Charles C Engel
Biographic Data
| ID | 5541499 |
|---|---|
| NAME | Charles C Engel |
| GIVEN NAMES | Charles C |
| FAMILY NAME | Engel |
| SIGNATURE | ENGEL C C |
| AFFILIATIONS | Uniformed Services University of the Health Sciences |
| ORCID | 0000-0002-9232-3389 |
| VERIFIED | Yes |
| TOTAL WORKS | 12 |
| TOTAL CITATIONS | 11 |
| AUTHOR COUNT | 12 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 2 |
Is the PHQ-2 a Good Measure to Inform Providers About Patient Well-Being and Functioning? Data From the Veterans Health and Life Survey
BACKGROUND: Health care systems are increasingly focused on assessing patient well-being and functioning. The objective of the current analysis was to evaluate a pragmatic question: to what extent and in what way can the PHQ-2, a routinely collected screening measure, be used to help clinicians and a learning health system understand the well-being and functioning of its beneficiaries? METHODS: The current analysis focused on 2872 Veterans who co…
The Culture of Alcohol in the U.S. Military: Correlations With Problematic Drinking Behaviors and Negative Consequences of Alcohol Use
Excessive alcohol use, especially binge and heavy drinking, represents a serious threat to force readiness across the Department of Defense. Though these behaviors are a matter of individual service member choice, they are influenced by perceptions of the culture of alcohol use in the military. This paper uses data from the 2018 Health Related Behaviors Survey of Active Duty service members to explore associations between perceived alcohol cultur…
Suicide Risk among Women Veterans in Distress: Perspectives of Responders on the Veterans Crisis Line
Mental Health Utilization Patterns During a Stepped, Collaborative Care Effectiveness Trial for PTSD and Depression in the Military Health System
BACKGROUND: Integrated health care models aim to improve access and continuity of mental health services in general medical settings. STEPS-UP is a stepped, centrally assisted collaborative care model designed to improve posttraumatic stress disorder (PTSD) and depression care by providing the appropriate intensity and type of care based on patient characteristics and clinical complexity. STEPS-UP demonstrated improved PTSD and depression outcome…
Randomized Effectiveness Trial of a Brief Course of Acupuncture for Posttraumatic Stress Disorder
BACKGROUND: Initial posttraumatic stress disorder (PTSD) care is often delayed and many with PTSD go untreated. Acupuncture appears to be a safe, potentially nonstigmatizing treatment that reduces symptoms of anxiety, depression, and chronic pain, but little is known about its effect on PTSD. METHODS: Fifty-five service members meeting research diagnostic criteria for PTSD were randomized to usual PTSD care (UPC) plus eight 60-minute sessions of …
Deployment and the Use of Mental Health Services among U.S. Army Wives
BACKGROUND: Military operations in Iraq and Afghanistan have involved the frequent and extended deployment of military personnel, many of whom are married. The effect of deployment on mental health in military spouses is largely unstudied. METHODS: We examined electronic medical-record data for outpatient care received between 2003 and 2006 by 250,626 wives of active-duty U.S. Army soldiers. After adjustment for the sociodemographic characteristi…
Mild Traumatic Brain Injury in U.S. Soldiers Returning from Iraq
BACKGROUND: An important medical concern of the Iraq war is the potential long-term effect of mild traumatic brain injury, or concussion, particularly from blast explosions. However, the epidemiology of combat-related mild traumatic brain injury is poorly understood. METHODS: We surveyed 2525 U.S. Army infantry soldiers 3 to 4 months after their return from a year-long deployment to Iraq. Validated clinical instruments were used to compare soldie…
Survival Convergence and the Preceding Mortality Crossover for Two Population Subgroups
The physical and mental health of a large military cohort: Baseline functional health status of the Millennium Cohort
The baseline health status of this large population-based military cohort is better than that of the US general population of the same age and sex distribution over the same time period, especially in older age groups. Deployment experiences during the period of 1998-2001 were not associated with decreased health status. These data will serve as a useful reference for other military health studies and for future longitudinal analyses
The Effect of Veteran Status on Mortality among Older Americans and its Pathways
Are Veterans Seeking Veterans Affairs’ Primary Care as Healthy as Those Seeking Department of Defense Primary Care? A Look at Gulf War Veterans’ Symptoms and Functional Status
Objective This study compared Gulf War veterans seeking VA primary care with Gulf War veterans seeking treatment from a Department of Defense primary care clinic on measures of physical symptoms, psychiatric complaints, and functional status. Additionally, the association between employment status and health was examined. Methods Analysis was based on the responses of consecutive patients attending the Gulf War Primary Care clinics at either the …
Relationship of Physical Symptoms to Posttraumatic Stress Disorder Among Veterans Seeking Care for Gulf War-Related Health Concerns
OBJECTIVES: Studies of the relationship of posttraumatic stress disorder (PTSD) to physical symptoms in war veterans consistently show a positive relationship. However, traumatic experiences causing PTSD may correlate with other war exposures and medical illnesses potentially accounting for those symptoms. METHODS: We analyzed data obtained from 21,244 Gulf War veterans seeking care for war-related health concerns to assess the relationship of PT…
The Effect of Veteran Status on Mortality among Older Americans and its Pathways
Survival Convergence and the Preceding Mortality Crossover for Two Population Subgroups
The Culture of Alcohol in the U.S. Military: Correlations With Problematic Drinking Behaviors and Negative Consequences of Alcohol Use
Excessive alcohol use, especially binge and heavy drinking, represents a serious threat to force readiness across the Department of Defense. Though these behaviors are a matter of individual service member choice, they are influenced by perceptions of the culture of alcohol use in the military. This paper uses data from the 2018 Health Related Behaviors Survey of Active Duty service members to explore associations between perceived alcohol cultur…
Relationship of Physical Symptoms to Posttraumatic Stress Disorder Among Veterans Seeking Care for Gulf War-Related Health Concerns
OBJECTIVES: Studies of the relationship of posttraumatic stress disorder (PTSD) to physical symptoms in war veterans consistently show a positive relationship. However, traumatic experiences causing PTSD may correlate with other war exposures and medical illnesses potentially accounting for those symptoms. METHODS: We analyzed data obtained from 21,244 Gulf War veterans seeking care for war-related health concerns to assess the relationship of PT…
Are Veterans Seeking Veterans Affairs’ Primary Care as Healthy as Those Seeking Department of Defense Primary Care? A Look at Gulf War Veterans’ Symptoms and Functional Status
Objective This study compared Gulf War veterans seeking VA primary care with Gulf War veterans seeking treatment from a Department of Defense primary care clinic on measures of physical symptoms, psychiatric complaints, and functional status. Additionally, the association between employment status and health was examined. Methods Analysis was based on the responses of consecutive patients attending the Gulf War Primary Care clinics at either the …
The Effect of Veteran Status on Mortality among Older Americans and its Pathways
The physical and mental health of a large military cohort: Baseline functional health status of the Millennium Cohort
The baseline health status of this large population-based military cohort is better than that of the US general population of the same age and sex distribution over the same time period, especially in older age groups. Deployment experiences during the period of 1998-2001 were not associated with decreased health status. These data will serve as a useful reference for other military health studies and for future longitudinal analyses
Mild Traumatic Brain Injury in U.S. Soldiers Returning from Iraq
BACKGROUND: An important medical concern of the Iraq war is the potential long-term effect of mild traumatic brain injury, or concussion, particularly from blast explosions. However, the epidemiology of combat-related mild traumatic brain injury is poorly understood. METHODS: We surveyed 2525 U.S. Army infantry soldiers 3 to 4 months after their return from a year-long deployment to Iraq. Validated clinical instruments were used to compare soldie…
Survival Convergence and the Preceding Mortality Crossover for Two Population Subgroups
Deployment and the Use of Mental Health Services among U.S. Army Wives
BACKGROUND: Military operations in Iraq and Afghanistan have involved the frequent and extended deployment of military personnel, many of whom are married. The effect of deployment on mental health in military spouses is largely unstudied. METHODS: We examined electronic medical-record data for outpatient care received between 2003 and 2006 by 250,626 wives of active-duty U.S. Army soldiers. After adjustment for the sociodemographic characteristi…
Randomized Effectiveness Trial of a Brief Course of Acupuncture for Posttraumatic Stress Disorder
BACKGROUND: Initial posttraumatic stress disorder (PTSD) care is often delayed and many with PTSD go untreated. Acupuncture appears to be a safe, potentially nonstigmatizing treatment that reduces symptoms of anxiety, depression, and chronic pain, but little is known about its effect on PTSD. METHODS: Fifty-five service members meeting research diagnostic criteria for PTSD were randomized to usual PTSD care (UPC) plus eight 60-minute sessions of …
Suicide Risk among Women Veterans in Distress: Perspectives of Responders on the Veterans Crisis Line
Mental Health Utilization Patterns During a Stepped, Collaborative Care Effectiveness Trial for PTSD and Depression in the Military Health System
BACKGROUND: Integrated health care models aim to improve access and continuity of mental health services in general medical settings. STEPS-UP is a stepped, centrally assisted collaborative care model designed to improve posttraumatic stress disorder (PTSD) and depression care by providing the appropriate intensity and type of care based on patient characteristics and clinical complexity. STEPS-UP demonstrated improved PTSD and depression outcome…
The Culture of Alcohol in the U.S. Military: Correlations With Problematic Drinking Behaviors and Negative Consequences of Alcohol Use
Excessive alcohol use, especially binge and heavy drinking, represents a serious threat to force readiness across the Department of Defense. Though these behaviors are a matter of individual service member choice, they are influenced by perceptions of the culture of alcohol use in the military. This paper uses data from the 2018 Health Related Behaviors Survey of Active Duty service members to explore associations between perceived alcohol cultur…
Is the PHQ-2 a Good Measure to Inform Providers About Patient Well-Being and Functioning? Data From the Veterans Health and Life Survey
BACKGROUND: Health care systems are increasingly focused on assessing patient well-being and functioning. The objective of the current analysis was to evaluate a pragmatic question: to what extent and in what way can the PHQ-2, a routinely collected screening measure, be used to help clinicians and a learning health system understand the well-being and functioning of its beneficiaries? METHODS: The current analysis focused on 2872 Veterans who co…
Medicine (11 works) · Psychiatry (10 works) · Posttraumatic Stress Disorder Research (6 works) · Mental health (5 works) · Gerontology (4 works) · Internal Medicine (4 works) · Psychology (4 works) · Clinical Psychology (3 works) · Environmental health (3 works) · Fibromyalgia and Chronic Fatigue Syndrome Research (3 works)