keyword
https://read.qxmd.com/read/38493366/cross-validation-of-the-response-bias-scale-and-the-response-bias-scale-19-in-active-duty-personnel-use-on-the-mmpi-2-rf-and-mmpi-3
#1
JOURNAL ARTICLE
Paul B Ingram, Patrick Armistead-Jehle, Lucas G Childers, Tristan T Herring
The Response Bias Scale (RBS) is the central measure of cognitive over-reporting in the MMPI-family of instruments. Relative to other clinical populations, the research evaluating the detection of over-reporting is more limited in Veteran and Active-Duty personnel, which has produced some psychometric variability across studies. Some have suggested that the original scale construction methods resulted in items which negatively impact classification accuracy and in response crafted an abbreviated version of the RBS (RBS-19; Ratcliffe et al...
March 17, 2024: Journal of Clinical and Experimental Neuropsychology
https://read.qxmd.com/read/38493111/a-national-study-of-clinical-discussions-about-cannabis-use-among-veteran-patients-prescribed-opioids
#2
JOURNAL ARTICLE
Tauheed Zaman, Dawn M Bravata, Amy Byers, Erin Krebs, Samuel Leonard, Charles Austin, Friedhelm Sandbrink, Deborah S Hasin, Salomeh Keyhani
BACKGROUND: The Veterans Health Administration tracks urine drug tests (UDTs) among patients on long-term opioid therapy (LTOT) and recommends discussing the health effects of cannabis use. OBJECTIVE: To determine the occurrence of cannabis-related discussions between providers and patients on LTOT during six months following UDT positive for cannabis, and examine factors associated with documenting cannabis use. DESIGN: We identified patients prescribed LTOT with a UDT positive for cannabis in 2019...
March 16, 2024: Journal of cannabis research
https://read.qxmd.com/read/38492945/healthcare-utilization-and-left-ventricular-ejection-fraction-distribution-in-methamphetamine-use-associated-heart-failure-hospitalizations
#3
JOURNAL ARTICLE
Veena Manja, Alexander Tarlochan Singh Sandhu, Steven Asch, Susan Frayne, Mark McGovern, Cheng Chen, Paul Heidenreich
BACKGROUND: Although methamphetamine use associated heart failure (MU-HF) is increasing, data on its clinical course are limited due to a preponderance of single center studies and significant heterogeneity in the definition of MU-HF in the published literature. Our objective was to evaluate left ventricular ejection fraction (LVEF) distribution, methamphetamine use treatment engagement and postdischarge healthcare utilization among Veterans with heart failure hospitalization in the department of Veterans Affairs (VA) medical centers for MU-HF versus HF not associated with methamphetamine use (other-HF)...
April 2024: American Heart Journal
https://read.qxmd.com/read/38492447/noise-sensitivity-or-hyperacusis-comparing-the-weinstein-and-khalfa-questionnaires-in-a-community-and-a-clinical-samples
#4
REVIEW
Charlotte Bigras, Sarah M Theodoroff, Emily J Thielman, Sylvie Hébert
Noise sensitivity and hyperacusis are decreased sound tolerance conditions that are not well delineated or defined. This paper presents the correlations and distributions of the Noise Sensitivity Scale (NSS) and the Hyperacusis Questionnaire (HQ) scores in two distinct large samples. In Study 1, a community-based sample of young healthy adults (n = 103) exhibited a strong correlation (r = 0.74) between the two questionnaires. The mean NSS and HQ scores were 54.4 ± 16.9 and 12.5 ± 7.5, respectively...
March 8, 2024: Hearing Research
https://read.qxmd.com/read/38491344/correlates-of-suicidal-behaviors-and-genetic-risk-among-united-states-veterans-with-schizophrenia-or-bipolar-i-disorder
#5
JOURNAL ARTICLE
Tim B Bigdeli, Peter B Barr, Nallakkandi Rajeevan, David P Graham, Yuli Li, Jacquelyn L Meyers, Bryan R Gorman, Roseann E Peterson, Frederick Sayward, Krishnan Radhakrishnan, Sundar Natarajan, David A Nielsen, Anna V Wilkinson, Anil K Malhotra, Hongyu Zhao, Mary Brophy, Yunling Shi, Timothy J O'Leary, Theresa Gleason, Ronald Przygodzki, Saiju Pyarajan, Sumitra Muralidhar, J Michael Gaziano, Grant D Huang, John Concato, Larry J Siever, Lynn E DeLisi, Nathan A Kimbrel, Jean C Beckham, Alan C Swann, Thomas R Kosten, Ayman H Fanous, Mihaela Aslan, Philip D Harvey
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 treatments, and polygenic scores (PGS) has potential to inform risk stratification. We examined self-reported SB and ideation using the Columbia Suicide Severity Rating Scale (C-SSRS) among 3,942 SCZ and 5,414 BPI patients receiving care within the Veterans Health Administration (VHA)...
March 15, 2024: Molecular Psychiatry
https://read.qxmd.com/read/38490795/looking-back-to-move-forward-creating-a-blueprint-for-success-for-nurse-scientists-in-the-veterans-health-administration
#6
JOURNAL ARTICLE
Ashley C Mog, Cathy M St Pierre, Helene J Moriarty, Sheila Cox Sullivan, Catherine Battaglia
AIM: The purpose of this manuscript is to report the findings of a qualitative content analysis of interviews with VA Nurse Scientists about work life experiences, barriers, and facilitators across the enterprise. BACKGROUND: The VA enterprise is widely variable in terms of size, services, research activity, and budget. For this reason, the roles of nurses with a research-focused doctorate are also quite diverse. METHODS: We purposively sampled 18 PhD prepared Nurse Scientists based on a variety geographic locations, titles, and years in the field and who conduct research...
February 2024: Applied Nursing Research: ANR
https://read.qxmd.com/read/38489933/behavioral-weight-management-use-in-the-veterans-health-administration-sociodemographic-and-health-correlates
#7
JOURNAL ARTICLE
Jessica Y Breland, Ivan Raikov, Katherine J Hoggatt, Ciaran S Phibbs, Shira Maguen, Christine Timko, Fay Saechao, Susan M Frayne
INTRODUCTION: Over 40 % of United States Veterans Health Administration (VHA) primary care patients have obesity. Few patients use VHA's flagship weight management program, MOVE! and there is little information on other behavioral weight management program use. METHODS: The national United States cohort included over 1.5 million primary care patients with obesity, age 18-79, based on VHA administrative data. Gender stratified multivariable logistic regression identified correlates of weight management use in the year after a patient's first primary care appointment (alpha of 0...
March 4, 2024: Eating Behaviors
https://read.qxmd.com/read/38489871/lower-odds-of-successful-community-discharge-after-medical-hospitalization-for-veterans-with-schizophrenia-a-retrospective-cohort-study-of-national-data
#8
JOURNAL ARTICLE
Julia Browne, Wen-Chih Wu, Lan Jiang, Mriganka Singh, Melanie L Bozzay, Zachary J Kunicki, Thomas A Bayer, Alyssa N De Vito, Jennifer M Primack, John E McGeary, Catherine M Kelso, James L Rudolph
Medical comorbidity, particularly cardiovascular diseases, contributes to high rates of hospital admission and early mortality in people with schizophrenia. The 30 days following hospital discharge represents a critical period for mitigating adverse outcomes. This study examined the odds of successful community discharge among Veterans with schizophrenia compared to those with major affective disorders and those without serious mental illness (SMI) after a heart failure hospital admission. Data for Veterans hospitalized for heart failure were obtained from the Veterans Health Administration (VHA) and Centers for Medicare & Medicaid Services between 2011 and 2019...
March 11, 2024: Journal of Psychiatric Research
https://read.qxmd.com/read/38489198/perspectives-of-people-at-risk-on-parkinson-s-prevention-research
#9
REVIEW
Jessi L Keavney, Soania Mathur, Karlin Schroeder, Ray Merrell, Sergio A Castillo-Torres, Virginia Gao, Grace F Crotty, Michael A Schwarzschild, John M Poma
 The movement toward prevention trials in people at-risk for Parkinson's disease (PD) is rapidly becoming a reality. The authors of this article include a genetically at-risk advocate with the LRRK2 G2019 S variant and two patients with rapid eye movement sleep behavior disorder (RBD), one of whom has now been diagnosed with PD. These authors participated as speakers, panelists, and moderators in the "Planning for Prevention of Parkinson's: A Trial Design Forum" hosted by Massachusetts General Hospital in 2021 and 2022...
March 14, 2024: Journal of Parkinson's Disease
https://read.qxmd.com/read/38487339/onset-of-irritable-bowel-syndrome-dyspepsia-diarrhea-bloating-and-constipation-in-deployed-gulf-war-veterans
#10
JOURNAL ARTICLE
Zachary Thomas Verne, Jeremy Zachary Fields, George Nicholas Verne, Benjamin Buyi Zhang, Amber Leigh Thacker, QiQi Zhou
An estimated 694,550 United States service members were actively deployed to the Persian Gulf from 1990-1991. Many veterans who were deployed developed Persian Gulf War Syndrome along with chronic gastrointestinal symptoms after returning from the Persian Gulf. Our objective in this study was to determine the phenotypic expression of gastrointestinal symptom complexes in previously healthy veterans who had been stationed in the Persian Gulf. One hundred and four consecutive veterans (88 males, 16 females) who had previously been deployed in 1990-91 were evaluated for their bowel habits and gastrointestinal symptoms...
June 2024: Int J Gasteroenterol (N Y)
https://read.qxmd.com/read/38486050/developing-an-individualized-treatment-rule-for-veterans-with-major-depressive-disorder-using-electronic-health-records
#11
JOURNAL ARTICLE
Nur Hani Zainal, Robert M Bossarte, Sarah M Gildea, Irving Hwang, Chris J Kennedy, Howard Liu, Alex Luedtke, Brian P Marx, Maria V Petukhova, Edward P Post, Eric L Ross, Nancy A Sampson, Erik Sverdrup, Brett Turner, Stefan Wager, Ronald C Kessler
Efforts to develop an individualized treatment rule (ITR) to optimize major depressive disorder (MDD) treatment with antidepressant medication (ADM), psychotherapy, or combined ADM-psychotherapy have been hampered by small samples, small predictor sets, and suboptimal analysis methods. Analyses of large administrative databases designed to approximate experiments followed iteratively by pragmatic trials hold promise for resolving these problems. The current report presents a proof-of-concept study using electronic health records (EHR) of n = 43,470 outpatients beginning MDD treatment in Veterans Health Administration Primary Care Mental Health Integration (PC-MHI) clinics, which offer access not only to ADMs but also psychotherapy and combined ADM-psychotherapy...
March 14, 2024: Molecular Psychiatry
https://read.qxmd.com/read/38484869/trajectories-of-physical-resilience-among-older-veterans-with-stage-4-ckd
#12
JOURNAL ARTICLE
C Barrett Bowling, Theodore S Z Berkowitz, Brett T Burrows, Jessica E Ma, Heather E Whitson, Battista Smith, Steven D Crowley, Virginia Wang, Matthew L Maciejewski, Maren K Olsen
RATIONALE & OBJECTIVE: Although functional impairment is common among older adults with chronic kidney disease (CKD), functional reserve before an acute health event and physical resilience after have not been characterized in this population. The purpose of this study was to identify distinct patterns of physical function before and after an acute health event among older Veterans with Stage 4 CKD. STUDY DESIGN: Prospective cohort study. SETTING: & Participants: National sample of Veterans ≥70 years of age with an estimated glomerular filtration rate (eGFR) <30 ml/min/1...
March 12, 2024: American Journal of Kidney Diseases
https://read.qxmd.com/read/38484606/obesity-in-latinx-and-white-u-s-military-veterans-mental-health-psychosocial-burden-non-suicidal-self-injury-and-suicidal-behavior
#13
JOURNAL ARTICLE
Elina A Stefanovics, Carlos M Grilo, Marc N Potenza, Robert H Pietrzak
Obesity disproportionately affects Latinx communities and is linked to an increased risk of mental health problems. Military veterans are more likely to develop mental health problems, but the role of Latinx ethnicity in moderating the association between obesity and these problems is unclear. To address this gap, this study examined psychiatric and psychosocial correlates of obesity in a nationally representative sample of Latinx and White U.S. military veterans. Data were analyzed from the 2019-2020 National Health and Resilience in Veterans Study, which surveyed 3524 Latinx and White veterans...
March 8, 2024: Psychiatry Research
https://read.qxmd.com/read/38483517/a-pilot-study-of-stellate-ganglion-block-paired-with-exposure-therapy-feasibility-and-acceptability-in-combat-veterans-with-posttraumatic-stress-disorder
#14
JOURNAL ARTICLE
Christy Capone, Erica Eaton, M Tracie Shea, Matthew Borgia, Lauren DeMoss, Krista Tocco, Keith Fragoza, Afreen Siddiqui
BACKGROUND: There is growing evidence that stellate ganglion block (SGB) combined with trauma-focused therapy may help veterans with posttraumatic stress disorder (PTSD) whose symptoms have not responded to traditional treatments. By combining SGB with in vivo exposure, veterans may be more able to fully engage in treatment and see improvement in their overall functioning. OBJECTIVE: The primary aim of this project was to conduct a nonrandomized pilot trial on the feasibility and acceptability of delivering SGB paired with individual psychotherapy to veterans with combat-related PTSD...
March 14, 2024: Psychological Trauma: Theory, Research, Practice and Policy
https://read.qxmd.com/read/38483462/caregivers-role-in-in-home-video-telehealth-national-survey-of-occupational-therapy-practitioners
#15
JOURNAL ARTICLE
Megan Elizabeth Gately, Dylan E Waller, Emily E Metcalf, Lauren R Moo
BACKGROUND: Older adults face barriers to specialty care, such as occupational therapy (OT), and these challenges are worse for rural older adults. While in-home video telehealth may increase access to OT, older adults' health- and technology-related challenges may necessitate caregiver assistance. OBJECTIVE: This study examines caregiver assistance with in-home OT video telehealth visits from the perspectives of OT practitioners at Veterans Health Administration (VHA)...
March 14, 2024: JMIR Rehabilitation and Assistive Technologies
https://read.qxmd.com/read/38483392/medical-home-implementation-and-follow-up-of-cancer-related-abnormal-test-results-in-the-veterans-health-administration
#16
JOURNAL ARTICLE
Suja S Rajan, Shashank Sarvepalli, Li Wei, Ashley N D Meyer, Daniel R Murphy, Debra T Choi, Hardeep Singh
IMPORTANCE: Lack of timely follow-up of cancer-related abnormal test results can lead to delayed or missed diagnoses, adverse cancer outcomes, and substantial cost burden for patients. Care delivery models, such as the Veterans Affairs' (VA) Patient-Aligned Care Team (PACT), which aim to improve patient-centered care coordination, could potentially also improve timely follow-up of abnormal test results. PACT was implemented nationally in the VA between 2010 and 2012. OBJECTIVE: To evaluate the long-term association between PACT implementation and timely follow-up of abnormal test results related to the diagnosis of 5 different cancers...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38483390/migraine-prevalence-environmental-risk-and-comorbidities-in-men-and-women-veterans
#17
JOURNAL ARTICLE
Marianna Gasperi, Nathaniel M Schuster, Brooke Franklin, Caroline M Nievergelt, Murray B Stein, Niloofar Afari
IMPORTANCE: Migraine is a prevalent and debilitating condition that substantially impacts quality of life. Investigating migraine prevalence, associated comorbidities, and potential military service exposures in veterans, focusing on gender differences, is crucial for targeted interventions and management strategies. OBJECTIVE: To determine the prevalence of migraine, associated health comorbidities, and potential military service and environmental exposures among men and women US veterans using a large-scale epidemiological sample from the Million Veteran Program (MVP)...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38483302/effectiveness-of-tofacitinib-in-ulcerative-colitis-patients-a-nationwide-veterans-administration-cohort-study
#18
JOURNAL ARTICLE
Nabeel Khan, Ramaswamy Sundararajan, Manthankumar Patel, Chinmay Trivedi, Yu-Xiao Yang
INTRODUCTION: There is paucity of data on the effectiveness and safety of tofacitinib among elderly ulcerative colitis (UC) patients. METHODS: Through a retrospective cohort study among the United States (US) national Veterans Affairs Healthcare System (VAHS), we evaluated effectiveness among the elderly (≥ 65) and young (<65) UC patients initiated on tofacitinib. RESULTS: Among 158 patients (53 elderly, 105 young), effectiveness at 12-months was 50...
March 14, 2024: American Journal of Gastroenterology
https://read.qxmd.com/read/38483080/exploring-variations-in-recommended-first-choice-therapy-for-complicated-urinary-tract-infections-in-males-insights-from-outpatient-settings-across-age-race-and-ethnicity
#19
JOURNAL ARTICLE
Kathryn Sine, Thomas Lavoie, Aisling R Caffrey, Vrishali V Lopes, David Dosa, Kerry L LaPlante, Haley J Appaneal
INTRODUCTION: There are known disparities in the treatment of infectious diseases. However, disparities in treatment of complicated urinary tract infections (UTIs) are largely uninvestigated. OBJECTIVES: We characterized UTI treatment among males in Veterans Affairs (VA) outpatient settings by age, race, and ethnicity and identified demographic characteristics predictive of recommended first-choice antibiotic therapy. METHODS: We conducted a national, retrospective cohort study of male VA patients diagnosed with a UTI and dispensed an outpatient antibiotic from January 2010 through December 2020...
March 14, 2024: Pharmacotherapy
https://read.qxmd.com/read/38482715/association-of-posttraumatic-stress-disorder-and-race-on-readmissions-after-stroke
#20
JOURNAL ARTICLE
Chen Lin, Peter H King, Joshua S Richman, Lori L Davis
BACKGROUND: There is limited research on outcomes of patients with posttraumatic stress disorder (PTSD) who also develop stroke, particularly regarding racial disparities. Our goal was to determine whether PTSD is associated with the risk of hospital readmission after stroke and whether racial disparities existed. METHODS: The analytical sample consisted of all veterans receiving care in the Veterans Health Administration who were identified as having a new stroke requiring inpatient admission based on the International Classification of Diseases codes...
March 14, 2024: Stroke; a Journal of Cerebral Circulation
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