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  1. Article ; Online: Ethnoracial Disparities in Perinatal Outcomes among Women Veterans.

    Nillni, Yael I / Fox, Annie B / Fernando, Michelle / Perez, Jessica / Galovski, Tara E

    Journal of women's health (2002)

    2024  

    Abstract: Objective: ...

    Abstract Objective:
    Language English
    Publishing date 2024-04-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1139774-3
    ISSN 1931-843X ; 1059-7115 ; 1540-9996
    ISSN (online) 1931-843X
    ISSN 1059-7115 ; 1540-9996
    DOI 10.1089/jwh.2023.0162
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    Zs.A 3584: Show issues Location:
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  2. Article ; Online: Treatment for perinatal depression: movement towards scalability.

    Nillni, Yael I / Gutner, Cassidy A

    The lancet. Psychiatry

    2019  Volume 6, Issue 2, Page(s) 83–85

    MeSH term(s) Depression ; Depression, Postpartum ; Depressive Disorder ; Female ; Health Promotion ; Humans ; India ; Pregnancy
    Language English
    Publishing date 2019-01-27
    Publishing country England
    Document type Journal Article ; Comment
    ISSN 2215-0374
    ISSN (online) 2215-0374
    DOI 10.1016/S2215-0366(19)30002-1
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  3. Article ; Online: The Relative Impact of Different Types of Military Sexual Trauma on Long-Term PTSD, Depression, and Suicidality.

    Galovski, Tara E / McSweeney, Lauren B / Woolley, Mercedes G / Alpert, Elizabeth / Nillni, Yael I

    Journal of interpersonal violence

    2023  Volume 38, Issue 15-16, Page(s) 9465–9491

    Abstract: Sexual assault and harassment in the U.S. military are very common. Military sexual trauma (MST) is defined as sexual assault or harassment experienced during military service; yet, the relative impact of sexual assault, harassment, and their combination ...

    Abstract Sexual assault and harassment in the U.S. military are very common. Military sexual trauma (MST) is defined as sexual assault or harassment experienced during military service; yet, the relative impact of sexual assault, harassment, and their combination is not well understood. Given the extent and potential severity of the long-term outcomes of MST, it is critical to evaluate the relative impacts of these types of MST on long-term mental health outcomes. Veterans (
    MeSH term(s) Humans ; Female ; Male ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/psychology ; Sexual Harassment/psychology ; Depression/epidemiology ; Depression/psychology ; Military Sexual Trauma ; Suicide ; Veterans/psychology ; Military Personnel/psychology ; Sex Offenses/psychology
    Language English
    Publishing date 2023-04-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2028900-5
    ISSN 1552-6518 ; 0886-2605
    ISSN (online) 1552-6518
    ISSN 0886-2605
    DOI 10.1177/08862605231168823
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  4. Article ; Online: Psychosocial and Economic Impacts of the COVID-19 Pandemic on the Mental Health of Veteran Men and Women.

    Fox, Annie B / Baier, Allison L / Alpert, Elizabeth / Nillni, Yael I / Galovski, Tara E

    Journal of women's health (2002)

    2023  Volume 32, Issue 10, Page(s) 1041–1051

    Abstract: Purpose: ...

    Abstract Purpose:
    MeSH term(s) Male ; Humans ; Female ; Veterans ; COVID-19/epidemiology ; Mental Health ; Pandemics ; Stress Disorders, Post-Traumatic/psychology ; Depression/psychology
    Language English
    Publishing date 2023-08-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1139774-3
    ISSN 1931-843X ; 1059-7115 ; 1540-9996
    ISSN (online) 1931-843X
    ISSN 1059-7115 ; 1540-9996
    DOI 10.1089/jwh.2023.0078
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  5. Article ; Online: The Impact of the Menstrual Cycle and Underlying Hormones in Anxiety and PTSD: What Do We Know and Where Do We Go From Here?

    Nillni, Yael I / Rasmusson, Ann M / Paul, Emilie L / Pineles, Suzanne L

    Current psychiatry reports

    2021  Volume 23, Issue 2, Page(s) 8

    Abstract: Purpose of review: This paper reviews the recent literature on menstrual cycle phase effects on outcomes relevant to anxiety and PTSD, discusses potential neurobiological mechanisms underlying these effects, and highlights methodological limitations ... ...

    Abstract Purpose of review: This paper reviews the recent literature on menstrual cycle phase effects on outcomes relevant to anxiety and PTSD, discusses potential neurobiological mechanisms underlying these effects, and highlights methodological limitations impeding scientific advancement.
    Recent findings: The menstrual cycle and its underlying hormones impact symptom expression among women with anxiety and PTSD, as well as psychophysiological and biological processes relevant to anxiety and PTSD. The most consistent findings are retrospective self-report of premenstrual exacerbation of anxiety symptoms and the protective effect of estradiol on recall of extinction learning among healthy women. Lack of rigorous methodology for assessing menstrual cycle phase and inconsistent menstrual cycle phase definitions likely contribute to other conflicting results. Further investigations that address these limitations and integrate complex interactions between menstrual cycle phase-related hormones, genetics, and psychological vulnerabilities are needed to inform personalized prevention and intervention efforts for women.
    MeSH term(s) Anxiety ; Fear ; Female ; Humans ; Menstrual Cycle ; Retrospective Studies ; Stress Disorders, Post-Traumatic/genetics
    Language English
    Publishing date 2021-01-06
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2055376-6
    ISSN 1535-1645 ; 1523-3812
    ISSN (online) 1535-1645
    ISSN 1523-3812
    DOI 10.1007/s11920-020-01221-9
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    Zs.A 5520: Show issues Location:
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  6. Article ; Online: PTSD and Depression Symptoms Increase Women's Risk for Experiencing Future Intimate Partner Violence.

    Iverson, Katherine M / Rossi, Fernanda S / Nillni, Yael I / Fox, Annie B / Galovski, Tara E

    International journal of environmental research and public health

    2022  Volume 19, Issue 19

    Abstract: Psychological distress may impact women's risk for future intimate partner violence (IPV). Yet, limited research has utilized longitudinal research designs and there is a scarcity of research looking at the three most commonly implicated mental health ... ...

    Abstract Psychological distress may impact women's risk for future intimate partner violence (IPV). Yet, limited research has utilized longitudinal research designs and there is a scarcity of research looking at the three most commonly implicated mental health factors-posttraumatic stress disorder (PTSD), depression, and alcohol use-within the same study. Research is especially scarce for women veterans, who experience substantial risk for these mental health concerns and experiencing IPV. This study examined the role of PTSD symptoms, depression symptoms, and alcohol use in increasing risk for experiencing future IPV while simultaneously accounting for the impact of recent IPV experience on subsequent mental health. This study included a sample of 1921 women veterans (M
    MeSH term(s) Adult ; Depression/psychology ; Female ; Humans ; Intimate Partner Violence/psychology ; Mental Health ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/psychology ; Veterans/psychology
    Language English
    Publishing date 2022-09-26
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph191912217
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  7. Article ; Online: "The role of PTSD symptom severity and relationship functioning in male and female veterans' mental health service use": Correction.

    Harper, Kelly L / Vogt, Dawne / Fox, Annie / Nillni, Yael I / Galovski, Tara

    Psychological trauma : theory, research, practice and policy

    2022  Volume 15, Issue 4, Page(s) 696

    Abstract: Reports an error in "The role of PTSD symptom severity and relationship functioning in male and female veterans' mental health service use" by Kelly L. Harper, Dawne Vogt, Annie Fox, Yael I. Nillni and Tara Galovski (: Objective: Previous research has ...

    Abstract Reports an error in "The role of PTSD symptom severity and relationship functioning in male and female veterans' mental health service use" by Kelly L. Harper, Dawne Vogt, Annie Fox, Yael I. Nillni and Tara Galovski (
    Objective: Previous research has shown that difficulties in intimate relationships promote mental health treatment seeking for male veterans, but findings for female veterans have been mixed. The current study sought to further evaluate whether intimate relationship functioning is a motivator for mental health treatment seeking for male and female veterans and examine the impact of different types of trauma exposure on this association.
    Method: Using data from a longitudinal study, we examined whether intimate relationship functioning mediated the association between posttraumatic stress disorder (PTSD) symptom severity and mental health service use (0 = no mental health services, 1 = any mental health services) in male and female veterans (
    Results: For male veterans, greater PTSD symptom severity was related to poorer intimate relationship functioning, which in turn explained increased likelihood of mental health service use (
    Conclusions: Our findings suggest that targeting intimate relationship functioning in treatment for male veterans may be beneficial because difficulties in these relationships appear to be a motivating factor for treatment seeking. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
    MeSH term(s) Humans ; Male ; Female ; United States ; Stress Disorders, Post-Traumatic/psychology ; Veterans/psychology ; Longitudinal Studies ; Psychotherapy ; Patient Acceptance of Health Care
    Language English
    Publishing date 2022-11-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2497028-1
    ISSN 1942-969X ; 1942-9681
    ISSN (online) 1942-969X
    ISSN 1942-9681
    DOI 10.1037/tra0001405
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  8. Article ; Online: The association between time-to-pregnancy and postpartum depressive symptoms in a North American prospective cohort study.

    Nillni, Yael I / Crowe, Holly M / Yland, Jennifer J / Wesselink, Amelia K / Wise, Lauren A

    Annals of epidemiology

    2022  Volume 74, Page(s) 51–57

    Abstract: Purpose: To prospectively examine the association between time-to-pregnancy (TTP) and postpartum depression (PPD) and determine whether perceived stress during early pregnancy mediated this association.: Methods: In Pregnancy Study Online, an ... ...

    Abstract Purpose: To prospectively examine the association between time-to-pregnancy (TTP) and postpartum depression (PPD) and determine whether perceived stress during early pregnancy mediated this association.
    Methods: In Pregnancy Study Online, an internet-based preconception cohort study of pregnancy planners, participants completed questionnaires every 8 weeks for up to 12 months or conception, during pregnancy, and at postpartum. A total of 2643 women provided information on sociodemographic factors, reproductive history, and stress (i.e., Perceived Stress Scale [PSS]) during preconception and early pregnancy (completed at ∼4-12 weeks' gestation) and on postpartum depressive symptoms (i.e., Edinburgh Postnatal Depression Scale [EPDS]) at ∼6 months postpartum. We used multivariable modified Poisson regression models to estimate risk ratios and 95% confidence intervals (CIs) for the association between TTP (<3, 3-5, 6-11, ≥12 menstrual cycles) and PPD (EPDS score ≥13). Causal mediation analyses assessed the mediating role of early pregnancy PSS scores.
    Results: 10.6% of women had EPDS scores indicating possible PPD (≥13). Compared with women who took less than 3 cycles to conceive, risk ratios for those who took 3-5, 6-11, and greater than or equal to 12 were 1.06 (95% CI: 0.77, 1.45), 1.24 (95% CI: 0.90, 1.70), and 1.31 (95% CI: 0.87, 1.99), respectively. Approximately 30% of the association between infertility (TTP ≥ 12) and PPD was mediated by early pregnancy PSS.
    Conclusions: There was a modest positive dose-response association between delayed conception and PPD. Perceived stress in early pregnancy explained a small proportion of this association. However, given the width of the CIs, chance cannot be ruled out as an explanation for the observed association.
    MeSH term(s) Cohort Studies ; Depression ; Depression, Postpartum/diagnosis ; Depression, Postpartum/epidemiology ; Female ; Humans ; North America ; Postpartum Period ; Pregnancy ; Prospective Studies ; Risk Factors ; Time-to-Pregnancy
    Language English
    Publishing date 2022-07-25
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1074355-8
    ISSN 1873-2585 ; 1047-2797
    ISSN (online) 1873-2585
    ISSN 1047-2797
    DOI 10.1016/j.annepidem.2022.07.008
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    Zs.A 3225: Show issues Location:
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  9. Article ; Online: The role of PTSD symptom severity and relationship functioning in male and female veterans' mental health service use.

    Harper, Kelly L / Vogt, Dawne / Fox, Annie / Nillni, Yael I / Galovski, Tara

    Psychological trauma : theory, research, practice and policy

    2022  Volume 15, Issue 4, Page(s) 690–696

    Abstract: Correction Notice: An Erratum for this article was reported online in : Method: Using data from a longitudinal study, we examined whether intimate relationship functioning mediated the association between posttraumatic stress disorder (PTSD) symptom ... ...

    Abstract [Correction Notice: An Erratum for this article was reported online in
    Method: Using data from a longitudinal study, we examined whether intimate relationship functioning mediated the association between posttraumatic stress disorder (PTSD) symptom severity and mental health service use (0 = no mental health services, 1 = any mental health services) in male and female veterans (
    Results: For male veterans, greater PTSD symptom severity was related to poorer intimate relationship functioning, which in turn explained increased likelihood of mental health service use (
    Conclusions: Our findings suggest that targeting intimate relationship functioning in treatment for male veterans may be beneficial because difficulties in these relationships appear to be a motivating factor for treatment seeking. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
    MeSH term(s) Humans ; Male ; Female ; United States ; Stress Disorders, Post-Traumatic/psychology ; Veterans/psychology ; Longitudinal Studies ; Psychotherapy ; Patient Acceptance of Health Care
    Language English
    Publishing date 2022-09-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2497028-1
    ISSN 1942-969X ; 1942-9681
    ISSN (online) 1942-969X
    ISSN 1942-9681
    DOI 10.1037/tra0001369
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  10. Article ; Online: The impact of perceived everyday discrimination and income on racial and ethnic disparities in PTSD, depression, and anxiety among veterans.

    Nillni, Yael I / Horenstein, Arielle / McClendon, Juliette / Duke, Christopher C / Sawdy, Molly / Galovski, Tara E

    PloS one

    2023  Volume 18, Issue 9, Page(s) e0291965

    Abstract: Objectives: Black and Hispanic/Latinx individuals experience a greater burden of mental health symptoms as compared to White individuals in the general population. Examination of ethnoracial disparities and mechanisms explaining these disparities among ... ...

    Abstract Objectives: Black and Hispanic/Latinx individuals experience a greater burden of mental health symptoms as compared to White individuals in the general population. Examination of ethnoracial disparities and mechanisms explaining these disparities among veterans is still in its nascence. The current study examined perceived everyday discrimination and income as parallel mediators of the association between race/ethnicity and PTSD, depression, and general anxiety symptoms in a sample of White, Black, and Hispanic/Latinx veterans stratified by gender.
    Methods: A random sample of 3,060 veterans living across the U.S. (oversampled for veterans living in high crime communities) completed a mail-based survey. Veterans completed self-report measures of perceived discrimination via the Everyday Discrimination Scale, PTSD symptoms via the Posttraumatic Stress Disorder Checklist-5, depressive symptoms via the Patient Health Questionnaire, and anxiety symptoms via the Generalized Anxiety Disorder Questionnaire.
    Results: Models comparing Black vs. White veterans found that the significant effect of race on PTSD, depression, and anxiety symptoms was mediated by both perceived discrimination and income for both male and female veterans. Results were less consistent in models comparing Hispanic/Latinx vs. White veterans. Income, but not perceived discrimination, mediated the relationship between ethnicity/race and depression and anxiety symptoms, but only among women.
    Conclusions: Results suggest that discrimination and socioeconomic status are important mechanisms through which marginalized social status negatively impacts mental health.
    MeSH term(s) Female ; Humans ; Male ; Stress Disorders, Post-Traumatic/epidemiology ; Depression/epidemiology ; Perceived Discrimination ; Veterans ; Anxiety Disorders/epidemiology ; Anxiety/epidemiology
    Language English
    Publishing date 2023-09-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0291965
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