2020
Sex Differences in Associations Between Depression and Posttraumatic Stress Disorder Symptoms and Tobacco Use Among Veterans of Recent Conflicts
Gross GM, Bastian LA, Smith NB, Harpaz-Rotem I, Hoff R. Sex Differences in Associations Between Depression and Posttraumatic Stress Disorder Symptoms and Tobacco Use Among Veterans of Recent Conflicts. Journal Of Women's Health 2020, 29: 677-685. PMID: 31934813, DOI: 10.1089/jwh.2019.8082.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderTobacco usePTSD symptomsFemale veteransSex differencesAssociation of depressionTobacco use cessationBaseline interview dataCross-sectional associationsMental health conditionsLogistic regression modelsPosttraumatic stress disorder (PTSD) symptomsBinary logistic regression modelSex-specific barriersTobacco usersSymptomsStress disorderAlcohol useHealth conditionsDepressionDisorder symptomsVeteran sampleMH conditionsIntervention strategiesEffects of demographics
2019
Randomized Controlled Trial of Imagery Rehearsal for Posttraumatic Nightmares in Combat Veterans.
Harb GC, Cook JM, Phelps AJ, Gehrman PR, Forbes D, Localio R, Harpaz-Rotem I, Gur RC, Ross RJ. Randomized Controlled Trial of Imagery Rehearsal for Posttraumatic Nightmares in Combat Veterans. Journal Of Clinical Sleep Medicine 2019, 15: 757-767. PMID: 31053215, PMCID: PMC6510682, DOI: 10.5664/jcsm.7770.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyPosttraumatic stress disorderNightmare Distress QuestionnaireNightmare Frequency QuestionnaireBehavioral therapySevere posttraumatic stress disorderUnited States veteransOperation Enduring Freedom/Operation Iraqi Freedom veteransImagery rehearsalOperation Iraqi Freedom veteransSubgroups of veteransIraqi Freedom veteransFrequency questionnaireControlled TrialsPrimary outcomeLikelihood ratio chi-squareStates veteransDistress QuestionnaireStress disorderChi-squareRecurrent nightmaresConfidence intervalsMilitary veteransVeteransCombat veterans
2017
Differential predictive value of PTSD symptom clusters for mental health care among Iraq and Afghanistan veterans following PTSD diagnosis
Smith NB, Tsai J, Pietrzak RH, Cook JM, Hoff R, Harpaz-Rotem I. Differential predictive value of PTSD symptom clusters for mental health care among Iraq and Afghanistan veterans following PTSD diagnosis. Psychiatry Research 2017, 256: 32-39. PMID: 28622572, DOI: 10.1016/j.psychres.2017.06.005.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderAfghanistan veteransPTSD symptom clustersNational VA administrative dataVeterans AffairsSymptom clustersMental health service utilizationTreatment-related variablesHealth service utilizationVA administrative dataSelection of treatmentMental health carePTSD symptom cluster severitySymptom cluster severityTrauma-exposed veteransInitial diagnosisClinical variablesPsychotherapy visitsAdequate doseService utilizationDifferential predictive valueLarge cohortCombination treatmentPsychotherapy initiationTreatment approaches
2016
Correlates of VA Mental Health Treatment Utilization Among OEF/OIF/OND Veterans: Resilience, Stigma, Social Support, Personality, and Beliefs About Treatment
DeViva JC, Sheerin CM, Southwick SM, Roy AM, Pietrzak RH, Harpaz-Rotem I. Correlates of VA Mental Health Treatment Utilization Among OEF/OIF/OND Veterans: Resilience, Stigma, Social Support, Personality, and Beliefs About Treatment. Psychological Trauma Theory Research Practice And Policy 2016, 8: 310-318. PMID: 26237497, DOI: 10.1037/tra0000075.Peer-Reviewed Original ResearchConceptsOEF/OIF/OND veteransPTSD symptomsAdaptive beliefsMental health careSocial supportPostdeployment social supportMeasures of resilienceMental health treatment utilizationDevelopment of interventionsMental health treatmentTreatment utilizationNT participantsPosttraumatic growthEmotional stabilityPP participantsMental health care utilizationPersonality factorsHealth careNT groupPP groupDifferent decision pointsHealth treatmentVA mental health careMental health service utilizationHealth care utilization
2015
“I’m Coming Home, Tell the World I’m Coming Home”. The Long Homecoming and Mental Health Treatment of Iraq and Afghanistan War Veterans
Rozanova J, Noulas P, Smart K, Roy A, Southwick SM, Davidson L, Harpaz-Rotem I. “I’m Coming Home, Tell the World I’m Coming Home”. The Long Homecoming and Mental Health Treatment of Iraq and Afghanistan War Veterans. Psychiatric Quarterly 2015, 87: 427-443. PMID: 26566926, DOI: 10.1007/s11126-015-9398-7.Peer-Reviewed Original ResearchAdultAfghan Campaign 2001-Career ChoiceFemaleHumansIraq War, 2003-2011MaleMental DisordersMental Health ServicesMiddle AgedMilitary PersonnelPatient Acceptance of Health CareQualitative ResearchSocial IdentificationSocial StigmaUnited StatesUnited States Department of Veterans AffairsVeteransVocational GuidanceYoung Adult
2014
Determinants of Prospective Engagement in Mental Health Treatment Among Symptomatic Iraq/Afghanistan Veterans
Harpaz-Rotem I, Rosenheck RA, Pietrzak RH, Southwick SM. Determinants of Prospective Engagement in Mental Health Treatment Among Symptomatic Iraq/Afghanistan Veterans. The Journal Of Nervous And Mental Disease 2014, 202: 97-104. PMID: 24469520, DOI: 10.1097/nmd.0000000000000078.Peer-Reviewed Original ResearchConceptsMental health treatmentPosttraumatic stress disorderIraq/Afghanistan veteransHealth treatmentAfghanistan veteransSymptomatic veteransMental health visitsMental health screeningMental health statusMental health servicesHealth visitsHealth screeningService utilizationRe-experiencing symptomsDepressive symptomsHealth statusHealth servicesPsychosocial determinantsStress disorderSymptomsVeteransTreatmentConsistent determinantsNumbing symptomsProspective engagement
2012
Examining the relation between combat-related concussion, a novel 5-factor model of posttraumatic stress symptoms, and health-related quality of life in Iraq and Afghanistan veterans.
Tsai J, Whealin JM, Scott JC, Harpaz-Rotem I, Pietrzak RH. Examining the relation between combat-related concussion, a novel 5-factor model of posttraumatic stress symptoms, and health-related quality of life in Iraq and Afghanistan veterans. The Journal Of Clinical Psychiatry 2012, 73: 1110-8. PMID: 22781019, DOI: 10.4088/jcp.11m07587.Peer-Reviewed Original ResearchConceptsMental health-related qualityHealth-related qualityPersistent postconcussive symptomsCombat-related concussionPostconcussive symptomsAlcohol use problemsPTSD symptomsAfghanistan veteransPhysical health-related qualityForm Health SurveyDysphoric arousal symptomsUse problemsIraq/Afghanistan veteransStrongest predictorPosttraumatic stress disorder (PTSD) symptomsClinical characteristicsProgram registryHealth SurveyPsychiatric cliniciansPosttraumatic stress symptomsMultivariate analysisSymptomsConcussionBivariate analysisSymptomatic veteransThe Role of Coping, Resilience, and Social Support in Mediating the Relation Between PTSD and Social Functioning in Veterans Returning from Iraq and Afghanistan
Tsai J, Harpaz-Rotem I, Pietrzak RH, Southwick SM. The Role of Coping, Resilience, and Social Support in Mediating the Relation Between PTSD and Social Functioning in Veterans Returning from Iraq and Afghanistan. Psychiatry 2012, 75: 135-149. PMID: 22642433, DOI: 10.1521/psyc.2012.75.2.135.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultAfghan Campaign 2001-AfghanistanChildCross-Sectional StudiesData Interpretation, StatisticalFamily RelationsFemaleHumansInterpersonal RelationsIraqIraq War, 2003-2011MalePersonal SatisfactionResilience, PsychologicalSelf ReportSocial BehaviorSocial SupportStress Disorders, Post-TraumaticUnited StatesVeteransConceptsPosttraumatic stress disorderTreatment-seeking veteransSocial functioningSocial supportSecure relationshipsLife satisfactionRole of copingPoor social functioningSeries of questionnairesLower life satisfactionAcceptance of changeRelationship satisfactionSocial avoidanceExcessive worryRomantic partnersFamily functioningStress disorderPsychotherapeutic interventionsCommon psychiatric disordersLess cohesionFunctioningPartner satisfactionMental health careVA primary careCoping
2011
Support for a novel five-factor model of posttraumatic stress symptoms in three independent samples of Iraq/Afghanistan veterans: A confirmatory factor analytic study
Pietrzak RH, Tsai J, Harpaz-Rotem I, Whealin JM, Southwick SM. Support for a novel five-factor model of posttraumatic stress symptoms in three independent samples of Iraq/Afghanistan veterans: A confirmatory factor analytic study. Journal Of Psychiatric Research 2011, 46: 317-322. PMID: 22154134, DOI: 10.1016/j.jpsychires.2011.11.013.Peer-Reviewed Original ResearchConceptsIraq/Afghanistan veteransHyperarousal symptom clustersConfirmatory factor analytic studyFactor analytic studiesAfghanistan veteransDysphoric arousalPTSD symptomsArousal clustersCommunity samplePosttraumatic stress disorder (PTSD) symptomsEmotional numbing modelSymptom clustersTreatment-seeking samplePosttraumatic stress symptomsDSM-IV modelIndependent samplesFive-factor modelConfirmatory factor analysisAnxious arousalEmotional numbingNumbing modelPTSD symptomatologyDisorder symptomsStress symptomsPTSD ChecklistCognitive-behavioral coping strategies associated with combat-related PTSD in treatment-seeking OEF–OIF Veterans
Pietrzak RH, Harpaz-Rotem I, Southwick SM. Cognitive-behavioral coping strategies associated with combat-related PTSD in treatment-seeking OEF–OIF Veterans. Psychiatry Research 2011, 189: 251-258. PMID: 21813184, DOI: 10.1016/j.psychres.2011.07.019.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderAvoidance coping strategiesPostdeployment social supportCombat-related PTSD symptomsCombat-related posttraumatic stress disorderOEF-OIF veteransPTSD symptomsCoping strategiesSocial supportAvoidance copingCognitive-behavioral coping strategiesCognitive therapy modelTrauma-related thoughtsMaladaptive coping strategiesMeasures of worryIraqi Freedom veteransBehavioral distractionCognitive copingStructural equation modelSocial avoidanceStress disorderThought controlCombat exposureGreater perceptionOperation Enduring FreedomExamining the dimensionality of combat-related posttraumatic stress and depressive symptoms in treatment-seeking OEF/OIF/OND veterans
Tsai J, Pietrzak RH, Southwick SM, Harpaz-Rotem I. Examining the dimensionality of combat-related posttraumatic stress and depressive symptoms in treatment-seeking OEF/OIF/OND veterans. Journal Of Affective Disorders 2011, 135: 310-314. PMID: 21782249, DOI: 10.1016/j.jad.2011.06.057.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAfghan Campaign 2001-BehaviorDepressionDepressive DisorderDisability EvaluationEthnicityFactor Analysis, StatisticalHumansIraq War, 2003-2011Military PersonnelPatient Acceptance of Health CareResilience, PsychologicalSocial SupportStress Disorders, Post-TraumaticSurveys and QuestionnairesVeteransVeterans Disability ClaimsConceptsPosttraumatic Stress Disorder Checklist-Military versionOEF/OIF/OND veteransPosttraumatic stress disorderFour-factor solutionCognitive copingPsychological resilienceStress disorderAlcohol useSocial supportCombat-related posttraumatic stress disorderTreatment-seeking veteransDimensionality of itemsDepressive symptomsPosttraumatic stressOperations Enduring Freedom/Iraqi Freedom/New DawnExploratory factor analysisPatient Health Questionnaire-9Cross-sectional designSymptom structureMore varianceFactor structureBodily disturbancesDetachment/Cluster of symptomsFactor scoresServing Those Who Served: Retention of Newly Returning Veterans From Iraq and Afghanistan in Mental Health Treatment
Harpaz-Rotem I, Rosenheck RA. Serving Those Who Served: Retention of Newly Returning Veterans From Iraq and Afghanistan in Mental Health Treatment. Psychiatric Services 2011, 62: 22-27. PMID: 21209295, DOI: 10.1176/ps.62.1.pss6201_0022.Peer-Reviewed Original ResearchMeSH KeywordsAfghan Campaign 2001-Case-Control StudiesComorbidityFemaleHealth Services AccessibilityHumansIraq War, 2003-2011MaleMental DisordersMental Health ServicesMiddle AgedMultivariate AnalysisPatient Acceptance of Health CarePatient DropoutsProportional Hazards ModelsStress Disorders, Post-TraumaticSurvival AnalysisUnited StatesVeteransConceptsMental health visitsMental health treatmentPosttraumatic stress disorderVietnam-era veteransHealth visitsHealth treatmentPTSD treatmentMental health statusMental health servicesComorbid conditionsInitial diagnosisNumber of visitsNew diagnosisPsychiatric treatmentComorbid diagnosesHealth statusPoisson regressionSurvival analysisFunction of ageHealth servicesMultivariate analysisMore visitsVeterans AffairsStress disorder