Robert H Pietrzak
Dados Biográficos
| ID | 1264698 |
|---|---|
| NOME | Robert H Pietrzak |
| PRENOMES | Robert H |
| SOBRENOME | Pietrzak |
| ASSINATURA | PIETRZAK R H |
| AFILIAÇÕES | Yale University |
| ORCID | 0000-0002-5561-6414 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 53 |
| TOTAL DE CITAÇÕES | 104 |
| TOTAL COMO AUTOR | 53 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2002 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 7 |
Homelessness Among U.S. Veterans
Association of Social Determinants of Health with Incident Mental Health Outcomes in U.S. Military Veterans
The role of measurement in moral injury care
These findings support the use of the MIDS in measurement-based care to identify distinct clinical presentations of moral injury, including those with moderate to severe presentations that warrant further evaluation and potentially treatment
Relationship between rumination and symptoms of posttraumatic stress disorder – a cross-sectional network analysis
Background Rumination is associated with the development and maintenance of PTSD. However, significant gaps remain in understanding how specific PTSD symptoms relate to rumination at a granular level, particularly when controlling for common comorbidities like depression and anxiety. This study used multi-level network analysis to examine these relationships in adult survivors of traumatic events. Methods Six hundred sixty-one adult survivors (me…
Psychosocial and Health Factors Associated With Functional Difficulties Among Older U.S. Veterans With Cardiovascular Disease
ObjectivesOlder U.S. military veterans with cardiovascular disease (CVD) are at elevated risk for functional decline. This study examined sociodemographic, health, and psychosocial correlates of overall and domain-specific functioning in this population.MethodsData were drawn from 757 veterans aged ≥60 years with CVD who participated in the National Health and Resilience in Veterans Study. Bivariate, multivariable, and relative importance analyse…
Criminal Justice System Involvement Among U.S. Military Veterans
Studies of justice system involvement (JSI) among U.S. military veterans have yielded mixed results regarding both prevalence and correlates due in part to sampling variability and limitations. The present study examined factors associated with lifetime JSI in a nationally representative sample of 4,049 U.S. veterans. Bivariate and multivariate analyses indicate that JSI was associated with racial/ethnic minority, lower income/education, combat, …
A network analysis of psychosocial functioning and posttraumatic stress disorder and depression symptoms in a nationally representative U.S. veteran cohort
These five symptoms may serve as potential targets of interventions to bolster psychosocial functioning among trauma-exposed veterans. Future research should include the application of network models to intensive longitudinal data to gain insights into whether these symptoms may have a causal role in impairing psychosocial functioning. (PsycInfo Database Record (c) 2025 APA, all rights reserved)
How Cannabis Use is Associated with the Physical and Mental Health of Older Adults
Cannabis use (CU) is increasing among adults aged ≥ 50. Yet, its effects on mental and physical health remain understudied. We investigated the association between CU and physical and mental health among adults aged ≥ 50. Using data from the 2022 Behavioral Risk Factor Surveillance System, Marijuana Use module, we included 55,108 individuals aged ≥ 50 through weighted descriptive and multivariable multinomial logistic regression analyses. Finding…
Unraveling PTSD
Results suggest that intrusive symptoms may be more resistant to residential treatment for PTSD and contribute to lower likelihood of treatment success. Future work is needed to examine differential treatment response for PTSD clusters, to inform the improvement of current and creation of novel treatment interventions, and to better address intrusive symptoms to maximize PTSD treatment gains. (PsycInfo Database Record (c) 2025 APA, all rights res…
Identifying Factors Linked to Current Patterns of Alcohol Consumption in U.S. Veterans with a History of Alcohol Use Disorder
Loneliness Trajectories in U.S. Military Veterans
Nearly 40% of older U.S. veterans exhibited trajectories characterized by moderate to high levels of loneliness, with both groups showing increases over time. Targeted interventions that promote social connectedness, enhance purpose in life, and address mental health concerns and early life adversities may help mitigate the negative health consequences associated with chronic loneliness in this vulnerable population
Longitudinal associations between five factor model and impulsive personality traits and PTSD symptoms
The mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans
Among veterans, availability of social support and histories of military sexual trauma (MST) and/or adverse childhood experiences (ACEs) are particularly salient correlates of homelessness. Using path analyses, we investigated whether social support (i.e., interpersonal social support and community integration) would at least partially account for the relationships of MST and ACEs with any lifetime homelessness in a large, nationally representati…
Homelessness and Contact with the Criminal Legal System among U.S. Combat Veterans
A notable proportion of criminal legal system (CLS)-involved combat veterans have a history of homelessness. However, knowledge regarding the relationship between homelessness and CLS involvement among combat veterans is largely based on descriptive studies, and potential mechanisms linking homelessness to CLS involvement are largely unknown. Using data from the 2019-2020 National Health and Resilience in Veterans Study ( n = 1,353), this study e…
The Moral Injury and Distress Scale
The MIDS is the first scale to assess moral injury symptoms indexed to a specific PMIE that is validated across several high-risk populations. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
Development and initial validation of the Mount Sinai Resilience Scale
Collectively, the results of this study provide initial support for the convergent and discriminant validity of the MSRS and describe its factor structure. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
Predictors of Mental Health Service Utilization among Frontline Healthcare Workers during the Covid-19 Pandemic
(1) Background: This study examined the prevalence and correlates of factors associated with self-reported mental health service use in a longitudinal cohort of frontline health care workers (FHCWs) providing care to patients with COVID-19 throughout 2020. (2) Methods: The study comprised a two-wave survey ( n = 780) administered in April-May 2020 (T1) and November 2020-January 2021 (T2) to faculty, staff, and trainees in a large urban medical ce…
Estimating the Lifetime Prevalence of Incarceration in the U.S. Veteran Population
Societal impact on older persons' chronic pain
Psychological Consequences Among Residents and Fellows During the Covid-19 Pandemic in New York City
PURPOSE: To examine the psychological impact of the COVID-19 pandemic on medical trainees (residents and fellows) working at Mount Sinai Hospital (MSH) in New York City (NYC), the initial epicenter of the United States pandemic. METHOD: The authors administered a survey to 991 trainees in frontline specialties working at MSH in NYC between April and May 2020. The instrument assessed symptoms of major depressive disorder, generalized anxiety disor…
Mindfulness as a mediator between trauma exposure and mental health outcomes
The relationship between lifetime trauma burden and various mental health issues of relevance to U.S. veterans may be mediated by mindfulness, or the ability to pay attention to the present moment. Interventions that bolster mindfulness may help mitigate the negative impact of cumulative traumas in this population. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
Race/ethnic differences in prevalence and correlates of posttraumatic stress disorder in World Trade Center responders
Collectively, results of this study underscore the burden of differential vulnerability that can contribute to higher prevalence of PTSD in certain cultural subgroups following large magnitude traumatic events. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
Factors associated with post-traumatic growth in response to the Covid-19 pandemic
Acculturation, coping, and PTSD in Hispanic 9/11 rescue and recovery workers
Objective: Research examining the responders of the World Trade Center terrorist attacks of 9/11 has found that Hispanic responders are at greater risk for posttraumatic stress disorder (PTSD) than non-Hispanic White responders. However, no studies have examined how acculturation may influence the relationship between coping and PTSD in Hispanic 9/11 responders. This novel study is the first to examine differences in coping and PTSD among Hispani…
When Culture Influences Genes
This study provides the first known evidence that self-perceptions can influence the impact of a gene on cognition. The results underscore the importance of combined psychosocial and biological approaches to understanding cognitive function in older adults
Labyrinth Revisited. Rethinking 'Minoan' Archaeology
These findings suggest that co-occurring obesity and smoking is associated with substantial mental and physical health burden in U.S. veterans. Collectively, they underscore the importance of multicomponent interventions targeting, obesity, smoking, and co-occurring issues, such as trauma and internalizing disorders, in this population
How does social support enhance resilience in the trauma-exposed individual
Sippel, L. M., R. H. Pietrzak, D. S. Charney, L. C. Mayes, and S. M. Southwick. 2015. How does social support enhance resilience in the trauma-exposed individual? Ecology and Society 20(4):10. https://doi.org/10.5751/ES-07832-200410
Public exposure and attitudes about homelessness
In this study, we conducted a survey among a large sample of U.S. adults to assess attitudes and beliefs about the causes of homelessness, policies to address homelessness, and programs for homeless individuals. In 2016, we surveyed a national sample of 541 adults from 47 different U.S. states using Amazon Mechanical Turk. Of the total sample, 78% reported that homelessness was a problem in their communities and 60% believed homelessness would in…
Changes in Public Attitudes and Perceptions about Homelessness Between 1990 and 2016
Public attitudes on homelessness can and has influenced policies and services for homeless populations. This study surveyed national public attitudes about homelessness in the 21st century and examined changes in attitudes in the past two decades. An online survey of public attitudes about homelessness was conducted with 541 U.S. adults across 47 states in November 2016 using Amazon Mechanical Turk. Survey results were compared to two public surv…
Lower prevalence of psychiatric conditions when negative age stereotypes are resisted
Mental health and general wellness in the aftermath of Hurricane Ike
Long-Term Effects of Conflict-Related Sexual Violence Compared with Non-Sexual War Trauma in Female World War II Survivors
Active coping shields against negative aging self-stereotypes contributing to psychiatric conditions
Asian American and Pacific Islander Military Veterans in the United States
Objectives. We (1) compared use of various health services nationally between Asian American and Pacific Islander (AA/PI) veterans and veterans of other racial/ethnic groups and (2) specifically compared perceived barriers and stigma related to mental health services. Methods. Using bivariate and multivariable statistics, we analyzed a population-weighted sample of 8315 veterans from the 2010 National Survey of Veterans and a random sample of 567…
Trait impulsiveness and executive function in healthy young adults
DSM-IV Personality Disorders and Coronary Heart Disease in Older Adults
We evaluated the relationship between seven personality disorders listed in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders and coronary heart disease (CHD) in a nationally representative sample of U.S. older adults. We analyzed data on 10,573 adults aged 60 or older from the National Epidemiologic Survey on Alcohol and Related Conditions. In our results, we found that 13.30% of older adults reported a diagnosis of…
Estimating the Lifetime Prevalence of Incarceration in the U.S. Veteran Population
Societal impact on older persons' chronic pain
Factors associated with post-traumatic growth in response to the Covid-19 pandemic
When Culture Influences Genes
This study provides the first known evidence that self-perceptions can influence the impact of a gene on cognition. The results underscore the importance of combined psychosocial and biological approaches to understanding cognitive function in older adults
Sex differences in human jealousy A coordinated study of forced-choice, continuous rating-scale, and physiological responses on the same subjects
Labyrinth Revisited. Rethinking 'Minoan' Archaeology
These findings suggest that co-occurring obesity and smoking is associated with substantial mental and physical health burden in U.S. veterans. Collectively, they underscore the importance of multicomponent interventions targeting, obesity, smoking, and co-occurring issues, such as trauma and internalizing disorders, in this population
Pre/Early Adolescent Onset of Gambling and Psychosocial Problems in Treatment-Seeking Pathological Gamblers
Health Problems and Medical Utilization Associated With Gambling Disorders
Objective: Pathologic gambling is believed to be associated with adverse health consequences, but no prior studies have rigorously evaluated these relationships. We sought to examine medical disorders and health service utilization associated with problem and pathologic gambling. Method: A total of 43,093 adults aged 18 years and older were evaluated in the 2001 to 2002 National Epidemiologic Survey on Alcohol and Related Conditions. Self-reporte…
Lifetime Major Depression is Associated With Coronary Heart Disease in Older Adults
Objective: To examine the association between mood and anxiety disorders and coronary heart disease (CHD) in a nationally representative sample of older adults. Methods: Data from the National Epidemiologic Survey on Alcohol and Related Conditions were analyzed with 10,573 adults aged ≥60 years surveyed. Results: A total of 13.30% of older adults reported diagnoses of CHD. Age (odds ratio (OR) = 1.04), morbid obesity (OR = 1.60), hypertension (OR…
DSM-IV Personality Disorders and Coronary Heart Disease in Older Adults
We evaluated the relationship between seven personality disorders listed in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders and coronary heart disease (CHD) in a nationally representative sample of U.S. older adults. We analyzed data on 10,573 adults aged 60 or older from the National Epidemiologic Survey on Alcohol and Related Conditions. In our results, we found that 13.30% of older adults reported a diagnosis of…
Response
Barry, Danielle PhD; Petry, Nancy M. PhD; Pietrzak, Robert H. MD, MPH; Wagner, Julie PhD Author Information
Overweight and Obesity Are Associated With Psychiatric Disorders
OBJECTIVE: This study evaluated associations between body mass index (BMI) and psychiatric disorders. METHODS: Data from 41,654 respondents in the National Epidemiologic Survey on Alcohol and Related Conditions were analyzed. RESULTS: After controlling for demographics, the continuous variable of BMI was significantly associated with most mood, anxiety, and personality disorders. When persons were classified into BMI categories of underweight, no…
Trait impulsiveness and executive function in healthy young adults
Prevalence and Axis I comorbidity of full and partial posttraumatic stress disorder in the United States
Medical Comorbidity of Full and Partial Posttraumatic Stress Disorder in US Adults
Objective: This study examined associations between lifetime trauma exposures, PTSD and partial PTSD, and past-year medical conditions in a nationally representative sample of US adults. Methods: Face-to-face interviews were conducted with 34,653 participants in the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Logistic regression analyses evaluated associations of trauma exposure, PTSD, and partial PTSD with respondent-…
Clinical utility of the cogstate brief battery in identifying cognitive impairment in mild cognitive impairment and Alzheimer’s disease
Results of this study suggest that the CogState learning/working memory composite score is reduced significantly in CI and AD, correlate well with measures of disease classification and are useful in identifying memory impairment related to MCI- and AD
Asian American and Pacific Islander Military Veterans in the United States
Objectives. We (1) compared use of various health services nationally between Asian American and Pacific Islander (AA/PI) veterans and veterans of other racial/ethnic groups and (2) specifically compared perceived barriers and stigma related to mental health services. Methods. Using bivariate and multivariable statistics, we analyzed a population-weighted sample of 8315 veterans from the 2010 National Survey of Veterans and a random sample of 567…
Roles of physical and mental health in suicidal ideation in Canadian Armed Forces Regular Force veterans
Long-Term Effects of Conflict-Related Sexual Violence Compared with Non-Sexual War Trauma in Female World War II Survivors
Lower prevalence of psychiatric conditions when negative age stereotypes are resisted
Posttraumatic Stress Disorder and the Risk of Respiratory Problems in World Trade Center Responders
OBJECTIVE: Posttraumatic stress disorder (PTSD) is associated with high medical morbidity, but the nature of this association remains unclear. Among responders to the World Trade Center (WTC) disaster, PTSD is highly comorbid with lower respiratory symptoms (LRS), which cannot be explained by exposure alone. We sought to examine this association longitudinally to establish the direction of the effects and evaluate potential pathways to comorbidit…
Correlates of VA mental health treatment utilization among OEF/OIF/OND veterans
Veterans of Operations Iraqi Freedom/Enduring Freedom/New Dawn (OEF/OIF/OND) tend not to engage in mental health care. Identifying modifiable factors related to mental health service utilization could facilitate development of interventions to increase utilization. The current study examined the relationship between mental health care utilization and measures of PTSD symptoms, resilience, stigma, beliefs about mental health care, perceived barrie…
How does social support enhance resilience in the trauma-exposed individual
Sippel, L. M., R. H. Pietrzak, D. S. Charney, L. C. Mayes, and S. M. Southwick. 2015. How does social support enhance resilience in the trauma-exposed individual? Ecology and Society 20(4):10. https://doi.org/10.5751/ES-07832-200410
Mental health and general wellness in the aftermath of Hurricane Ike
Linking typologies of childhood adversity to adult incarceration
) had elevated incarceration risk (adjusted odds ratios: 1.76–4.18). Maltreatment experiences were more predictive of incarceration for women versus men. Childhood maltreatment confers risk for incarceration beyond established risk factors, but caregiver maladjustment, alone, does not. Preventative efforts should focus on understanding and targeting pathways to delinquency for individuals with childhood maltreatment
Association between perceptions of military service and mental health problems in a nationally representative sample of United States military veterans
Taken together, results of this study suggest that perceptions of military service are associated with suicidal ideation and other mental health conditions. In addition, assessing veterans' perceptions of their service could be used as a method to identify possible at-risk veterans who may benefit from mental health services and resources. (PsycINFO Database Record
Changes in Public Attitudes and Perceptions about Homelessness Between 1990 and 2016
Public attitudes on homelessness can and has influenced policies and services for homeless populations. This study surveyed national public attitudes about homelessness in the 21st century and examined changes in attitudes in the past two decades. An online survey of public attitudes about homelessness was conducted with 541 U.S. adults across 47 states in November 2016 using Amazon Mechanical Turk. Survey results were compared to two public surv…
Meaning in life moderates the association between morally injurious experiences and suicide ideation among U.S. combat veterans
Veterans who report higher levels of morally injurious experiences involving transgressions by others and betrayal experiences in the presence of higher levels of global meaning are significantly less likely to experience suicide ideation. Continued research is needed to determine whether interventions aimed at cultivating global meaning may help mitigate suicide risk in combat veterans with high exposure to certain potentially morally injurious …
Self-assessed sleep quality partially mediates the relationship between PTSD symptoms and functioning and quality of life in U.S. veterans
Results of this study extend prior research on the relationship between PTSD symptoms, sleep, and functioning and QOL in a nationally representative sample of U.S. veterans. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Medicine (38 obras) · Psychology (38 obras) · Psychiatry (36 obras) · Clinical Psychology (30 obras) · Posttraumatic Stress Disorder Research (22 obras) · Mental health (21 obras) · Clinical Psychology (16 obras) · Environmental health (15 obras) · Poison control (14 obras) · Anxiety (13 obras)