{"id":"https://openalex.org/W4294090778","doi":"https://doi.org/10.1002/gps.5804","title":"Paradoxical age\u2010related improvement in mental health in U.S. military veterans: Results from the national health and resilience in veterans study","display_name":"Paradoxical age\u2010related improvement in mental health in U.S. military veterans: Results from the national health and resilience in veterans study","publication_year":2022,"publication_date":"2022-08-20","ids":{"openalex":"https://openalex.org/W4294090778","doi":"https://doi.org/10.1002/gps.5804","pmid":"https://pubmed.ncbi.nlm.nih.gov/36052412","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10115511"},"language":"en","primary_location":{"id":"doi:10.1002/gps.5804","doi":"https://doi.org/10.1002/gps.5804","is_oa":false,"landing_page_url":"https://doi.org/10.1002/gps.5804","pdf_url":null,"source":{"id":"https://openalex.org/S77085303","display_name":"International Journal of Geriatric Psychiatry","issn_l":"0885-6230","issn":["0885-6230","1099-1166"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Geriatric Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10115511/pdf/nihms-1876041.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5047370179","display_name":"Cassie M. Overstreet","orcid":"https://orcid.org/0000-0003-2342-153X","observed_orcids":["https://orcid.org/0000-0003-2342-153X"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Cassie Overstreet","raw_affiliation_strings":["Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5105925360","display_name":"Robert H. Pietrzak","orcid":"https://orcid.org/0000-0002-5561-6414","observed_orcids":["https://orcid.org/0000-0002-5561-6414"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210086971","display_name":"VA Connecticut Healthcare System","ror":"https://ror.org/000rgm762","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210086971","https://openalex.org/I4210095851"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert H. Pietrzak","raw_affiliation_strings":["Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA","National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, West Haven, Connecticut, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, West Haven, Connecticut, USA","institution_ids":["https://openalex.org/I4210086971"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5047370179"],"corresponding_institution_ids":["https://openalex.org/I32971472"],"apc_list":{"value":4700,"currency":"USD","value_usd":4700},"apc_paid":null,"fwci":0.498,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.66307604,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"37","issue":"10","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11265","display_name":"Aging and Gerontology Research","score":0.4878000020980835,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11265","display_name":"Aging and Gerontology Research","score":0.4878000020980835,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12811","display_name":"Aging, Health, and Disability","score":0.2847000062465668,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11631","display_name":"Retirement, Disability, and Employment","score":0.0925000011920929,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/military-veterans","display_name":"military veterans","score":0.9100000262260437},{"id":"https://openalex.org/keywords/cognitive-health","display_name":"cognitive health","score":0.7919999957084656},{"id":"https://openalex.org/keywords/physical-health","display_name":"physical health","score":0.968999981880188},{"id":"https://openalex.org/keywords/healthy-aging","display_name":"healthy aging","score":0.8949999809265137},{"id":"https://openalex.org/keywords/resilience","display_name":"resilience","score":0.45399999618530273},{"id":"https://openalex.org/keywords/psychiatric-morbidity","display_name":"psychiatric morbidity","score":0.6710000038146973},{"id":"https://openalex.org/keywords/trauma-exposure","display_name":"trauma exposure","score":0.8119999766349792},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.5260000228881836}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.7428025007247925},{"id":"https://openalex.org/C137176749","wikidata":"https://www.wikidata.org/wiki/Q4105337","display_name":"Psychological resilience","level":2,"score":0.5647934079170227},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.5619626641273499},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.49849414825439453},{"id":"https://openalex.org/C2779072820","wikidata":"https://www.wikidata.org/wiki/Q47064","display_name":"Military personnel","level":2,"score":0.45599788427352905},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.44930368661880493},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.4333418011665344},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4295555651187897},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.4196300804615021},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4027845859527588},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3503347635269165},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.33061450719833374},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.16297563910484314},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008603","descriptor_name":"Mental Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013313","descriptor_name":"Stress Disorders, Post-Traumatic","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D014728","descriptor_name":"Veterans","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D055500","descriptor_name":"Resilience, Psychological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057566","descriptor_name":"Self Report","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1002/gps.5804","doi":"https://doi.org/10.1002/gps.5804","is_oa":false,"landing_page_url":"https://doi.org/10.1002/gps.5804","pdf_url":null,"source":{"id":"https://openalex.org/S77085303","display_name":"International Journal of Geriatric Psychiatry","issn_l":"0885-6230","issn":["0885-6230","1099-1166"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Geriatric Psychiatry","raw_type":"journal-article"},{"id":"pmid:36052412","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36052412","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of geriatric psychiatry","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10115511","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10115511","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10115511/pdf/nihms-1876041.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Int J Geriatr Psychiatry","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:10115511","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10115511","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10115511/pdf/nihms-1876041.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Int J Geriatr Psychiatry","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G9000921491","display_name":"Research Training - Biological Sciences","funder_award_id":"T32MH014276","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"}],"funders":[{"id":"https://openalex.org/F4320306127","display_name":"U.S. Department of Veterans Affairs","ror":"https://ror.org/05rsv9s98"},{"id":"https://openalex.org/F4320334434","display_name":"National Center for PTSD, U.S. Department of Veterans Affairs","ror":"https://ror.org/04xv0vq46"},{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4294090778.pdf","grobid_xml":"https://content.openalex.org/works/W4294090778.grobid-xml"},"referenced_works_count":22,"referenced_works":["https://openalex.org/W165338889","https://openalex.org/W1491356738","https://openalex.org/W1494719130","https://openalex.org/W1800216240","https://openalex.org/W1991083132","https://openalex.org/W2011934784","https://openalex.org/W2050292313","https://openalex.org/W2065686597","https://openalex.org/W2067975928","https://openalex.org/W2102162381","https://openalex.org/W2116183276","https://openalex.org/W2159466690","https://openalex.org/W2161763451","https://openalex.org/W2412976663","https://openalex.org/W2516882969","https://openalex.org/W2560112138","https://openalex.org/W2592358437","https://openalex.org/W2803025060","https://openalex.org/W2895412172","https://openalex.org/W2897410696","https://openalex.org/W3160192636","https://openalex.org/W4253123171"],"related_works":["https://openalex.org/W3080303943","https://openalex.org/W2516882969","https://openalex.org/W2726221944","https://openalex.org/W2002322346","https://openalex.org/W4401479965","https://openalex.org/W2412606670","https://openalex.org/W2135985011","https://openalex.org/W2804947383","https://openalex.org/W2419372582","https://openalex.org/W2016798436"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"determine":[2],"whether":[3],"a":[4,13,48],"seemingly":[5],"\"paradoxical\"":[6],"trend":[7],"whereby":[8],"mental":[9,70,99,135],"health":[10,22,71,81,100,131,138],"improves":[11],"as":[12],"function":[14],"of":[15,35,53,72],"age":[16,77,90,120],"despite":[17],"declining":[18],"physical":[19,130],"and":[20,31,38,69,86,98,108,112,126,136,152],"cognitive":[21,97,137],"occurs":[23],"in":[24,65,105,129,132,144,159],"U.S.":[25,55,133],"military":[26],"veterans,":[27,56,134],"who":[28],"are":[29],"older,":[30],"have":[32],"higher":[33],"rates":[34],"trauma":[36],"exposure":[37],"psychiatric":[39],"morbidities":[40],"relative":[41,124],"to":[42,62,155],"non-veterans.":[43],"METHODS:":[44],"Using":[45],"data":[46],"from":[47],"nationally":[49],"representative,":[50],"cross-sectional":[51],"sample":[52],"4069":[54],"polynomial":[57],"regression":[58],"analyses":[59],"were":[60,83,102],"conducted":[61],"examine":[63],"changes":[64],"self-reported":[66],"physical,":[67],"cognitive,":[68],"veterans":[73,107],"representing":[74],"the":[75],"full":[76],"spectrum.":[78],"RESULTS:":[79],"Physical":[80],"scores":[82,101],"consistently":[84],"average":[85],"stable":[87],"until":[88,141],"around":[89],"80":[91],"when":[92],"they":[93],"declined.":[94],"In":[95],"contrast,":[96],"markedly":[103],"lower":[104],"young":[106],"then":[109],"increased":[110],"linearly":[111],"positively":[113],"well":[114],"into":[115],"late-life.":[116],"CONCLUSIONS:":[117],"While":[118],"greater":[119],"is":[121],"associated":[122],"with":[123],"stability":[125],"late-life":[127],"decline":[128],"steadily":[139],"improve":[140],"much":[142],"later":[143],"life.":[145],"Results":[146],"may":[147],"help":[148],"inform":[149],"age-specific":[150],"prevention":[151],"treatment":[153],"efforts":[154],"promote":[156],"healthy":[157],"aging":[158],"this":[160],"population.":[161]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":2}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2022-09-01T00:00:00"}