2024
Generalized 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 sampleSymptoms
2023
Gambling participation among Connecticut adolescents from 2007 to 2019: Potential risk and protective factors
Stefanovics E, Gueorguieva R, Zhai Z, Potenza M. Gambling participation among Connecticut adolescents from 2007 to 2019: Potential risk and protective factors. Journal Of Behavioral Addictions 2023, 12: 490-499. PMID: 37335777, PMCID: PMC10316163, DOI: 10.1556/2006.2023.00027.Peer-Reviewed Original ResearchConceptsPrevalence of gamblingGambling participationPatterns of gamblingSocial supportSocial support programsGambling advertisementsTraumatic experiencesMedia coverageState of ConnecticutSocio-demographic characteristicsAffective concernsSubstance useConnecticut high school studentsGamblingAdolescent gamblingAnonymous self-completed questionnairePotential risk factorsParticipationSupport programsPublic health concernSelf-completed questionnaireCurrent substance useSocio-demographic dataCross-sectional surveyWarrants further studyChronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences
Stefanovics E, Potenza M, Szymkowiak D, Tsai J. Chronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences. Journal Of Psychiatric Research 2023, 164: 118-124. PMID: 37339548, DOI: 10.1016/j.jpsychires.2023.05.062.Peer-Reviewed Original ResearchConceptsPsychiatric treatmentGambling disorderChi-square testChronic homelessnessClinical correlatesDescriptive epidemiologyLow educational attainmentElevated oddsSuicidal thoughtsLogistic regressionTraumatic experiencesMental healthSubstance useHomeless veteransHomeless ProgramVeteransTreatmentLower ratesEpidemiologyBehavioral concernsDisordersStudy of factorsCorrelatesAnalysis of varianceEducational attainmentSex-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
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 involvementWomen’s Use of Substance Use Disorder Treatment Services: Rates, Correlates, and Comparisons to Men
Falker CG, Stefanovics EA, Rhee TG, Rosenheck RA. Women’s Use of Substance Use Disorder Treatment Services: Rates, Correlates, and Comparisons to Men. Psychiatric Quarterly 2022, 93: 737-752. PMID: 35661318, DOI: 10.1007/s11126-022-09989-0.Peer-Reviewed Original ResearchConceptsSubstance use disordersSUD treatmentSubstance use disorder treatment servicesDSM-5 SUD diagnosesSUD treatment useReceipt of treatmentPast-year treatmentDisorder treatment servicesTreatment receiptSUD diagnosisTreatment useService useUse disordersGender differencesTreatment servicesWomenSignificant gender differencesMenSignificant differencesTreatmentSpite of evidenceWomen's useReceiptCorrelatesLittle informationGender 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 diagnosisLong-term impact of the U.S. Armed forces Zero-Tolerance drug policy on female veterans
Stefanovics EA, Rhee TG, Rosenheck RA. Long-term impact of the U.S. Armed forces Zero-Tolerance drug policy on female veterans. Journal Of Addictive Diseases 2021, 40: 26-34. PMID: 33988491, DOI: 10.1080/10550887.2021.1922049.Peer-Reviewed Original ResearchConceptsSubstance use disordersUse disordersSubstance useMultivariate interaction analysisSubstance use diagnosesAlcohol use disorderIllicit substance useLong-term effectsUse diagnosesPsychiatric disordersPsychiatric diagnosisFemale veteransYounger groupOlder groupCohortDisordersU.S. Armed ForcesVeteransVeteran statusNational survey dataDiagnosisWomenSignificant changesAge cohortsLong-term impactImpact of COVID-19–Related Social Distancing on Delivery of Intensive Case Management
Rosenheck R, Johnson B, Deegan D, Stefanovics E. Impact of COVID-19–Related Social Distancing on Delivery of Intensive Case Management. The Journal Of Nervous And Mental Disease 2021, 209: 543-546. PMID: 34009864, DOI: 10.1097/nmd.0000000000001358.Peer-Reviewed Original ResearchConceptsTherapeutic allianceVeterans Affairs Medical CenterTreatment of adultsCOVID-19-Related Social DistancingSerious mental illnessIntensive case managementMore telephone contactsCommunity-based careCommunity-based treatment programsSocial distancingSelf-reported declineClinical statusTelephone contactMedical CenterService deliveryClinical status indicatorsMental illnessTreatment programCase managementFace service deliveryCOVID-19Status indicatorsVeteransParallel declineDeliverySex Differences in Opioid Use Disorder Prevalence and Multimorbidity Nationally in the Veterans Health Administration
Peltier MR, Sofuoglu M, Petrakis IL, Stefanovics E, Rosenheck RA. Sex Differences in Opioid Use Disorder Prevalence and Multimorbidity Nationally in the Veterans Health Administration. Journal Of Dual Diagnosis 2021, 17: 124-134. PMID: 33982642, PMCID: PMC8887838, DOI: 10.1080/15504263.2021.1904162.Peer-Reviewed Original ResearchConceptsOpioid use disorderPain-related diagnosesVeterans Health AdministrationSex-specific differencesAnxiolytics/sedatives/hypnoticsRates of OUDHealth AdministrationFemale veteransOpioid use disorder prevalenceOpioid agonist medicationsVHA health carePeripheral vascular diseaseHealth service utilizationPatterns of multimorbiditySedative/hypnoticsSex-specific treatmentsCo-occurring disordersSubstance use treatmentHigh rateSubstantial sex-specific differencesAgonist prescriptionAgonist medicationsRelated complicationsRenal diseaseVHA patientsAssociation of the Military Transition to an All-Volunteer Force and Subsequent Zero-Tolerance Drug Policy with Characteristics of Male Veterans in the Vietnam, Post-Vietnam and Subsequent Post-Post Vietnam Cohorts
Rosenheck R, Stefanovics E, Rhee TG. Association of the Military Transition to an All-Volunteer Force and Subsequent Zero-Tolerance Drug Policy with Characteristics of Male Veterans in the Vietnam, Post-Vietnam and Subsequent Post-Post Vietnam Cohorts. Psychiatric Quarterly 2021, 92: 1129-1145. PMID: 33587258, DOI: 10.1007/s11126-021-09882-2.Peer-Reviewed Original ResearchPersonality 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
Estimated Proportions and Characteristics of National Survey Respondents Reporting New Diagnoses of Schizophrenia or Other Psychoses in the Past Year as Compared With Prior Years.
Bommersbach T, Rhee TG, Stefanovics E, Rosenheck R. Estimated Proportions and Characteristics of National Survey Respondents Reporting New Diagnoses of Schizophrenia or Other Psychoses in the Past Year as Compared With Prior Years. The Journal Of Nervous And Mental Disease 2020, 209: 65-70. PMID: 33141782, DOI: 10.1097/nmd.0000000000001259.Peer-Reviewed Original ResearchConceptsSubstance use disordersUse disordersEarly psychosisPast-year substance use disorderInfrequency of casesFirst-time diagnosisFirst-episode psychosisPopulation-based estimatesNational Epidemiologic SurveyAlcohol use disorderRelated Conditions-IIINational survey respondentsMean ageEpidemiologic dataGeneral populationNew diagnosisEpidemiologic SurveyOlder populationPrevious yearPsychosisSchizophreniaPast yearDiagnosisDisordersSimilar elevationsImpact 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 sampleInitiating Opioid Agonist Treatment for Opioid use Disorder Nationally in the Veterans Health Administration: Who Gets What?
Manhapra A, Stefanovics E, Rosenheck R. Initiating Opioid Agonist Treatment for Opioid use Disorder Nationally in the Veterans Health Administration: Who Gets What? Substance Abuse 2020, 41: 110-120. PMID: 31403914, DOI: 10.1080/08897077.2019.1640831.Peer-Reviewed Original ResearchConceptsOpioid agonist treatmentOpioid use disorderMethadone maintenance treatmentUse disordersOAT initiationAgonist treatmentHigher oddsMultivariate logistic regression modelVeterans Health AdministrationNational administrative dataDrug use variablesLogistic regression modelsMMT initiationPatient characteristicsIndependent predictorsMaintenance treatmentBlack raceFiscal year 2012Inpatient treatmentLower oddsBuprenorphineHealth AdministrationOpioid crisisSociodemographic characteristicsPatients
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 riskComparing Outcomes of Women‐Only and Mixed‐Gender Intensive Posttraumatic Stress Disorder Treatment for Female Veterans
Stefanovics EA, Rosenheck RA. Comparing Outcomes of Women‐Only and Mixed‐Gender Intensive Posttraumatic Stress Disorder Treatment for Female Veterans. Journal Of Traumatic Stress 2019, 32: 606-615. PMID: 31361360, DOI: 10.1002/jts.22417.Peer-Reviewed Original ResearchConceptsFemale veteransMixed-gender programsOutcomes of womenNational program evaluation dataPosttraumatic stress disorder (PTSD) treatmentProgram entryLonger lengthTotal PTSD symptomsPTSD total scoreBaseline characteristicsPrimary outcomePTSD symptom levelsComparing outcomesSecondary measuresWomen veteransAssessment subscaleDisorders ProgramPosttraumatic Stress Disorder (CR for PTSD) programDisorder treatmentOutcome assessmentSuperior outcomesProgram evaluation dataPTSD symptomsSymptom levelsTotal scoreAdverse Consequences of Co-Occurring Opioid Use Disorder and Cannabis Use Disorder Compared to Opioid Use Disorder Only
De Aquino JP, Sofuoglu M, Stefanovics E, Rosenheck R. Adverse Consequences of Co-Occurring Opioid Use Disorder and Cannabis Use Disorder Compared to Opioid Use Disorder Only. The American Journal Of Drug And Alcohol Abuse 2019, 45: 527-537. PMID: 31112429, DOI: 10.1080/00952990.2019.1607363.Peer-Reviewed Original ResearchConceptsDrug use disordersOpioid use disorderUse disordersOpioid prescriptionsCo-occurring opioid use disordersNational Veterans Health Administration dataVeterans Health Administration dataCo-occurring opioidEmergency department visitsHealth Administration dataInpatient psychiatric admissionCannabis use disorderOpioid prescribingClinical characteristicsED visitsDepartment visitsInpatient admissionsPsychiatric admissionsFiscal year 2012Lower riskPatientsBivariate analysisAdministration dataDisordersHigher likelihood