2023
Understanding veteran barriers to specialty outpatient PTSD clinical care
Rozek D, Steigerwald V, Baker S, Gross G, Maieritsch K, Hoff R, Harpaz-Rotem I, Smith N. Understanding veteran barriers to specialty outpatient PTSD clinical care. Journal Of Anxiety Disorders 2023, 95: 102675. PMID: 36854224, DOI: 10.1016/j.janxdis.2023.102675.Peer-Reviewed Original ResearchConceptsSpecialty outpatient clinicsPosttraumatic stress disorderOutpatient clinicPTSD specialty clinicClinical characteristicsMale sexPTSD symptom severitySpecialty clinicWhite raceClinical careClinical concernTreatment engagementSymptom severityStress disorderClinicGreater likelihoodVeteransSignificant minorityTreatmentImpact of demographicsMulti-faceted barriersCareFiscal year 2019DemographicsNational sample
2020
Associations between patient experience and clinical outcomes in general mental health clinics: Findings from the veterans outcomes assessment survey
Katz IR, Resnick S, Hoff R. Associations between patient experience and clinical outcomes in general mental health clinics: Findings from the veterans outcomes assessment survey. Psychiatry Research 2020, 295: 113554. PMID: 33183768, DOI: 10.1016/j.psychres.2020.113554.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAmbulatory Care FacilitiesCommunicationFemaleHumansMaleMental HealthMental Health ServicesMiddle AgedOutcome Assessment, Health CarePatient Reported Outcome MeasuresPatient SatisfactionPhysician-Patient RelationsQuality of Health CareSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsGeneral mental health clinicsVeterans Outcome Assessment surveyMental health clinicsPatient experienceHealth clinicsAssessment of symptomsPatient-reported outcomesHealth Outcomes SurveyMeasurement-based careBetter patient experienceMental health careExperience of careMental health programsAssessment surveyClinical outcomesRatings of communicationFavorable outcomeTreatment outcomesPatient reportsOutcome SurveyEarly identificationHealth programsSignificant associationMental healthCareSchizophrenia symptom severity and motivations for gambling in individuals with schizophrenia or schizoaffective disorder
Fortgang RG, Hoff RA, Potenza MN. Schizophrenia symptom severity and motivations for gambling in individuals with schizophrenia or schizoaffective disorder. Psychiatry Research 2020, 291: 113281. PMID: 32763543, DOI: 10.1016/j.psychres.2020.113281.Peer-Reviewed Original ResearchConceptsPsychotic symptom severitySymptom severitySymptom dimensionsGambling onsetSpecific symptom dimensionsSchizoaffective disorderDifferent symptom dimensionsProblem-gambling severitySpecific symptom clustersCognitive distortionsGambling motivationsContext of schizophreniaElevated scoresDepressed factorPathological gamblingSymptom clustersSymptom factorsMotivationSchizophreniaGamblingPsychotic symptomsPsychotic disordersStructured faceDisordersPositive featuresUsing patient-reported outcome measures for program evaluation: Design and findings on intention-to-treat outcomes from the Veterans Outcome Assessment survey
Katz IR, Resnick SG, Kasprow WJ, Boden MT, Cherkasova E, Fielstein EM, Trafton JA, Hoff RA. Using patient-reported outcome measures for program evaluation: Design and findings on intention-to-treat outcomes from the Veterans Outcome Assessment survey. Psychiatry Research 2020, 291: 113226. PMID: 32590230, DOI: 10.1016/j.psychres.2020.113226.Peer-Reviewed Original ResearchConceptsPatient-reported outcome measuresMeasurement-based careTreat outcomesOutcome measuresGeneral mental health clinicsOngoing mental health careVeterans Outcome Assessment surveyVeterans Health Administration patientsAssessment of patientsMental health clinicsMental health treatmentMental health careProgram evaluationOngoing treatmentHealth clinicsHealth treatmentPatientsHealth careCareOutcomesTreatmentAssessment surveyClinicEvaluationFindingsValidation of a Brief Pornography Screen across multiple samples
Kraus SW, Gola M, Grubbs JB, Kowalewska E, Hoff RA, Lew-Starowicz M, Martino S, Shirk SD, Potenza MN. Validation of a Brief Pornography Screen across multiple samples. Journal Of Behavioral Addictions 2020, 9: 259-271. PMID: 32644937, PMCID: PMC8939429, DOI: 10.1556/2006.2020.00038.Peer-Reviewed Original ResearchConceptsCompulsive sexual behavior disorderMale patientsU.S. representative sampleU.S. veteransBehavior disorderHigh internal consistencyReceiver Operating Characteristic (ROC) curveCharacteristic curveOne-factor solutionFactor structureOperating Characteristic curveFive-itemPolish adultsSexual behavior disorderInternal consistencyPsychometric propertiesRepresentative sampleDiscriminant validityProblematic pornography useScoresItem endorsementStudy 1PatientsIndependent samplesCurrent gapsPerceived Stress Mediates the Association between Deployment Sexual Trauma and Nicotine Dependence in Women Veterans
Gross GM, Colon R, Bastian LA, Hoff R. Perceived Stress Mediates the Association between Deployment Sexual Trauma and Nicotine Dependence in Women Veterans. Women's Health Issues 2020, 30: 214-220. PMID: 32317136, DOI: 10.1016/j.whi.2020.03.001.Peer-Reviewed Original ResearchConceptsNicotine dependenceWomen veteransSexual traumaBaseline interview dataRates of smokingCross-sectional associationsRelated health consequencesDeleterious health outcomesPerceived stressMilitary sexual traumaRisk factorsTobacco useHayes mediation modelHealth outcomesClinical targetsHealth consequencesTraumaVeteran sampleSmokingVeteransAssociationPresent studySurvey of experiencesCivilian counterpartsSignificant mediator
2009
Gender Differences in the Association Between Body Mass Index and Psychopathology
Desai RA, Manley M, Desai MM, Potenza MN. Gender Differences in the Association Between Body Mass Index and Psychopathology. CNS Spectrums 2009, 14: 372-383. PMID: 19773713, PMCID: PMC3708686, DOI: 10.1017/s1092852900023026.Peer-Reviewed Original ResearchConceptsPsychiatric disordersWeight groupHigh body mass index groupBody mass index groupsPersonality disorderBody mass indexNormal weight respondentsAxis II psychopathologyAxis II disordersNational Epidemiologic SurveyLogistic regression modelsObese patientsObese womenMass indexWeight managementAxis IDiagnostic criteriaEpidemiologic SurveyGender differencesIndex groupMeeting criteriaPrevalence estimatesRelated conditionsAnxiety disordersDisordersA cross-sectional study of problem and pathological gambling in patients with schizophrenia/schizoaffective disorder.
Desai RA, Potenza MN. A cross-sectional study of problem and pathological gambling in patients with schizophrenia/schizoaffective disorder. The Journal Of Clinical Psychiatry 2009, 70: 1250-7. PMID: 19538900, PMCID: PMC3695825, DOI: 10.4088/jcp.08m04359.Peer-Reviewed Original ResearchConceptsSchizophrenia/schizoaffective disorderProblem/pathological gamblingSchizoaffective disorderPsychotic disordersPathological gamblingGreater alcohol use severityVA Connecticut Healthcare SystemConnecticut Mental Health CenterMental health care utilizationHealth care utilizationCross-sectional studyMental health centersHigher depression scoresLogistic regression modelsAlcohol use severityMultinomial logistic regression modelsAlcohol use problemsCare utilizationClinical correlatesOutpatient subjectsHealth centersMultivariable modelHigh riskImproved preventionDepression scoresRelationship of nicotine dependence, subsyndromal and pathological gambling, and other psychiatric disorders: data from the National Epidemiologic Survey on Alcohol and Related Conditions.
Grant JE, Desai RA, Potenza MN. Relationship of nicotine dependence, subsyndromal and pathological gambling, and other psychiatric disorders: data from the National Epidemiologic Survey on Alcohol and Related Conditions. The Journal Of Clinical Psychiatry 2009, 70: 334-43. PMID: 19254518, PMCID: PMC3691098, DOI: 10.4088/jcp.08m04211.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAlcoholismAnxiety DisordersBipolar DisorderComorbidityCross-Sectional StudiesDepressive Disorder, MajorFemaleGamblingHealth SurveysHumansMaleMental DisordersMiddle AgedPersonality DisordersPhobic DisordersRisk AssessmentSocioeconomic FactorsTobacco Use DisorderUnited StatesYoung AdultConceptsNicotine dependenceNational Epidemiologic SurveyPsychiatric disordersAxis IEpidemiologic SurveyRelated conditionsPathological gamblingPathological levelsCurrent nicotine dependenceMultiple Axis IMain outcome measuresDSM-IV nicotine dependenceNicotine-dependent subjectsMultiple psychiatric disordersProblem/pathological gamblingOutcome measuresElevated riskDependent respondentsDiagnostic criteriaSubsyndromal levelsSpecific preventionSignificant psychopathologySignificant nicotinePathological gambling severityDisorders
2008
Suicide among Discharged Psychiatric Inpatients in the Department of Veterans Affairs
Desai RA, Dausey D, Rosenheck RA. Suicide among Discharged Psychiatric Inpatients in the Department of Veterans Affairs. Military Medicine 2008, 173: 721-728. PMID: 18751586, DOI: 10.7205/milmed.173.8.721.Peer-Reviewed Original Research
2007
Gambling, Health, and Age: Data from the National Epidemiologic Survey on Alcohol and Related Conditions
Desai RA, Desai MM, Potenza MN. Gambling, Health, and Age: Data from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychology Of Addictive Behaviors 2007, 21: 431-440. PMID: 18072825, DOI: 10.1037/0893-164x.21.4.431.Peer-Reviewed Original ResearchConceptsOlder adultsPoor health measuresRecreational gamblingHealthy agingNational Epidemiologic SurveyRecreational gamblersProblem/pathological gamblingPathological gamblingGamblingLongitudinal studyNegative measuresCross-sectional dataRelated conditionsHealth measuresSocial activitiesEpidemiologic SurveyYounger respondentsAdultsOlder respondentsMeasuresGamblersAge groupsHealth effectsHealthAging
1998
The Use of VA and Non-VA Mental Health Services by Female Veterans
Hoff R, Rosenheck R. The Use of VA and Non-VA Mental Health Services by Female Veterans. Medical Care 1998, 36: 1524-1533. PMID: 9821940, DOI: 10.1097/00005650-199811000-00002.Peer-Reviewed Original ResearchConceptsNon-VA mental health servicesVA mental health servicesMental health servicesSpecialty mental health clinicsFemale veteransHealth servicesMale veteransVeterans AffairsService useMental health service useVA mental health careHealth service useMental health clinicsVA service useMental health careLogistic regression modelsHealth clinicsDiagnostic subgroupsPsychiatric diagnosisGender differencesVA servicesObjective diagnostic dataHealth careVeteransUtilization patternsThe Quality of VA Mental Health Services
Hoff R, Rosenheck R, Materko M, Wilson N. The Quality of VA Mental Health Services. Administration And Policy In Mental Health And Mental Health Services Research 1998, 26: 45-56. PMID: 9866234, DOI: 10.1023/a:1021217420121.Peer-Reviewed Original ResearchConceptsMental health careInpatient careVA mental health servicesVA mental health careHealth careMental health servicesSpecific health behaviorsMental health programsOutpatient carePsychiatric diagnosisHealth behaviorsFemale veteransHealth servicesHealth programsMeasures of qualityCareStudy sampleObjective measuresWomenDiagnosisLong-Term Patterns of Service Use and Cost Among Patients With Both Psychiatric and Substance Abuse Disorders
Hoff R, Rosenheck R. Long-Term Patterns of Service Use and Cost Among Patients With Both Psychiatric and Substance Abuse Disorders. Medical Care 1998, 36: 835-843. PMID: 9630125, DOI: 10.1097/00005650-199806000-00007.Peer-Reviewed Original ResearchMeSH KeywordsAnalysis of VarianceComorbidityCross-Sectional StudiesFemaleHealth Services ResearchHospital CostsHospitals, VeteransHumansLongitudinal StudiesMaleMental DisordersMental Health ServicesMiddle AgedOutpatient Clinics, HospitalPsychiatric Department, HospitalSubstance-Related DisordersTime FactorsUnited StatesConceptsHigher health care costsSubstance abuse disordersHealth care costsAbuse disordersCare costsVeterans Affairs (VA) health careCohort of inpatientsIntensive outpatient servicesCohort of veteransMental health servicesSubstance abuse careMental health programsType of careInpatient cohortFiscal year 1991Outpatient careOutpatient servicesPsychiatric patientsService usePatientsHealth servicesPsychiatric outpatientsHealth programsOutpatientsCohortTrends Over a Decade for a General Hospital Psychiatry Unit
Druss B, Bruce M, Jacobs S, Hoff R. Trends Over a Decade for a General Hospital Psychiatry Unit. Administration And Policy In Mental Health And Mental Health Services Research 1998, 25: 427-435. PMID: 10582385, DOI: 10.1023/a:1022296608777.Peer-Reviewed Original ResearchConceptsPsychiatry unitGeneral hospital psychiatry unitAssociation of clinicalLikelihood of readmissionLength of stayInpatient psychiatry unitMore readmissionsInitial treatmentInpatient carePsychotic diagnosesDemographic dataReadmissionInadequate lengthVulnerable populationsStayShorter lengthSicker GroupDelivery of servicesPatientsAdmissionClinicalHospitalDiagnosis