2024
The mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans
Bulanchuk N, Edwards E, Pietrzak R, Tsai J. The mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans. Journal Of Community Psychology 2024, 52: 399-414. PMID: 38289875, DOI: 10.1002/jcop.23105.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaAdverse childhood experiencesLifetime homelessnessSocial supportSexual traumaNationally representative sampleHistory of military sexual traumaCorrelates of homelessnessAvailability of social supportPerceived social supportInterpersonal social supportLow social supportRepresentative sampleChildhood adversityHomelessnessFemale veteransChildhood experiencesCommunity integrationMale counterpartsPath analysisVeteransUS veteransTrauma ratesNationalCorrelation analysis
2023
Sex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans
Stefanovics E, Potenza M, Tsai J, Nichter B, Pietrzak R. Sex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans. Journal Of Affective Disorders 2023, 328: 303-311. PMID: 36775254, DOI: 10.1016/j.jad.2023.02.025.Peer-Reviewed Original ResearchConceptsSuicidal ideationMale veteransFemale veteransU.S. military veteransRisk factorsGender-specific risk factorsPrevalence of SISex-specific riskMilitary veteransDifferent risk factorsAlcohol use disorderLow psychological resilienceMultivariable analysisNational HealthRepresentative sampleUse disordersU.S. veteransVeterans StudySuicide preventionTreatment effortsVeteransLow purposeStrongest correlatePrevalenceIdeation
2020
A psychosocial mediational model of homelessness among U.S. male and female veterans who served in Iraq and Afghanistan
Spinola S, Hoff RA, Tsai J. A psychosocial mediational model of homelessness among U.S. male and female veterans who served in Iraq and Afghanistan. Health & Social Care In The Community 2020, 29: 453-463. PMID: 32662176, DOI: 10.1111/hsc.13106.Peer-Reviewed Original Research
2017
Gender differences in mental and physical health conditions in U.S. veterans: Results from the National Health and Resilience in Veterans Study
Ziobrowski H, Sartor CE, Tsai J, Pietrzak RH. Gender differences in mental and physical health conditions in U.S. veterans: Results from the National Health and Resilience in Veterans Study. Journal Of Psychosomatic Research 2017, 101: 110-113. PMID: 28867415, PMCID: PMC5595666, DOI: 10.1016/j.jpsychores.2017.08.011.Peer-Reviewed Original ResearchConceptsPhysical health conditionsU.S. veteransHealth conditionsNational HealthAssaultive traumaPrevalence estimatesLifetime historyVeterans StudyMultivariable logistic regression analysisHigh blood pressureLifetime nicotine dependenceLogistic regression analysisNumerous health conditionsLower prevalence estimatesGender differencesCurrent alcohol useHigher prevalence estimatesBlood pressureMigraine headacheNicotine dependenceMale veteransHealth outcomesFemale veteransHeart attackAlcohol use
2016
Accuracy of screening for posttraumatic stress disorder in specialty mental health clinics in the U.S. Veterans Affairs Healthcare System
Tsai J, Pietrzak RH, Hoff RA, Harpaz-Rotem I. Accuracy of screening for posttraumatic stress disorder in specialty mental health clinics in the U.S. Veterans Affairs Healthcare System. Psychiatry Research 2016, 240: 157-162. PMID: 27107669, DOI: 10.1016/j.psychres.2016.04.036.Peer-Reviewed Original ResearchConceptsOEF/OIF/OND veteransPTSD diagnosisU.S. Veterans Affairs healthcare systemSpecialty mental health clinicsVeterans Affairs Healthcare SystemElectronic medical record dataOptimal screening criteriaMedical record dataStructured Clinical InterviewMental health clinicsPositive PTSD screenCharacteristic curve analysisPosttraumatic stress disorderUseful screening toolPCL-M scoresVersion criteriaPTSD screenSpecialty clinicHealth clinicsMale veteransClinical InterviewFemale veteransVeteran subgroupsYouden indexProbable PTSD
2015
U.S. Female Veterans Who Do and Do Not Rely on VA Health Care: Needs and Barriers to Mental Health Treatment
Tsai J, Mota NP, Pietrzak RH. U.S. Female Veterans Who Do and Do Not Rely on VA Health Care: Needs and Barriers to Mental Health Treatment. Psychiatric Services 2015, 66: 1200-1206. PMID: 26174948, DOI: 10.1176/appi.ps.201400550.Peer-Reviewed Original ResearchConceptsMental health service useMental health careU.S. female veteransPosttraumatic stress disorderHealth service useVA health careFemale veteransRacial-ethnic minority groupsVeterans AffairsHealth careVA patientsService useMale veteransMental health service utilizationFemale VA patientsVA service usersHealth service utilizationHealth-related functioningMental health-related functioningHealth care needsMental health treatmentSubstance use disordersMale VA patientsHigh treatment costsClinical characteristicsCharacteristics and Use of Services Among Literally Homeless and Unstably Housed U.S. Veterans With Custody of Minor Children
Tsai J, Rosenheck RA, Kasprow WJ, Kane V. Characteristics and Use of Services Among Literally Homeless and Unstably Housed U.S. Veterans With Custody of Minor Children. Psychiatric Services 2015, 66: 1083-1090. PMID: 25975888, DOI: 10.1176/appi.ps.201400300.Peer-Reviewed Original ResearchConceptsHomeless veteransChronic general medical conditionsGeneral medical conditionsSevere mental illnessVeterans Affairs programsClinical characteristicsAdmission patternsUse of servicesMedical conditionsPsychiatric disordersPsychotic disordersFemale veteransMental illnessU.S. veteransPsychosocial characteristicsSubstantial proportionVeteransWomenChildrenMenMinor childrenDisordersVAReferralIllness
2014
Dimensional structure of DSM-5 posttraumatic stress disorder symptoms: results from the National Health and Resilience in Veterans Study.
Tsai J, Harpaz-Rotem I, Armour C, Southwick SM, Krystal JH, Pietrzak RH. Dimensional structure of DSM-5 posttraumatic stress disorder symptoms: results from the National Health and Resilience in Veterans Study. The Journal Of Clinical Psychiatry 2014, 76: 546-53. PMID: 25562376, DOI: 10.4088/jcp.14m09091.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderLifetime posttraumatic stress disorderHealth-related functioningMental health-related functioningDSM-5 posttraumatic stress disorderUS veteransSymptom clustersPTSD symptom clustersNational HealthVeterans StudyPTSD symptomsQuality of lifeDysphoric Arousal modelPosttraumatic stress disorder (PTSD) symptomsDSM-5 posttraumatic stress disorder symptomsDSM-5 PTSD symptom clustersHealth outcomesFemale veteransSuicidal ideationDSM-5 PTSD symptomsStress disorderSymptomsDisorder symptomsPTSD symptomatologyVeteransHomeless Female U.S. Veterans in a National Supported Housing Program: Comparison of Individual Characteristics and Outcomes With Male Veterans
Tsai J, Rosenheck RA, Kane V. Homeless Female U.S. Veterans in a National Supported Housing Program: Comparison of Individual Characteristics and Outcomes With Male Veterans. Psychological Services 2014, 11: 309-316. PMID: 24730678, DOI: 10.1037/a0036323.Peer-Reviewed Original ResearchConceptsFemale veteransHomeless female veteransMale veteransPosttraumatic stress disorderHUD-VASHGood working allianceSupported housing programsGender differencesNoncombat traumaU.S. veteransStress disorderCombat exposureSupportive housing programCase managersMore womenHomeless veteransFamily-oriented servicesVeteransIncarceration historyAdministrative dataOutcomesFamily membersDisordersProportion of femalesCurrent study
2013
Military Sexual Assault and Homeless Women Veterans: Clinical Correlates and Treatment Preferences
Decker SE, Rosenheck RA, Tsai J, Hoff R, Harpaz-Rotem I. Military Sexual Assault and Homeless Women Veterans: Clinical Correlates and Treatment Preferences. Women's Health Issues 2013, 23: e373-e380. PMID: 24183412, DOI: 10.1016/j.whi.2013.09.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultCrime VictimsFemaleHumansIll-Housed PersonsMental HealthMiddle AgedMilitary PersonnelMultivariate AnalysisPatient Acceptance of Health CarePatient PreferencePrevalenceRetrospective StudiesRisk FactorsSelf ReportSex OffensesSocioeconomic FactorsStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMilitary sexual assaultHomeless female veteransFemale veteransSexual assaultGreater mental health symptomsMental health symptomsSerious psychological sequelaePsychological distressPsychological sequelaeHomeless women veteransHealth symptomsThird of participantsTreatment preferencesPsychiatric symptomsCurrent homelessnessVeteransWomen veteransAssaultGreater severityClinical correlatesPTSDClinical symptomsHomeless womenObservational studyHigh risk
2012
Trauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes
Tsai J, Rosenheck RA, Decker SE, Desai RA, Harpaz‐Rotem I. Trauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes. Journal Of Traumatic Stress 2012, 25: 624-632. PMID: 23225030, DOI: 10.1002/jts.21750.Peer-Reviewed Original ResearchConceptsHomeless female veteransFemale veteransLife-threatening illnessPoor physical healthType of traumaFrequency of traumaHomeless women veteransTraumatic eventsBaseline characteristicsClinical outcomesTreatment periodWomen veteransLifetime exposurePsychosocial outcomesPsychosocial functioningTrauma categoriesTraumaPhysical healthMore daysSexual assaultVeteran ProgramTrauma experiencesOutcomesIllnessVeteransTrauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes
Tsai J, Rosenheck R, Decker S, Desai R, Harpaz‐Rotem I. Trauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes. Journal Of Traumatic Stress 2012, n/a-n/a. DOI: 10.1002/j.1573-6598.2012.21750.x.Peer-Reviewed Original ResearchHomeless female veteransFemale veteransLife-threatening illnessPoor physical healthType of traumaFrequency of traumaHomeless women veteransTraumatic eventsBaseline characteristicsClinical outcomesTreatment periodWomen veteransLifetime exposurePsychosocial outcomesPsychosocial functioningTrauma categoriesTraumaPhysical healthMore daysSexual assaultVeteran ProgramTrauma experiencesOutcomesIllnessVeteransComparison of Outcomes of Homeless Female and Male Veterans in Transitional Housing
Tsai J, Rosenheck RA, McGuire JF. Comparison of Outcomes of Homeless Female and Male Veterans in Transitional Housing. Community Mental Health Journal 2012, 48: 705-710. PMID: 22294507, DOI: 10.1007/s10597-012-9482-5.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedFemaleFollow-Up StudiesHumansIll-Housed PersonsInterviews as TopicMaleMental DisordersMiddle AgedOutcome Assessment, Health CarePublic HousingResidential TreatmentRisk FactorsSex CharacteristicsSocioeconomic FactorsSubstance-Related DisordersTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMale veteransFemale veteransComparison of outcomesEpisodes of treatmentMore psychiatric symptomsSubstance use disordersQuality of lifeBaseline differencesHomeless female veteransOutcome measuresPsychiatric symptomsUse disordersMulti-site studyMental healthSubstance useMale participantsVeteransOverall gender differencesFemale participantsTransitional housingOutcomesGender differencesTransitional housing programsDifferent outcomesParticipants