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Michael Andrew Hertzberg

Professor of Psychiatry and Behavioral Sciences
Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychology
116A VA Med Ctr, 508 Fulton St, Durham, NC 27705

Selected Publications


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

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

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

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 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

An RCT of Effects of Telephone Care Management on Treatment Adherence and Clinical Outcomes Among Veterans With PTSD.

Journal Article Psychiatr Serv · February 1, 2017 OBJECTIVE: This study assessed whether adding telephone care management to usual outpatient mental health care improved treatment attendance, medication compliance, and clinical outcomes of veterans with posttraumatic stress disorder (PTSD). METHODS: In a ... 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

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

Sleep disturbance in chronic military-related PTSD: clinical impact and response to adjunctive risperidone in the Veterans Affairs cooperative study #504.

Journal Article J Clin Psychiatry · April 2016 OBJECTIVE: Sleep disturbances are common among veterans with chronic military-related posttraumatic stress disorder (PTSD). This article reports the results of a multicenter clinical trial that explored the clinical correlates of reported sleep impairment ... 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

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

Effect of elective surgery on subjective health in veterans with chronic posttraumatic stress disorder.

Journal Article AANA J · August 2014 Posttraumatic stress disorder (PTSD) is common, is often chronic, and has been associated with greater risk of postoperative mortality in veterans. The purpose of this study was to determine if elective outpatient surgery had a persistent effect on the phy ... 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

Suicide attempts in veterans with bipolar disorder during treatment with lithium, divalproex, and atypical antipsychotics.

Journal Article J Affect Disord · February 15, 2013 Suicide attempt rates were assessed in 1306 subjects in this 6 year retrospective study of Bipolar disorder. Participants were Veterans from 5 different Veterans Administration Hospitals who met criteria for bipolar type 1 or 2 and who had at least one pre ... Full text Link to item Cite

The perioperative implications of posttraumatic stress disorder.

Journal Article AANA J · December 2012 Posttraumatic stress disorder (PTSD) is an anxiety disorder that develops after exposure to a traumatic event and is characterized by symptoms of reexperiencing, emotional numbing, persistent arousal, and avoidance. Approximately 6.8% of the people in the ... 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

An open-label pilot study of aripiprazole for male and female veterans with chronic post-traumatic stress disorder who respond suboptimally to antidepressants.

Journal Article Int Clin Psychopharmacol · July 2012 Emerging data suggest that second-generation antipsychotics such as aripiprazole may be effective in the treatment of post-traumatic stress disorder (PTSD). However, few clinical trials have used aripiprazole in PTSD, and data are limited on its use in Vet ... Full text 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

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

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

Maintenance therapy with fluoxetine in posttraumatic stress disorder: a placebo-controlled discontinuation study.

Journal Article J Clin Psychopharmacol · April 2005 The effect of fluoxetine (FLU) in posttraumatic stress disorder was studied in a one-year trial. Subjects received open-label treatment for 6 months, followed by double-blind randomized treatment with FLU or placebo (PBO) for 6 months. Rates of relapse wer ... Full text Link to item Cite

Trauma, resilience and saliostasis: effects of treatment in post-traumatic stress disorder.

Journal Article Int Clin Psychopharmacol · January 2005 There has been growing interest in the concept of resilience and the question as to whether psychotropic medications or psychosocial treatments might have resilience-enhancing effects. This pilot study investigates resilience in a sample of patients with p ... 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

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

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

Tolerability of fluoxetine in posttraumatic stress disorder.

Journal Article Prog Neuropsychopharmacol Biol Psychiatry · February 2002 PURPOSE: In response to earlier reports that raised concerns about the tolerability of fluoxetine in the treatment of posttraumatic stress disorder (PTSD), this study was conducted to systematically delineate treatment-emergent symptoms (TES) associated wi ... 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

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

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

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

Nefazodone in post-traumatic stress disorder: results from six open-label trials.

Journal Article Int Clin Psychopharmacol · March 1999 Nefazodone, an antidepressant which blocks serotonin (5-HT)2 receptors and 5-HT reuptake, was evaluated in the treatment of post-traumatic stress disorder (PTSD) in six open-label studies involving both civilians and combat veterans. Our objective was to r ... 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

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

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

Epididymal leiomyoma: sonographic features.

Journal Article J Ultrasound Med · November 1996 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

Posttraumatic stress disorder in Iraeli combat veterans

Journal Article Archives of General Psychiatry · 1987 Twenty-five Israeli combat veterans fulfilling DSM-III criteria for posttraumatic stress disorder (PTSD) participated in an open, prospective trial of phenelzine sulfate administration (median daily dose, 60 mg; range, 30 to 90 mg); three patients withdrew ... Cite