Full Text Journal Articles by
Author Dara Ganoczy

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The Prevalence and Incidence of Attention-deficit/Hyperactivity Disorder in the Veterans Health Administration From 2009 to 2016.

Andrew C Hale, Kipling M Bohnert, Robert J Spencer, Dara Ganoczy, Paul N Pfeiffer,

BACKGROUND:The prevalence and incidence of attention-deficit/hyperactivity disorder (ADHD) have increased substantially among children and adolescents over the past decade; however, little is known regarding trends in adult populations. OBJECTIVE:The objective of this study was to explore trends in the prevalence, incidence, and correlates of adult ADHD in a national sample ... Read more >>

Med Care (Medical care)
[2020, 58(3):273-279]

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Effectiveness of Peer-Supported Computer-Based CBT for Depression Among Veterans in Primary Care.

Paul N Pfeiffer, Brooke Pope, Marc Houck, Wendy Benn-Burton, Kara Zivin, Dara Ganoczy, H Myra Kim, Heather Walters, Lauren Emerson, C Beau Nelson, Kristen M Abraham, Marcia Valenstein,

OBJECTIVE:This study tested whether computerized cognitive-behavioral therapy for depression supported by a peer specialist with lived experience of depression (PS-cCBT) improves mental health-related outcomes for primary care patients. METHODS:In the U.S. Department of Veterans Affairs, primary care patients with a new diagnosis of depression (N=330) were randomly assigned to 3 ... Read more >>

Psychiatr Serv (Psychiatric services (Washington, D.C.))
[2020, :appips201900283]

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Associations Between the NIH Toolbox Adult Social Relationship Scales and Suicidal Ideation.

Casimir Klim, Dara Ganoczy, Paul N Pfeiffer,

Various measures of social support have been associated with suicidal ideation (SI). However, a brief, consistent, multidimensional approach to social support assessment has not been established. We assessed the NIH Toolbox Adult Social Relationship (ASR) scales and their associations with the Beck Scale for Suicidal Ideation (BSI). Five ASR scales ... Read more >>

Community Ment Health J (Community mental health journal)
[2020, 56(1):186-192]

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Opioid Prescribing After Opioid-related Inpatient Hospitalizations by Diagnosis: A Cohort Study.

Pooja A Lagisetty, Lewei A Lin, Dara Ganoczy, Rebecca L Haffajee, Theodore J Iwashyna, Amy S B Bohnert,

BACKGROUND:Any opioid-related hospitalization is an indicator of opioid-related harm and should ideally trigger carefully monitored decreases in opioid prescribing after inpatient stays in many, if not most, cases. However, past studies on opioid prescribing after hospitalizations have largely been limited to overdose related visits. It is unclear whether prescribing is ... Read more >>

Med Care (Medical care)
[2019, 57(10):815-821]

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When to Change the Treatment Plan: An Analysis of Diminishing Returns in VA Patients Undergoing Prolonged Exposure and Cognitive Processing Therapy.

Rebecca K Sripada, David J Ready, Dara Ganoczy, Millie C Astin, Sheila A M Rauch,

Evidence-based treatments for posttraumatic stress disorder (PTSD) often produce significant symptom reduction within eight sessions. However, some patients take longer to respond and a better understanding of predictors of later response can help guide treatment. In the current study, the cohort consisted of all VA patients with a PTSD diagnosis ... Read more >>

Behav Ther (Behavior therapy)
[2020, 51(1):85-98]

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Individual and neighborhood characteristics as predictors of depression symptom response.

Vanessa Panaite, Nicholas W Bowersox, Kara Zivin, Dara Ganoczy, Hyungjin Myra Kim, Paul N Pfeiffer,

OBJECTIVE:Assess whether neighborhood characteristics predict patient-reported outcomes for depression. DATA SOURCES:VA electronic medical record data and U.S. census data. STUDY DESIGN:Retrospective longitudinal cohort. DATA EXTRACTION METHODS:Neighborhood and individual characteristics of patients (N = 4,269) with a unipolar depressive disorder diagnosis and an initial Patient Health Questionnaire (PHQ-9) score ≥10 were used to ... Read more >>

Health Serv Res (Health services research)
[2019, 54(3):586-591]

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Predictors of Treatment Adequacy During Evidence-Based Psychotherapy for PTSD.

Andrew C Hale, Kipling M Bohnert, Dara Ganoczy, Rebecca K Sripada,

OBJECTIVE:The U.S. Department of Veterans Affairs (VA) has placed increased emphasis on the availability and use of evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD). However, many individuals do not complete a full course of EBP. The current study aimed to quantify the percentage of veterans receiving adequate EBP in ... Read more >>

Psychiatr Serv (Psychiatric services (Washington, D.C.))
[2019, 70(5):367-373]

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Possession of Household Firearms and Firearm-Related Discussions with Clinicians Among Veterans Receiving VA Mental Health Care.

Marcia Valenstein, Heather Walters, Paul Nelson Pfeiffer, Dara Ganoczy, Mark Andrew Ilgen, Matthew Jason Miller, Matthew Fiorillo, Robert M Bossarte,

OBJECTIVES:To assess possession of household firearms among veterans receiving mental health care and the frequency of their discussions with clinicians about firearms. METHODS:We surveyed random samples of veterans receiving mental health care in each of five purposively chosen, geographically diverse VA facilities; 677 (50% of recipients) responded. RESULTS:45.3% (95% CI ... Read more >>

Arch Suicide Res (Archives of suicide research : official journal of the International Academy for Suicide Research)
[2019, :1-20]

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Examining the nonresponse phenomenon: Factors associated with treatment response in a national sample of veterans undergoing residential PTSD treatment.

Rebecca K Sripada, Frederic C Blow, Sheila A M Rauch, Dara Ganoczy, Rani Hoff, Ilan Harpaz-Rotem, Kipling M Bohnert,

OBJECTIVE:Although several treatments for PTSD have demonstrated efficacy, a substantial portion of patients do not experience clinically significant improvement. Predictors of treatment response are poorly understood. The current study was designed to investigate predictors of PTSD symptom change in a large national sample of treatment-seeking Veterans with PTSD. METHOD:We analyzed ... Read more >>

J Anxiety Disord (Journal of anxiety disorders)
[2019, 63:18-25]

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Intimate Relationships Buffer Suicidality in National Guard Service Members: A Longitudinal Study.

Adrian J Blow, Adam Farero, Dara Ganoczy, Heather Walters, Marcia Valenstein,

OBJECTIVE:Members of the U.S. military are at a high suicide risk. While studies have examined predictors of suicide in the U.S. military, more studies are needed which examine protective factors for suicide. Informed by the interpersonal theory of suicide, this study examined the strength of the intimate relationship and its ... Read more >>

Suicide Life Threat Behav (Suicide & life-threatening behavior)
[2019, 49(6):1523-1540]

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Latent classes of PTSD symptoms in veterans undergoing residential PTSD treatment.

Rebecca K Sripada, Rani Hoff, Paul N Pfeiffer, Dara Ganoczy, Frederic C Blow, Kipling M Bohnert,

Although most veterans in the Department of Veterans Affairs (VA) health system are treated for posttraumatic stress disorder (PTSD) in the outpatient setting, the VA has approximately 40 residential PTSD treatment facilities across the country for those requiring more intensive care. The symptom profiles of these veterans are poorly understood. ... Read more >>

Psychol Serv (Psychological services)
[2020, 17(1):84-92]

Cited: 1 time

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Development and pilot study of a suicide prevention intervention delivered by peer support specialists.

Paul N Pfeiffer, Cheryl King, Mark Ilgen, Dara Ganoczy, Rebecca Clive, James Garlick, Kristen Abraham, H Myra Kim, Eduardo Vega, Brian Ahmedani, Marcia Valenstein,

Suicide rates in the United States have been increasing in recent years, and the period after an inpatient psychiatric hospitalization is one of especially high risk for death by suicide. Peer support specialists may play an important role in addressing recommendations that suicide prevention activities focus on protective factors by ... Read more >>

Psychol Serv (Psychological services)
[2019, 16(3):360-371]

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Factors associated with the receipt of documented evidence-based psychotherapy for PTSD in VA.

Rebecca K Sripada, Paul N Pfeiffer, Sheila A M Rauch, Dara Ganoczy, Kipling M Bohnert,

OBJECTIVES:The VA has mandated that evidence-based psychotherapies (EBPs) be offered to patients with PTSD, but only a small minority of the psychotherapy delivered to VA patients with PTSD is a documented EBP. It is unknown what factors are associated with receiving a documented EBP. METHOD:Patients who received an EBP in ... Read more >>

Gen Hosp Psychiatry (General hospital psychiatry)
[2018, 54:12-17]

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Longitudinal patterns of PTSD symptom classes among US National Guard service members during reintegration.

Kipling M Bohnert, Rebecca K Sripada, Dara Ganoczy, Heather Walters, Marcia Valenstein,

PURPOSE:The purpose of this study was to identify posttraumatic stress disorder (PTSD) symptom groups and assess their longitudinal progression during their first year of reintegration among United States (US) National Guard (NG) service members. METHODS:A cohort of NG service members (n = 886) completed surveys at 6 and 12 months following their ... Read more >>

Soc Psychiatry Psychiatr Epidemiol (Social psychiatry and psychiatric epidemiology)
[2018, 53(9):911-920]

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Documentation of Evidence-Based Psychotherapy and Care Quality for PTSD in the Department of Veterans Affairs.

Rebecca K Sripada, Kipling M Bohnert, Dara Ganoczy, Paul N Pfeiffer,

This study measured the prevalence of evidence-based psychotherapy (EBP) templated notes in VA and tested the hypothesis that template use would be associated with care quality for posttraumatic stress disorder (PTSD). Across 130 facilities, an average of 3.6% of patients with a PTSD diagnosis received at least one EBP template ... Read more >>

Adm Policy Ment Health (Administration and policy in mental health)
[2018, 45(3):353-361]

Cited: 1 time

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Moving Towards Wellness: Physical activity practices, perspectives, and preferences of users of outpatient mental health service.

Carol A Janney, Kathryn Fant Brzoznowski, Caroline R Richardson, Richard R Dopp, Michelle L Segar, Dara Ganoczy, Ann J Mooney, Lauren Emerson, Marcia Valenstein,

This study assessed the beliefs, barriers and preferences for physical activity (PA) among users of outpatient mental health (MH) services. Outpatient discussions with MH providers were also evaluated.Between September-December 2014, patient advisors approached adult and family members in an academic MH clinic's waiting room on high volume patient visit days ... Read more >>

Gen Hosp Psychiatry (General hospital psychiatry)
[2017, 49:63-66]

Cited: 1 time

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Reengagement in PTSD psychotherapy: A case-control study.

Katherine R Buchholz, Kipling M Bohnert, Paul N Pfeiffer, Marcia Valenstein, Dara Ganoczy, RaeAnn E Anderson, Rebecca K Sripada,

This study sought to identify patient characteristics and care processes related to reengagement in VA psychotherapy.Using national VA data, a retrospective cohort was constructed (N=24,492) of veterans who received a new PTSD diagnosis in FY08/FY09 and attended only one to five PTSD psychotherapy sessions. A nested case-control study was conducted ... Read more >>

Gen Hosp Psychiatry (General hospital psychiatry)
[2017, 48:20-24]

Cited: 1 time

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Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans.

Lewei A Lin, Amy S B Bohnert, Robert D Kerns, Michael A Clay, Dara Ganoczy, Mark A Ilgen,

The Veterans Health Administration (VHA) designed the Opioid Safety Initiative (OSI) to help decrease opioid prescribing practices associated with adverse outcomes. Key components included disseminating a dashboard tool that aggregates electronic medical record data to audit real-time opioid-related prescribing and identifying a clinical leader at each facility to implement the ... Read more >>

Pain (Pain)
[2017, 158(5):833-839]

Cited: 23 times

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Predictors of PTSD Symptom Change Among Outpatients in the U.S. Department of Veterans Affairs Health Care System.

Rebecca K Sripada, Paul N Pfeiffer, Jessica Rampton, Dara Ganoczy, Sheila A M Rauch, Melissa A Polusny, Kipling M Bohnert,

Although the U.S. Department of Veterans Affairs (VA) has prioritized care for posttraumatic stress disorder (PTSD), many patients with PTSD remain symptomatic. Patterns of PTSD symptom change are not well understood. Thus, the current study was designed to categorize and investigate potential predictors of symptom trajectories in patients with PTSD. ... Read more >>

J Trauma Stress (Journal of traumatic stress)
[2017, 30(1):45-53]

Cited: 5 times

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Pilot study of enhanced social support with automated telephone monitoring after psychiatric hospitalization for depression.

Paul N Pfeiffer, Marcia Valenstein, Dara Ganoczy, Jennifer Henry, Steven K Dobscha, John D Piette,

Following discharge, patients hospitalized for depression are at high risk for poor retention in outpatient care and adverse outcomes.Pilot tests a post-hospital monitoring and enhanced support program for depression.48 patients at a Veterans Affairs Medical Center discharged following a depression-related inpatient stay received weekly visits or phone calls for 6 months ... Read more >>

Soc Psychiatry Psychiatr Epidemiol (Social psychiatry and psychiatric epidemiology)
[2017, 52(2):183-191]

Cited: 1 time

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Pilot study of psychotherapeutic text messaging for depression.

Paul N Pfeiffer, Jennifer Henry, Dara Ganoczy, John D Piette,

Background Text messaging services could increase access to psychotherapeutic content for individuals with depression by avoiding barriers to in-person psychotherapy such as cost, transportation, and therapist availability. Determining whether text messages reflecting different psychotherapeutic techniques exhibit differences in acceptability or effectiveness may help guide service development. Objectives We aimed to ... Read more >>

J Telemed Telecare (Journal of telemedicine and telecare)
[2017, 23(7):665-672]

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Poorer Physical Health is Associated With Greater Mental Health Service Utilization in a Sample of Depressed U.S. Army National Guard Soldiers.

Debra S Levine, Rebecca K Sripada, Dara Ganoczy, Heather Walters, Lisa A Gorman, Marcia Valenstein,

Operation Iraqi Freedom/Operation Enduring Freedom service members returning from deployment suffer from high rates of depression and report low levels of physical functioning compared to age-adjusted norms. Treatment for depression may be limited in this group and there are few data on whether Veterans receive medication treatment versus psychotherapy. We ... Read more >>

Mil Med (Military medicine)
[2016, 181(8):803-810]

Cited: 1 time

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Initial group versus individual therapy for posttraumatic stress disorder and subsequent follow-up treatment adequacy.

Rebecca K Sripada, Kipling M Bohnert, Dara Ganoczy, Frederic C Blow, Marcia Valenstein, Paul N Pfeiffer,

Accessibility of psychotherapy for individuals with posttraumatic stress disorder (PTSD) and retention in treatment are major concerns for the Veterans Health Administration (VA). Group therapy is a common method for improving access to psychotherapy; however, PTSD patients may prefer individual therapy. This study assessed whether initial treatment with individual versus ... Read more >>

Psychol Serv (Psychological services)
[2016, 13(4):349-355]

Cited: 5 times

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Opioid dose and risk of suicide.

Mark A Ilgen, Amy S B Bohnert, Dara Ganoczy, Matthew J Bair, John F McCarthy, Frederic C Blow,

Chronic pain is associated with increased risk of suicide, and opioids are commonly used to treat moderate to severe pain. However, the association between opioid dose and suicide mortality has not been examined closely. This retrospective data analysis described the risk of suicide associated with differing prescribed opioid doses. Data ... Read more >>

Pain (Pain)
[2016, 157(5):1079-1084]

Cited: 25 times

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Psychometric analysis of the Mental Health Recovery Measure in a sample of veterans with depression.

Kristen M Abraham, C Beau Nelson, Dara Ganoczy, Kara Zivin, Samantha Brandfon, Heather Walters, Jay L Cohen, Marcia Valenstein,

Using data from a sample of 398 veterans diagnosed with depression, the present study used principal components analysis to shorten the Mental Health Recovery Measure (MHRM) to a 10-item instrument. Results indicated the 10-item MHRM had excellent internal reliability. Construct validity for the 10-item MHRM was evidenced by correlations with ... Read more >>

Psychol Serv (Psychological services)
[2016, 13(2):193-201]

Cited: 1 time

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