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Jean Crowell Beckham

Professor in Psychiatry and Behavioral Sciences
Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences
3625, Durham, NC 27710
Box 3625, Durham, NC 27710

Selected Publications


Behavioral activation for veterans with co-occurring alcohol use disorder and posttraumatic stress disorder: Basis and methodology for a pilot randomized controlled trial.

Journal Article Contemp Clin Trials · November 2024 BACKGROUND: Nearly 2 million U.S. veterans live with co-occurring alcohol use disorder and posttraumatic stress disorder (AUD/PTSD). Extant AUD/PTSD treatments emphasize symptom reduction, sometimes overlooking psychosocial functioning improvements, and ha ... Full text Link to item Cite

Nurse-Supported Self-Directed Cognitive Behavioral Therapy for Insomnia: A Randomized Clinical Trial.

Journal Article JAMA Intern Med · November 1, 2024 IMPORTANCE: Cognitive behavioral therapy for insomnia (CBTi) is the standard of care for treating insomnia disorder, but access is limited. Alternative approaches are needed to expand access to the standard of care. OBJECTIVE: To examine the effectiveness ... Full text Link to item Cite

Black Americans With Sickle Cell Disease (SCD) Demonstrate Accelerated Epigenetic Pace of Aging Compared to Black Americans Without SCD.

Journal Article J Gerontol A Biol Sci Med Sci · November 1, 2024 BACKGROUND: Sickle cell disease (SCD) is a chronic medical condition characterized by red blood cell sickling, vaso-occlusion, hemolytic anemia, and subsequently, end-organ damage and reduced survival. Because of this significant pathophysiology and early ... Full text Link to item Cite

Analyses of GWAS signal using GRIN identify additional genes contributing to suicidal behavior.

Journal Article Communications biology · October 2024 Genome-wide association studies (GWAS) identify genetic variants underlying complex traits but are limited by stringent genome-wide significance thresholds. We present GRIN (Gene set Refinement through Interacting Networks), which increases confidence in t ... Full text Cite

The association of military sexual assault and nonsuicidal self-injury in U.S. Gulf War-I era veterans.

Journal Article Mil Psychol · September 2, 2024 Military sexual assault (MSA) is a prevalent issue among military personnel that has been linked to adverse mental and physical health outcomes, including posttraumatic stress disorder (PTSD) and suicidal thoughts and behaviors. The present study sought to ... Full text Link to item Cite

Examination of PTSD symptom networks over the course of cognitive processing therapy.

Journal Article Psychol Trauma · September 2024 OBJECTIVES: Cognitive processing therapy (CPT) is an evidence-based psychotherapy for posttraumatic stress disorder (PTSD); however, little is known about how interrelationships between PTSD symptoms change over the course of treatment. The current study e ... Full text Link to item Cite

Correlates of suicidal behaviors and genetic risk among United States veterans with schizophrenia or bipolar I disorder.

Journal Article Mol Psychiatry · August 2024 Persons diagnosed with schizophrenia (SCZ) or bipolar I disorder (BPI) are at high risk for self-injurious behavior, suicidal ideation, and suicidal behaviors (SB). Characterizing associations between diagnosed health problems, prior pharmacological treatm ... Full text Link to item Cite

Subjective cognitive concerns, APOE ε4, PTSD symptoms, and risk for dementia among older veterans.

Journal Article Alzheimers Res Ther · June 29, 2024 BACKGROUND: Posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) are associated with self-reported problems with cognition as well as risk for Alzheimer's disease and related dementias (ADRD). Overlapping symptom profiles observed in cogni ... Full text Link to item Cite

Evaluation of the critical warzone experiences scale among Gulf War I-era veterans: Associations with PTSD symptoms, depressive symptoms, and suicidal thoughts and behaviors.

Journal Article Mil Psychol · June 7, 2024 Prior research has established the psychometric properties of the Critical Warzone Experiences (CWE) scale among post-9/11 Iraq/Afghanistan-era veterans; however, the psychometric properties of the CWE among Gulf War I-era veterans have not yet been establ ... Full text Link to item Cite

Demographic characteristics and epigenetic biological aging among post-9/11 veterans: Associations of DunedinPACE with sex, race, and age.

Journal Article Psychiatry Res · June 2024 Measures of epigenetic aging derived from DNA methylation (DNAm) have enabled the assessment of biological aging in new populations and cohorts. In the present study, we used an epigenetic measure of aging, DunedinPACE, to examine rates of aging across dem ... Full text Link to item Cite

Deployment-related toxic exposures are associated with worsening mental and physical health after military service: Results from a self-report screening of veterans deployed after 9/11.

Journal Article J Psychiatr Res · June 2024 Exposure to toxins-such as heavy metals and air pollution-can result in poor health and wellbeing. Recent scientific and media attention has highlighted negative health outcomes associated with toxic exposures for U.S. military personnel deployed overseas. ... Full text Link to item Cite

Mental health treatment utilization among Gulf War era veterans with probable alcohol use disorder.

Journal Article J Subst Use Addict Treat · May 2024 INTRODUCTION: Alcohol use disorder (AUD) is prevalent among veterans, and excessive alcohol use is associated with significant mental and physical health consequences. Currently, the largest cohort of veterans seeking services at the VA are those from the ... Full text Link to item Cite

Genome-wide association analyses identify 95 risk loci and provide insights into the neurobiology of post-traumatic stress disorder.

Journal Article Nat Genet · May 2024 Post-traumatic stress disorder (PTSD) genetics are characterized by lower discoverability than most other psychiatric disorders. The contribution to biological understanding from previous genetic studies has thus been limited. We performed a multi-ancestry ... Full text Link to item Cite

Heterogeneous associations between interleukin-6 receptor variants and phenotypes across ancestries and implications for therapy.

Journal Article Sci Rep · April 5, 2024 The Phenome-Wide Association Study (PheWAS) is increasingly used to broadly screen for potential treatment effects, e.g., IL6R variant as a proxy for IL6R antagonists. This approach offers an opportunity to address the limited power in clinical trials to s ... Full text Link to item Cite

Posttraumatic Stress Disorder Is Associated With Elevated Risk of Incident Stroke and Transient Ischemic Attack in Women Veterans.

Journal Article J Am Heart Assoc · March 5, 2024 BACKGROUND: Posttraumatic stress disorder (PTSD) has been associated with ischemic heart disease in women veterans, but evidence for associations with other cardiovascular disorders remains limited in this population. This retrospective longitudinal cohort ... Full text Link to item Cite

Development and Implementation of Web-Based Safety Planning Intervention Training for Firefighter Peer Support Specialists.

Journal Article Crisis · March 2024 Background: Recent findings indicate that firefighters may be at increased risk for death by suicide; however, there has been only limited suicide prevention work in fire service to date. Aim: The objective of this program evaluation project was to develop ... Full text Link to item Cite

Genome-wide DNA methylation analysis of cannabis use disorder in a veteran cohort enriched for posttraumatic stress disorder.

Journal Article Psychiatry Res · March 2024 Cannabis use has been increasing over the past decade, not only in the general US population, but particularly among military veterans. With this rise in use has come a concomitant increase in cannabis use disorder (CUD) among veterans. Here, we performed ... Full text Link to item Cite

Correlates of Risk for Disinhibited Behaviors in the Million Veteran Program Cohort.

Journal Article JAMA Psychiatry · February 1, 2024 IMPORTANCE: Many psychiatric outcomes share a common etiologic pathway reflecting behavioral disinhibition, generally referred to as externalizing (EXT) disorders. Recent genome-wide association studies (GWASs) have demonstrated the overlap between EXT dis ... Full text Link to item Cite

Potential causal association between gut microbiome and posttraumatic stress disorder.

Journal Article Transl Psychiatry · January 31, 2024 BACKGROUND: The causal effects of gut microbiome and the development of posttraumatic stress disorder (PTSD) are still unknown. This study aimed to clarify their potential causal association using mendelian randomization (MR). METHODS: The summary-level st ... Full text Open Access Link to item Cite

High dimensional predictions of suicide risk in 4.2 million US Veterans using ensemble transfer learning.

Journal Article Sci Rep · January 20, 2024 We present an ensemble transfer learning method to predict suicide from Veterans Affairs (VA) electronic medical records (EMR). A diverse set of base models was trained to predict a binary outcome constructed from reported suicide, suicide attempt, and ove ... Full text Link to item Cite

Posttraumatic stress disorder, trauma, and accelerated biological aging among post-9/11 veterans.

Journal Article Transl Psychiatry · January 6, 2024 People who experience trauma and develop posttraumatic stress disorder (PTSD) are at increased risk for poor health. One mechanism that could explain this risk is accelerated biological aging, which is associated with the accumulation of chronic diseases, ... Full text Open Access Link to item Cite

Experiential Avoidance, Pain, and Suicide Risk in a National Sample of Gulf War Veterans.

Journal Article Arch Suicide Res · 2024 OBJECTIVE: Pain confers risk for suicidal thoughts and behaviors. Experiential avoidance (EA), which is relevant to both pain and suicide risk, has not been studied as a potential mechanism for this relationship. The present study tested the hypothesis tha ... Full text Link to item Cite

Nonsuicidal self-injury among veterans is associated with psychosocial impairment, suicidal thoughts and behaviors, and underutilization of mental health services.

Journal Article Death Stud · 2024 Nonsuicidal self-injury (NSSI) is a robust predictor of suicide attempts. However, understanding of NSSI and associated treatment utilization among Veterans is limited. Although impairment may be assumed, few studies examine the association between NSSI an ... Full text Link to item Cite

Love Is Not All You Need: Understanding the Association Between Relationship Status and Relationship Dysfunction With Self-Directed Violence in Veterans.

Journal Article Arch Suicide Res · 2024 INTRODUCTION: Research indicates that being married is associated with reduced risk of suicide and self-directed violence (SDV) relative to being divorced. Simultaneously, difficulties within relationships predict poorer health outcomes. However, research ... Full text Link to item Cite

Development of Mobile Contingency Management for Cannabis Use Reduction.

Journal Article Behav Ther · January 2024 Many interventions for cannabis use disorder (CUD) are associated with decreases in frequency and quantity of use but fail to increase overall rates of sustained abstinence. It is currently unknown whether reductions in use (in the absence of sustained abs ... Full text Link to item Cite

Sleep Apnea Among Gulf War Veterans: An Examination of VA Utilization Rates, Treatment Initiation, and Health Outcomes.

Journal Article Behav Sleep Med · 2024 OBJECTIVES: Obstructive sleep apnea (OSA) among veterans is frequently underdiagnosed and undertreated. The present study sought to: 1) characterize the prevalence and rate of treatment of OSA among VA users and non-users and 2) examine the associations be ... Full text Link to item Cite

Pathways Linking Post-Traumatic Stress Disorder to Incident Ischemic Heart Disease in Women: Call to Action.

Journal Article JACC Adv · January 2024 BACKGROUND: Post-traumatic stress disorder (PTSD) is associated with increased rates of incident ischemic heart disease (IHD) in women. OBJECTIVES: The purpose of this study was to determine mechanisms of the PTSD-IHD association in women. METHODS: In this ... Full text Link to item Cite

A Randomized Clinical Trial of Mobile Contingency Management Intervention for Cannabis Use Reduction

Journal Article International Journal of Mental Health and Addiction · January 1, 2024 Cannabis use problems are on the rise in the USA, and there is a significant need for novel approaches to increase heavy cannabis users’ access to evidence-based treatment. The objective of this randomized clinical trial (RCT) was to evaluate the efficacy ... Full text Cite

Insomnia, Social Disconnectedness, and Suicidal Ideation Severity in Underserved Veterans

Journal Article Cognitive Therapy and Research · January 1, 2024 Purpose: Insomnia, characterized by difficulty initiating or maintaining sleep, is a robust transdiagnostic correlate of suicidal ideation (SI). Nevertheless, there remains a lack of research exploring factors that may account for this association. One app ... Full text Cite

Multimodal smoking cessation treatment combining repetitive transcranial magnetic stimulation, cognitive behavioral therapy, and nicotine replacement in veterans with posttraumatic stress disorder: A feasibility randomized controlled trial protocol.

Journal Article PLoS One · 2024 Tobacco-related deaths remain the leading cause of preventable death in the United States. Veterans suffering from posttraumatic stress disorder (PTSD)-about 11% of those receiving care from the Department of Veterans Affairs (VA)-have triple the risk of d ... Full text Link to item Cite

Deep sequential neural network models improve stratification of suicide attempt risk among US veterans.

Journal Article J Am Med Inform Assoc · December 22, 2023 OBJECTIVE: To apply deep neural networks (DNNs) to longitudinal EHR data in order to predict suicide attempt risk among veterans. Local explainability techniques were used to provide explanations for each prediction with the goal of ultimately improving ou ... Full text Link to item Cite

Genome-Wide Association Study of Chronic Dizziness in the Elderly Identifies Loci Implicating MLLT10, BPTF, LINC01224, and ROS1.

Journal Article J Assoc Res Otolaryngol · December 2023 PURPOSE: Chronic age-related imbalance is a common cause of falls and subsequent death in the elderly and can arise from dysfunction of the vestibular system, an elegant neuroanatomical group of pathways that mediates human perception of acceleration, grav ... Full text Link to item Cite

Nonsuicidal self-injury methods among U.S. Veterans: Latent class analysis and associations with psychosocial outcomes.

Journal Article Psychiatry Res · November 2023 Nonsuicidal self-injury (NSSI) is a debilitating concern among U.S. veterans, with wall/object-punching commonly endorsed as an NSSI method. We examined how this behavior relates to other NSSI methods and psychosocial outcomes. We conducted a latent class ... Full text Link to item Cite

Trends in Cardiovascular Disease Mortality in US Women Veterans vs Civilians.

Journal Article JAMA Netw Open · October 2, 2023 IMPORTANCE: Cardiovascular disease (CVD) remains the leading cause of death in the US. Women veterans have higher rates of CVD compared with civilian US women; however, analyses of recent trends in mortality from cardiac disease for women veterans are lack ... Full text Link to item Cite

Mobile health contingency management for smoking cessation among veterans experiencing homelessness: A comparative effectiveness trial.

Journal Article Prev Med Rep · October 2023 Tobacco cessation is reduced in U.S. military veterans experiencing homelessness. Mobile contingency management (mCM) is a promising treatment for tobacco use among populations experiencing homelessness, but past CM studies have largely been small, have re ... Full text Link to item Cite

GWAS Meta-Analysis of Suicide Attempt: Identification of 12 Genome-Wide Significant Loci and Implication of Genetic Risks for Specific Health Factors.

Journal Article Am J Psychiatry · October 1, 2023 OBJECTIVE: Suicidal behavior is heritable and is a major cause of death worldwide. Two large-scale genome-wide association studies (GWASs) recently discovered and cross-validated genome-wide significant (GWS) loci for suicide attempt (SA). The present stud ... Full text Open Access Link to item Cite

Examining the daily relationship between guilt, shame, and substance use among veterans with psychiatric disorders.

Journal Article Drug Alcohol Depend Rep · September 2023 BACKGROUND: Shame and guilt are key emotions known to amplify trauma-related symptoms in veterans. Maintenance of symptoms is facilitated by avoidance behaviors, such as substance use. However, limited research has examined the associations between shame, ... Full text Link to item Cite

Interpersonal stress and nonsuicidal self-injury disorder in veterans: An ecological momentary assessment study.

Journal Article Suicide Life Threat Behav · August 2023 INTRO: Nonsuicidal self-injury (NSSI) is associated with marked functional impairment and is a robust predictor of suicide attempts. Prevalence rates of NSSI, and self-directed violence more broadly, are elevated among military veterans. Despite the inclus ... Full text Link to item Cite

Correlates of Risk for Disinhibited Behaviors in the Million Veteran Program Cohort.

Journal Article medRxiv · July 11, 2023 BACKGROUND: Many psychiatric outcomes are thought to share a common etiological pathway reflecting behavioral disinhibition, generally referred to as externalizing disorders (EXT). Recent genome-wide association studies (GWAS) have demonstrated the overlap ... Full text Link to item Cite

Effect of cognitive processing therapy on markers of cardiovascular risk in posttraumatic stress disorder patients: A randomized clinical trial.

Journal Article J Psychosom Res · July 2023 OBJECTIVE: Posttraumatic stress disorder (PTSD) is associated with elevated risk of coronary heart disease (CHD); however, the effects of PTSD treatment on CHD biomarkers is unknown. This study examined whether cognitive processing therapy (CPT) improves 2 ... Full text Link to item Cite

Nightmares: an independent risk factor for cardiovascular disease?

Conference Sleep · June 13, 2023 STUDY OBJECTIVES: Prior work has established associations between post-traumatic stress disorder (PTSD), disrupted sleep, and cardiovascular disease (CVD), but few studies have examined health correlates of nightmares beyond risks conferred by PTSD. This s ... Full text Link to item Cite

Development and refinement of the mobile anger reduction intervention for veterans with posttraumatic stress disorder.

Journal Article Psychol Trauma · May 11, 2023 OBJECTIVE: Problematic anger is commonly reported among veterans with posttraumatic stress disorder (PTSD) and is associated with numerous psychosocial impairments. There is a clear need to develop innovative and effective anger interventions. One of the c ... Full text Link to item Cite

Experiential Avoidance, Posttraumatic Stress Disorder, and Self-Injurious Thoughts and Behaviors: A Moderation Analysis in a National Veteran Sample.

Journal Article Int J Cogn Ther · April 14, 2023 Experiential avoidance (EA) is associated with posttraumatic stress disorder (PTSD) and self-injurious thoughts and behaviors (SITBs) across different populations, and extant literature has demonstrated a strong relationship between PTSD and SITBs. However ... Full text Link to item Cite

Correlates of suicidal behaviors and genetic risk among United States veterans with schizophrenia or bipolar I disorder.

Journal Article medRxiv · March 8, 2023 OBJECTIVE: Persons diagnosed with schizophrenia (SCZ) or bipolar I disorder (BPI) are at high risk for self-injurious behavior, suicidal ideation, and suicidal behaviors (SB). Characterizing associations between diagnosed mental and physical health problem ... Full text Link to item Cite

Genome-wide association study identifies four pan-ancestry loci for suicidal ideation in the Million Veteran Program.

Journal Article PLoS Genet · March 2023 Suicidal ideation (SI) often precedes and predicts suicide attempt and death, is the most common suicidal phenotype and is over-represented in veterans. The genetic architecture of SI in the absence of suicide attempt (SA) is unknown, yet believed to have ... Full text Link to item Cite

The Relationship of Attention-Deficit/Hyperactivity Disorder With Posttraumatic Stress Disorder: A Two-Sample Mendelian Randomization and Population-Based Sibling Comparison Study.

Journal Article Biol Psychiatry · February 15, 2023 BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) and posttraumatic stress disorder (PTSD) are associated, but it is unclear if this is a causal relationship or confounding. We used genetic analyses and sibling comparisons to clarify the directio ... Full text Open Access Link to item Cite

Identification of Novel, Replicable Genetic Risk Loci for Suicidal Thoughts and Behaviors Among US Military Veterans.

Journal Article JAMA Psychiatry · February 1, 2023 IMPORTANCE: Suicide is a leading cause of death; however, the molecular genetic basis of suicidal thoughts and behaviors (SITB) remains unknown. OBJECTIVE: To identify novel, replicable genomic risk loci for SITB. DESIGN, SETTING, AND PARTICIPANTS: This ge ... Full text Link to item Cite

Impact of traumatic life events and polygenic risk scores for major depression and posttraumatic stress disorder on Iraq/Afghanistan Veterans.

Journal Article J Psychiatr Res · February 2023 Traumatic experiences and genetic heritability are among the most widely acknowledged risk factors leading to the development of psychopathology; including posttraumatic stress disorder (PTSD) and major depressive disorder (MDD). The purpose of this study ... Full text Link to item Cite

Provider-supported self-management cognitive behavioral therapy for insomnia (Tele-Self CBTi): Protocol for a randomized controlled trial.

Journal Article Contemp Clin Trials · February 2023 BACKGROUND: Cognitive Behavioral Therapy for Insomnia (CBTi) is recommended as first-line treatment for insomnia, yet patient access to CBTi is limited. Self-help CBTi could increase patient access. Self-help CBTI with provider sup]port is more effective a ... Full text Open Access Link to item Cite

The Veterans Health Administration's integrated model of care increases accessibility and delivery of mental health services.

Journal Article Psychol Serv · 2023 Depression and posttraumatic stress disorder (PTSD) are two of the most common mental health conditions experienced by veterans. It is unclear what individual and system level factors are associated with receiving mental health treatment for these concerns ... Full text Link to item Cite

Cannabis use and suicide risk among Gulf War veterans.

Journal Article Death Stud · 2023 Cannabis use has been indicated as a risk factor for suicide in veterans. This study of Gulf War veterans tested the relationship between self-report past year cannabis use and (a) past year suicidal ideation and (b) risk for suicidal behavior. Data were f ... Full text Link to item Cite

Probable trauma associated sleep disorder in post-9/11 US Veterans.

Journal Article Sleep Adv · 2023 STUDY OBJECTIVES: The purpose of this study was to (1) estimate trauma associated sleep disorder (TASD) prevalence among post-9/11 era veterans and to describe differences in service and comorbid mental health clinical characteristics among individuals wit ... Full text Open Access Link to item Cite

Large epigenome-wide association study identifies multiple novel differentially methylated CpG sites associated with suicidal thoughts and behaviors in veterans.

Journal Article Front Psychiatry · 2023 INTRODUCTION: The U.S. suicide mortality rate has steadily increased during the past two decades, particularly among military veterans; however, the epigenetic basis of suicidal thoughts and behaviors (STB) remains largely unknown. METHODS: To address this ... Full text Open Access Link to item Cite

Using iterative random forest to find geospatial environmental and Sociodemographic predictors of suicide attempts.

Journal Article Front Psychiatry · 2023 INTRODUCTION: Despite a recent global decrease in suicide rates, death by suicide has increased in the United States. It is therefore imperative to identify the risk factors associated with suicide attempts to combat this growing epidemic. In this study, w ... Full text Link to item Cite

Intrapersonal Functions of Nonsuicidal Self-Injury Statistically Mediate the Effect of Posttraumatic Stress Disorder Symptoms on Fearlessness About Death

Journal Article Traumatology · January 1, 2023 Objective: Although not all trauma-exposed individuals develop posttraumatic stress disorder (PTSD) symptoms or nonsuicidal self-injury (NSSI), it has been suggested that those who use NSSI as a means of coping with PTSD symptoms increase their acquired ca ... Full text Cite

Psychological trauma and the genetic overlap between posttraumatic stress disorder and major depressive disorder

Journal Article Psychological Medicine · December 4, 2022 Background. Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are commonly reported co-occurring mental health consequences of psychological trauma exposure. The disorders have high genetic overlap. Trauma is a complex phenotype but ... Full text Cite

Fibromuscular Dysplasia and Abdominal Aortic Aneurysms Are Dimorphic Sex-Specific Diseases With Shared Complex Genetic Architecture.

Journal Article Circ Genom Precis Med · December 2022 BACKGROUND: The risk of arterial diseases may be elevated among family members of individuals having multifocal fibromuscular dysplasia (FMD). We sought to investigate the risk of arterial diseases in families of individuals with FMD. METHODS: Family histo ... Full text Link to item Cite

Complementary/integrative healthcare utilization in US Gulf-War era veterans: Descriptive analyses based on deployment history, combat exposure, and Gulf War Illness.

Journal Article Complement Ther Clin Pract · November 2022 Complementary and integrative health (CIH) approaches have gained empirical support and are increasingly being utilized among veterans to treat a myriad of conditions. A cluster of medically unexplained chronic symptoms including fatigue, headaches, joint ... Full text Link to item Cite

Glaucoma Genetic Risk Scores in the Million Veteran Program.

Journal Article Ophthalmology · November 2022 PURPOSE: Primary open-angle glaucoma (POAG) is a degenerative eye disease for which early treatment is critical to mitigate visual impairment and irreversible blindness. POAG-associated loci individually confer incremental risk. Genetic risk score(s) (GRS) ... Full text Link to item Cite

An examination of the association between altitude and suicide deaths, suicide attempts, and suicidal ideation among veterans at both the patient and geospatial level.

Journal Article J Psychiatr Res · September 2022 Suicide is a major public health problem affecting US Veterans and the US in general. Many variables (e.g., demographic, clinical, biological, geographic) have been associated with risk for suicide and suicidal behavior, including altitude; however, the ex ... Full text Link to item Cite

Nonsuicidal self-injury in veterans: Prevalence, clinical characteristics, and gender differences from a national cohort.

Journal Article Psychiatry Res · September 2022 Nonsuicidal self-injury (NSSI) is a robust predictor of suicidal thoughts and behaviors; however, while there are typically only small differences observed in the prevalence of NSSI between men and women, this condition has been largely overlooked and unde ... Full text Link to item Cite

The Screen for Nonsuicidal Self-Injury: Development and initial validation among veterans with psychiatric disorders.

Journal Article Suicide Life Threat Behav · August 2022 INTRODUCTION: Nonsuicidal self-injury (NSSI) is associated with significant impairment and is a robust predictor of suicidal ideation, attempts, and death by suicide; however, the present lack of a brief screening instrument for NSSI coupled with consisten ... Full text Link to item Cite

Correlates and clinical associations of military sexual assault in Gulf War era U.S. veterans: Findings from a national sample.

Journal Article J Trauma Stress · August 2022 Military sexual assault (MSA) is a prevalent issue among military personnel that can have direct implications on postmilitary mental health. Gulf War era U.S. veterans represent the first cohort in which women veterans were integrated into most aspects of ... Full text Link to item Cite

Attention-deficit/hyperactivity disorder and nonsuicidal self-injury among veterans with complex psychiatric presentations.

Journal Article Psychiatry Res · August 2022 Prior research suggests a possible association between attention-deficit/hyperactivity disorder (ADHD) symptoms and nonsuicidal self-injury (NSSI) in veterans. However, this association has not yet been replicated. The present study sought to replicate and ... Full text Link to item Cite

Contingency management and cognitive behavior therapy for smoking cessation among veterans with posttraumatic stress disorder: Design and methodology of a randomized clinical trial.

Journal Article Contemp Clin Trials · August 2022 BACKGROUND: Smoking is a prevalent concern among Veterans, especially those with posttraumatic stress disorder (PTSD). Despite the availability of interventions for smoking cessation, these treatments have not been as effective among Veteran populations, p ... Full text Link to item Cite

Identifying intragenic functional modules of genomic variations associated with cancer phenotypes by learning representation of association networks.

Journal Article BMC Med Genomics · July 6, 2022 BACKGROUND: Genome-wide Association Studies (GWAS) aims to uncover the link between genomic variation and phenotype. They have been actively applied in cancer biology to investigate associations between variations and cancer phenotypes, such as susceptibil ... Full text Link to item Cite

Comparing psychosocial functioning, suicide risk, and nonsuicidal self-injury between veterans with probable posttraumatic stress disorder and alcohol use disorder.

Journal Article J Affect Disord · July 1, 2022 BACKGROUND: Posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) are each common among Unites States (U.S.) military veterans and frequently co-occur (i.e., PTSD+AUD). Although comorbid PTSD+AUD is generally associated with worse outcomes re ... Full text Link to item Cite

A case for developing domain-specific vocabularies for extracting suicide factors from healthcare notes.

Journal Article J Psychiatr Res · July 2022 The onset and persistence of life events (LE) such as housing instability, job instability, and reduced social connection have been shown to increase risk of suicide. Predictive models for suicide risk have low sensitivity to many of these factors due to u ... Full text Link to item Cite

Continuous-time probabilistic models for longitudinal electronic health records.

Journal Article J Biomed Inform · June 2022 Analysis of longitudinal Electronic Health Record (EHR) data is an important goal for precision medicine. Difficulty in applying Machine Learning (ML) methods, either predictive or unsupervised, stems in part from the heterogeneity and irregular sampling o ... Full text Link to item Cite

Affective states and nonsuicidal self-injury (NSSI): Results from an ecological momentary assessment study of veterans with NSSI disorder.

Journal Article Suicide Life Threat Behav · April 2022 BACKGROUND: The affective states most strongly associated with nonsuicidal self-injury (NSSI) remain poorly understood, particularly among veterans. This study used ecological momentary assessment (EMA) to examine relationships between affect ratings and N ... Full text Link to item Cite

Enhancing Discovery of Genetic Variants for Posttraumatic Stress Disorder Through Integration of Quantitative Phenotypes and Trauma Exposure Information.

Journal Article Biol Psychiatry · April 1, 2022 BACKGROUND: Posttraumatic stress disorder (PTSD) is heritable and a potential consequence of exposure to traumatic stress. Evidence suggests that a quantitative approach to PTSD phenotype measurement and incorporation of lifetime trauma exposure (LTE) info ... Full text Link to item Cite

APOL1 Risk Variants, Acute Kidney Injury, and Death in Participants With African Ancestry Hospitalized With COVID-19 From the Million Veteran Program.

Journal Article JAMA Intern Med · April 1, 2022 IMPORTANCE: Coronavirus disease 2019 (COVID-19) confers significant risk of acute kidney injury (AKI). Patients with COVID-19 with AKI have high mortality rates. OBJECTIVE: Individuals with African ancestry with 2 copies of apolipoprotein L1 (APOL1) varian ... Full text Link to item Cite

Qualitative analysis of participant experiences during an ecological momentary assessment study of nonsuicidal self-injury among veterans.

Journal Article Psychiatry Res · April 2022 Ecological momentary assessment (EMA) is a useful tool to investigate antecedents and consequences of nonsuicidal self-injury (NSSI), a robust predictor of Veteran suicide risk. Despite elucidating temporal changes among dynamic variables, EMA remains unde ... Full text Link to item Cite

A genome-wide association study of suicide attempts in the million veterans program identifies evidence of pan-ancestry and ancestry-specific risk loci.

Journal Article Mol Psychiatry · April 2022 To identify pan-ancestry and ancestry-specific loci associated with attempting suicide among veterans, we conducted a genome-wide association study (GWAS) of suicide attempts within a large, multi-ancestry cohort of U.S. veterans enrolled in the Million Ve ... Full text Link to item Cite

Psychosocial well-being among veterans with posttraumatic stress disorder and substance use disorder.

Journal Article Psychol Trauma · March 2022 OBJECTIVE: Concurrent posttraumatic stress disorder and substance use disorder (PTSD/SUD) in U.S. military veterans represents an urgent public health issue associated with significant clinical challenges. Although previous research has shown that veterans ... Full text Link to item Cite

Anger, impulsivity and wall/object punching in a sample of U.S. veterans with psychiatric disorders.

Journal Article J Psychiatr Res · March 2022 Nonsuicidal self-injury (NSSI) has been identified as one of the strongest predictors of suicide attempts. Wall/object punching is a particularly prevalent form of NSSI among male veterans that has been linked to both impulsivity and anger. The objective o ... Full text Link to item Cite

A Real-World Evaluation of a Smokeless Tobacco Cessation Text Message Program for Veterans: Outcomes and Comparison to Cigarette Smokers.

Journal Article Nicotine Tob Res · February 1, 2022 INTRODUCTION: Smokeless tobacco (ST) use and cessation rates have remained unchanged while cigarette smoking has declined, and cessation rates have increased. Text message programs have proved effective for cigarette smokers but have not been evaluated for ... Full text Link to item Cite

Reciprocal Effects Between Depressive Symptoms and Pain in Veterans over 50 Years of Age or Older.

Journal Article Pain Med · February 1, 2022 OBJECTIVE: Depression and chronic pain are major problems in American veterans, yet there is limited long-term research examining how they relate to one another in this population. This study examined the relationship between depressive symptoms and pain i ... Full text Link to item Cite

Dissecting the Shared Genetic Architecture of Suicide Attempt, Psychiatric Disorders, and Known Risk Factors.

Journal Article Biol Psychiatry · February 1, 2022 BACKGROUND: Suicide is a leading cause of death worldwide, and nonfatal suicide attempts, which occur far more frequently, are a major source of disability and social and economic burden. Both have substantial genetic etiology, which is partially shared an ... Full text Link to item Cite

Ambulatory Heart Rate Variability Monitoring: Comparisons Between the Empatica E4 Wristband and Holter Electrocardiogram.

Journal Article Psychosom Med · February 2022 OBJECTIVE: Heart rate variability (HRV) is a useful index of psychological and physiological stress. Although several wristband devices have purported to measure HRV, none have demonstrated reliability when compared with the criterion-standard Holter monit ... Full text Link to item Cite

Trauma and posttraumatic stress disorder modulate polygenic predictors of hippocampal and amygdala volume.

Journal Article Transl Psychiatry · December 16, 2021 The volume of subcortical structures represents a reliable, quantitative, and objective phenotype that captures genetic effects, environmental effects such as trauma, and disease effects such as posttraumatic stress disorder (PTSD). Trauma and PTSD represe ... Full text Link to item Cite

Diet quality and exercise in older veterans with PTSD: a pilot study.

Journal Article Transl Behav Med · December 14, 2021 Older veterans with posttraumatic stress disorder (PTSD) are at increased risk of obesity and cardiometabolic disease. Physical activity and healthy eating are two behaviors that impact health, functional independence, and disease risk in later life, yet f ... Full text Open Access Link to item Cite

The Impact of Hostility on Quality of Life, Functioning, and Suicidal Ideation Among Male Veterans with Posttraumatic Stress Disorder.

Journal Article J Trauma Stress · December 2021 Veterans with posttraumatic stress disorder (PTSD) often experience high levels of hostility. Although studies have found that PTSD is associated with poorer quality of life (QoL), increased functional impairment, lower levels of social support, and increa ... Full text Link to item Cite

Warzone experiences and subsequent clinician suicide risk assessment in veterans

Journal Article Suicide and Life-Threatening Behavior · December 1, 2021 Objective: To determine in veterans whether severity of combat exposure was predictive of subsequently receiving a suicide risk assessment (SRA), and whether this relationship was meditated by depression symptomatology. Method: We conducted an electronic m ... Full text Cite

Predictors of prenatal smoking among US women veterans.

Journal Article J Health Psychol · November 2021 This study investigated prevalence and factors associated with prenatal smoking among US women veterans using cross-sectional data from a cohort study of veterans from recent wars utilizing Veterans Health Administration primary care (N = 6190). Among the ... Full text Link to item Cite

Psychological outcomes following sexual assault: Differences by sexual assault setting.

Journal Article Psychol Serv · November 2021 Sexual assault is associated with increased psychological distress. It is possible that military sexual assault (MSA) is associated with heightened psychological distress compared to adult sexual assault that occurs pre- or postmilitary service due to the ... Full text Link to item Cite

Military Sexual Trauma and Adverse Mental and Physical Health and Clinical Comorbidity in Women Veterans.

Journal Article Women's health issues : official publication of the Jacobs Institute of Women's Health · November 2021 IntroductionMilitary sexual trauma (MST)-exposure to sexual harassment or assault during military service-is a major health priority for the Veterans Health Administration (VHA). We examined the health correlates of MST in the largest sample of U. ... Full text Cite

A Comparison of Group Anger Management Treatments for Combat Veterans With PTSD: Results From a Quasi-Experimental Trial.

Journal Article J Interpers Violence · October 2021 Difficulty controlling anger is a significant concern among combat veterans with posttraumatic stress disorder (PTSD), yet few controlled studies have examined the efficacy of anger treatments for this population. This study examined the effects of a group ... Full text Link to item Cite

Experiential avoidance is associated with medical and mental health diagnoses in a national sample of deployed Gulf War veterans.

Journal Article J Psychiatr Res · October 2021 A substantial minority of deployed Gulf War veterans developed posttraumatic stress disorder (PTSD), depression, and several chronic illnesses. Although military combat and exposure to certain nuclear, biological, and chemical agents (NBCs) increase risk f ... Full text Link to item Cite

Development and validation of the Durham Risk Score for estimating suicide attempt risk: A prospective cohort analysis.

Journal Article PLoS Med · August 2021 BACKGROUND: Worldwide, nearly 800,000 individuals die by suicide each year; however, longitudinal prediction of suicide attempts remains a major challenge within the field of psychiatry. The objective of the present research was to develop and evaluate an ... Full text Link to item Cite

Tobacco Withdrawal Symptoms Before and After Nicotine Deprivation in Veteran Smokers with Posttraumatic Stress Disorder and with Major Depressive Disorder.

Journal Article Nicotine Tob Res · June 8, 2021 INTRODUCTION: The high smoking prevalence amongst individuals with psychiatric disorders constitutes a major public health disparity. Negative reinforcement models of addiction posit that severe tobacco withdrawal symptoms, related to the affective vulnera ... Full text Link to item Cite

Association of Posttraumatic Stress Disorder and Incident Ischemic Heart Disease in Women Veterans.

Journal Article JAMA Cardiol · June 1, 2021 IMPORTANCE: Posttraumatic stress disorder (PTSD) is associated with greater risk of ischemic heart disease (IHD) in predominantly male populations or limited community samples. Women veterans represent a growing, yet understudied, population with high leve ... Full text Link to item Cite

A network analysis of risk factors for suicide in Iraq/Afghanistan-era veterans.

Journal Article J Psychiatr Res · June 2021 Suicidal ideation (SI) is a prevalent issue in the veteran population. A number of factors have been identified as risk factors for suicidal ideation (SI) in veterans, including suicide attempts, depression, posttraumatic stress disorder (PTSD), and drug u ... Full text Link to item Cite

Cannabis use disorder, anger, and violence in Iraq/Afghanistan-era veterans.

Journal Article J Psychiatr Res · June 2021 An association has been found between cannabis use disorder (CUD) and violence in several clinical populations, including veterans with posttraumatic stress disorder (PTSD), and there is evidence that CUD has been increasing among veterans since September ... Full text Link to item Cite

Real-World Utilization and Outcomes of the Veterans Health Administration's Smoking Cessation Text Message Program.

Journal Article Nicotine Tob Res · May 24, 2021 INTRODUCTION: Smoking cessation mobile health (mHealth) programs are effective and have been recommended for integration into health care services but have not been evaluated in real-world health care settings. The Veterans Health Administration, a safety ... Full text Link to item Cite

Nonsuicidal Self-Injury Disorder, Borderline Personality Disorder, and Lifetime History of Suicide Attempts among Male and Female Veterans with Mental Health Disorders.

Journal Article J Affect Disord · May 15, 2021 BACKGROUND: Expanding on research that has identified nonsuicidal self-injury (NSSI) as a strong predictor of suicide risk, the present study examined NSSI disorder (NSSID) and borderline personality disorder (BPD) as unique contributors to lifetime suicid ... Full text Link to item Cite

Genetic analysis in European ancestry individuals identifies 517 loci associated with liver enzymes.

Journal Article Nat Commun · May 10, 2021 Serum concentration of hepatic enzymes are linked to liver dysfunction, metabolic and cardiovascular diseases. We perform genetic analysis on serum levels of alanine transaminase (ALT), alkaline phosphatase (ALP) and gamma-glutamyl transferase (GGT) using ... Full text Link to item Cite

Exploring the role of anger in nonsuicidal self-injury in veterans.

Journal Article J Psychiatr Res · May 2021 Up to 14% of veterans engage in nonsuicidal self-injury (NSSI) in their lifetime and this behavior is a relatively strong predictor of suicidal behavior compared to other identified risk factors. Further, NSSI is a clinically relevant behavior in its own r ... Full text Link to item Cite

Actionable druggable genome-wide Mendelian randomization identifies repurposing opportunities for COVID-19.

Journal Article Nat Med · April 2021 Drug repurposing provides a rapid approach to meet the urgent need for therapeutics to address COVID-19. To identify therapeutic targets relevant to COVID-19, we conducted Mendelian randomization analyses, deriving genetic instruments based on transcriptom ... Full text Link to item Cite

The effect of reducing posttraumatic stress disorder symptoms on cardiovascular risk: Design and methodology of a randomized clinical trial.

Journal Article Contemp Clin Trials · March 2021 Posttraumatic stress disorder (PTSD) has been associated with accelerated progression of coronary heart disease (CHD). However, the underlying pathophysiological pathway has remained elusive and it is unclear whether there is a direct link between PTSD and ... Full text Link to item Cite

Anger precedes and predicts nonsuicidal self-injury in veterans: Findings from an ecological momentary assessment study.

Journal Article J Psychiatr Res · March 2021 Veterans have high rates of suicide, and nonsuicidal self-injury (NSSI) is one of the strongest predictors of suicide risk; however, there is presently little known about antecedents of NSSI that might inform intervention efforts. Accumulating research sug ... Full text Link to item Cite

Mobile Neurofeedback for Pain Management in Veterans with TBI and PTSD.

Journal Article Pain Med · February 23, 2021 OBJECTIVE: Chronic pain is common in military veterans with traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD). Neurofeedback, or electroencephalograph (EEG) biofeedback, has been associated with lower pain but requires frequent travel ... Full text Link to item Cite

Multi-trait association studies discover pleiotropic loci between Alzheimer's disease and cardiometabolic traits.

Journal Article Alzheimers Res Ther · February 4, 2021 BACKGROUND: Identification of genetic risk factors that are shared between Alzheimer's disease (AD) and other traits, i.e., pleiotropy, can help improve our understanding of the etiology of AD and potentially detect new therapeutic targets. Previous epidem ... Full text Link to item Cite

Diagnostic Correlates of Nonsuicidal Self-Injury Disorder among Veterans with Psychiatric Disorders.

Journal Article Psychiatry Res · February 2021 With its recent inclusion in the Diagnostic and Statistical Manual, nonsuicidal self-injury disorder (NSSID) has received limited research attention, especially in samples of military veterans. The present study sought to identify diagnostic predictors of ... Full text Link to item Cite

Screening for moral injury and comparatively evaluating moral injury measures in relation to mental illness symptomatology and diagnosis.

Journal Article Clin Psychol Psychother · January 2021 Moral injury merits further study to clarify its identification, prevalence, assessment and intersection with psychosocial and psychiatric problems. The present study investigated the screening potential of the Brief Moral Injury Screen (BMIS) in a sample ... Full text Link to item Cite

Phenome-wide association of 1809 phenotypes and COVID-19 disease progression in the Veterans Health Administration Million Veteran Program.

Journal Article PLoS One · 2021 BACKGROUND: The risk factors associated with the stages of Coronavirus Disease-2019 (COVID-19) disease progression are not well known. We aim to identify risk factors specific to each state of COVID-19 progression from SARS-CoV-2 infection through death. M ... Full text Link to item Cite

Examining Individual and Synergistic Contributions of PTSD and Genetics to Blood Pressure: A Trans-Ethnic Meta-Analysis.

Journal Article Front Neurosci · 2021 Growing research suggests that posttraumatic stress disorder (PTSD) may be a risk factor for poor cardiovascular health, and yet our understanding of who might be at greatest risk of adverse cardiovascular outcomes after trauma is limited. In this study, w ... Full text Link to item Cite

Gene Expression Analysis in Three Posttraumatic Stress Disorder Cohorts Implicates Inflammation and Innate Immunity Pathways and Uncovers Shared Genetic Risk With Major Depressive Disorder.

Journal Article Front Neurosci · 2021 Posttraumatic stress disorder (PTSD) is a complex psychiatric disorder that can develop following exposure to traumatic events. The Psychiatric Genomics Consortium PTSD group (PGC-PTSD) has collected over 20,000 multi-ethnic PTSD cases and controls and has ... Full text Open Access Link to item Cite

Pilot Cohorts for Development of Concurrent Mobile Treatment for Alcohol and Tobacco Use Disorders.

Journal Article Subst Abuse · 2021 Alcohol and tobacco are the 2 most frequently used drugs in the United States and represent the highest co-occurrence of polysubstance use. The objective of this study was to refine an intervention combining mobile contingency management with cognitive-beh ... Full text Open Access Link to item Cite

Nail-biting, scab-picking, and tattooing as nonsuicidal self-injury (NSSI): A deviant case series analysis of the proposed NSSI disorder diagnostic criteria.

Journal Article J Clin Psychol · December 2020 OBJECTIVE: This study explored the boundaries of the proposed diagnostic criteria for nonsuicidal self-injury disorder (NSSID) as outlined in the Conditions for Further Study section of the Diagnostic and Statistical Manual, Fifth Edition. We sought to fal ... Full text Link to item Cite

Post-traumatic symptom severity mediates the association between combat exposure and suicidal ideation in veterans.

Journal Article Suicide Life Threat Behav · December 2020 OBJECTIVE: Previous studies of military veterans have produced mixed findings regarding whether combat exposure is directly related to suicidal ideation or is indirectly related to suicidal ideation via its influence on other factors. The present study use ... Full text Link to item Cite

Epigenome-wide meta-analysis of PTSD across 10 military and civilian cohorts identifies methylation changes in AHRR.

Journal Article Nat Commun · November 24, 2020 Epigenetic differences may help to distinguish between PTSD cases and trauma-exposed controls. Here, we describe the results of the largest DNA methylation meta-analysis of PTSD to date. Ten cohorts, military and civilian, contribute blood-derived DNA meth ... Full text Link to item Cite

Warrior Wellness: A Randomized Controlled Pilot Trial of the Effects of Exercise on Physical Function and Clinical Health Risk Factors in Older Military Veterans With PTSD.

Journal Article J Gerontol A Biol Sci Med Sci · October 15, 2020 BACKGROUND: Military veterans living with post-traumatic stress disorder (PTSD) face significant physical and functional health disparities, which are often aggravated over time and in the context aging. Evidence has shown that physical activity can positi ... Full text Open Access Link to item Cite

Race-related differences in acute pain complaints among inner-city women: the role of socioeconomic status.

Journal Article J Behav Med · October 2020 Previous research has shown that African Americans (AA) report higher pain intensity and pain interference than other racial/ethnic groups as well as greater levels of other risk factors related to worse pain outcomes, including PTSD symptoms, pain catastr ... Full text Link to item Cite

Using Interpretation Bias Modification to Reduce Anger in Veterans with Posttraumatic Stress Disorder: A Pilot Study.

Journal Article J Trauma Stress · October 2020 Difficulty controlling anger is the most commonly reported reintegration concern among veterans with posttraumatic stress disorder (PTSD). One of the mechanisms associated with problematic anger is a tendency to interpret ambiguous interpersonal situations ... Full text Link to item Cite

Treatment Outcomes of a Multi-Component Mobile Health Smoking Cessation Pilot Intervention for People with Schizophrenia.

Journal Article J Dual Diagn · October 2020 The objective of this study was to investigate the feasibility and acceptability of a multi-component mobile contingency management (CM) pilot intervention for smoking cessation for people with schizophrenia. Methods: This intervention included mobile CM ( ... Full text Link to item Cite

Pilot randomized controlled trial of exercise training for older veterans with PTSD.

Journal Article J Behav Med · August 2020 Exercise training positively impacts mental health, yet remains untested in older adults with posttraumatic stress disorder (PTSD). We conducted a randomized controlled pilot trial to test the feasibility and acceptability of exercise training in older vet ... Full text Open Access Link to item Cite

Genetic predictors of hippocampal subfield volume in PTSD cases and trauma-exposed controls.

Journal Article Eur J Psychotraumatol · July 29, 2020 Behavioural, structural, and functional neuroimaging have implicated the hippocampus as a critical brain region in posttraumatic stress disorder (PTSD) pathogenesis. Recent work in a normative, primarily European, sample identified 15 unique genetic loci c ... Full text Link to item Cite

Neural correlates of conceptual-level fear generalization in posttraumatic stress disorder.

Journal Article Neuropsychopharmacology · July 2020 Posttraumatic stress disorder (PTSD) may develop when mechanisms for making accurate distinctions about threat relevance have gone awry. Generalization across conceptually related objects has been hypothesized based on clinical observation in PTSD, but the ... Full text Link to item Cite

Discovery of 318 new risk loci for type 2 diabetes and related vascular outcomes among 1.4 million participants in a multi-ancestry meta-analysis.

Journal Article Nat Genet · July 2020 We investigated type 2 diabetes (T2D) genetic susceptibility via multi-ancestry meta-analysis of 228,499 cases and 1,178,783 controls in the Million Veteran Program (MVP), DIAMANTE, Biobank Japan and other studies. We report 568 associations, including 286 ... Full text Link to item Cite

The Personality Assessment Inventory Alcohol Scale in Veterans With PTSD: Convergent and Discriminant Relations With the Alcohol Use Disorders Identification Test.

Journal Article Assessment · June 2020 In this study, we examined the validity of the Personality Assessment Inventory Alcohol (ALC) scale in 736 male veterans presenting for formal evaluation of posttraumatic stress disorder (PTSD). The ALC scale exhibited convergence with other measures of al ... Full text Link to item Cite

Anger mediates the relationship between posttraumatic stress disorder and suicidal ideation in veterans.

Journal Article J Affect Disord · May 15, 2020 BACKGROUND: Theoretical models and cross-sectional empirical studies of suicide indicate that anger is a factor that may help explain the association between posttraumatic stress disorder (PTSD) and suicide, but to date no longitudinal studies have examine ... Full text Link to item Cite

Self- and Other-Directed Violence as Outcomes of Deployment-Based Military Sexual Assault in Iraq/Afghanistan-era Veteran Men and Women.

Journal Article J Aggress Maltreat Trauma · April 10, 2020 Although military sexual assault (MSA) has been well-established as a risk factor for psychopathology (e.g., PTSD, depression), little research has examined the association between MSA and self- and other-directed violence. Furthermore, there has been a gr ... Full text Link to item Cite

The genetic architecture of the human cerebral cortex.

Journal Article Science · March 20, 2020 The cerebral cortex underlies our complex cognitive capabilities, yet little is known about the specific genetic loci that influence human cortical structure. To identify genetic variants that affect cortical structure, we conducted a genome-wide associati ... Full text Open Access Link to item Cite

An epigenome-wide association study of posttraumatic stress disorder in US veterans implicates several new DNA methylation loci.

Journal Article Clin Epigenetics · March 14, 2020 BACKGROUND: Previous studies using candidate gene and genome-wide approaches have identified epigenetic changes in DNA methylation (DNAm) associated with posttraumatic stress disorder (PTSD). METHODS: In this study, we performed an EWAS of PTSD in a cohort ... Full text Open Access Link to item Cite

Amygdala Nuclei Volume and Shape in Military Veterans With Posttraumatic Stress Disorder.

Journal Article Biol Psychiatry Cogn Neurosci Neuroimaging · March 2020 BACKGROUND: The amygdala is a subcortical structure involved in socioemotional and associative fear learning processes relevant for understanding the mechanisms of posttraumatic stress disorder (PTSD). Research in animals indicates that the amygdala is a h ... Full text Link to item Cite

Threat-induced anxiety during goal pursuit disrupts amygdala-prefrontal cortex connectivity in posttraumatic stress disorder.

Journal Article Transl Psychiatry · February 10, 2020 To investigate how unpredictable threat during goal pursuit impacts fronto-limbic activity and functional connectivity in posttraumatic stress disorder (PTSD), we compared military veterans with PTSD (n = 25) vs. trauma-exposed control (n = 25). Participan ... Full text Link to item Cite

Anger in PTSD

Chapter · February 3, 2020 Over the past two decades, considerable research attention has focused on examining the role of anger in posttraumatic stress disorder (PTSD). Anger has been consistently associated with PTSD across populations, with the strongest associations found in mil ... Full text Cite

Combat exposure, posttraumatic stress disorder, and head injuries differentially relate to alterations in cortical thickness in military Veterans.

Journal Article Neuropsychopharmacology · February 2020 Combat-exposed Veterans are at increased risk for developing psychological distress, mood disorders, and trauma and stressor-related disorders. Trauma and mood disorders have been linked to alterations in brain volume, function, and connectivity. However, ... Full text Link to item Cite

Social support, social undermining, and acute clinical pain in women: Mediational pathways of negative cognitive appraisal and emotion.

Journal Article J Health Psychol · 2020 Women may be disproportionately vulnerable to acute pain, potentially due to their social landscape. We examined whether positive and negative social processes (social support and social undermining) are associated with acute pain and if the processes are ... Full text Link to item Cite

Posttraumatic Safety Behaviors: Characteristics and Associations With Symptom Severity in Two Samples

Journal Article Traumatology · January 1, 2020 People with anxiety-related disorders often engage in safety behaviors: overt or covert actions performed to prevent the occurrence of a feared outcome and/or reduce associated distress. Although clinical experience and conceptual models of posttraumatic s ... Full text Cite

Psychosocial protective factors and suicidal ideation: Results from a national longitudinal study of veterans.

Journal Article J Affect Disord · January 1, 2020 BACKGROUND: This study investigates the empirical association between psychosocial protective factors and subsequent suicidal ideation in veterans. METHODS: We conducted a national longitudinal survey in which participants were randomly drawn from over one ... Full text Link to item Cite

Lifetime Smoking Patterns and Preferences for Smoking Cessation Among Women Veterans Receiving Veterans Health Administration Care.

Journal Article Qual Health Res · December 2019 The objective of this study was to identify common themes among women veterans who smoke or recently quit and had used smoking cessation treatment within the Veterans Health Administration (VHA). The study built upon previous research by utilizing in-depth ... Full text Link to item Cite

Smoking abstinence effects on emotion dysregulation in adult cigarette smokers with and without attention-deficit/hyperactivity disorder.

Journal Article Drug Alcohol Depend · December 1, 2019 BACKGROUND: Cigarette smoking is robustly associated with attention-deficit/hyperactivity disorder (ADHD), but little is known about psychological mechanisms accounting for this comorbid relationship. This study examined difficulties in emotion regulation, ... Full text Link to item Cite

From obligation to opportunity: future of patient-reported outcome measures at the Veterans Health Administration.

Journal Article Transl Behav Med · November 25, 2019 Patient-reported outcome (PRO) measures are particularly important in mental health services because patients are the central and essential source of information about their mental health status. PRO measures have the potential to engage patients in meanin ... Full text Link to item Cite

International meta-analysis of PTSD genome-wide association studies identifies sex- and ancestry-specific genetic risk loci.

Journal Article Nat Commun · October 8, 2019 The risk of posttraumatic stress disorder (PTSD) following trauma is heritable, but robust common variants have yet to be identified. In a multi-ethnic cohort including over 30,000 PTSD cases and 170,000 controls we conduct a genome-wide association study ... Full text Open Access Link to item Cite

Harmonizing Genetic Ancestry and Self-identified Race/Ethnicity in Genome-wide Association Studies.

Journal Article Am J Hum Genet · October 3, 2019 Large-scale multi-ethnic cohorts offer unprecedented opportunities to elucidate the genetic factors influencing complex traits related to health and disease among minority populations. At the same time, the genetic diversity in these cohorts presents new c ... Full text Link to item Cite

Negative Affect-Related Autonomic Arousal Mediates the Association between Baroreflex Dysfunction and Insulin Resistance in Non-Diabetic Young Adults.

Journal Article J Psychophysiol · October 2019 Autonomic dysfunction, in particular under-regulation of heart rate (HR) by the baroreflex, is implicated in development of insulin resistance (IR). According to reactivity hypothesis, sympathetic response to stressors may be more sensitive at predicting I ... Full text Link to item Cite

Pain Intensity and Pain Interference in Male and Female Iraq/Afghanistan-era Veterans.

Journal Article Womens Health Issues · June 25, 2019 BACKGROUND: Chronic pain conditions are common among both male and female Iraq/Afghanistan-era veterans and can have substantial negative impacts on quality of life and function. Although in general women tend to report higher levels of pain intensity than ... Full text Link to item Cite

Gender Differences in Demographic and Health Characteristics of the Million Veteran Program Cohort.

Journal Article Womens Health Issues · June 25, 2019 BACKGROUND: The Department of Veterans Affairs Million Veteran Program (MVP) is the largest ongoing cohort program of its kind, with 654,903 enrollees as of June 2018. The objectives of this study were to examine gender differences in the MVP cohort with r ... Full text Link to item Cite

Examining the relationship between negative affect and posttraumatic stress disorder symptoms among smokers using ecological momentary assessment.

Journal Article J Affect Disord · June 15, 2019 BACKGROUND: Posttraumatic stress disorder (PTSD) and negative affect (e.g., anger, depression, anxiety), are highly co-occurring. It remains unclear whether changes in PTSD symptoms subsequently impact negative affect, or vice versa. This study assessed as ... Full text Link to item Cite

Association of Economic Status and Educational Attainment With Posttraumatic Stress Disorder: A Mendelian Randomization Study.

Journal Article JAMA Netw Open · May 3, 2019 IMPORTANCE: There is a well-established negative association of educational attainment (EA) and other traits related to cognitive ability with posttraumatic stress disorder (PTSD), but the underlying mechanisms are poorly understood. OBJECTIVES: To investi ... Full text Link to item Cite

Relationship between traumatic brain injury history and recent suicidal ideation in Iraq/Afghanistan-era veterans.

Journal Article Psychol Serv · May 2019 This study evaluated whether a history of traumatic brain injury (TBI) was associated with increased risk for recent suicidal ideation (SI) after accounting for demographics, depression, posttraumatic stress disorder (PTSD), and sleep quality. In terms of ... Full text Link to item Cite

Posttraumatic stress disorder and traumatic brain Injury: Sex differences in veterans.

Journal Article Psychiatry Res · April 2019 Around half of Iraq and Afghanistan war veterans with traumatic brain injury (TBI) have co-occurring posttraumatic stress disorder (PTSD). Research on the differences between male and female veterans with co-occurring PTSD/TBI is sparse. This study evaluat ... Full text Link to item Cite

Patient-Informed Treatment Development of Behavioral Smoking Cessation for People With Schizophrenia.

Journal Article Behav Ther · March 2019 The objective of this study was to use qualitative methodology to tailor and refine an existing smoking cessation intervention for the population of people who use cigarettes and are diagnosed with schizophrenia, schizoaffective, or psychotic disorder. Suc ... Full text Link to item Cite

Cigarette smoking rates among veterans: Association with rurality and psychiatric disorders.

Journal Article Addict Behav · March 2019 AIMS: Compared to the general U.S. population, military veterans and those living in rural areas disproportionately smoke cigarettes at higher rates, leading to increased health consequences. In the current study, prevalence and severity of cigarette smoki ... Full text Link to item Cite

Why do trauma survivors become depressed? Testing the behavioral model of depression in a nationally representative sample.

Journal Article Psychiatry Res · February 2019 Despite accumulated evidence linking trauma exposure to major depressive disorder (MDD), there is limited understanding as to why some trauma survivors subsequently develop MDD. The behavioral model of depression points to a negative reinforcement cycle of ... Full text Link to item Cite

Nonsuicidal Self-Injury and Borderline Personality Features as Risk Factors for Suicidal Ideation Among Male Veterans With Posttraumatic Stress Disorder.

Journal Article J Trauma Stress · February 2019 U.S. veterans are at increased risk for suicide compared to their civilian counterparts and account for approximately 20% of all deaths by suicide. Posttraumatic stress disorder (PTSD) and borderline personality features (BPF) have each been associated wit ... Full text Link to item Cite

Shame as a mediator between posttraumatic stress disorder symptoms and suicidal ideation among veterans.

Journal Article J Affect Disord · January 15, 2019 BACKGROUND: Suicidal ideation is a problem that disproportionately affects veterans. Moreover, veterans with posttraumatic stress disorder (PTSD) appear to be at particularly high risk for suicide. OBJECTIVE: The purpose of the present research was to exam ... Full text Link to item Cite

Roles of Guilt Cognitions in Trauma-Related Sleep Disturbance in Military Veterans With Posttraumatic Stress Disorder.

Journal Article Behav Sleep Med · 2019 Objective/Background: Despite a well-established role of guilt cognitions in the maintenance and treatment of posttraumatic stress disorder (PTSD), relationships of guilt cognitions to nightmares are not well understood. This study investigated the ways in ... Full text Link to item Cite

Cannabis Use Disorder and Post-Deployment Suicide Attempts in Iraq/Afghanistan-Era Veterans.

Journal Article Arch Suicide Res · 2019 The objective of the present study was to use retrospective data to test the hypothesis that cannabis dependence would be associated with an increased rate of post-deployment suicide attempts. Participants included 319 veterans who had deployed to either I ... Full text Link to item Cite

Cognitive Rehabilitation With Mobile Technology and Social Support for Veterans With TBI and PTSD: A Randomized Clinical Trial.

Journal Article J Head Trauma Rehabil · 2019 OBJECTIVE: To investigate effects of cognitive rehabilitation with mobile technology and social support on veterans with traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD). PARTICIPANTS: There were 112 dyads, comprised by a veteran and a ... Full text Link to item Cite

Race, psychosocial vulnerability and social support differences in inner-city women's symptoms of posttraumatic stress disorder.

Journal Article Anxiety Stress Coping · January 2019 BACKGROUND/OBJECTIVES: Inner-city Black women may be more susceptible to posttraumatic stress disorder (PTSD) than White women, although mechanisms underlying this association are unclear. Living in urban neighborhoods distinguished by higher chronic stres ... Full text Link to item Cite

Pilot Trial of a Combined Cognitive Processing Therapy and Smoking Cessation Treatment.

Journal Article J Addict Med · 2019 OBJECTIVE/BACKGROUND: Posttraumatic stress disorder (PTSD) and smoking are often comorbid. Combining PTSD and smoking cessation treatments could increase access to each treatment and could provide improved rates of smoking cessation through reductions in P ... Full text Link to item Cite

The association of resilience on psychiatric, substance use, and physical health outcomes in combat trauma-exposed military service members and veterans.

Journal Article Eur J Psychotraumatol · 2019 Objective: Although Combat exposure is associated with a range of psychiatric outcomes, many veterans do not develop psychopathology. Resilience is a multifaceted construct associated with reduced risk of distress and psychopathology; however, few studies ... Full text Open Access Link to item Cite

Knowledge Gaps around Smoking and Nicotine among U.S. Military Veterans Who Smoke and Implications for Practice.

Journal Article Mil Behav Health · 2019 The present study describes the knowledge about smoking and nicotine among a sample of current Iraq-/Afghanistan-era veterans who smoke (N = 117). A majority of participants had knowledge regarding general risks of smoking and benefits of nicotine replacem ... Full text Link to item Cite

Behavioral and Health Outcomes Associated With Deployment and Nondeployment Acquisition of Traumatic Brain Injury in Iraq and Afghanistan Veterans.

Journal Article Arch Phys Med Rehabil · December 2018 OBJECTIVE: To characterize behavioral and health outcomes in veterans with traumatic brain injury (TBI) acquired in nondeployment and deployment settings. DESIGN: Cross-sectional assessment evaluating TBI acquired during and outside of deployment, mental a ... Full text Link to item Cite

Cardiovascular risks in relation to posttraumatic stress severity among young trauma-exposed women.

Journal Article J Affect Disord · December 1, 2018 BACKGROUND: Posttraumatic stress is associated with elevated risk for cardiovascular disease (CVD). Relatively little research, particularly among women, has documented mechanisms by which PTSD might confer CVD risk during early adulthood. The purpose of t ... Full text Link to item Cite

Posttraumatic stress disorder diagnosis is associated with reduced parasympathetic activity during sleep in US veterans and military service members of the Iraq and Afghanistan wars.

Journal Article Sleep · December 1, 2018 STUDY OBJECTIVES: To determine whether high-frequency heart rate variability (HF-HRV) during sleep differs between those with and without posttraumatic stress disorder (PTSD) as a function of sleep type (non-rapid eye movement [NREM] vs. rapid eye movement ... Full text Link to item Cite

PTSD Symptoms and Acute Pain in the Emergency Department: The Roles of Vulnerability and Resilience Factors Among Low-income, Inner-city Women.

Journal Article Clin J Pain · November 2018 BACKGROUND: Given high levels of traumatic stress for low-income, inner-city women, investigating the link between posttraumatic stress disorder (PTSD) and pain is especially important. PURPOSE: Using the conservation of resources theory, we investigated d ... Full text Link to item Cite

A genome-wide association study of suicide attempts and suicidal ideation in U.S. military veterans.

Journal Article Psychiatry Res · November 2018 Death by suicide and suicidal behavior are major concerns among U.S. military veterans; however, no genome-wide association studies (GWAS) studies of suicidal behavior have been conducted among U.S. military veterans to date, despite the elevated rate of s ... Full text Link to item Cite

Wall/Object Punching: An Important but Under-Recognized Form of Nonsuicidal Self-Injury.

Journal Article Suicide Life Threat Behav · October 2018 The present research investigated wall/object punching as a form of nonsuicidal self-injury (NSSI) among 1,143 veterans seeking treatment for posttraumatic stress disorder (PTSD). Wall/object punching was remarkably common in this sample (43%), and its inc ... Full text Link to item Cite

A learning collaborative model for implementation of smoking cessation among homeless veterans

Journal Article Journal of Smoking Cessation · September 1, 2018 We evaluated the feasibility of incorporating integrated care (IC) for smoking cessation into routine care for homeless veterans at seven Department of Veterans Affairs (VA) Medical Centers and the utility of the learning collaborative (LC) model in facili ... Full text Cite

Psychosocial Risk Factors and Other Than Honorable Military Discharge: Providing Healthcare to Previously Ineligible Veterans.

Journal Article Mil Med · September 1, 2018 INTRODUCTION: In response to a strong focus on suicide prevention for all veterans, the Department of Veterans Affairs (VA) recently revised policy to provide emergency mental healthcare for veterans who received Other Than Honorable (OTH) discharges from ... Full text Link to item Cite

Association of Interleukin 6 Receptor Variant With Cardiovascular Disease Effects of Interleukin 6 Receptor Blocking Therapy: A Phenome-Wide Association Study.

Journal Article JAMA Cardiol · September 1, 2018 IMPORTANCE: Electronic health record (EHR) biobanks containing clinical and genomic data on large numbers of individuals have great potential to inform drug discovery. Individuals with interleukin 6 receptor (IL6R) single-nucleotide polymorphisms (SNPs) wh ... Full text Link to item Cite

The Association Between Military Sexual Trauma and Use of VA and Non-VA Health Care Services Among Female Veterans With Military Service in Iraq or Afghanistan.

Journal Article J Interpers Violence · August 2018 Military sexual trauma (MST) has been linked with increased rates of mental health disorders among veterans. Few studies have addressed how MST is related to use of VA and non-VA health care. The purpose of the current study was to (a) examine the associat ... Full text Link to item Cite

Examination of the indirect effects of combat exposure on suicidal behavior in veterans.

Journal Article J Affect Disord · August 1, 2018 BACKGROUND: Researchers have theorized that increased rates of suicide in the military are associated with combat exposure; however, this hypothesis has received inconsistent support in the literature, potentially because combat exposure may be indirectly ... Full text Link to item Cite

Informing Federal Policy on Firearm Restrictions for Veterans with Fiduciaries: Risk Indicators in the Post-Deployment Mental Health Study.

Journal Article Adm Policy Ment Health · July 2018 This article examines the public safety rationale for a federal policy of prohibiting gun sales to veterans with psychiatric disabilities who are assigned a fiduciary to manage their benefits from the Department of Veterans Affairs. The policy was evaluate ... Full text Link to item Cite

The Association Between Alcohol Consumption, Lifetime Alcohol Use Disorder, and Psychiatric Distress Among Male and Female Veterans.

Journal Article J Stud Alcohol Drugs · July 2018 OBJECTIVE: This study aimed to examine among veterans (a) whether alcohol consumption patterns are associated with probability of psychiatric symptoms and (b) whether an alcohol use disorder (AUD) history explains psychiatric symptoms among nondrinkers. ME ... Full text Link to item Cite

Traumatic stress and accelerated DNA methylation age: A meta-analysis.

Journal Article Psychoneuroendocrinology · June 2018 BACKGROUND: Recent studies examining the association between posttraumatic stress disorder (PTSD) and accelerated aging, as defined by DNA methylation-based estimates of cellular age that exceed chronological age, have yielded mixed results. METHODS: We co ... Full text Link to item Cite

Alcohol Consumption and Risk of Coronary Artery Disease (from the Million Veteran Program).

Journal Article Am J Cardiol · May 15, 2018 Moderate alcohol consumption has been associated with a lower risk of coronary artery disease (CAD) in the general population but has not been well studied in US veterans. We obtained self-reported alcohol consumption from Million Veteran Program participa ... Full text Link to item Cite

Effects of social support and resilient coping on violent behavior in military veterans.

Journal Article Psychol Serv · May 2018 Violence toward others has been identified as a serious postdeployment adjustment problem in a subset of Iraq- and Afghanistan-era veterans. In the current study, we examined the intricate links between posttraumatic stress disorder (PTSD), commonly cited ... Full text Link to item Cite

DASH Score and Subsequent Risk of Coronary Artery Disease: The Findings From Million Veteran Program.

Journal Article J Am Heart Assoc · April 21, 2018 BACKGROUND: While adherence to healthful dietary patterns has been associated with a lower risk of coronary artery disease (CAD) in the general population, limited data are available among US veterans. We tested the hypothesis that adherence to Dietary App ... Full text Link to item Cite

Risk factors for concurrent suicidal ideation and violent impulses in military veterans.

Journal Article Psychol Assess · April 2018 Suicide and violence are significant problems in a subset of Iraq/Afghanistan-era veterans. This study investigates how posttraumatic stress disorder (PTSD) and resilience in veterans are associated with suicidal ideation and violent impulses while control ... Full text Link to item Cite

Mobile contingency management as an adjunctive treatment for co-morbid cannabis use disorder and cigarette smoking.

Journal Article Addict Behav · April 2018 INTRODUCTION: Cannabis is the most widely used illicit drug in the U.S. with 19.8 million current users. Population-based data indicate that almost all cannabis users (90%) have a lifetime history of tobacco smoking and the majority (74%) currently smoke t ... Full text Link to item Cite

The Warrior Wellness Study: A Randomized Controlled Exercise Trial for Older Veterans with PTSD.

Journal Article Transl J Am Coll Sports Med · March 15, 2018 Posttraumatic stress disorder (PTSD) affects up to 30% of military veterans. Older veterans, many of whom have lived with PTSD symptoms for several decades, report a number of negative health outcomes. Despite the demonstrated benefits of regular exercise ... Full text Open Access Link to item Cite

Largest GWAS of PTSD (N=20 070) yields genetic overlap with schizophrenia and sex differences in heritability.

Journal Article Mol Psychiatry · March 2018 The Psychiatric Genomics Consortium-Posttraumatic Stress Disorder group (PGC-PTSD) combined genome-wide case-control molecular genetic data across 11 multiethnic studies to quantify PTSD heritability, to examine potential shared genetic risk with schizophr ... Full text Open Access Link to item Cite

Characterizing anger-related affect in individuals with posttraumatic stress disorder using ecological momentary assessment.

Journal Article Psychiatry Res · March 2018 This study employed secondary analyses of existing ecological momentary assessment (EMA) data to characterize hostile and irritable affect in the day-to-day experience of 52 smokers with, and 65 smokers without, posttraumatic stress disorder (PTSD). EMA mo ... Full text Link to item Cite

Disentangling the link between posttraumatic stress disorder and violent behavior: Findings from a nationally representative sample.

Journal Article J Consult Clin Psychol · February 2018 OBJECTIVE: Although research using combat veteran samples has demonstrated an association between posttraumatic stress disorder (PTSD) and violence toward others, there has been relatively little research examining this relationship among individuals with ... Full text Link to item Cite

The association of alcohol consumption patterns with self-rated physical health and psychiatric distress among Afghanistan- and Iraq-era U.S. veterans.

Journal Article Psychiatry Res · January 2018 Alcohol misuse is associated with negative mental and physical health outcomes, which presents a public health concern in veterans. However, less is known regarding outcomes among veterans with low to moderate alcohol consumption. This study included veter ... Full text Link to item Cite

Brain Structural Covariance Network Topology in Remitted Posttraumatic Stress Disorder.

Journal Article Front Psychiatry · 2018 Posttraumatic stress disorder (PTSD) is a prevalent, chronic disorder with high psychiatric morbidity; however, a substantial portion of affected individuals experience remission after onset. Alterations in brain network topology derived from cortical thic ... Full text Link to item Cite

A Randomized Clinical Trial of Nicotine Preloading for Smoking Cessation in People with Posttraumatic Stress Disorder.

Journal Article J Dual Diagn · 2018 OBJECTIVE: The aim of this research was to determine whether augmenting standard smoking cessation treatment by wearing an active nicotine patch before the smoking quit date improves rates of smoking cessation in individuals with posttraumatic stress disor ... Full text Link to item Cite

Contingency Management Versus Psychotherapy for Prenatal Smoking Cessation: A Meta-Analysis of Randomized Controlled Trials.

Journal Article Womens Health Issues · 2018 OBJECTIVES: Prenatal smoking is the leading preventable cause of poor obstetric outcomes, yet treatment options are limited. Past reviews of prenatal smoking cessation have often grouped all counseling into a single category, which ignores the fact that ps ... Full text Link to item Cite

Exploring resilience models in a sample of combat-exposed military service members and veterans: a comparison and commentary.

Journal Article Eur J Psychotraumatol · 2018 Background: The term resilience is applied in numerous ways in the mental health field, leading to different perspectives of what constitutes a resilient response and disparate findings regarding its prevalence following trauma. Objective: illustrate the i ... Full text Link to item Cite

The Relation of Light-to-Moderate Alcohol Consumption to Glucose Metabolism and Insulin Resistance in Nondiabetic Adults: the Moderating Effects of Depressive Symptom Severity, Adiposity, and Sex.

Journal Article Int J Behav Med · December 2017 PURPOSE: We examined the relation of alcohol consumption to glucose metabolism and insulin resistance (IR) as a function of depressive symptoms, adiposity, and sex. METHOD: Healthy adults (aged 18-65 years) provided fasting blood samples and information on ... Full text Link to item Cite

Genomewide association studies of suicide attempts in US soldiers.

Journal Article Am J Med Genet B Neuropsychiatr Genet · December 2017 Suicide is a global public health problem with particular resonance for the US military. Genetic risk factors for suicidality are of interest as indicators of susceptibility and potential targets for intervention. We utilized population-based nonclinical c ... Full text Link to item Cite

Genome-wide association study of subcortical brain volume in PTSD cases and trauma-exposed controls.

Journal Article Transl Psychiatry · November 30, 2017 Depending on the traumatic event, a significant fraction of trauma survivors subsequently develop PTSD. The additional variability in PTSD risk is expected to arise from genetic susceptibility. Unfortunately, several genome-wide association studies (GWAS) ... Full text Link to item Cite

A putative causal relationship between genetically determined female body shape and posttraumatic stress disorder.

Journal Article Genome Med · November 27, 2017 BACKGROUND: The nature and underlying mechanisms of the observed increased vulnerability to posttraumatic stress disorder (PTSD) in women are unclear. METHODS: We investigated the genetic overlap of PTSD with anthropometric traits and reproductive behavior ... Full text Link to item Cite

A Pilot Trial of Mindfulness Meditation Training for ADHD in Adulthood: Impact on Core Symptoms, Executive Functioning, and Emotion Dysregulation.

Journal Article J Atten Disord · November 2017 OBJECTIVE: Mindfulness meditation training is garnering increasing empirical interest as an intervention for ADHD in adulthood, although no studies of mindfulness as a standalone treatment have included a sample composed entirely of adults with ADHD or a c ... Full text Link to item Cite

Sleep quality in returning veterans: The influence of mild traumatic brain injury.

Journal Article Rehabil Psychol · November 2017 OBJECTIVE: Sleep disturbance is a key behavioral health concern among Iraq and Afghanistan era veterans and is a frequent complaint among veterans with a history of mild traumatic brain injury (mTBI). Currently, it is unclear whether sleep disturbance is a ... Full text Link to item Cite

Validation of Veterans Affairs Electronic Medical Record Smoking Data Among Iraq- and Afghanistan-Era Veterans.

Journal Article J Gen Intern Med · November 2017 BACKGROUND: Research using the Veterans Health Administration (VA) electronic medical records (EMR) has been limited by a lack of reliable smoking data. OBJECTIVE: To evaluate the validity of using VA EMR "Health Factors" data to determine smoking status a ... Full text Link to item Cite

A model comparison approach to trauma-related guilt as a mediator of the relationship between PTSD symptoms and suicidal ideation among veterans.

Journal Article J Affect Disord · October 15, 2017 BACKGROUND: Suicidal ideation (SI) is a serious issue affecting U.S. veterans, and those with posttraumatic stress disorder (PTSD) are at an especially high risk of SI. Guilt has been associated with both PTSD and SI and may therefore be an important link ... Full text Link to item Cite

Neuroticism Increases PTSD Symptom Severity by Amplifying the Emotionality, Rehearsal, and Centrality of Trauma Memories.

Journal Article J Pers · October 2017 OBJECTIVE: Although it is well established that neuroticism increases the risk of posttraumatic stress disorder (PTSD), little is known about the mechanisms that promote PTSD in individuals with elevated levels of neuroticism. Across two studies, we examin ... Full text Open Access Link to item Cite

Self-Reported Pain in Male and Female Iraq/Afghanistan-Era Veterans: Associations with Psychiatric Symptoms and Functioning.

Journal Article Pain Med · September 1, 2017 OBJECTIVE: To examine pain symptoms and co-occurring psychiatric and functional indices in male and female Iraq/Afghanistan-era veterans. DESIGN: Self-reported data collection and interviews of Iraq/Afghanistan-era veterans who participated in a multisite ... Full text Link to item Cite

Cigarette Smoking and Musculoskeletal Pain Severity Among Male and Female Afghanistan/Iraq Era Veterans.

Journal Article Pain Med · September 1, 2017 OBJECTIVE: Cigarette smoking and musculoskeletal pain are prevalent among Department of Veterans Affairs (VA) health care system users. These conditions frequently co-occur; however, there is limited empirical information specific to Afghanistan/Iraq era v ... Full text Link to item Cite

The Post-Deployment Mental Health (PDMH) study and repository: A multi-site study of US Afghanistan and Iraq era veterans.

Journal Article Int J Methods Psychiatr Res · September 2017 The United States (US) Department of Veterans Affairs (VA) Mid-Atlantic Mental Illness Research, Education, and Clinical Center (MIRECC) Post-Deployment Mental Health (PDMH) multi-site study examines post-deployment mental health in US military Afghanistan ... Full text Link to item Cite

Epigenome-wide association of PTSD from heterogeneous cohorts with a common multi-site analysis pipeline.

Journal Article Am J Med Genet B Neuropsychiatr Genet · September 2017 Compelling evidence suggests that epigenetic mechanisms such as DNA methylation play a role in stress regulation and in the etiologic basis of stress related disorders such as Post traumatic Stress Disorder (PTSD). Here we describe the purpose and methods ... Full text Link to item Cite

Veterans Affairs Primary Care Provider Perceptions of Insomnia Treatment.

Journal Article J Clin Sleep Med · August 15, 2017 STUDY OBJECTIVES: Insomnia is a widespread issue among United States adults and rates of insomnia among veterans are even higher than the general population. Prior research examining primary care provider (PCP) perspectives on insomnia treatment found that ... Full text Open Access Link to item Cite

Veterans Living with HIV: A High-Risk Group for Cigarette Smoking.

Journal Article AIDS Behav · July 2017 The Veterans Health Administration is the largest U.S. medical provider for persons living with HIV (PLHIV). Although HIV and veteran status are known risk factors for smoking, there are no population estimates of smoking prevalence among veteran PLHIV. Us ... Full text Link to item Cite

Cannabis use disorder and suicide attempts in Iraq/Afghanistan-era veterans.

Journal Article J Psychiatr Res · June 2017 The objective of the present research was to examine the association between lifetime cannabis use disorder (CUD), current suicidal ideation, and lifetime history of suicide attempts in a large and diverse sample of Iraq/Afghanistan-era veterans (N = 3233) ... Full text Link to item Cite

ADHD and nonsuicidal self-injury in male veterans with and without PTSD.

Journal Article Psychiatry Res · June 2017 The objective of the present research was to examine the association between ADHD symptoms and nonsuicidal self-injury (NSSI) in male Iraq/Afghanistan-era veterans with and without PTSD. Approximately 25% of veterans screened positive for clinically-signif ... Full text Link to item Cite

Trauma and Autonomic Dysregulation: Episodic-Versus Systemic-Negative Affect Underlying Cardiovascular Risk in Posttraumatic Stress Disorder.

Journal Article Psychosom Med · June 2017 OBJECTIVE: Posttraumatic stress disorder (PTSD) has been linked to elevated heart rate (HR) and reduced heart rate variability (HRV) in cross-sectional research. Recent evidence suggests that this link may be driven by individual differences in autonomic a ... Full text Link to item Cite

Moral transgression during the Vietnam War: a path analysis of the psychological impact of veterans' involvement in wartime atrocities.

Journal Article Anxiety Stress Coping · March 2017 BACKGROUND AND OBJECTIVES: Involvement in wartime combat often conveys a number of deleterious outcomes, including posttraumatic stress disorder (PTSD), depression, hostility, aggression, and suicidal ideation. Less studied is the effect of engagement in w ... Full text Link to item Cite

Smoking-induced affect modulation in nonwithdrawn smokers with posttraumatic stress disorder, depression, and in those with no psychiatric disorder.

Journal Article J Abnorm Psychol · February 2017 This research sought to determine whether smoking influences affect by means other than withdrawal reduction. Little previous evidence suggests such an effect. We surmised that such an effect would be especially apparent in posttraumatic stress disorder (P ... Full text Link to item Cite

Further evidence for a role of the ADRB2 gene in risk for posttraumatic stress disorder.

Journal Article J Psychiatr Res · January 2017 The aim of the present study was to attempt to replicate the recently reported finding associating rs2400707 of the Adrenoceptor Beta 2, Surface (ADRB2) gene and childhood trauma on PTSD symptoms. Participants included a predominantly veteran cohort of non ... Full text Link to item Cite

Nonsuicidal self-injury and interpersonal violence in U.S. veterans seeking help for posttraumatic stress disorder.

Journal Article Psychiatry Res · January 2017 Nonsuicidal self-injury (NSSI) has been defined as deliberately damaging one's body tissue without conscious suicidal intent. NSSI is a robust predictor of suicidal ideation and attempts in adults. While NSSI has been associated with other-directed violenc ... Full text Link to item Cite

A Preliminary Investigation of a Relapse Prevention Mobile Application to Maintain Smoking Abstinence Among Individuals With Posttraumatic Stress Disorder.

Journal Article J Dual Diagn · 2017 OBJECTIVES: Smokers with posttraumatic stress disorder (PTSD) have increased difficulty achieving and maintaining abstinence. Contingency management approaches to smoking cessation interventions have demonstrated short-term efficacy but are limited by high ... Full text Link to item Cite

Sociocultural discourse in science: Flawed assumptions and bias in the CLASH model.

Journal Article Behav Brain Sci · January 2017 In this commentary, we contest Van Lange and colleagues' central claim that "countries closer to the equator are generally more violent." We point to the lack of credible empirical evidence for this assertion and suggest that the CLASH model uses the langu ... Full text Link to item Cite

Trauma and Autonomic Dysregulation: Episodic - Versus Systemic - Negative Affect Underlying Cardiovascular Risk in Posttraumatic Stress Disorder.

Journal Article Psychosom Med · December 9, 2016 OBJECTIVE: Posttraumatic stress disorder (PTSD) has been linked to elevated heart rate (HR) and reduced heart-rate variability (HRV) in cross-sectional research. Recent evidence suggests that this link may be driven by individual differences in autonomic a ... Full text Link to item Cite

Engagement and abstinence among users of a smoking cessation text message program for veterans.

Journal Article Addict Behav · November 2016 BACKGROUND: SmokefreeVET is a text messaging smoking cessation program available to veterans enrolled in the Veterans Health Administration. SmokefreeVET was developed in collaboration with the National Cancer Institute as part of the SmokefreeTXT initiati ... Full text Link to item Cite

Comparative Effectiveness of an Internet-Based Smoking Cessation Intervention Versus Clinic-Based Specialty Care for Veterans.

Journal Article J Subst Abuse Treat · October 2016 INTRODUCTION: The primary objective of this project was to examine the effectiveness of an Internet-based smoking cessation intervention combined with a tele-health medication clinic for nicotine replacement therapy (NRT) compared to referral to clinic-bas ... Full text Link to item Cite

Circadian Contrasts in Heart Rate Variability Associated With Posttraumatic Stress Disorder Symptoms in a Young Adult Cohort.

Journal Article J Trauma Stress · October 2016 Prior research has demonstrated that individuals exposed to trauma have shown impaired autonomic function. We sought to determine if heart rate variability (HRV), a marker of impaired autonomic function, differed across periods of wake, rest, and sleep as ... Full text Link to item Cite

Scientific evidence versus outdated beliefs: A response to Brewin (2016).

Journal Article J Abnorm Psychol · October 2016 We find Brewin's (2016) critiques of the narratives, power, and coherence measures in Rubin et al. (2016) without merit; his suggestions for a "revised formulation" (p. 1015) of coherence are contradicted by data readily available in the target article but ... Full text Open Access Link to item Cite

Physical Activity Counseling Promotes Physical and Psychological Resilience in Older Veterans with Posttraumatic Stress Disorder.

Journal Article Ment Health Phys Act · October 2016 UNLABELLED: Individuals with posttraumatic stress disorder (PTSD) have elevated rates of morbidity, and a sedentary lifestyle can cause and aggravate the physical health needs of adults with PTSD. The primary aim of this paper was to explore the impact of ... Full text Open Access Link to item Cite

Racial and Sociodemographic Disparities in Internet Access and eHealth Intervention Utilization Among Veteran Smokers.

Journal Article J Racial Ethn Health Disparities · September 15, 2016 INTRODUCTION: Access to the internet at home may be an important barrier to electronic health (eHealth) smoking cessation interventions. The current study explored possible sociodemographic disparities in access to the internet at home among veteran smoker ... Full text Link to item Cite

Examining the Crux of Autonomic Dysfunction in Posttraumatic Stress Disorder: Whether Chronic or Situational Distress Underlies Elevated Heart Rate and Attenuated Heart Rate Variability.

Journal Article Psychosom Med · September 2016 OBJECTIVE: Posttraumatic stress disorder (PTSD) has been linked to elevated heart rate (HR) and reduced heart rate variability (HRV) in cross-sectional research. Using ecological momentary assessment and minute-to-minute HRV/HR monitoring, we examined whet ... Full text Link to item Cite

Roles of inter-individual differences and intra-individual acute elevations in early smoking lapse in people with posttraumatic stress disorder.

Journal Article Addict Behav · September 2016 Existing models of the role of posttraumatic stress disorder (PTSD) symptoms and smoking have almost exclusively examined mean symptom levels, rather than the acute elevations that might trigger smoking lapse immediately or increase risk of a smoking lapse ... Full text Link to item Cite

Abstinence Reinforcement Therapy (ART) for rural veterans: Methodology for an mHealth smoking cessation intervention.

Journal Article Contemp Clin Trials · September 2016 INTRODUCTION: Smoking is the most preventable cause of morbidity and mortality in U.S. veterans. Rural veterans in particular have elevated risk for smoking and smoking-related illness. However, these veterans underutilize smoking cessation treatment, whic ... Full text Link to item Cite

Supplemental nicotine preloading for smoking cessation in posttraumatic stress disorder: Results from a randomized controlled trial.

Journal Article Addict Behav · August 2016 BACKGROUND: Individuals with posttraumatic stress disorder (PTSD) are more likely to smoke and more likely to relapse following a quit attempt than individuals without PTSD. Thus, there is a significant need to study promising interventions that might impr ... Full text Link to item Cite

Sexual revictimization among Iraq and Afghanistan war era veterans.

Journal Article Psychiatry Res · June 30, 2016 Research in both civilian and military populations has demonstrated that females who experience childhood sexual abuse (CSA) are more likely to experience sexual assault in adulthood than females who did not experience CSA. Among veteran samples, however, ... Full text Link to item Cite

Incidence and Risk Factors for Intensive Care Unit-related Post-traumatic Stress Disorder in Veterans and Civilians.

Journal Article Am J Respir Crit Care Med · June 15, 2016 RATIONALE: The incidence and risk factors of post-traumatic stress disorder (PTSD) related to the intensive care unit (ICU) experience have not been reported in a mixed veteran and civilian cohort. OBJECTIVES: To describe the incidence and risk factors for ... Full text Link to item Cite

The prevalence of binge drinking and receipt of provider drinking advice among US veterans with military service in Iraq or Afghanistan.

Journal Article Am J Drug Alcohol Abuse · May 2016 BACKGROUND: Binge drinking is a significant public health concern linked to a number of health and psychosocial problems. Military service in Afghanistan (OEF) and Iraq (OIF) has been associated with posttraumatic stress disorder (PTSD) and increased hazar ... Full text Link to item Cite

Prevalence and correlates of cannabis use in an outpatient VA posttraumatic stress disorder clinic.

Journal Article Psychol Addict Behav · May 2016 Recent research has documented high rates of comorbidity between cannabis use disorders and posttraumatic stress disorder (PTSD) in veterans. However, despite possible links between PTSD and cannabis use, relatively little is known about cannabis use in ve ... Full text Link to item Cite

An investigation of vago-regulatory and health-behavior accounts for increased inflammation in posttraumatic stress disorder.

Journal Article J Psychosom Res · April 2016 OBJECTIVE: Posttraumatic stress disorder (PTSD) has been linked to chronic inflammation, a condition that poses a risk for cardiovascular disease. Attenuated vagal activity has been proposed as a potential mediator of PTSD and inflammation, although associ ... Full text Link to item Cite

Subthreshold posttraumatic stress disorder: A meta-analytic review of DSM-IV prevalence and a proposed DSM-5 approach to measurement.

Journal Article Psychol Trauma · March 2016 Subthreshold posttraumatic stress disorder (PTSD) is a chronic condition that is often ignored, the cumulative effects of which can negatively impact an individual's quality of life and overall health care costs. However, subthreshold PTSD prevalence rates ... Full text Link to item Cite

Exploring the relationship between posttraumatic stress disorder symptoms and momentary heart rate variability.

Journal Article J Psychosom Res · March 2016 OBJECTIVE: Exposure to trauma-related cues has been associated with a prolonged decrease in heart rate variability (HRV) under laboratory conditions, however the relationship between PTSD symptoms and HRV has not been evaluated during everyday life. The pr ... Full text Link to item Cite

Allopregnanolone Levels Are Inversely Associated with Self-Reported Pain Symptoms in U.S. Iraq and Afghanistan-Era Veterans: Implications for Biomarkers and Therapeutics.

Journal Article Pain Med · January 2016 BACKGROUND AND OBJECTIVES: Pain symptoms are common among Iraq/Afghanistan-era veterans, many of whom continue to experience persistent pain symptoms despite multiple pharmacological interventions. Preclinical data suggest that neurosteroids such as allopr ... Full text Open Access Link to item Cite

Pilot Cases of Combined Cognitive Processing Therapy and Smoking Cessation for Smokers With Posttraumatic Stress Disorder.

Journal Article Behav Ther · January 2016 Posttraumatic stress disorder (PTSD) and smoking are often comorbid, and both problems are in need of improved access to evidence-based treatment. The combined approach could address two high-priority problems and increase patient access to both treatments ... Full text Link to item Cite

Participant, rater, and computer measures of coherence in posttraumatic stress disorder.

Journal Article J Abnorm Psychol · January 2016 We examined the coherence of trauma memories in a trauma-exposed community sample of 30 adults with and 30 without posttraumatic stress disorder. The groups had similar categories of traumas and were matched on multiple factors that could affect the cohere ... Full text Open Access Link to item Cite

Posttraumatic Stress Disorder, Hostile Cognitions, and Aggression in Iraq/Afghanistan Era Veterans.

Journal Article Psychiatry · 2016 OBJECTIVE: Most veterans with posttraumatic stress disorder (PTSD) are not violent, yet research has demonstrated that there is a substantial minority who are at increased risk. This study tested hypotheses regarding hyperarousal symptoms and hostile cogni ... Full text Link to item Cite

Drug use and validity of substance use self-reports in veterans seeking help for posttraumatic stress disorder

Chapter · January 1, 2016 The present study assessed drug use and the validity of self-reports of substance use among help-seeking veterans referred to a specialty clinic for the assessment of posttraumatic stress disorder (PTSD). Patients (n = 341) were asked to provide a urine sa ... Full text Cite

Fear learning circuitry is biased toward generalization of fear associations in posttraumatic stress disorder.

Journal Article Transl Psychiatry · December 15, 2015 Fear conditioning is an established model for investigating posttraumatic stress disorder (PTSD). However, symptom triggers may vaguely resemble the initial traumatic event, differing on a variety of sensory and affective dimensions. We extended the fear-c ... Full text Open Access Link to item Cite

Functional correlates of military sexual assault in male veterans.

Journal Article Psychol Serv · November 2015 Despite research findings that similar numbers of male and female veterans are affected by military sexual trauma (MST), there has been considerably less research on the effects of MST specific to male veterans. The aim of the present study was to provide ... Full text Link to item Cite

Acoustic startle and prepulse inhibition predict smoking lapse in posttraumatic stress disorder.

Journal Article J Psychopharmacol · October 2015 Most smokers who attempt to quit lapse within the first week and are ultimately unsuccessful in their quit attempt. Nicotine withdrawal exacerbates cognitive and attentional problems and may be one factor in smoking relapse. The startle reflex response and ... Full text Link to item Cite

Effect of genetic variation in the nicotinic receptor genes on risk for posttraumatic stress disorder.

Journal Article Psychiatry Res · September 30, 2015 The present study examined the association between genetic variation in the nicotinic receptor gene family (CHRNA2, CHRNA3, CHRNA4, CHRNA5, CHRNA6, CHRNA7, CHRNA9, CHRNA10, CHRNB2, CHRNB3, CHRNB4) and the occurrence of posttraumatic stress disorder (PTSD). ... Full text Link to item Cite

A Comparison of Sleep Difficulties among Iraq/Afghanistan Theater Veterans with and without Mental Health Diagnoses.

Journal Article J Clin Sleep Med · September 15, 2015 STUDY OBJECTIVES: Sleep disturbance is among the most common complaints of veterans and military personnel who deployed to the conflicts in Iraq and Afghanistan. A growing body of research has examined cross-sectional and longitudinal relationships between ... Full text Link to item Cite

Genome-wide association study of posttraumatic stress disorder in a cohort of Iraq-Afghanistan era veterans.

Journal Article J Affect Disord · September 15, 2015 BACKGROUND: Posttraumatic stress disorder (PTSD) is a psychiatric disorder that can develop after experiencing traumatic events. A genome-wide association study (GWAS) design was used to identify genetic risk factors for PTSD within a multi-racial sample p ... Full text Link to item Cite

Multicomponent smoking cessation treatment including mobile contingency management in homeless veterans.

Journal Article J Clin Psychiatry · July 2015 INTRODUCTION: Smoking rates are 80% among persons who are homeless, and these smokers have decreased odds of quitting smoking. Little is known about relapse rates among homeless smokers. More information is needed regarding both quit rates and innovative m ... Full text Link to item Cite

Drug use and childhood-, military- and post-military trauma exposure among women and men veterans.

Journal Article Drug Alcohol Depend · July 1, 2015 BACKGROUND: The current study was undertaken to examine whether posttraumatic stress symptoms (PTSS) and depressive symptoms mediated the association between trauma exposure (combat-related trauma and non-combat traumas occurring before, during, and after ... Full text Link to item Cite

Non-suicidal self-injury as a predictor of active and passive suicidal ideation among Iraq/Afghanistan war veterans.

Journal Article Psychiatry Res · June 30, 2015 The present study examined the association between lifetime non-suicidal self-injury (NSSI) and current suicidal ideation among Iraq/Afghanistan veterans. NSSI was positively associated with passive, active, and concurrent active-passive suicidal ideation ... Full text Link to item Cite

Associations between sleep difficulties and risk factors for cardiovascular disease in veterans and active duty military personnel of the Iraq and Afghanistan conflicts.

Journal Article J Behav Med · June 2015 Recent evidence suggests that sleep disturbance may play an important role in the development of cardiovascular disease (CVD). Despite the prevalence of sleep complaints among service members of recent military conflicts, few studies have examined associat ... Full text Open Access Link to item Cite

Orthostatic hypotension in young adults with and without posttraumatic stress disorder.

Journal Article Psychol Trauma · May 2015 The purpose of this research is (a) to evaluate differences in orthostatic hypotension (OH) among young adults with and without posttraumatic stress disorder (PTSD) and (b) to examine whether group differences may be attributable to behavioral risk factors ... Full text Link to item Cite

EFFECT OF THE APOE ε4 ALLELE AND COMBAT EXPOSURE ON PTSD AMONG IRAQ/AFGHANISTAN-ERA VETERANS.

Journal Article Depress Anxiety · May 2015 BACKGROUND: The apolipoprotein E (APOE) ε4 allele has been implicated in a range of neuropsychiatric conditions. The present research examined if the ε4 allele of the APOE gene moderated the effect of combat exposure on posttraumatic stress disorder (PTSD) ... Full text Link to item Cite

The prevalence of posttraumatic stress disorder in Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans: a meta-analysis.

Journal Article J Anxiety Disord · April 2015 Literature on posttraumatic stress disorder (PTSD) prevalence among Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) veterans report estimates ranging from 1.4% to 60%. A more precise estimate is necessary for projecting healthcare needs and informi ... Full text Link to item Cite

An examination of the broader effects of warzone experiences on returning Iraq/Afghanistan veterans' psychiatric health.

Journal Article Psychiatry Res · March 30, 2015 The objective of the present research was to test the hypotheses that: (1) Iraq/Afghanistan war veterans experience a wide range of psychiatric symptomatology (e.g., obsessive-compulsive symptoms, hypochondriasis, somatization); and (2) general psychiatric ... Full text Link to item Cite

Mediators of interpersonal violence and drug addiction severity among methamphetamine users in Cape Town, South Africa.

Journal Article Addict Behav · March 2015 South Africa has high rates of interpersonal violence and a rapidly growing methamphetamine epidemic. Previous research has linked experiences of interpersonal violence to higher rates of substance use, and identified mental health constructs as potential ... Full text Link to item Cite

Tobacco use trajectories among a large cohort of treated smokers with posttraumatic stress disorder.

Journal Article Addict Behav · February 2015 INTRODUCTION: This study identified distinct tobacco use trajectories across 18months in 943 veteran smokers with posttraumatic stress disorder (PTSD) in order to describe quit and relapse patterns, examine associations between trajectory groups on baselin ... Full text Link to item Cite

Effect of the 5-HTTLPR polymorphism on posttraumatic stress disorder, depression, anxiety, and quality of life among Iraq and Afghanistan veterans.

Journal Article Anxiety Stress Coping · 2015 BACKGROUND AND OBJECTIVES: Posttraumatic stress disorder (PTSD), depression, anxiety, and stress are significant problems among returning veterans and are associated with reduced quality of life. DESIGN: A correlational design was used to examine the impac ... Full text Link to item Cite

An examination of the association between 5-HTTLPR, combat exposure, and PTSD diagnosis among U.S. veterans.

Journal Article PLoS One · 2015 OBJECTIVE: To examine the association between the 5-HTTLPR polymorphism of the serotonin transporter (SLC6A4) gene, combat exposure, and posttraumatic stress disorder (PTSD) diagnosis and among two samples of combat-exposed veterans. METHOD: The first samp ... Full text Link to item Cite

A clinician's perspective on memory reconsolidation as the primary basis for psychotherapeutic change in posttraumatic stress disorder (PTSD).

Journal Article Behav Brain Sci · 2015 Lane et al.'s proposal that psychotherapeutic change comes about through memory reconsolidation is compelling; however, the model would be strengthened by the inclusion of predictions regarding additional factors that might influence treatment response, pr ... Full text Link to item Cite

Latent Factor Structure of DSM-5 Posttraumatic Stress Disorder.

Journal Article Psychopathol Rev · 2015 The current study examined the latent factor structure of posttraumatic stress disorder (PTSD) based on DSM-5 criteria in a sample of participants (N = 374) recruited for studies on trauma and health. Confirmatory factor analyses (CFA) were used to compare ... Full text Link to item Cite

The Relationship Between Posttraumatic Stress Symptoms and Physical Health in a Survey of U.S. Veterans of the Iraq and Afghanistan Era.

Journal Article Psychosomatics · 2015 BACKGROUND: Although a large body of literature has linked posttraumatic stress disorder (PTSD) with poor physical health among older veterans, less is known regarding the association between PTSD and health among relatively younger cohorts of veterans. OB ... Full text Link to item Cite

Careful operationalization and assessment are critical for advancing the study of the neurobiology of resilience.

Journal Article Behav Brain Sci · 2015 The authors' definition of resilience is too narrow and essentially defines resilience as the absence of psychopathology. Consequently, it is not clear how quantitatively defined resilience differs from quantitatively defined psychopathology according to t ... Full text Link to item Cite

The factor structure of psychiatric comorbidity among Iraq/Afghanistan-era veterans and its relationship to violence, incarceration, suicide attempts, and suicidality.

Journal Article Psychiatry Res · December 15, 2014 The present research examined how incarceration, suicide attempts, suicidality, and difficulty controlling violence relate to the underlying factor structure of psychiatric comorbidity among a large sample of Iraq/Afghanistan-era veterans (N=1897). Diagnos ... Full text Link to item Cite

DSM-5 posttraumatic stress disorder: factor structure and rates of diagnosis.

Journal Article J Psychiatr Res · December 2014 Posttraumatic stress disorder (PTSD) is a significant problem among Iraq/Afghanistan-era veterans. To date, however, there has been only limited research on how the recent changes in DSM-5 influence the prevalence and factor structure of PTSD. To address t ... Full text Link to item Cite

Posttraumatic stress, heart rate variability, and the mediating role of behavioral health risks.

Journal Article Psychosom Med · October 2014 OBJECTIVE: Posttraumatic stress disorder (PTSD) has been linked to reduced heart rate variability (HRV), which is in turn a risk factor for cardiovascular disease and death. Although hyperarousal and anxiety are thought to underlie this association, behavi ... Full text Link to item Cite

Use of a learning collaborative to support implementation of integrated care for smoking cessation for veterans with posttraumatic stress disorder.

Journal Article Am J Public Health · October 2014 OBJECTIVES: We evaluated the feasibility of incorporating integrated care (IC) for smoking cessation into routine treatment for posttraumatic stress disorder (PTSD) at Department of Veterans Affairs (VA) Medical Centers and the utility of the Learning Coll ... Full text Link to item Cite

Ecological momentary assessment of antecedents and consequences of smoking in adults with attention-deficit/hyperactivity disorder.

Journal Article Subst Use Misuse · September 2014 The current study assessed antecedents and consequences of ad lib cigarette smoking in smokers diagnosed with attention-deficit/hyperactivity disorder (ADHD) using ecological momentary assessment (EMA). Adult smokers with ADHD (n = 17) completed 870 smokin ... Full text Link to item Cite

Examining the factor structure of the Connor-Davidson Resilience Scale (CD-RISC) in a post-9/11 U.S. military veteran sample.

Journal Article Assessment · August 2014 The present study examined the structural validity of the 25-item Connor-Davidson Resilience Scale (CD-RISC) in a large sample of U.S. veterans with military service since September 11, 2001. Participants (N = 1,981) completed the 25-item CD-RISC, a struct ... Full text Open Access Link to item Cite

Pastoral care use among post-9/11 veterans who screen positive for mental health problems.

Journal Article Psychol Serv · August 2014 As a result of their military experience, veterans with mental health problems may have unique motivations for seeking help from clergy. Patterns and correlates of seeking pastoral care were examined using a nationwide representative survey that was conduc ... Full text Link to item Cite

Deliberate self-harm and suicidal ideation among male Iraq/Afghanistan-era veterans seeking treatment for PTSD.

Journal Article J Trauma Stress · August 2014 The objectives of the present research were to examine the prevalence of deliberate self-harm (DSH) among 214 U.S. male Iraq/Afghanistan-era veterans seeking treatment for posttraumatic stress disorder (PTSD) and to evaluate the relationship between DSH an ... Full text Link to item Cite

Do ethnicity and gender moderate the influence of posttraumatic stress disorder on time to smoking lapse?

Journal Article Addict Behav · July 2014 BACKGROUND: Following a smoking cessation attempt, smokers with posttraumatic stress disorder (PTSD) experience smoking relapse at a higher and faster rate. Black ethnicity and female gender are also associated with lower success rates following smoking ce ... Full text Link to item Cite

Screening for violence risk in military veterans: predictive validity of a brief clinical tool.

Journal Article Am J Psychiatry · July 2014 OBJECTIVE: Violence toward others is a serious problem among a subset of military veterans. The authors evaluated the predictive validity of a brief decision support tool to screen veterans for problems with violence and identify potential candidates for a ... Full text Link to item Cite

Behavioral health mediators of the link between posttraumatic stress disorder and dyslipidemia.

Journal Article J Psychosom Res · July 2014 OBJECTIVES: Posttraumatic stress disorder (PTSD) has been linked to dyslipidemia, which is a major risk factor for coronary artery disease. Although this link is thought to reflect response to heightened stress, behavioral health risks, including smoking, ... Full text Link to item Cite

The impact of social support on psychological distress for U.S. Afghanistan/Iraq era veterans with PTSD and other psychiatric diagnoses.

Journal Article Psychiatry Res · June 30, 2014 This study aimed to examine the degree to which posttraumatic stress disorder (PTSD) affects the relationship between social support and psychological distress for U.S. Afghanistan/Iraq era veterans with and without co-occurring psychiatric disorders. Vete ... Full text Link to item Cite

The role of daily hassles and distress tolerance in predicting cigarette craving during a quit attempt.

Journal Article Nicotine Tob Res · June 2014 INTRODUCTION: Ecological momentary assessment (EMA) has shown that smoking behavior is linked to transient variables in the smoker's immediate context. Such research suggests that daily hassles (e.g., losing one's keys) may be more likely to lead to cigare ... Full text Link to item Cite

Protective mechanisms and prevention of violence and aggression in veterans.

Journal Article Psychol Serv · May 2014 Although a subset of Iraq and Afghanistan Veterans show aggression toward others after they return home from military service, little is known about protective mechanisms that could be bolstered to prevent violence. A national longitudinal survey was condu ... Full text Link to item Cite

No wrong door to smoking cessation care: a Veterans Affairs Chaplain survey.

Journal Article Mil Med · May 2014 Cigarette smoking disproportionately affects veterans, particularly those with psychiatric diagnoses. Chaplains working within the Department of Veterans Affairs (VA) play key roles in emotional, physical, and spiritual health care of veterans, and veteran ... Full text Link to item Cite

Amino acids as biomarker candidates for suicidality in male OEF/OIF Veterans: relevance to NMDA receptor modulation and nitric oxide signaling.

Journal Article Mil Med · May 2014 Veteran populations are exposed to multiple stressful events, and suicidality among veterans is a serious problem. Identifying biomarkers of suicidality may enhance detection, prevention, and treatment. Multiple neurotransmitter systems are implicated in t ... Full text Link to item Cite

PHYSICAL ACTIVITY COUNSELING IMPROVES HEALTH IN OLDER VETERANS WITH PTSD

Journal Article ANNALS OF BEHAVIORAL MEDICINE · April 1, 2014 Link to item Cite

Ecological momentary assessment of posttraumatic stress disorder symptoms during a smoking quit attempt.

Journal Article Nicotine Tob Res · April 2014 INTRODUCTION: Smokers with posttraumatic stress disorder (PTSD) tend to lapse more quickly following a quit attempt, which might be explained by changes in PTSD symptoms during a quit attempt. The present study examines changes in PTSD symptoms, negative a ... Full text Link to item Cite

Alcohol misuse and psychological resilience among U.S. Iraq and Afghanistan era veterans.

Journal Article Addict Behav · February 2014 OBJECTIVE: The present study sought to investigate the longitudinal effects of psychological resilience against alcohol misuse adjusting for socio-demographic factors, trauma-related variables, and self-reported history of alcohol abuse. METHODOLOGY: Data ... Full text Link to item Cite

Violent behaviour and post-traumatic stress disorder in US Iraq and Afghanistan veterans.

Journal Article Br J Psychiatry · 2014 BACKGROUND: Violence towards others in the community has been identified as a significant problem for a subset of Iraq and Afghanistan veterans. AIMS: To investigate the extent to which post-traumatic stress disorder (PTSD) and other risk factors predict f ... Full text Link to item Cite

Combined ecological momentary assessment and global positioning system tracking to assess smoking behavior: a proof of concept study.

Journal Article J Dual Diagn · 2014 OBJECTIVE: Ecological momentary assessment (EMA) methods have provided a rich assessment of the contextual factors associated with a wide range of behaviors including alcohol use, eating, physical activity, and smoking. Despite this rich database, this inf ... Full text Link to item Cite

PTSD is negatively associated with physical performance and physical function in older overweight military Veterans.

Journal Article J Rehabil Res Dev · 2014 This study examines the effect of posttraumatic stress disorder (PTSD) on function and physical performance in older overweight military Veterans with comorbid conditions. This is a secondary data analysis of older Veterans (mean age = 62.9 yr) participati ... Full text Open Access Link to item Cite

Personality assessment inventory internalizing and externalizing structure in veterans with posttraumatic stress disorder: associations with aggression.

Journal Article Aggress Behav · 2014 Posttraumatic stress disorder (PTSD) is associated with aggressive behavior in veterans, and difficulty controlling aggressive urges has been identified as a primary postdeployment readjustment concern. Yet only a fraction of veterans with PTSD commit viol ... Full text Link to item Cite

Systematic review of women veterans' mental health.

Journal Article Womens Health Issues · 2014 BACKGROUND: Given recent, rapid growth in the field of women veterans' mental health, the goal of this review was to update the status of women veterans' mental health research and to identify current themes in this literature. The scope of this review inc ... Full text Link to item Cite

Trauma exposure and cigarette smoking: the impact of negative affect and affect-regulatory smoking motives.

Journal Article J Addict Dis · 2014 Cognitive-affective mechanisms related to the maintenance of smoking among trauma-exposed individuals are largely unknown. Cross-sectional data from trauma-exposed treatment-seeking smokers (n = 283) were utilized to test a series of multiple mediator mode ... Full text Link to item Cite

Association of DHEA, DHEAS, and cortisol with childhood trauma exposure and post-traumatic stress disorder.

Journal Article Int Clin Psychopharmacol · January 2014 There has been a great deal of interest in the role of the neuroendocrine hormones of the hypothalamic-pituitary-adrenal (HPA) axis in the expression of stress-related psychopathology such as post-traumatic stress disorder (PTSD). This investigation examin ... Full text Link to item Cite

Altered resting-state functional connectivity of basolateral and centromedial amygdala complexes in posttraumatic stress disorder.

Journal Article Neuropsychopharmacology · January 2014 The amygdala is a major structure that orchestrates defensive reactions to environmental threats and is implicated in hypervigilance and symptoms of heightened arousal in posttraumatic stress disorder (PTSD). The basolateral and centromedial amygdala (CMA) ... Full text Open Access Link to item Cite

Associations between smoking and psychiatric comorbidity in U.S. Iraq- and Afghanistan-era veterans.

Journal Article Psychol Addict Behav · December 2013 The risk of smoking increases with specific psychiatric diagnoses (e.g., posttraumatic stress disorder); but the risk has also been shown to increase as a function of the number of psychiatric illnesses with which a person is diagnosed. The current study e ... Full text Link to item Cite

Effects of smoking on the acoustic startle response and prepulse inhibition in smokers with and without posttraumatic stress disorder.

Journal Article Psychopharmacology (Berl) · December 2013 RATIONALE: Cigarette smokers smoke in part because nicotine helps regulate attention. Prepulse inhibition (PPI) of the startle reflex is a measure of early attentional gating that is reduced in abstinent smokers and in groups with attention regulation diff ... Full text Link to item Cite

Homelessness and money mismanagement in Iraq and Afghanistan veterans.

Journal Article Am J Public Health · December 2013 OBJECTIVES: We examined the empirical link between money mismanagement and subsequent homelessness among veterans. METHODS: We used a random sample of Iraq and Afghanistan War era veterans from the National Post-Deployment Adjustment Survey in 2009-2011. R ... Full text Link to item Cite

Effects of chronic mild traumatic brain injury on white matter integrity in Iraq and Afghanistan war veterans.

Journal Article Hum Brain Mapp · November 2013 Mild traumatic brain injury (TBI) is a common source of morbidity from the wars in Iraq and Afghanistan. With no overt lesions on structural MRI, diagnosis of chronic mild TBI in military veterans relies on obtaining an accurate history and assessment of b ... Full text Open Access Link to item Cite

Mobile contingency management as an adjunctive smoking cessation treatment for smokers with posttraumatic stress disorder.

Journal Article Nicotine Tob Res · November 2013 INTRODUCTION: Smokers with posttraumatic stress disorder (PTSD) smoke at higher prevalence rates and are more likely to relapse early in a quit attempt. Innovative methods are needed to enhance quit rates, particularly in the early quit period. Web-based c ... Full text Link to item Cite

Self-reported pain complaints among Afghanistan/Iraq era men and women veterans with comorbid posttraumatic stress disorder and major depressive disorder.

Journal Article Pain Med · October 2013 OBJECTIVE: Research has shown significant rates of comorbidity among posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and pain in prior era veterans but less is known about these disorders in Iraq and Afghanistan war era veterans. Thi ... Full text Link to item Cite

Self-report and longitudinal predictors of violence in Iraq and Afghanistan war era veterans.

Journal Article J Nerv Ment Dis · October 2013 This study, using a longitudinal design, attempted to identify whether self-reported problems with violence were empirically associated with future violent behavior among Iraq and Afghanistan war veterans and whether and how collateral informant interviews ... Full text Link to item Cite

Diagnostic efficiency of the AUDIT-C in U.S. veterans with military service since September 11, 2001.

Journal Article Drug Alcohol Depend · September 1, 2013 BACKGROUND: Alcohol screening with the 3-item alcohol use disorders identification test (AUDIT-C) has been implemented throughout the U.S. Veterans Health Administration. Validation of the AUDIT-C, however, has been conducted with samples of primarily olde ... Full text Link to item Cite

The association of dehydroepiandrosterone and dehydroepiandrosterone sulfate with anxiety sensitivity and electronic diary negative affect among smokers with and without posttraumatic stress disorder.

Journal Article J Clin Psychopharmacol · August 2013 Posttraumatic stress disorder (PTSD) is associated with increased smoking initiation, maintenance, and relapse. Dehydroepiandrosterone (DHEA) and DHEA sulfate (DHEAS) are neurosteroids that have been associated with mood measures as well as smoking status, ... Full text Link to item Cite

The Association of Sleep Duration, Mental Health, and Health Risk Behaviors among U.S. Afghanistan/Iraq Era Veterans.

Journal Article Sleep · July 1, 2013 STUDY OBJECTIVES: Short and long sleep duration have been linked with higher rates of comorbid medical and mental health issues, as well as increased mortality. The current study examined the association between sleep duration, mental health problems, and ... Full text Link to item Cite

Association of Variant rs4790904 in Protein Kinase C Alpha with Posttraumatic Stress Disorder in a U.S. Caucasian and African-American Veteran Sample.

Journal Article J Depress Anxiety · June 1, 2013 BACKGOUND: Posttraumatic stress sisorder (PTSD) is a complex anxiety disorder that can develop after traumatic event exposure. Genetic factors have been associated with PTSD risk. Recently a variant rs4790904 in the protein kinase C alpha (PRKCA) gene has ... Full text Link to item Cite

Predictors of lapse in first week of smoking abstinence in PTSD and non-PTSD smokers.

Journal Article Nicotine Tob Res · June 2013 INTRODUCTION: Retrospective research suggests smokers with posttraumatic stress disorder (PTSD) lapse more quickly after their quit date. Ecological momentary assessment (EMA) research is needed to confirm the presence of early smoking lapse in PTSD and fo ... Full text Link to item Cite

The impact of race on metabolic disease risk factors in women with and without posttraumatic stress disorder.

Journal Article J Clin Psychol Med Settings · March 2013 The literature on PTSD and metabolic disease risk factors has been limited by lacking investigation of the potential influence of commonly comorbid disorders and the role of race. In this study data were provided by a sample of 134 women (63 PTSD and 71 wi ... Full text Link to item Cite

Survey of providers' attitudes toward integrating smoking cessation treatment into posttraumatic stress disorder care.

Journal Article Psychol Addict Behav · March 2013 A survey was administered anonymously to 45 mental health providers who delivered smoking cessation treatment integrated into posttraumatic stress disorder care (integrated care) as part of a multisite clinical trial. Survey items assessed key factors asso ... Full text Link to item Cite

A 3-year longitudinal study examining the effect of resilience on suicidality in veterans.

Journal Article Ann Clin Psychiatry · February 2013 BACKGROUND: This study prospectively evaluated the correlation and role of resilience and resilience factors in predicting suicidal ideation and attempts in veterans. METHODS: In this 3-year longitudinal study, 178 Iraq and Afghanistan war veterans were ev ... Link to item Cite

Are Iraq and Afghanistan veterans using mental health services? New data from a national random-sample survey.

Journal Article Psychiatr Serv · February 1, 2013 OBJECTIVE: This study analyzed data from a national survey of Iraq and Afghanistan veterans to improve understanding of mental health services use and perceived barriers. METHODS: The National Post-Deployment Adjustment Survey randomly sampled post-9/11 ve ... Full text Link to item Cite

Nocturnal blood pressure non-dipping, posttraumatic stress disorder, and sleep quality in women.

Journal Article Behav Med · 2013 Women with posttraumatic stress disorder (PTSD) have poor sleep quality and increased risk of cardiovascular disease (CVD). Non-dipping of nocturnal blood pressure may be an explanatory factor for the relationship between sleep and CVD found in previous re ... Full text Link to item Cite

Exploration of the influence of childhood trauma, combat exposure, and the resilience construct on depression and suicidal ideation among U.S. Iraq/Afghanistan era military personnel and veterans.

Journal Article Arch Suicide Res · 2013 This study evaluated the effect of childhood trauma exposure and the role of resilience on both depressive symptoms and suicidal ideation. The study evaluated 1,488 military personnel and veterans, who served after September 2001, for depressive, suicidal, ... Full text Link to item Cite

The effect of draft DSM-V criteria on posttraumatic stress disorder prevalence.

Journal Article Depress Anxiety · December 2012 BACKGROUND: This study was designed to examine the concordance of proposed DSM-V posttraumatic stress disorder (PTSD) criteria with DSM-IV classification rules and examine the impact of the proposed DSM-V PTSD criteria on prevalence. METHOD: The sample (N ... Full text Link to item Cite

Criminal justice involvement, trauma, and negative affect in Iraq and Afghanistan war era veterans.

Journal Article J Consult Clin Psychol · December 2012 OBJECTIVE: Although criminal behavior in veterans has been cited as a growing problem, little is known about why some veterans are at increased risk for arrest. Theories of criminal behavior postulate that people who have been exposed to stressful environm ... Full text Link to item Cite

The influence of depressive symptoms on suicidal ideation among U.S. Vietnam-era and Afghanistan/Iraq-era veterans with posttraumatic stress disorder.

Journal Article J Trauma Stress · October 2012 Major depressive disorder (MDD) co-occurs frequently with posttraumatic stress disorder (PTSD), and both disorders are linked to suicidal ideation. An emergent literature examines suicidal ideation in U.S. Afghanistan/Iraq-era veterans. Little research, ho ... Full text Link to item Cite

Consumer perspectives on genetic testing for psychiatric disorders: the attitudes of veterans with posttraumatic stress disorder and their families.

Journal Article Genet Test Mol Biomarkers · September 2012 The perspectives of patients with posttraumatic stress disorder (PTSD) on genetic research have not yet been investigated in the genetics research literature. To provide a basis for research on attitudes toward genetic research in PTSD, we surveyed the U.S ... Full text Link to item Cite

Smoking outcome expectancies in military veteran smokers with posttraumatic stress disorder.

Journal Article Nicotine Tob Res · August 2012 INTRODUCTION: Smoking outcome expectancies were investigated in treatment-seeking military Veteran smokers with posttraumatic stress disorder (PTSD). The investigation of smoking outcome expectancies may enhance our understanding of the relationship betwee ... Full text Link to item Cite

Assessing the role of attention-deficit/hyperactivity disorder symptoms in smokers with and without posttraumatic stress disorder.

Journal Article Nicotine Tob Res · August 2012 INTRODUCTION: Smoking prevalence among individuals with posttraumatic stress disorder (PTSD) is elevated relative to non-PTSD smokers, and there is evidence to suggest that affect regulation may be a motivation for smoking among those with this disorder. P ... Full text Link to item Cite

Protective factors and risk modification of violence in Iraq and Afghanistan War veterans.

Journal Article J Clin Psychiatry · June 2012 OBJECTIVE: After returning home, a subset of Iraq and Afghanistan War veterans report engaging in aggression toward others. This study is the first to identify variables empirically related to decreased risk of community violence among veterans. METHOD: Th ... Full text Link to item Cite

Financial well-being and postdeployment adjustment among Iraq and Afghanistan war veterans.

Journal Article Mil Med · June 2012 Research has yet to examine the relationship between financial well-being and community reintegration of veterans. To address this, we analyzed data from n = 1,388 Iraq and Afghanistan War Era Veterans who completed a national survey on postdeployment adju ... Full text Link to item Cite

Childhood trauma exposure in Iraq and Afghanistan war era veterans: implications for posttraumatic stress disorder symptoms and adult functional social support.

Journal Article Child Abuse Negl · May 2012 OBJECTIVE: This study examined the relationship among childhood trauma, posttraumatic stress disorder (PTSD) symptoms, and adult social support in a large sample of veterans who served in the military after 09/11/2001, with a specific focus on the potentia ... Full text Link to item Cite

Sex, ADHD symptoms, and smoking outcomes: an integrative model.

Journal Article Med Hypotheses · May 2012 Both females and individuals with Attention-Deficit/Hyperactivity Disorder (ADHD) have been found to be at increased risk for a range of smoking outcomes, and recent empirical findings have suggested that women with ADHD may be particularly vulnerable to n ... Full text Link to item Cite

BODY MASS AND LIPID LEVELS AMONG WOMEN WITH PTSD, DEPRESSION, OR NO MENTAL ILLNESS

Journal Article ANNALS OF BEHAVIORAL MEDICINE · April 1, 2012 Link to item Cite

Smoking withdrawal in smokers with and without posttraumatic stress disorder.

Journal Article Nicotine Tob Res · March 2012 INTRODUCTION: Previous research on smoking withdrawal in posttraumatic stress disorder (PTSD) has been limited by the use of retrospective and observational methods and has lacked repeated assessments on the first day of abstinence and evaluation of the co ... Full text Link to item Cite

Smoking intensity and severity of specific symptom clusters in posttraumatic stress disorder.

Journal Article J Trauma Stress · February 2012 Smoking prevalence among patients with posttraumatic stress disorder (PTSD) is over 40%. Baseline data from the VA Cooperative Studies Program trial of integrated versus usual care for smoking cessation in veterans with PTSD (N = 863) were used in multivar ... Full text Link to item Cite

Tobacco use among Iraq- and Afghanistan-era veterans: a qualitative study of barriers, facilitators, and treatment preferences.

Journal Article Prev Chronic Dis · 2012 INTRODUCTION: Military service and combat exposure are risk factors for smoking. Although evidence suggests that veterans are interested in tobacco use cessation, little is known about their reasons for quitting, treatment preferences, and perceived barrie ... Full text Link to item Cite

An examination of general aggression and intimate partner violence in women with posttraumatic stress disorder.

Journal Article Violence Vict · 2012 Research has documented significant relationships between posttraumatic stress disorder (PTSD), aggression, and intimate partner violence (IPV). Most of these studies have focused on men and measured violence by self-report. This study examined (a) the ass ... Full text Link to item Cite

Effects of Nicotine on Emotional Reactivity in PTSD and Non-PTSD Smokers: Results of a Pilot fMRI Study.

Journal Article Adv Pharmacol Sci · 2012 There is evidence that individuals with posttraumatic stress disorder (PTSD) may smoke in part to regulate negative affect. This pilot fMRI study examined the effects of nicotine on emotional information processing in smokers with and without PTSD. Across ... Full text Link to item Cite

Autobiographical memory for stressful events: the role of autobiographical memory in posttraumatic stress disorder.

Journal Article Conscious Cogn · September 2011 To provide the three-way comparisons needed to test existing theories, we compared (1) most-stressful memories to other memories and (2) involuntary to voluntary memories (3) in 75 community dwelling adults with and 42 without a current diagnosis of posttr ... Full text Open Access Link to item Cite

The relationship between posttraumatic stress disorder and smoking outcome expectancies among U.S. military veterans who served since September 11, 2001.

Journal Article J Trauma Stress · June 2011 Posttraumatic stress disorder (PTSD) is associated with increased rates of smoking although little is known regarding the mechanisms underlying this relationship. The current study examined expectations about smoking outcomes among smokers with and without ... Full text Link to item Cite

The effect of nicotine and trauma context on acoustic startle in smokers with and without posttraumatic stress disorder.

Journal Article Psychopharmacology (Berl) · May 2011 RATIONALE: Exaggerated startle response is a prominent feature of posttraumatic stress disorder (PTSD) although results examining differences in the acoustic startle response (ASR) between those with and without PTSD are mixed. One variable that may affect ... Full text Link to item Cite

Characteristics and correlates of cigarette use among recent U.S. veterans

Journal Article Military Psychology · May 1, 2011 Little is known about the smoking habits and cessation efforts of veterans returning from Iraq and Afghanistan, many of whom will seek health care services in the public sector. This project documents rates of smoking and quit attempts among veterans recei ... Full text Cite

Public health clinical demonstration project for smoking cessation in american veterans who served since september 11, 2001.

Journal Article J Addict Med · March 2011 OBJECTIVE: The purpose of this clinical demonstration project was to increase the reach of effective treatments, such as pharmacotherapy and telephone or web-based support, by offering these treatments in a low cost and convenient manner to a population of ... Full text Link to item Cite

Use of the PAI in assessment of posttraumatic stress disorder among help-seeking veterans

Chapter · January 1, 2011 Posttraumatic stress disorder (PTSD) is common in the general population with estimates ranging from 7% to 9% (Kessler et al., 1995; Breslau et al., 1998) and is even more prevalent among patients presenting to primary care settings, where rates range from ... Full text Cite

Integrating tobacco cessation into mental health care for posttraumatic stress disorder: a randomized controlled trial.

Journal Article JAMA · December 8, 2010 CONTEXT: Most smokers with mental illness do not receive tobacco cessation treatment. OBJECTIVE: To determine whether integrating smoking cessation treatment into mental health care for veterans with posttraumatic stress disorder (PTSD) improves long-term ... Full text Link to item Cite

Childhood traumatic stress and obesity in women: the intervening effects of PTSD and MDD.

Journal Article J Trauma Stress · December 2010 In this study, symptoms of posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) were modeled as intervening variables in the relationship between childhood traumatic stress and weight outcomes in civilian women in the United States. Of ... Full text Link to item Cite

Posttraumatic stress symptoms and cigarette deprivation in the prediction of anxious responding among trauma-exposed smokers: a laboratory test.

Journal Article Nicotine Tob Res · November 2010 INTRODUCTION: The present investigation examined the main and interactive effects of posttraumatic stress symptom severity and 12-hr cigarette deprivation (cf. smoking as usual) in the prediction of anxious responding during a 4-min 10% carbon dioxide (COâ‚‚ ... Full text Link to item Cite

Correlates of anger and hostility in Iraq and Afghanistan war veterans.

Journal Article Am J Psychiatry · September 2010 OBJECTIVE: As troops return from Iraq and Afghanistan to civilian life, clinicians are starting to grapple with how best to detect those at risk of postdeployment adjustment problems. Data reveal the presence of mental health problems in these soldiers, in ... Full text Link to item Cite

Improving risk assessment of violence among military veterans: an evidence-based approach for clinical decision-making.

Journal Article Clin Psychol Rev · August 2010 Increased media attention to post-deployment violence highlights the need to develop effective models to guide risk assessment among military Veterans. Ideally, a method would help identify which Veterans are most at risk for violence so that it can be det ... Full text Link to item Cite

Clinical utility of the Primary Care--PTSD Screen among U.S. veterans who served since September 11, 2001.

Journal Article Psychiatry Res · July 30, 2010 Posttraumatic stress disorder (PTSD) is a prevalent anxiety disorder that is often undetected among primary care patients. The Department of Veterans Affairs has implemented the Primary Care-PTSD Screen (PC-PTSD) to screen for PTSD; however, minimal resear ... Full text Link to item Cite

Exploration of the resilience construct in posttraumatic stress disorder severity and functional correlates in military combat veterans who have served since September 11, 2001.

Journal Article J Clin Psychiatry · July 2010 OBJECTIVE: This study evaluated the relationship between resilience and psychological functioning in military veterans deployed to a region of military conflict in support of Operation Enduring Freedom or Operation Iraqi Freedom. METHOD: 497 military veter ... Full text Link to item Cite

Posttraumatic stress disorder, cardiovascular, and metabolic disease: a review of the evidence.

Journal Article Ann Behav Med · February 2010 BACKGROUND: Posttraumatic stress disorder (PTSD) is a significant risk factor for cardiovascular and metabolic disease. PURPOSE: The purpose of the current review is to evaluate the evidence suggesting that PTSD increases cardiovascular and metabolic risk ... Full text Link to item Cite

Public health clinical demonstration project for smoking cessation in veterans with posttraumatic stress disorder.

Journal Article Addict Behav · January 2010 Veterans with posttraumatic stress disorder are at high risk for smoking and experience difficulty with smoking cessation. We designed this clinical demonstration project to provide a low-cost, feasibly implemented smoking cessation intervention that would ... Full text Link to item Cite

Prospective study of externalizing and internalizing subtypes of posttraumatic stress disorder and their relationship to mortality among Vietnam veterans.

Journal Article Compr Psychiatry · 2010 Posttraumatic stress disorder (PTSD) can be a complex disorder, and some studies have found that samples of individuals with PTSD contain subtypes that may relate to health outcomes. The goals were to replicate previously identified PTSD subtypes and exami ... Full text Link to item Cite

Sleep disturbance and baroreceptor sensitivity in women with posttraumatic stress disorder.

Journal Article J Trauma Stress · December 2009 In a previous study, women with posttraumatic stress disorder (PTSD) had greater objective sleep disturbance than those without PTSD. In a separate previous study, women with PTSD were also found to have lower baroreceptor sensitivity (BRS), an index of bl ... Full text Link to item Cite

Effects of posttraumatic stress disorder status and covert hostility on cardiovascular responses to relived anger in women with and without PTSD.

Journal Article Biol Psychol · December 2009 Previous literature has found greater heart rate (HR) and blood pressure (BP) responses during relived anger, and a positive association between covert hostility and relived anger, in male veterans with posttraumatic stress disorder (PTSD). This study inve ... Full text Link to item Cite

Diagnostic efficiency of the personality assessment inventory LOGIT function for posttraumatic stress disorder in women.

Journal Article J Pers Assess · September 2009 In this study, we examined the diagnostic efficiency of the Personality Assessment Inventory (PAI; Morey, 1991) for the assessment of posttraumatic stress disorder (PTSD) in a community-based sample of women (n = 128). Receiver operating characteristic cur ... Full text Link to item Cite

Adverse childhood events are associated with obesity and disordered eating: results from a U.S. population-based survey of young adults.

Journal Article J Trauma Stress · August 2009 The authors investigated the relationship between childhood abuse and obesity in young adulthood (M age = 22) in a large, U.S. representative sample (N = 15,197). Controlling for demographics and depression, men with a history of childhood sexual abuse wer ... Full text Link to item Cite

Association of trauma exposure with psychiatric morbidity in military veterans who have served since September 11, 2001.

Journal Article J Psychiatr Res · June 2009 OBJECTIVE: This study examined the association of lifetime traumatic stress with psychiatric diagnostic status and symptom severity in veterans serving in the US military after 9/11/01. METHOD: Data from 356 US military veterans were analyzed. Measures inc ... Full text Link to item Cite

Evaluation of lifetime trauma exposure and physical health in women with posttraumatic stress disorder or major depressive disorder.

Journal Article Violence Against Women · May 2009 The current study examines lifetime trauma exposure rates in 148 women with posttraumatic stress disorder (PTSD), major depressive disorder (MDD), or neither diagnosis and whether this is related to measures of PTSD, depression, hostility, health symptoms, ... Full text Link to item Cite

Self-reported health and physician diagnosed illnesses in women with posttraumatic stress disorder and major depressive disorder.

Journal Article J Trauma Stress · April 2009 Posttraumatic stress disorder has been associated with poor physical health. Depression is also associated with poor health, and may be responsible for the apparent relationship between PTSD and health outcomes. The current study examined self-reported and ... Full text Link to item Cite

The validity and diagnostic efficiency of the Davidson Trauma Scale in military veterans who have served since September 11th, 2001.

Journal Article J Anxiety Disord · March 2009 The present study examined the psychometric properties and diagnostic efficiency of the Davidson Trauma Scale (DTS), a self-report measure of posttraumatic stress disorder (PTSD) symptoms. Participants included 158 U.S. military veterans who have served si ... Full text Link to item Cite

Ambulatory cardiovascular activity and hostility ratings in women with chronic posttraumatic stress disorder.

Journal Article Biol Psychiatry · February 1, 2009 BACKGROUND: The objective of the current study is to evaluate the relationship between hostility and ambulatory cardiovascular activity in women with and without posttraumatic stress disorder (PTSD). METHODS: One hundred and one women completed 24 hours of ... Full text Link to item Cite

Influences of Comorbid Disorders on Personality Assessment Inventory Profiles in Women with Posttraumatic Stress Disorder.

Journal Article J Psychopathol Behav Assess · January 1, 2009 The present study describes Personality Assessment Inventory (PAI) profiles for women with posttraumatic stress disorder (PTSD). Four groups of women were sampled: single Axis I diagnosis of PTSD; PTSD and major depressive disorder (MDD); PTSD, MDD, at lea ... Full text Link to item Cite

Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health report.

Journal Article Nicotine Tob Res · December 2008 The National Institute of Mental Health (NIMH) convened a meeting in September 2005 to review tobacco use and dependence and smoking cessation among those with mental disorders, especially individuals with anxiety disorders, depression, or schizophrenia. S ... Full text Link to item Cite

Smoking in help-seeking veterans with PTSD returning from Afghanistan and Iraq.

Journal Article Addict Behav · November 2008 Past research has shown that veterans and individuals with posttraumatic stress disorder (PTSD) have increased rates of smoking. However, the rates of smoking in younger help-seeking veterans returning from Afghanistan and Iraq, and possible correlates of ... Full text Link to item Cite

Anxiety Disorders: Traumatic Stress Disorders

Journal Article · August 8, 2008 This chapter outlines the clinical presentation of posttraumatic stress disorder and acute stress disorder, two anxiety disorders that may emerge following exposure to traumatic life events (eg., combat, sexual assault, physical assault, natural disasters) ... Full text Cite

Ad lib smoking in post-traumatic stress disorder: an electronic diary study.

Journal Article Nicotine Tob Res · July 2008 Using ambulatory methods for 1 week of monitoring, this study investigated the association between smoking and situational cues in 22 smokers with post-traumatic stress disorder (PTSD) and 23 smokers without PTSD. Generalized estimating equations contraste ... Full text Link to item Cite

Factorial invariance of posttraumatic stress disorder symptoms across three veteran samples.

Journal Article J Trauma Stress · June 2008 Research generally supports a 4-factor structure of posttraumatic stress disorder (PTSD) symptoms. However, few studies have established factor invariance by comparing multiple groups. This study examined PTSD symptom structure using the Davidson Trauma Sc ... Full text Link to item Cite

Alcohol use among OEF-OIF veterans with and without posttraumatic stress disorder

Conference ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH · June 1, 2008 Link to item Cite

Self-mutilative behaviors in male veterans with posttraumatic stress disorder.

Journal Article J Psychiatr Res · May 2008 Self-mutilative behaviors (SMB) were examined in a sample of male veterans with posttraumatic stress disorder (PTSD). The primary objective was to determine the prevalence of SMB and any physical, cognitive, or affective antecedents and correlates for thes ... Full text Link to item Cite

Preliminary findings from a clinical demonstration project for veterans returning from Iraq or Afghanistan.

Journal Article Mil Med · May 2008 Military veterans are at high risk for nicotine dependence. This clinical demonstration project used invitational letters, referral to the National Cancer Institute's Smoking Quitline, and local Veteran Affairs prescriptions for tobacco cessation to evalua ... Full text Link to item Cite

Association between trauma exposure and smoking in a population-based sample of young adults.

Journal Article J Adolesc Health · March 2008 PURPOSE: To evaluate the relation between smoking and trauma exposure in a population-based, longitudinal sample. Contrary to current smoking trends in the general population, recent findings indicate continued high smoking rates in trauma-exposed samples. ... Full text Link to item Cite

Assessing risk of violent behavior among veterans with severe mental illness.

Journal Article J Trauma Stress · February 2008 Although empirical research has examined factors associated with increased violence risk among individuals with severe mental illness (SMI) and among veterans without SMI, less attention has been devoted to identifying violence risk factors among veterans ... Full text Link to item Cite

The effects of cigarette smoking on script-driven imagery in smokers with and without posttraumatic stress disorder.

Journal Article Addict Behav · December 2007 The study investigated the effects of smoking a nicotinized or denicotinized cigarette on craving, affect and posttraumatic stress disorder (PTSD) symptoms while recalling neutral, stressful and traumatic events in smokers with and without PTSD. Smokers co ... Full text Link to item Cite

Gender differences in immediate antecedents of ad lib cigarette smoking in smokers with and without posttraumatic stress disorder: a preliminary report.

Journal Article J Psychoactive Drugs · December 2007 Using ambulatory methods for monitoring, this study investigated gender differences regarding the association between smoking and situational cues in 63 smokers with posttraumatic stress disorder (PTSD) and 32 smokers without PTSD. Smokers were instructed ... Full text Link to item Cite

Objective evidence of sleep disturbance in women with posttraumatic stress disorder.

Journal Article J Trauma Stress · December 2007 Although sleep disturbance is considered a hallmark of posttraumatic stress disorder (PTSD), objective evidence for sleep disturbance in patients with PTSD has been equivocal. The goal of the current investigation was to objectively examine sleep disturban ... Full text Link to item Cite

Posttraumatic stress disorder and smoking relapse: A theoretical model.

Journal Article J Trauma Stress · December 2007 Posttraumatic stress disorder (PTSD) is associated with a high prevalence of cigarette smoking, heavy cigarette consumption, and low cessation rates. To date, little is known about mechanisms impeding smoking cessation among this recalcitrant group of smok ... Full text Link to item Cite

Post-Traumatic Stress Disorder and Substance Use Disorders

Journal Article · December 1, 2007 There is a high incidence of exposure to traumatic experiences in the U.S. general population. The majority of the population at some time in their lives experience a distressing and traumatic event. Two common psychiatric conditions that occur post-trauma ... Full text Cite

Post-traumatic stress disorder and smoking: a systematic review.

Journal Article Nicotine Tob Res · November 2007 We conducted a systematic review of what is known about the relationship between post-traumatic stress disorder (PTSD) and smoking to guide research on underlying mechanisms and to facilitate the development of evidence-based tobacco treatments for this po ... Full text Link to item Cite

Baroreceptor sensitivity at rest and during stress in women with posttraumatic stress disorder or major depressive disorder.

Journal Article J Trauma Stress · October 2007 The relationship between posttraumatic stress disorder (PTSD) and parasympathetic nervous system functioning was investigated during a baseline rest period and anger recall speaking task using noninvasive estimates of baroreceptor sensitivity. Participants ... Full text Link to item Cite

Emotional reactivity to trauma stimuli and duration of past smoking cessation attempts in smokers with posttraumatic stress disorder.

Journal Article Exp Clin Psychopharmacol · June 2007 The present study examined whether reactivity to emotional stressors is related to early relapse from smoking cessation in persons with posttraumatic stress disorder (PTSD). Smokers with PTSD who had failed to sustain any previous quit attempt for 7 days ( ... Full text Link to item Cite

Update on psychiatric genetics.

Journal Article Genet Med · June 2007 Genetic factors play a fundamental role in the genesis of many mental disorders. The identification of the underlying genetic variation will therefore transform parts of psychiatry toward a neuroscience-based discipline. With the sequence of the human geno ... Full text Link to item Cite

A placebo-controlled trial of bupropion SR in the treatment of chronic posttraumatic stress disorder.

Journal Article J Clin Psychopharmacol · April 2007 OBJECTIVE: Although selective serotonin reuptake inhibitors have been the most empirically studied pharmacotherapy for posttraumatic stress disorder (PTSD), a need remains for the investigation of additional pharmacological agents in the treatment of PTSD. ... Full text Link to item Cite

Validity of the Personality Assessment Inventory Aggression scales and Violence Potential index in veterans with PTSD.

Journal Article J Pers Assess · February 2007 In this study, we examined the validity of the Personality Assessment Inventory (PAI; Morey, 1991) Aggression (AGG) scales and Violence Potential index (VPI) in 399 male combat veterans presenting for formal evaluation of posttraumatic stress disorder (PTS ... Full text Link to item Cite

Integrating smoking cessation into mental health care for post-traumatic stress disorder.

Journal Article Clin Trials · 2007 BACKGROUND: Post-traumatic stress disorder (PTSD) is associated with a high prevalence of smoking, heavy cigarette consumption and low cessation rates. PURPOSE: This manuscript describes the design of a randomized, multisite effectiveness trial to test whe ... Full text Link to item Cite

Post-traumatic Stress Disorder and Substance Use Disorders

Chapter · December 22, 2006 There is a high incidence of exposure to traumatic experiences in the U.S. general population. The majority of the population at some time in their lives experience a distressing and traumatic event. Two common psychiatric conditions that occur post-trauma ... Full text Cite

Lifetime trauma exposure in veterans with military-related posttraumatic stress disorder: association with current symptomatology.

Journal Article J Clin Psychiatry · September 2006 OBJECTIVE: This study examined whether trauma exposure before, during, and/or after military service contributed to current levels of post-traumatic stress disorder (PTSD) and adjustment. Further, we investigated whether trauma exposure before military ser ... Full text Link to item Cite

Posttraumatic stress disorder and smoking cessation in veteran smokers

Journal Article Journal of Trauma Practice · March 9, 2006 This paper examines the available information on smoking cessation and posttraumatic stress disorder (PTSD). Unfortunately, there are only two available preliminary smoking cessation intervention studies for smokers with PTSD. The paper first reviews the e ... Full text Cite

Posttraumatic stress disorder is associated with attenuated baroreceptor sensitivity among female, but not male, smokers.

Journal Article Biol Psychol · March 2006 BACKGROUND: The relationship between posttraumatic stress disorder (PTSD) and parasympathetic nervous system (PNS) functioning was investigated using baroreflex sensitivity (BRS). We hypothesized that individuals with PTSD would exhibit lower BRS than thos ... Full text Link to item Cite

Personality Assessment Inventory (PAI) profiles of male veterans with combat-related posttraumatic stress disorder

Journal Article Journal of Psychopathology and Behavioral Assessment · September 1, 2005 The Personality Assessment Inventory (PAI; L. C. Morey, 1991) is a promising tool for the assessment of Posttraumatic Stress Disorder (PTSD), but few studies have examined the PAI profiles of individuals with the diagnosis. In this study, the PAI was admin ... Full text Cite

Immediate antecedents of cigarette smoking in smokers with and without posttraumatic stress disorder: a preliminary study.

Journal Article Exp Clin Psychopharmacol · August 2005 Using ambulatory methods for 1 day of monitoring, the authors of this study investigated the association between smoking and situational cues in 63 smokers with posttraumatic stress disorder (PTSD) and 32 smokers without PTSD. Generalized estimating equati ... Full text Link to item Cite

A psychometric evaluation of the Fagerström Test for Nicotine Dependence in PTSD smokers.

Journal Article Addict Behav · June 2005 Rates of smoking among individuals with psychiatric conditions are greater than rates seen in the general population, yet little is known about the psychometric properties of commonly used nicotine dependence instruments among psychiatric smokers. This stu ... Full text Link to item Cite

The effects of trauma recall on smoking topography in posttraumatic stress disorder and non-posttraumatic stress disorder trauma survivors.

Journal Article Addict Behav · February 2005 Smoking topography was measured in trauma survivors with and without posttraumatic stress disorder (PTSD) after recalling trauma-related and neutral experiences. Analysis of covariance was performed on puff topography and mood measures using nicotine depen ... Full text Link to item Cite

Severity of posttraumatic stress disorder and involvement with the criminal justice system

Journal Article Journal of Trauma Practice · January 1, 2005 Two hundred and forty-one Vietnam combat veterans with chronic posttraumatic stress disorder (PTSD) completed measures of PTSD symptom severity, combat exposure, depression, hostility, interpersonal violence, substance abuse, and arrest history. The majori ... Full text Cite

Cigarette smoking, ambulatory cardiovascular monitoring, and mood in Vietnam veterans with and without chronic posttraumatic stress disorder.

Journal Article Addict Behav · November 2004 This study investigated the association among cigarette smoking, posttraumatic stress disorder (PTSD), and ambulatory cardiovascular and mood monitoring in 117 male Vietnam combat veterans (61 with PTSD and 56 without PTSD). Positive smoking status was ass ... Full text Link to item Cite

Posttraumatic mental and physical health correlates of forgiveness and religious coping in military veterans.

Journal Article J Trauma Stress · June 2004 This study assessed mental and physical health correlates of dispositional forgiveness and religious coping responses in 213 help-seeking veterans diagnosed with PTSD. Controlling for age, socioeconomic status, ethnicity, combat exposure, and hostility, th ... Full text Link to item Cite

Reliving, emotions, and fragmentation in the autobiographical memories of veterans diagnosed with PTSD

Journal Article · January 1, 2004 Fifty veterans diagnosed with posttraumatic stress disorder (PTSD) each recalled four autobiographical memories: one from the 2 years before service, one non-combat memory from the time in service, one from combat, and one from service that had often come ... Full text Open Access Cite

Ambulatory monitoring and physical health report in Vietnam veterans with and without chronic posttraumatic stress disorder.

Journal Article J Trauma Stress · August 2003 This study investigated the associations among PTSD, ambulatory cardiovascular monitoring, and physical health self-reports in 117 male Vietnam combat veterans (61 with PTSD and 56 without PTSD). PTSD was associated with health symptoms and number of curre ... Full text Link to item Cite

Medical service utilization by veterans seeking help for posttraumatic stress disorder.

Journal Article Am J Psychiatry · December 2002 OBJECTIVE: Posttraumatic stress disorder (PTSD) has been associated with higher rates of health complaints and medical conditions diagnosed by physicians, yet research examining the relationship between PTSD and health care utilization has been limited. Th ... Full text Link to item Cite

Three- to four-year follow-up to an open trial of nefazodone for combat-related posttraumatic stress disorder.

Journal Article Ann Clin Psychiatry · December 2002 Multiyear (37-51 months) follow-up data was obtained on patients who had participated in an open label trial of nefazodone that originally showed nefazodone may be useful for symptom management in posttraumatic stress disorder (PTSD) patients. Ten patients ... Full text Link to item Cite

A cluster analysis of symptom patterns and adjustment in Vietnam combat veterans with chronic posttraumatic stress disorder.

Journal Article J Clin Psychol · December 2002 This study investigated whether a subgroup of veterans with malignant posttraumatic stress syndrome, as described by Rosenheck (1985) and Lambert et al. (1996), could be identified via cluster analysis within two samples of Vietnam veterans with combat-rel ... Full text Link to item Cite

The Infrequency-Posttraumatic Stress Disorder scale (Fptsd) for the MMPI-2: development and initial validation with veterans presenting with combat-related PTSD.

Journal Article J Pers Assess · December 2002 Researchers have identified difficulties associated with the use of traditional Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) validity scales with survivors of traumatic events. A new scale, t ... Full text Link to item Cite

Violence and hostility among families of Vietnam veterans with combat-related posttraumatic stress disorder.

Journal Article Violence Vict · August 2002 The current study provides a portrait of emotional-behavioral functioning within a small sample of Vietnam veterans with combat-related posttraumatic stress disorder (PTSD), their partners, and older adolescent and adult children. Veterans, their partners ... Full text Link to item Cite

Caregiver burden and psychological distress in partners of veterans with chronic posttraumatic stress disorder.

Journal Article J Trauma Stress · June 2002 Caregiver burden and psychological distress were examined in a sample of 71 partners of Vietnam War combat veterans. Partners of patients (n = 51) diagnosed with posttraumatic stress disorder (PTSD) experienced more caregiver burden and had poorer psycholo ... Full text Link to item Cite

Partners' ratings of combat veterans' anger.

Journal Article J Trauma Stress · April 2002 Spouse reports may serve as an important source of collateral information in the assessment of posttraumatic stress disorder (PTSD) and associated behavioral problems. This study examined the concordance of anger reports among 94 combat veterans and their ... Full text Link to item Cite

Personality traits and pathology in older and younger incarcerated women.

Journal Article J Clin Psychol · April 2002 Personality disorders were examined in 157 incarcerated women, using the Schedule for Nonadaptive and Adaptive Personality (SNAP; Clark, 1996) to assess 10 Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-III-R; American P ... Full text Link to item Cite

MMPI-2 profiles of Gulf and Vietnam combat veterans with chronic posttraumatic stress disorder.

Journal Article J Clin Psychol · April 2002 The current study examined service era differences in a sample of 172 Gulf and Vietnam outpatient veterans with combat-related posttraumatic stress disorder (PTSD). Participants completed the MMPI-2 and several additional self-report measures of symptom se ... Full text Link to item Cite

Magnitude and duration of cardiovascular responses to anger in Vietnam veterans with and without posttraumatic stress disorder.

Journal Article J Consult Clin Psychol · February 2002 This study investigated the cardiovascular responses to a relived anger task in 118 male Vietnam combat veterans (62 with posttraumatic stress disorder [PTSD] and 56 without PTSD). Participants completed standardized diagnostic measures, hostility measures ... Full text Link to item Cite

Posttraumatic stress disorder, hostility, and health in women: a review of current research.

Journal Article Ann Behav Med · 2002 A large body of evidence indicates that hostility is related to increased morbidity and mortality and evidence is growing that posttraumatic stress disorder (PTSD) is associated with poorer health outcomes. The majority of this research, however, has been ... Full text Link to item Cite

A preliminary study of bupropion sustained-release for smoking cessation in patients with chronic posttraumatic stress disorder.

Journal Article J Clin Psychopharmacol · February 2001 This study was conducted to evaluate the effect of bupropion sustained-release (SR) on smoking cessation in patients with chronic posttraumatic stress disorder (PTSD). Fifteen veterans with chronic PTSD who desired to stop smoking enrolled in a 12-week dou ... Full text Link to item Cite

Nicotine's effect on traumatic imagery in PTSD

Journal Article PSYCHOPHYSIOLOGY · January 1, 2001 Link to item Cite

Feigning combat-related posttraumatic stress disorder on the personality assessment inventory.

Journal Article J Pers Assess · October 2000 This study examined whether individuals who were instructed on the Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994) criteria for posttraumatic stress disorder (PTSD) could feign PTSD on the Pe ... Full text Link to item Cite

Drug use and validity of substance use self-reports in veterans seeking help for posttraumatic stress disorder.

Journal Article J Consult Clin Psychol · October 2000 The present study assessed drug use and the validity of self-reports of substance use among help-seeking veterans referred to a specialty clinic for the assessment of posttraumatic stress disorder (PTSD). Patients (n = 341) were asked to provide a urine sa ... Link to item Cite

Hostility and functional health status in women veterans with and without posttraumatic stress disorder: a preliminary study.

Journal Article J Trauma Stress · October 2000 This study investigated hostility and functional health status in 90 women veterans with and without PTSD. Compared to women without PTSD, women veterans with PTSD reported significantly higher levels of hostility. Minority status was associated with incre ... Full text Link to item Cite

Lack of efficacy for fluoxetine in PTSD: a placebo controlled trial in combat veterans.

Journal Article Ann Clin Psychiatry · June 2000 BACKGROUND: Fluoxetine and placebo were studied in a population of combat veterans with severe, chronic PTSD. METHODS: Twelve male veterans with PTSD were enrolled in a 12 week double-blind evaluation of fluoxetine and placebo. Mean fluoxetine dose at endp ... Full text Link to item Cite

Ambulatory cardiovascular activity in Vietnam combat veterans with and without posttraumatic stress disorder.

Journal Article J Consult Clin Psychol · April 2000 The present study investigated the relationship between daily diary affect ratings and ambulatory cardiovascular activity in 117 male Vietnam combat veterans (61 with posttraumatic stress disorder [PTSD] and 56 without PTSD). Participants completed 12-14 h ... Full text Link to item Cite

Interpersonal hostility and violence in vietnam combat veterans with chronic posttraumatic stress disorder: A review of theoretical models and empirical evidence

Journal Article Aggression and Violent Behavior · January 1, 2000 There is strong evidence that anger and violence are prevalent problems in Vietnam combat veterans with posttraumatic stress disorder, and a summary of relevant empirical studies is presented. However, the pathways responsible for development and perpetuat ... Full text Cite

A preliminary study of lamotrigine for the treatment of posttraumatic stress disorder.

Journal Article Biol Psychiatry · May 1, 1999 BACKGROUND: The anticonvulsant, lamotrigine, may be useful for symptom management in PTSD. METHODS: Subjects enrolled in a 12-week double-blind evaluation of lamotrigine and placebo. Patients were randomized 2:1 to either lamotrigine or placebo. Lamotrigin ... Full text Link to item Cite

Smoking and anxiety in combat veterans with chronic posttraumatic stress disorder: a review.

Journal Article J Psychoactive Drugs · 1999 There is growing evidence that smoking, and in particular heavy smoking, is prevalent in Vietnam combat veterans with posttraumatic stress disorder. However, the pathways responsible for development and perpetuation of smoking in this clinical population h ... Full text Link to item Cite

Trust, health, and longevity.

Journal Article J Behav Med · December 1998 Scores on the Rotter Interpersonal Trust Scale were evaluated as predictors of psychological well-being, functional health, and longevity in a sample of 100 men and women who were between 55 and 80 years old at baseline (mean age 66.8). Cross-sectionally, ... Full text Link to item Cite

Health status, somatization, and severity of posttraumatic stress disorder in Vietnam combat veterans with posttraumatic stress disorder.

Journal Article Am J Psychiatry · November 1998 OBJECTIVE: A two-part study was conducted to examine the health status of Vietnam veterans with posttraumatic stress disorder (PTSD). In part 1, veterans with and without PTSD were compared on health behaviors and on self-reported and physician-rated healt ... Full text Link to item Cite

Trail making test performance in Vietnam combat veterans with and without posttraumatic stress disorder.

Journal Article J Trauma Stress · October 1998 The present study investigated variables associated with performance on the Trail Making Test from the Halstead-Reitan neuropsychological test battery in Vietnam combat veterans. There was a significant difference in performance between veterans with and w ... Full text Link to item Cite

Atrocities exposure in Vietnam combat veterans with chronic posttraumatic stress disorder: relationship to combat exposure, symptom severity, guilt, and interpersonal violence.

Journal Article J Trauma Stress · October 1998 Vietnam combat veterans (N = 151) with chronic posttraumatic stress disorder (PTSD) completed measures of atrocities exposure, combat exposure, PTSD symptom severity, guilt and interpersonal violence. PTSD symptom severity, guilt and interpersonal violence ... Full text Link to item Cite

Open trial of nefazodone for combat-related posttraumatic stress disorder.

Journal Article J Clin Psychiatry · September 1998 BACKGROUND: Because of its ability to block 5-HT2 receptors postsynaptically and inhibit 5-HT reuptake presynaptically and/or its enhancement of sleep quality, nefazodone may be useful for symptom management in posttraumatic stress disorder (PTSD) patients ... Full text Link to item Cite

Interpersonal violence and its correlates in Vietnam veterans with chronic posttraumatic stress disorder.

Journal Article J Clin Psychol · December 1997 Two studies were conducted to investigate interpersonal violence in Vietnam veterans with posttraumatic stress disorder (PTSD). In study one, combat veterans with PTSD reported significantly greater occurrence of violent behaviors over the past year (22 ac ... Full text Link to item Cite

Minnesota Multiphasic Personality Inventory profiles of Vietnam combat veterans with posttraumatic stress disorder and their children.

Journal Article J Clin Psychol · December 1997 Forty children of 28 fathers who are Vietnam veterans with posttraumatic stress disorder (PTSD) completed the Minnesota Multiphasic Personality Inventory. Each of the fathers had at least one elevated clinical scale. Fathers averaged eight elevated clinica ... Full text Link to item Cite

Chronic posttraumatic stress disorder and chronic pain in Vietnam combat veterans.

Journal Article J Psychosom Res · October 1997 A study was conducted to investigate chronic pain patterns in Vietnam veterans with posttraumatic stress disorder (PTSD). Combat veterans with PTSD completed standardized PTSD severity, pain, somatization, and depression measures. Of 129 consecutive out-pa ... Full text Link to item Cite

Prevalence and correlates of heavy smoking in Vietnam veterans with chronic posttraumatic stress disorder.

Journal Article Addict Behav · 1997 A study was conducted to investigate smoking patterns in 445 Vietnam veterans with and without posttraumatic stress disorder (PTSD). Combat veterans with PTSD reported similar occurrence of smoking (53%) compared to combat veterans without PTSD (45%). For ... Full text Link to item Cite

Assessment of a new self-rating scale for post-traumatic stress disorder.

Journal Article Psychol Med · January 1997 BACKGROUND: In post-traumatic stress disorder (PTSD) there is a need for self-rating scales that are sensitive to treatment effects and have been tested in a broad range of trauma survivors. Separate measures of frequency and severity may also provide an a ... Full text Link to item Cite

Self-efficacy and adjustment in cancer patients: a preliminary report.

Journal Article Behav Med · 1997 The relation between cancer self-efficacy and patient cancer adjustment, depression, psychological distress, and behavioral dysfunction in 42 cancer patients was studied in a preliminary investigation. Participants were male cancer outpatients recruited fr ... Full text Link to item Cite

Caregiver burden in partners of Vietnam War veterans with posttraumatic stress disorder.

Journal Article J Consult Clin Psychol · October 1996 Caregiver burden in 58 partners of Vietnam veterans with posttraumatic stress disorder (PTSD) was examined. The relationship between patient PTSD severity and caregiver burden, as well as the effect of several caregiver and patient variables on caregiver p ... Full text Link to item Cite

Trial of trazodone for posttraumatic stress disorder using a multiple baseline group design.

Journal Article J Clin Psychopharmacol · August 1996 Six patients with combat-related posttraumatic stress disorder (PTSD) entered a multiple-baseline trial of trazodone, beginning with 50 mg/day and increasing to 400 mg/day until response was maximal. Total Clinician-Administered PTSD Scale scores decreased ... Full text Link to item Cite

Interpersonal and self-reported hostility among combat veterans with and without posttraumatic stress disorder.

Journal Article J Trauma Stress · April 1996 The present study investigated self-reported and interpersonal hostility in 70 Vietnam combat veterans with and without posttraumatic stress disorder (PTSD) and 60 comparison community volunteer subjects. Veterans were 50 help-seeking, male Vietnam combat ... Full text Link to item Cite

Smoking withdrawal symptoms in response to a trauma-related stressor among Vietnam combat veterans with posttraumatic stress disorder.

Journal Article Addict Behav · 1996 This study investigated the relationship between a trauma-related stressor and smoking withdrawal symptoms in 25 male Vietnam combat veterans with posttraumatic stress disorder (PTSD) using a within-subjects design. All subjects were smokers. The stressor ... Full text Link to item Cite

Smoking in Vietnam combat veterans with post-traumatic stress disorder.

Journal Article J Trauma Stress · July 1995 The present study investigated smoking prevalence, smoking motives, demographic variables and psychological symptoms in 124 help-seeking, male Vietnam combat veterans with post-traumatic stress disorder (PTSD). A high percentage of these veterans smoked (6 ... Full text Link to item Cite

Selective processing of trauma-relevant words in posttraumatic stress disorder

Journal Article Journal of Anxiety Disorders · January 1, 1995 This study investigated Stroop color-naming of trauma-related words in male Vietnam combat veterans with (n = 42) and without (n = 15) posttraumatic stress disorder (PTSD). The anxiety connotations of the words were either very specific to the Vietnam expe ... Full text Cite

Patient predictors of caregiver burden, optimism, and pessimism in rheumatoid arthritis.

Journal Article Behav Med · 1995 The authors of the present study investigated the relationship between rheumatoid arthritis (RA) patients' demographic, medical, and functional status and caregivers' burden, optimism, and pessimism. Subjects were 65 RA patients and their caregivers who we ... Full text Link to item Cite

Relationship of cognitive constructs to adjustment in rheumatoid arthritis patients

Journal Article Cognitive Therapy and Research · October 1, 1994 The present study investigated the interrelationship of several commonly used arthritis-related cognitive measures and their relationship to physical disability, pain, depression, and anxiety in rheumatoid arthritis (RA)_patients. Subjects were 103 RA pati ... Full text Cite

Chest pain self-management training for patients with coronary artery disease.

Journal Article J Psychosom Res · July 1994 This study was designed to evaluate the efficacy of a brief, structured pain management program to improve control over chest pain episodes in patients diagnosed with coronary artery disease. Twenty-six male veterans who attended the three-session program ... Full text Link to item Cite

ADVANCES IN TEST ANXIETY RESEARCH, VOL 7 - HAGTVET,KA, JOHNSEN,TB

Journal Article CONTEMPORARY PSYCHOLOGY · April 1, 1994 Link to item Cite

Pain coping strategies in patients referred for evaluation of angina pectoris

Journal Article Journal of Cardiopulmonary Rehabilitation · January 1, 1994 Purpose. This study was conducted to investigate the relationship of pain coping strategies to functional status, pain, psychological distress, and depression in 72 chronic angina patients referred for diagnostic coronary angiography. Methods. Each subject ... Full text Cite

Age differences in hostility among middle-aged and older adults.

Journal Article Psychol Aging · March 1993 Multiple measures of hostility were administered to middle-aged and older volunteers. There was a positive association between age and self-report measures reflecting hostile beliefs about others, including cynicism and suspiciousness. There was a weak inv ... Full text Link to item Cite

Depression and level of functioning in patients with rheumatoid arthritis.

Journal Article Can J Psychiatry · October 1992 This study examined the degree to which depression is related to physical and psychosocial dysfunction. The Beck Depression Inventory and the Sickness Impact Profile were administered to 34 patients with rheumatoid arthritis. Information on the demographic ... Full text Link to item Cite

Disease severity in rheumatoid arthritis: relationships of plasma tumor necrosis factor-alpha, soluble interleukin 2-receptor, soluble CD4/CD8 ratio, neopterin, and fibrin D-dimer to traditional severity and functional measures.

Journal Article J Clin Immunol · September 1992 Rheumatoid arthritis is a complex inflammatory disease of unknown cause. Although various laboratory and clinical measurements are useful in managing these patients, there is a need for better tests to quantitatively assess disease activity. The purpose of ... Full text Link to item Cite

The relationship of ovarian steroids, headache activity and menstrual distress: a pilot study with female migraineurs.

Journal Article Headache · June 1992 Fourteen female volunteers who met diagnostic criteria for migraine headache monitored their headache activity and menstrual distress symptoms for one menstrual cycle. Serum estradiol and progesterone levels, and menstrual distress measures were collected ... Full text Link to item Cite

Measures of neuroticism and disease status in coronary angiography patients.

Journal Article J Consult Clin Psychol · February 1992 A high percentage of patients who undergo diagnostic angiography because they have chest pain are found to be free of significant coronary artery disease. To examine the psychological characteristics of these patients, we used several Minnesota Multiphasic ... Full text Link to item Cite

Analyzing pain in rheumatoid arthritis patients. Pain coping strategies in patients who have had knee replacement surgery.

Journal Article Pain · August 1991 This study used the Coping Strategies Questionnaire (CSQ) to investigate pain coping strategies in 52 rheumatoid arthritis patients who reported having knee pain 1 year or more following knee replacement surgery. Data analysis revealed that, as a group, th ... Full text Link to item Cite

Stress Inoculation Bibliotherapy in the Treatment of Test Anxiety

Journal Article Journal of Counseling Psychology · April 1, 1991 The efficacy of stress-inoculation bibliotherapy for 121 test-anxious college students was examined. A phone-contact condition and a no-contact, stress-inoculation bibliotherapy condition were compared with a phone-contact, wait-list control condition and ... Full text Cite

Biofeedback as a means to alter electromyographic activity in a total knee replacement patient.

Journal Article Biofeedback Self Regul · March 1991 This paper presents a single case controlled study of a 75-year-old male having bilateral total knee replacement. Baseline EMG recordings demonstrated differential levels of vastus medialis and vastus lateralis muscle activity in both knees during exercise ... Full text Link to item Cite

Pain coping strategies in rheumatoid arthritis: Relationships to pain, disability, depression and daily hassles

Journal Article Behavior Therapy · January 1, 1991 The present study investigated the relation of pain coping strategies to physical disability, pain, psychological disability, depression and daily hassles in rheumatoid arthritis (RA) patients. Subjects were 65 RA patients recruited from an outpatient rheu ... Full text Cite

Emotional processing and fear measurement synchrony as indicators of treatment outcome in fear of flying.

Journal Article J Behav Ther Exp Psychiatry · September 1990 Minimal-therapist-involvement stress inoculation training was used to treat flying phobics. Relative to no-treatment controls, treatment subjects reported more fear reduction, were more likely to participate in an exposure session, and flew more during a t ... Full text Link to item Cite

Sexual dysfunction in cancer patients

Journal Article Journal of Psychosocial Oncology · June 4, 1990 Although a number of articles about the sexual functioning of cancer patients have been published, relatively few have described empirical investigations or integrated approaches to the subject. This article reviews recent studies of patients who have brea ... Full text Cite

Pain coping skills training in the management of osteoarthritic knee pain: A comparative study

Journal Article Behavior Therapy · January 1, 1990 The purpose of this study was to determine whether a cognitive-behavioral intervention designed to improve pain coping skills could reduce pain, physical disability, psychological disability, and pain behavior in osteoarthritic knee pain patients. Patients ... Full text Cite

Behavioral assessment of chronic orofacial pain.

Journal Article Anesth Prog · 1990 Orofacial pain is usually evaluated and treated from a biomedical perspective. There is no question that the large majority of individuals having acute orofacial pain benefit from timely and appropriate medical intervention. When orofacial pain persists, h ... Link to item Cite

The relationship of negative thoughts to pain and psychological distress

Journal Article Behavior Therapy · January 1, 1990 This study examines the degree to which negative thoughts during flare-ups of pain are related to pain and psychological distress in three pain populations, sickle cell disease, rheumatoid arthritis, and chronic pain. One-hundred eighty-five subjects compl ... Full text Cite

Pain coping skills training in the management of osteoarthritic knee pain-II: Follow-up results

Journal Article Behavior Therapy · January 1, 1990 This study examines six months follow-up data obtained from osteoarthritic knee pain patients participating in a study comparing pain coping skills training, arthritis education, and a standard care control condition. At the time of follow-up, patients rec ... Full text Cite

Decision making and examiner bias in forensic expert recommendations for not guilty by reason of insanity

Journal Article Law and Human Behavior · March 1, 1989 Source of nomination (prosecution, defense, judge) was varied in a fictional not guilty by reason of insanity (NGRI) case distributed to 180 community forensic evaluators in a state employing the M'Naghten rule. Differences among examiners by appointment f ... Full text Cite

Are there sex differences in problem solving? an investigation of problem context and sex role type

Journal Article Journal of Psychology: Interdisciplinary and Applied · January 1, 1988 In this study we investigated sex differences, the effects of problem context, and subject sex-role type on subject's problem-solving ability. The 160 subjects (80 men and 80 women) were students from introductory psychology classes. They were chosen so th ... Full text Cite

Don't Pass Go: Predicting Who Returns from Court as Remaining Incompetent for Trial

Journal Article Criminal Justice and Behavior · January 1, 1986 Data for two samples of competent defendants were collected from hospital records in order to determine group differences for those who maintain competency to stand trial (nonrecidivists) versus those who do not maintain competency (recidivists). Stepwise ... Full text Cite

Perceived contingency of skill and chance events: A developmental analysis

Journal Article Developmental Psychology · November 1, 1982 60 kindergartners, 4th graders, and 8th graders and 32 college students took part in a game of chance and a game of skill. After each game, Ss predicted the winnings of other players who differed in certain attributes (e.g., IQ) and behavior (e.g., effort) ... Full text Cite