Full Text Journal Articles by
Author Paul N Pfeiffer

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A nationally representative sample of veteran and matched non-veteran college students: Mental health symptoms, suicidal ideation, and mental health treatment.

Marcia Valenstein, Rebecca Clive, Dara Ganoczy, James Garlick, Heather M Walters, Brady T West, Hyungjin M Kim, Daniel Eisenberg, Kipling M Bohnert, Stephen L DesJardins, Kara Zivin, James Lepkowski, Paul N Pfeiffer,

Objective: To assess mental health symptoms, suicidal ideation/behaviors, and treatment among a nationally representative probability sample of student veterans. Participants: Student veterans enrolled in post-secondary educational institutions and matched comparison students. Methods: Sampled participants completed an online survey (n = 1,838). Analyses accounted for the complex sample design and non-response. Results: Substantial ... Read more >>

J Am Coll Health (Journal of American college health : J of ACH)
[2020, :1-10]

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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, 71(3):256-262]

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Study to promote innovation in rural integrated telepsychiatry (SPIRIT): Rationale and design of a randomized comparative effectiveness trial of managing complex psychiatric disorders in rural primary care clinics.

John C Fortney, Patrick J Heagerty, Amy M Bauer, Joseph M Cerimele, Debra Kaysen, Paul N Pfeiffer, Melissa J Zielinski, Jeffrey M Pyne, Deb Bowen, Joan Russo, Lori Ferro, Danna Moore, J P Nolan, Florence C Fee, Tammy Heral, Jode Freyholtz-London, Bernadette McDonald, Jeremey Mullins, Erin Hafer, Leif Solberg, Jürgen Unützer,

OBJECTIVE:Managing complex psychiatric disorders like PTSD and bipolar disorder is challenging in Federally Qualified Health Centers (FQHCs) delivering care to U.S residents living in underserved rural areas. This protocol paper describes SPIRIT, a pragmatic comparative effectiveness trial designed to compare two approaches to managing PTSD and bipolar disorder in FQHCs. ... Read more >>

Contemp Clin Trials (Contemporary clinical trials)
[2020, 90:105873]

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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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Peer mentorship to reduce suicide attempts among high-risk adults (PREVAIL): Rationale and design of a randomized controlled effectiveness-implementation trial.

Adrienne Lapidos, Kristen M Abraham, Jennifer Jagusch, James Garlick, Heather Walters, H Myra Kim, Eduardo Vega, Laura Damschroder, Jane Forman, Brian Ahmedani, Cheryl A King, Paul N Pfeiffer,

RATIONALE:Novel approaches to suicide prevention are needed to address increasing rates of suicide deaths. Research suggests that interventions led by certified Peer Specialists may improve suicide protective factors such as hope and connectedness; however, the effectiveness of a Peer Specialist intervention for reducing suicidal thoughts or behaviors has not previously ... Read more >>

Contemp Clin Trials (Contemporary clinical trials)
[2019, 87:105850]

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Health Coaching to Enhance Psychological Well-being Among Veterans with Suicidal Ideation: a Pilot Study.

Lauren M Denneson, Amira Y Trevino, Emily A Kenyon, Sarah S Ono, Paul N Pfeiffer, Steven K Dobscha,

J Gen Intern Med (Journal of general internal medicine)
[2019, 34(2):192-194]

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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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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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Developing Telemental Health Partnerships Between State Medical Schools and Federally Qualified Health Centers: Navigating the Regulatory Landscape and Policy Recommendations.

John C Fortney, Richard C Veith, Amy M Bauer, Paul N Pfeiffer, Marcia Valenstein, Jeffrey M Pyne, Gregory W Dalack, Teresa L Kramer, Lori J Ferro, Karla Metzger, Jay H Shore, Andrew D Carlo, Sara Coates, Susan Ward-Jones, Ed Larkins, Erin Hafer, Stephanie Shushan, Donald L Weaver, Jürgen Unützer,

BACKGROUND:Federally Qualified Health Centers (FQHCs) deliver care to 26 million Americans living in underserved areas, but few offer telemental health (TMH) services. The social missions of FQHCs and publicly funded state medical schools create a compelling argument for the development of TMH partnerships. In this paper, we share our experience ... Read more >>

J Rural Health (The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association)
[2019, 35(3):287-297]

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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]

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Effectiveness of tobacco cessation pharmacotherapy in the Veterans Health Administration.

Sonia A Duffy, Rosalinda V Ignacio, Hyungjin Myra Kim, Mark C Geraci, Carol A Essenmacher, Stephanie V Hall, Adam Chow, Paul N Pfeiffer, Scott E Sherman, Kipling M Bohnert, Kara Zivin, Paul George Barnett,

INTRODUCTION:In 2003, the Veterans Health Administration (VHA) implemented a directive that cessation pharmacotherapy be made available to all who use tobacco and are interested in quitting. Despite the efficacy of cessation pharmacotherapy shown in clinical trials, the generalisability of the results in real-world settings has been challenged. Hence, the specific ... Read more >>

Tob Control (Tobacco control)
[2019, 28(5):540-547]

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Trends and Patient Characteristics Associated with Tobacco Pharmacotherapy Dispensed in the Veterans Health Administration.

Rosalinda V Ignacio, Paul G Barnett, Hyungjin Myra Kim, Mark C Geraci, Carol A Essenmacher, Stephanie V Hall, Adam Chow, Paul N Pfeiffer, Scott E Sherman, Kipling M Bohnert, Kara Zivin, Sonia A Duffy,

Introduction:There is evidence suggesting that certain subgroups of people who use tobacco do not receive tobacco pharmacology as consistently as others. Methods:This retrospective, cohort study examined the trend in the use of cessation pharmacotherapy from 2004 to 2013 using Veterans Health Administration (VHA) administrative data. Among Veterans who used tobacco ... Read more >>

Nicotine Tob. Res. (Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco)
[2018, 20(10):1173-1181]

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Responsiveness of Veterans Affairs Health Care System to Zolpidem Safety Warnings.

Hyungjin Myra Kim, Lauren B Gerlach, Matheos Yosef, Claire Stano, Deirdre A Conroy, Marcia Valenstein, Paul N Pfeiffer, Anne E Sales, Kara Zivin,

STUDY OBJECTIVES:Sedative hypnotic medications are routinely prescribed for insomnia treatment, but have been associated with significant risks of morning-after impairment. We evaluated responsiveness in the Veterans Health Administration (VHA) facilities to two drug safety warnings recommending against high-dose zolpidem use-a 2007 Veterans Administration Pharmacy Benefits Management Service warning and a ... Read more >>

J Clin Sleep Med (Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine)
[2018, 14(7):1135-1141]

Cited: 1 time

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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]

Cited: 1 time

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Assessing Residents' Veteran-Centered Care Skills in the Clinical Setting.

Paula T Ross, James T Fitzgerald, Divy Ravindranath, Paul N Pfeiffer, Mamta K Singh, Saul J Weiner, Deborah M Rooney, Stacie Buckler, Laurie Whitman, Brook Watts, Dorian Jones, Adam S Tremblay, Monica L Lypson,

Background :Despite their placement in Veterans Health Administration centers nationwide, residents' training and assessment in veteran-centered care is variable and often insufficient. Objective :We assessed residents' ability to recognize and address mental health issues that affect US military veterans. Methods :Two unannounced standardized patient (SP) cases were used to assess internal medicine residents' ... Read more >>

J Grad Med Educ (Journal of graduate medical education)
[2018, 10(3):279-284]

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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: 2 times

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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,

OBJECTIVE:This study sought to identify patient characteristics and care processes related to reengagement in VA psychotherapy. METHODS: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 ... Read more >>

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

Cited: 1 time

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Suicide Risk Management Protocol in Post-Cardiac Arrest Survivors: Development, Feasibility, and Outcomes.

Rachel A Bucy, Kaitlyn A Hanisko, Lee A Kamphuis, Brahmajee K Nallamothu, Theodore J Iwashyna, Paul N Pfeiffer,

Suicidal ideation is an important part of the spectrum of depression, but studies of outcomes after cardiac events often avoid asking about suicide as part of their assessment due to perceived resource constraints and the complexity of managing this finding.To describe the development, feasibility, and outcomes of a suicide risk ... Read more >>

Ann Am Thorac Soc (Annals of the American Thoracic Society)
[2017, 14(3):363-367]

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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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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: 7 times

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Primary Care-Mental Health Integration in the VA Health System: Associations Between Provider Staffing and Quality of Depression Care.

Debra S Levine, John F McCarthy, Brittany Cornwell, Laurie Brockmann, Paul N Pfeiffer,

The study examined whether staffing of Primary Care-Mental Health Integration (PCMHI) services in the Department of Veterans Affairs (VA) health system is related to quality of depression care.Site surveys and administrative data from 349 VA facilities for fiscal year 2013 were used to calculate PCMHI staffing (full-time equivalents) per 10,000 ... Read more >>

Psychiatr Serv (Psychiatric services (Washington, D.C.))
[2017, 68(5):476-481]

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Postdeployment Suicide Risk Increases Over a 6-month Period: Predictors of Increased Risk among Midwestern Army National Guard Soldiers.

Hyungjin Myra Kim, Debra Siegel Levine, Paul N Pfeiffer, Adrian J Blow, Christopher Marchiondo, Heather Walters, Marcia Valenstein,

National Guard (NG) soldiers returning from deployments in Iraq and Afghanistan were surveyed at 6 and 12 months following their return (N = 970). The overall prevalence of suicide risk at 6 and 12 months following their return was assessed, as were changes in suicide risk among soldiers initially at high or low risk. ... Read more >>

Suicide Life Threat Behav (Suicide & life-threatening behavior)
[2017, 47(4):421-435]

Cited: 4 times

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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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Facility-level factors associated with guideline-concordant prazosin dosing for Veterans with posttraumatic stress disorder.

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

J Clin Psychiatry (The Journal of clinical psychiatry)
[2016, 77(4):548]

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