careMental illnessStress disorderSuch disordersDrug abuseSubjective healthHealth diagnosisLower satisfaction ratingsDiagnosis