2024
Mental Health Apps and U.S. Military Veterans: Perceived Importance and Utilization of the National Center for Posttraumatic Stress Disorder App Portfolio
Jaworski B, Ramsey K, Taylor K, Heinz A, Senti S, Mackintosh M, Rosen C, Owen J, Pietrzak R. Mental Health Apps and U.S. Military Veterans: Perceived Importance and Utilization of the National Center for Posttraumatic Stress Disorder App Portfolio. Psychological Services 2024, 21: 538-551. PMID: 37917475, DOI: 10.1037/ser0000806.Peer-Reviewed Original ResearchMental health appsPosttraumatic stress disorderU.S. veteransHealth appsStress disorderVeterans Affairs (VA) National CenterMental health treatmentLower household incomeMore mental health concernsSelf-management appMental health concernsU.S. military veteransNeeds of veteransMedical conditionsGeneral populationVeteran populationHealth treatmentWhite veteransHealth concernConsistent associationVariety of barriersHealth careMilitary veteransBlack veteransVeteransObstructive Respiratory Disease in U.S. Veterans: Prevalence, Characteristics, and Health Burden
Bamonti P, Fischer I, Moye J, Poghosyan H, Pietrzak R. Obstructive Respiratory Disease in U.S. Veterans: Prevalence, Characteristics, and Health Burden. Journal Of Psychiatric Research 2024, 176: 140-147. PMID: 38857555, DOI: 10.1016/j.jpsychires.2024.05.053.Peer-Reviewed Original ResearchPhysical health burdenNationally representative sampleU.S. veteransObstructive respiratory diseaseHealth burdenRepresentative sampleNational Health and ResiliencePhysical health characteristicsRespiratory diseaseSecondary data analysisSevere somatic symptomsHealth characteristicsVA healthcareVeterans StudyTrauma burdenLow-incomeSomatic symptomsPosttraumatic stressMultivariate regression analysisVeteransMedical conditionsCurrent suicidal ideationGeneralized anxiety disorderMedical comorbiditiesNicotine use disorderWell-being domains in U.S. military veterans: identifying modifiable factors to promote whole health.
Fischer I, Na P, Feldman D, Krist A, Kudler H, Jeste D, Pietrzak R. Well-being domains in U.S. military veterans: identifying modifiable factors to promote whole health. International Psychogeriatrics 2024, 1-7. PMID: 38770709, DOI: 10.1017/s1041610224000589.Peer-Reviewed Original ResearchU.S. military veteransPromotion of overall healthModifiable factorsWell-beingU.S. Department of Veterans AffairsMilitary veteransDepartment of Veterans AffairsAnalyzed cross-sectional dataModel of healthcareDisease-centred modelNationally representative samplePromote well-beingWell-being domainsWhole healthCross-sectional dataModifiable healthVeterans AffairsSocial supportPsychosocial correlatesOverall healthSocioeconomic well-beingU.S. veteransDisease preventionSocioeconomic domainsRepresentative sampleFunctional significance of posttraumatic growth in U.S. military veterans
Gower T, Fischer I, Tsai J, Kang H, Na P, Tedeschi R, Pietrzak R. Functional significance of posttraumatic growth in U.S. military veterans. Journal Of Affective Disorders 2024, 356: 267-273. PMID: 38614442, DOI: 10.1016/j.jad.2024.04.046.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPosttraumatic stress disorder symptomsPosttraumatic growthPsychosocial functioningTraumatic eventsTrauma-exposed U.S. veteransNational Health and ResilienceMale veteran samplePost-trauma functioningPattern of findingsRetrospective self-reportsU.S. military veteransVeteran sampleStress disorderVeterans StudyExamined relationsCross-sectional designMilitary veteransNationally representative sampleU.S. veteransAssociated with functionsPhysical functionClinical interventionsPsychosocial characteristicsVeteransGeneralized anxiety and mild anxiety symptoms in U.S. military veterans: Prevalence, characteristics, and functioning
Macdonald-Gagnon G, Stefanovics E, Potenza M, Pietrzak R. Generalized anxiety and mild anxiety symptoms in U.S. military veterans: Prevalence, characteristics, and functioning. Journal Of Psychiatric Research 2024, 171: 263-270. PMID: 38325107, DOI: 10.1016/j.jpsychires.2024.02.013.Peer-Reviewed Original ResearchConceptsGeneralized anxiety disorderMild anxiety symptomsAnxiety symptomsMilitary veteransU.S. veteransCorrelates of generalized anxiety disorderCorrelates of anxiety symptomsAnxiety symptom severityU.S. military veteransAnxiety disordersGeneralized anxietyPoor mental healthSuicidal thoughtsSymptom severityMental disordersExcessive anxietyAnxietyMagnitude associationsMental healthFunctional impairmentVeteransFunctional correlatesClinical samplesNationally representative sampleSymptomsFirearm storage practices among military veterans in the United States: Findings from a nationally representative survey
Nichter B, Hill M, Fischer I, Panza K, Kline A, Na P, Norman S, Rowcliffe M, Pietrzak R. Firearm storage practices among military veterans in the United States: Findings from a nationally representative survey. Journal Of Affective Disorders 2024, 351: 82-89. PMID: 38280567, DOI: 10.1016/j.jad.2024.01.179.Peer-Reviewed Original ResearchConceptsFirearm storage practicesContemporary population-based dataNational Health and ResiliencePromote safe firearm storageTrauma exposureAssociated with increased risk of suicidePopulation-based dataCross-sectional designStorage of firearmsAssociated with increased riskRisk of suicideNationally representative surveyDrug use disordersHealthcare professionalsSociodemographic characteristicsVeterans StudyFirearm storageTraumatic brain injuryU.S. veteransService membersMilitary veteransStorage practicesTraining initiativesVeteransRisk statusNegative aging stereotypes in U.S. military veterans: results from the National Health and Resilience in Veterans Study.
Georgescu M, Fischer I, Beydoun M, Pietrzak R. Negative aging stereotypes in U.S. military veterans: results from the National Health and Resilience in Veterans Study. International Psychogeriatrics 2024, 1-6. PMID: 38230487, DOI: 10.1017/s1041610223004507.Peer-Reviewed Original ResearchNegative age stereotypesU.S. military veteransHealth conditionsAge stereotypesU.S. veteransMilitary veteransNational Health and ResilienceOlder ageNationally representative sampleNon-veteransPromote healthCognitive healthPsychosocial factorsEmotional healthVeterans StudyRelative weight analysisRepresentative sampleVeteransHealthLow gritCognitive agingIndependent correlatesIncreased riskEmotional stabilityEmotional aging
2023
Functional decline during the COVID‐19 pandemic among U.S. military veterans: Results from the National Health and Resilience in Veterans Study
Morse J, Fischer I, Na P, Afari N, Pietrzak R. Functional decline during the COVID‐19 pandemic among U.S. military veterans: Results from the National Health and Resilience in Veterans Study. International Journal Of Geriatric Psychiatry 2023, 38: e6040. PMID: 38072628, DOI: 10.1002/gps.6040.Peer-Reviewed Original ResearchConceptsAdverse childhood experiencesFunctional declineU.S. military veteransGreater adverse childhood experiencesNational HealthPhysical functioningVeterans StudyIdentification of veteransSubstantial health problemPhysical functional declineMilitary veteransMental functioningU.S. adult populationStress symptomsStrongest correlatePrevalence of veteransProtective psychosocial characteristicsMultivariable analysisPosttraumatic stress symptomsHealth problemsU.S. veteransAdult populationImprovement 1Coronavirus diseaseOlder ageEvaluating a novel 8-factor dimensional model of PTSD in U.S. military veterans: Results from the National Health and Resilience in Veterans Study
Stiltner B, Fischer I, Duek O, Polimanti R, Harpaz-Rotem I, Pietrzak R. Evaluating a novel 8-factor dimensional model of PTSD in U.S. military veterans: Results from the National Health and Resilience in Veterans Study. Journal Of Affective Disorders 2023, 346: 303-307. PMID: 37979626, DOI: 10.1016/j.jad.2023.11.041.Peer-Reviewed Original ResearchConceptsIndex traumaPTSD symptomsNational HealthPosttraumatic stress disorder (PTSD) symptomsVeterans StudyMilitary veteransTrauma-exposed populationsClinician-administered interviewU.S. military veteransConfirmatory factor analysisDSM-5 modelStrong significant associationTrauma exposureIntrusive symptomsDisorder symptomsCombat exposureHigh riskU.S. veteransDSM-5Significant associationSymptomsInterpersonal violenceFactor analysisPTSDScarce researchPrevalence, Correlates, and Psychiatric Burden of Prolonged Grief Disorder in U.S. Military Veterans: Results From a Nationally Representative Study
Na P, Fischer I, Shear K, Pietrzak R. Prevalence, Correlates, and Psychiatric Burden of Prolonged Grief Disorder in U.S. Military Veterans: Results From a Nationally Representative Study. American Journal Of Geriatric Psychiatry 2023, 31: 543-548. PMID: 36878740, PMCID: PMC11143540, DOI: 10.1016/j.jagp.2023.02.007.Peer-Reviewed Original ResearchConceptsIndependent risk factorMajor depressive disorderUnited States veteransCoronavirus disease 2019Substance use disordersPost-traumatic stress disorderGrief disorderAdverse childhood experiencesNon-natural causesU.S. military veteransPoint prevalenceNationally Representative StudyFemale sexNational HealthRepresentative studyRisk factorsDepressive disorderPsychiatric burdenDisease 2019States veteransAdditional adjustmentPsychiatric disordersProlonged Grief DisorderUse disordersU.S. veteransSex-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 correlatePrevalenceIdeationSubjective cognitive difficulties and posttraumatic stress disorder interact to increase suicide risk among middle-aged and older US military veterans.
Cations M, Cook J, Nichter B, Esterlis I, Pietrzak R. Subjective cognitive difficulties and posttraumatic stress disorder interact to increase suicide risk among middle-aged and older US military veterans. International Psychogeriatrics 2023, 1-9. PMID: 36756753, DOI: 10.1017/s1041610222001053.Peer-Reviewed Original ResearchPosttraumatic stress disorderSubjective cognitive difficultiesCurrent suicidal intentSuicidal intentSuicidal ideationPatient Health Questionnaire-9Suicide riskStress disorderCurrent posttraumatic stress disorderMilitary veteransCross-sectional studyUnited States military veteransUS military veteransCognitive Functioning ScaleOlder U.S. veteransCognitive difficultiesSubjective cognitive impairmentQuestionnaire-9US veteransNational HealthSuicide Behaviors QuestionnaireOlder veteransCognitive impairmentConcentration difficultiesU.S. veteransPrevalence, characteristics, and health burden of rheumatoid arthritis in the U.S. veteran population
Morse J, Afari N, Norman S, Guma M, Pietrzak R. Prevalence, characteristics, and health burden of rheumatoid arthritis in the U.S. veteran population. Journal Of Psychiatric Research 2023, 159: 224-229. PMID: 36746059, DOI: 10.1016/j.jpsychires.2023.01.039.Peer-Reviewed Original ResearchConceptsAlcohol use disorderSubthreshold posttraumatic stress disorderPosttraumatic stress disorderRheumatoid arthritisMental health burdenHealth burdenU.S. veteransMedical conditionsSomatic symptomsLifetime alcohol use disorderMale U.S. veteransConditions/symptomsSevere somatic symptomsU.S. veteran populationU.S. military veteransMultivariable analysisTrauma burdenIndependent associationNational HealthRepresentative sampleCurrent insomniaPsychiatric characteristicsUse disordersVeteran populationGreater severity
2022
Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans
Stefanovics E, Potenza M, Tsai J, Pietrzak R. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans. Journal Of Gambling Studies 2022, 39: 1077-1097. PMID: 36378356, DOI: 10.1007/s10899-022-10165-z.Peer-Reviewed Original ResearchConceptsCurrent psychiatric diagnosisU.S. military veteransUse disordersPsychiatric diagnosisMilitary veteransU.S. veteransDrug use disordersMental health treatmentSubstance use disordersChi-square testClinical characteristicsTrauma burdenNational HealthAdjusted associationsRoutine screeningClinical measuresRecreational gamblingCurrent prevalenceMale veteransHealth treatmentHigher household incomeSuicidal ideationVeterans StudyLogistic regressionExtensive involvementPrevalence and characteristics associated with firearm ownership among low-income U.S. veterans
Tsai J, Testa A, Pietrzak R, Elbogen E. Prevalence and characteristics associated with firearm ownership among low-income U.S. veterans. Military Psychology 2022, 35: 132-141. PMID: 37133491, PMCID: PMC10013543, DOI: 10.1080/08995605.2022.2086415.Peer-Reviewed Original ResearchConceptsU.S. veteransMental health characteristicsLogistic regression analysisU.S. veteran populationMental health correlatesHierarchical logistic regression analysisU.S. military veteransClinical characteristicsAssociated sociodemographicFirearm ownershipHealth characteristicsVeteran populationSignificant associationTrauma exposureHealth correlatesPrevalenceMilitary veteransVeteransRegression analysisFirearm misuseRepresentative studyFirearm ownersSociodemographicsTrauma
2020
Self‐reported exercise frequency and PTSD: results from the National Health and Resilience in Veterans Study
Adams T, Forte J, Fogle B, Southwick S, Pietrzak R. Self‐reported exercise frequency and PTSD: results from the National Health and Resilience in Veterans Study. Acta Psychiatrica Scandinavica 2020, 142: 486-495. PMID: 32961606, DOI: 10.1111/acps.13234.Peer-Reviewed Original ResearchConceptsProbable posttraumatic stress disorderPosttraumatic stress disorderSelf-reported exercise frequencyExercise frequencyNational HealthDaily exercisePhysical exerciseGreater severityVeterans StudyDays/weekMilitary veteransPopulation-based sampleAnxious arousal symptomsU.S. military veteransWeekly exerciseRe-experiencing symptomsU.S. veteransClinical implicationsProtective factorsStress disorderArousal symptomsCross-sectional dataPrevalenceSeverityVeterans
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 Checklist
2014
Functional significance of a novel 7-factor model of DSM-5 PTSD symptoms: Results from the National Health and Resilience in Veterans Study
Pietrzak RH, Tsai J, Armour C, Mota N, Harpaz-Rotem I, Southwick SM. Functional significance of a novel 7-factor model of DSM-5 PTSD symptoms: Results from the National Health and Resilience in Veterans Study. Journal Of Affective Disorders 2014, 174: 522-526. PMID: 25556669, DOI: 10.1016/j.jad.2014.12.007.Peer-Reviewed Original ResearchConceptsQuality of lifePosttraumatic stress disorderDSM-5 PTSD symptomsPTSD symptomsNational HealthU.S. veteransSuicidal ideationVeterans StudySymptom clustersDysphoric arousal symptomsCross-sectional designFunctional outcomePsychiatric comorbidityClinical significancePTSD symptom clustersCurrent depressionDSM-5 PTSD symptom clustersPTSD phenotypeMental disordersSymptomsComorbid psychopathologyStress disorderFunctional correlatesStatistical ManualTreatment efforts