Kara Zivin

Marcia A Valenstein M.D. Collegiate Professor of Psychiatry, Professor of Psychiatry, Professor of Obstetrics and Gynecology, Medical School, Professor of Health Management and Policy, School of Public Health and Faculty Associate, Survey Research Center, Institute for Social Research

Publications

Renuka Tipirneni, Eric T. Roberts, Helen G Levy, Andrei R. Stefanescu, Kenneth M Langa, Kara Zivin, Donovan T. Maust, John Z. Ayanian. 2025. Health Care Utilization and Costs for Older Adults Aging Into Medicare After the Affordable Care Act. JAMA Health Forum 6(1):e245025-e245025.
Tipirneni, Renuka, Karmakar, Monita, Ayanian, John Z., Kara Zivin, Donovan Maust, Kenneth M Langa. 2025. Predictors and Consequences of Poor Health Trajectories Among US Adults Ages 50-64: A Latent Class Growth Analysis. Journal of General Internal Medicine
Kara Zivin, Chuwen Zhong, Alejandro Rodríguez-Putnam, Emma Spring, Qingyi Cai, Alyson Miller, Lily Johns, Kalesnikava,Viktoryia Alexandrovna, Anna Courant, Briana Mezuk. 2024. Suicide Mortality During the Perinatal Period. JAMA Network Open 7(6):e2418887-e2418887.
Briana Mezuk, Viktoryia Kalesnikava, Aparna Ananthasubramaniam, Annalise Lane, Alejandro Rodriguez-Putnam, Lily Johns, Courtney Bagge, Sarah Andrea Burgard, Kara Zivin. 2024. Psychosocial and pandemic-related circumstances of suicide deaths in 2020: Evidence from the National Violent Death Reporting System. PLOS ONE 19(10):e0312027.
Rebecca K. Sripada, Kayla Smith, Heather M. Walters, Dara Ganoczy, Myra Kim, Peter P. Grau, Inbal Nahum-Shani, Kyle K. Possemato, Eric R. Kuhn, Kara Zivin, Paul N. Pfeiffer, Kipling M. Bohnert, Jeffrey A. Cigrang, Kimberly M. Avallone, Sheila A.M. Rauch. 2023. Testing adaptive interventions to improve PTSD treatment outcomes in federally qualified health centers: Protocol for a randomized clinical trial. Contemporary Clinical Trials 129:107182.
Marilyn Sinkewicz, Ola S Rostant, Kara Zivin, Ryan Jay McCammon, Philippa J Clarke. 2022. A life course view on depression: Social determinants of depressive symptom trajectories over 25 Years of Americans’ Changing Lives. SSM - Population Health 18:101125.
Donovan T. Maust, Julie Strominger, H. Myra Kim, Kenneth M Langa, Julie P. W. Bynum, Chiang-Hua Chang, Helen C. Kales, Kara Zivin, Erica Solway, Steven C. Marcus. 2021. Prevalence of Central Nervous SystemâActive Polypharmacy Among Older Adults With Dementia in the US. JAMA 325(10):952-961.
Tipirneni, Renuka, Helen G Levy, Kenneth M Langa, Ryan Jay McCammon, Kara Zivin, Luster, Jamie, Karmakar, Monita, Ayanian, John Z. 2021. Changes in Health Care Access and Utilization for Low-SES Adults Aged 51-64 Years After Medicaid Expansion. The Journals of Gerontology: Series B 76(6):1218-1230.
Donovan T. Maust, Julie Strominger, H. Myra Kim, Kenneth M Langa, Julie P. W. Bynum, Chiang-Hua Chang, Helen C. Kales, Kara Zivin, Erica Solway, Steven C. Marcus. 2021. Prevalence of Central Nervous System-Active Polypharmacy Among Older Adults With Dementia in the US. JAMA 325(10):952-961.
Marcia Valenstein, Rebecca Clive, Dara Ganoczy, James Garlick, Heather M. Walters, Brady Thomas West, Hyungjin M. Kim, Eisenberg, Daniel, Kipling M. Bohnert, Stephen L. DesJardins, Kara Zivin, James M Lepkowski, Paul N. Pfeiffer. 2020. A nationally representative sample of veteran and matched non-veteran college students: Mental health symptoms, suicidal ideation, and mental health treatment. Journal of American College Health
Donovan T. Maust, Julie Strominger, Julie P. W. Bynum, Kenneth M Langa, Lauren B. Gerlach, Kara Zivin, Steven C. Marcus. 2020. Prevalence of Psychotropic and Opioid Prescription Fills Among Community-Dwelling Older Adults With Dementia in the US. JAMA 324(7):706-708.
Renuka Tipirneni, Helen G Levy, Kenneth M Langa, Ryan Jay McCammon, Kara Zivin, Jamie Luster, Monita Karmakar, John Z. Ayanian. 2020. Changes in Health Care Access and Utilization for Low-SES Adults Age 51-64 after Medicaid Expansion. The Journals of Gerontology: Series B 76(6):1218-1230.
Renuka Tipirneni, Minal R. Patel, Susan D. Goold, Edith C. Kieffer, John Z. Ayanian, Sarah J. Clark, Sunghee Lee, Corey Bryant, Matthias A. Kirch, Erica Solway, Jamie Luster, Maryn Lewallen, Kara Zivin. 2020. Association of Expanded Medicaid Coverage With Health and Job-Related Outcomes Among Enrollees With Behavioral Health Disorders. Psychiatric Services 71(1):4-11.
Philippa J Clarke, Kara Zivin, Michael R Elliott, Kenneth M Langa. 2019. Recent Improvements in Cognitive Functioning Among Older U.S. Adults: How Much Does Increasing Educational Attainment Explain?. Journals of Gerontology, Series B 74(3):536-545.
Kara Zivin, White, Jessica O, Chao, Sandra , Christensen, Anna L, Horner, Luke , Petersen, Dana M, Hobbs, Morgan R, Capreol, Grace , Halbritter, Kevin A, Jones, Christopher M. 2019. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study. Pain Medicine 20(1):103-112.
Kara Zivin, Duffy, Sonia A, Ignacio, Rosalinda V, Kim, Hyungjin Myra, Geraci, Mark C, Essenmacher, Carol A, Hall, Stephanie V, Chow, Adam , Pfeiffer, Paul N, Sherman, Scott E, Bohnert, Kipling M, Barnett, Paul George. 2019. Effectiveness of tobacco cessation pharmacotherapy in the Veterans Health Administration. Tobacco Control :tobaccocontrol-2018-054473.
Kara Zivin, Gerlach, Lauren, Kim, H M, Van, T , Yosef, M , Conroy, D A. 2019. Predictors of Long-Term and High-Dose Use of Zolpidem in Veterans.. The Journal of clinical psychiatry 80(2)
Kara Zivin, Banerjee, Tanushree , Crews, Deidra C, Tuot, Delphine S, Pavkov, Meda E, Burrows, Nilka Rios, Stack, Austin G, Saran, Rajiv , Bragg-Gresham, Jennifer , Powe, Neil R, Powe, Neil , Tuot, Delphine , Hsu, Chi-yuan , McCulloch, Charles , Crews, Deidra , Hsu, Raymond , Grubbs, Vanessa , Bibbins-Domingo, Kirsten , Shlipak, Michael , Peralta, Carmen , Rubinsky, Anna , Coresh, Josef , Rodrigue, Joanne , Shahinian, Vahakn , Gillespie, Brenda , Morgenstern, Hal , Heung, Michael , Herman, William , McClellan, William , Steffick, Diane , Tilea, Anca , Yin, Maggie , Robinson, Ian , Kurtz, Vivian , Wyncott, April , Burrows, Nilka Ríos, Eberhardt, Mark , Geiss, Linda , Mondesire, Juanita , Moore, Bernice , Patel, Priti , Pavkov, Meda , Rolka, Deborah , Saydah, Sharon , Shrestha, Sundar , Waller, Larry . 2019. Poor accordance to a DASH dietary pattern is associated with higher risk of ESRD among adults with moderate chronic kidney disease and hypertension. Kidney International
Kara Zivin, Panaite, V , Bowersox, N W, Ganoczy, D , Kim, H M, Pfeiffer, P N. 2019. Individual and neighborhood characteristics as predictors of depression symptom response.. Health services research
Kara Zivin, Bergmans, Rachel S, Mezuk, Briana . 2019. Depression, food insecurity and diabetic morbidity: Evidence from the Health and Retirement Study. Journal of Psychosomatic Research 117:22-29.
Kara Zivin, Sripada, Rebecca K, Henry, Jennifer , Yosef, Matheos , Levine, Debra S, Bohnert, Kipling M, Miller, Erin . 2018. Occupational Functioning and Employment Services Use Among VA Primary Care Patients With Posttraumatic Stress Disorder. Psychological Trauma: Theory, Research, Practice, and Policy 10(2):140-143.
Kara Zivin, Eisenberg, Daniel, Rosen, Tracey , Guille, Constance , Sen, Srijan . 2018. The Cost of Depression-Related Presenteeism in Resident Physicians. Academic Psychiatry 42(1):84-87.
Kara Zivin, Levine, Debra S, Valenstein, Marcia , Yosef, Matheos , Mavandadi, Shahrzad , Oslin, David W, Himle, Joseph A. 2018. Differences in Mental Health Service Use Among Unemployed Veterans of Different Eras. The Journal of Nervous and Mental Disease 206(2):155-158.
Kara Zivin, Ignacio, Rosalinda V, Barnett, Paul G, Kim, Hyungjin Myra, Geraci, Mark C, Essenmacher, Carol A, Hall, Stephanie V, Chow, Adam , Pfeiffer, Paul N, Sherman, Scott E, Bohnert, Kipling M, Duffy, Sonia A. 2018. Trends and Patient Characteristics Associated with Tobacco Pharmacotherapy Dispensed in the Veterans Health Administration. Nicotine & Tobacco Research 20(10):1173-1181.
Kara Zivin, Gerlach, Lauren, Kim, Hyungjin Myra, Yosef, Matheos , Stano, Claire , Conroy, Deirdre A, Valenstein, Marcia , Pfeiffer, Paul N, Sales, Anne E. 2018. Responsiveness of Veterans Affairs Health Care System to Zolpidem Safety Warnings. Journal of Clinical Sleep Medicine 14(07):1135-1141.
Kara Zivin, Gerlach, Lauren, Kim, Hyungjin Myra, Yosef, Matheos , Kales, Helen C, Henry, Jennifer . 2018. Electrocardiogram Monitoring After the Food and Drug Administration Warnings for Citalopram: Unheeded Alerts?. Journal of the American Geriatrics Society 66(8):1562-1566.
Kara Zivin, Gerlach, Lauren, Kim, Hyungjin Myra, Yosef, Matheos , Sales, Anne E, Stano, Claire , Kales, Helen C. 2018. Assessing Responsiveness of Health Systems to Drug Safety Warnings. The American Journal of Geriatric Psychiatry 26(4):476-483.
Kara Zivin, Ross, Eric L, Maixner, Daniel F. 2018. Cost-effectiveness of Electroconvulsive Therapy vs Pharmacotherapy/Psychotherapy for Treatment-Resistant Depression in the United States. JAMA Psychiatry 75(7):713-722.
Sarah Andrea Burgard, Kara Zivin, Assari, Shervin . 2017. The effect of sleep disturbance on the association between chronic medical conditions and depressive symptoms over time. Longitudinal and Life Course Studies 8(2):138-151.
Kara Zivin, Miller, Benjamin F, Finke, Bruce , Bitton, Asaf , Payne, Perry , Stowe, Edith C, Reddy, Ashok , Day, Timothy J, Lapin, Pauline , Jin, Janel L, Sessums, Laura L. 2017. Behavioral Health and the Comprehensive Primary Care (CPC) Initiative: findings from the 2014 CPC behavioral health survey. Bmc Health Services Research 17:612.
Kara Zivin, Richardson, Caroline R., Sen, Ananda , Plegue, Melissa A, Maciejewski, Matthew L, Segar, Michelle L, AuYoung, Mona , Miller, Erin M, Janney, Carol A, Zulman, Donna . 2017. Comparative Effectiveness of Wellness Programs: Impact of Incentives on Healthcare Costs for Obese Enrollees. American Journal of Preventive Medicine 52(3):347-352.
Kara Zivin, Wharton, Tracy . 2017. Relationships Among Caregiving, Income, Gender, and Health: A Cross-Sectional Examination of a Representative Sample of Older Americans. Journal of Social Service Research 43(1):141-148.
Kara Zivin, Gerlach, Lauren B, Kales, Helen C, Chiang, Claire , Stano, Claire , Choe, Hae Mi. 2017. Unintended Consequences of Adjusting Citalopram Prescriptions Following the 2011 FDA Warning. The American Journal of Geriatric Psychiatry 25(4):407-414.
Kara Zivin, Abraham, Kristen M, Yosef, Matheos , Resnick, Sandra G. 2017. Competitive Employment Outcomes Among Veterans in VHA Therapeutic and Supported Employment Services Programs. Psychiatric Services 68(9):938-946.
Kara Zivin, Yosef, M , Levine, D S, Abraham, K M, Miller, E M, Henry, J , Nelson, C B, Pfeiffer, P N, Sripada, R K, Harrod, M , Valenstein, M . 2016. Employment status, employment functioning, and barriers to employment among VA primary care patients. Journal of Affective Disorders 193:194-202.
Kara Zivin, Kim, H M, Yosef, M , Valenstein, M , Smith, E G, Davydow, D S. 2016. Antidepressant Medication Treatment and Risk of Death. Journal of Clinical Psychopharmacology 36(5):445-452.
Kara Zivin, Leggett, A , Ganoczy, D , Valenstein, M . 2016. Predictors of Pharmacy-Based Measurement and Self-Report of Antidepressant Adherence: Are Individuals Overestimating Adherence?. Psychiatric Services 67(7):803-806.
Kara Zivin, Williams, David R., Heung, M , Steffick, Diane , Gillespie, B W, Banerjee, T , Hsu, C Y, Powe, N R, Pavkov, M E, Saran, R , Shahinian, V B. 2016. Acute Kidney Injury Recovery Pattern and Subsequent Risk of CKD: An Analysis of Veterans Health Administration Data. American Journal of Kidney Diseases 67(5):742-752.
Kara Zivin, Gotlib, D , Perelstein, E , Kurlander, J , Riba, M , Muzik, M . 2016. Guideline Adherence for Mentally Ill Reproductive-Aged Women on Treatment With Valproic Acid: A Retrospective Chart Review. Journal of Clinical Psychiatry 77(4):527-533.
Kara Zivin, Davis, T D, Campbell, D G, Bonner, L M, Bolkan, C R, Lanto, A , Chaney, E F, Waltz, T , Yano, E M, Rubenstein, L V. 2016. Women Veterans with Depression in Veterans Health Administration Primary Care: An Assessment of Needs and Preferences. Womens Health Issues 26(6):656-666.
Kara Zivin, Campbell, Duncan G, Bonner, Laura M, Bolkan, Cory R, Lanto, Andrew B, Waltz, Thomas J, Klap, Ruth , Rubenstein, Lisa V, Chaney, Edmund F. 2016. Stigma Predicts Treatment Preferences and Care Engagement Among Veterans Affairs Primary Care Patients with Depression. Annals of Behavioral Medicine 50(4):533-544.
Kara Zivin, Arenz, Barbara J, Diez, Heidi L, Bostwick, Jolene R, Kales, Helen C, Dalack, Gregory W, Fluent, Tom E, Standiford, Connie J, Stano, Claire , Mi Choe, Hae . 2016. Effectively implementing FDA medication alerts utilizing patient centered medical home clinical pharmacists. Healthcare 4(1):69-73.
Kara Zivin, Abraham, K M, Nelson, C B, Ganoczy, D , Brandfon, S , Walters, H , Cohen, J L, Valenstein, M . 2016. Psychometric Analysis of the Mental Health Recovery Measure in a Sample of Veterans With Depression. Psychological Services 13(2):193-201.
Sarah Andrea Burgard, Kara Zivin. 2016. The Impact of Sleep Disturbance on the Association Between Stressful Life Events and Depressive Symptoms. Journals of Gerontology B: Psychological and Social Sciences 71(1):118-128. PMCID: PMC4861642.
Kara Zivin, Kenneth M Langa, Davydow, D S, Levine, D A, Katon, W J. 2015. The association of depression, cognitive impairment without dementia, and dementia with risk of ischemic stroke: a cohort study. Psychosomatic medicine 77(2):200-208.
Kara Zivin, Kenneth M Langa, Rosen, Allison, Saczynski, J S, McCammon, R J, Andrade, S E, Vijan, S , Pirraglia, P A, Briesacher, B A. 2015. Antidepressant Use and Cognitive Decline: The Health and Retirement Study. The American Journal of Medicine 128(7):739-746.
Kara Zivin, Yosef, M , Miller, E M, Valenstein, M , Duffy, S , Kales, H C, Vijan, S , Kim, H M. 2015. Associations between depression and all-cause and cause-specific risk of death: A retrospective cohort study in the Veterans Health Administration. Journal of Psychosomatic Research 78(4):324-331.
Kara Zivin, Smith, E G, Austin, K L, Kim, H M, Eisen, S V, Kilbourne, A M, Miller, D R, Hannemann, C , Sauer, B C, Valenstein, M . 2015. Mortality associated with lithium and valproate treatment of US Veterans Health Administration patients with mental disorders. British Journal of Psychiatry 207(1):55-63.
Kara Zivin, Nelson, C Beau, Walters, Heather , Ganoczy, Dara , Wadsworth, Shelley MacDermid, Valenstein, Marcia . 2015. Factors Associated With Civilian Employment, Work Satisfaction, and Performance Among National Guard Members. Psychiatric Services 66(12):1318-1325.
Kara Zivin, Moniz, M H, Kales, H C, Davis, M M. 2015. Attitudes About Required Coverage of Mental Health Care in a US National Sample. Psychiatric Services 66(10):1101-1104.
Kara Zivin, Leggett, A , Kavanagh, J , Chiang, C , Kim, H M, Kales, H C. 2015. The Association Between Benzodiazepine Use and Depression Outcomes in Older Veterans. Journal of Geriatric Psychiatry and Neurology 28(4):281-287.
Kara Zivin, Kim, Hyungjin Myra, Choe, H M, Stano, C M, Ganoczy, D , Walters, H , Valenstein, M . 2015. Predictors of Start of Different Antidepressants in Patient Charts Among Patients with Depression. Journal of Managed Care Pharmacy 21(5):424-430.
Kara Zivin, Hwang, Sun-Jae , Jayadevappa, R , Zee, J , Bogner, H R, Raue, P J, Bruce, M L, Reynolds, Curtis Lockwood, Gallo, J J. 2015. Concordance Between Clinical Diagnosis and Medicare Claims of Depression Among Older Primary Care Patients. American Journal of Geriatric Psychiatry 23(7):726-734.
Hwajung Choi, Kara Zivin, Teo, Alan , Andrea, Sarah , Valenstein, Marcia , Newsom, Jason , Dobscha, Steven . 2015. Does Mode of Contact with Different Types of Social Relationships Predict Depression in Older Adults? Evidence from a Nationally Representative Survey. Journal of the American Geriatrics Society 63(10):2014-2022.
Sarah Andrea Burgard, Kara Zivin, Assari, Shervin . 2015. Long-Term Reciprocal Associations Between Depressive Symptoms and Number of Chronic Medical Conditions: Longitudinal Support for Black-White Health Paradox. Journal of Racial and Ethnic Health Disparities 2(4):589-597.
Kara Zivin, Pfeiffer, P , Bohnert, K , Yosef, M , Valenstein, M , Aikens, J , Piette, J . 2015. Mobile health monitoring to characterize depression symptom trajectories in primary care. Journal of Affective Disorders 174:281-286.
Kara Zivin, Kenneth M Langa, Theodore Iwashyna, Davydow, D S, Katon, W J, Pontone, G M, Chwastiak, L . 2014. Neuropsychiatric disorders and potentially preventable hospitalizations in a prospective cohort study of older Americans. Journal of general internal medicine 29(10):1362-1371.
Kara Zivin, Kenneth M Langa, Davydow, Dimitry S, Hough, Catherine L, Katon, Wayne J. 2014. Depression and risk of hospitalization for pneumonia in a cohort study of older Americans. Journal of psychosomatic research 77(6):528-534.
Kara Zivin, Kenneth M Langa, Davydow, Dimitry S. 2014. Hospitalization, depression and dementia in community-dwelling older Americans: findings from the National Health and Aging Trends Study. General hospital psychiatry 36(2):135-141.
Kara Zivin, Waltz, T , Campbell, D , Kirchner, J , Lombardero, A , Bolkan, C , Lanto, A , Chaney, E , Rubenstein, L . 2014. Veterans With Depression in Primary Care: Provider Preferences, Matching, and Care Satisfaction. Families, Systems, and Health 32(4):367-377.
Kara Zivin, Galea, Sandro, Tracy, M , Morgenstern, H , Aiello, A . 2014. Traumatic event exposure and depression severity over time: results from a prospective cohort study in an urban area. Social Psychiatry and Psychiatric Epidemiology 49(11):1769-1782.
Kara Zivin, Abraham, K , Ganoczy, D , Yosef, M , Resnick, S . 2014. Receipt of employment services among Veterans Health Administration users with psychiatric diagnoses. Journal of Rehabilitation Research and Development 51(3):401-414.
Kara Zivin, Fried, E I, Nesse, R M, Guille, C , Sen, S . 2014. Depression is more than the sum score of its parts: individual DSM symptoms have different risk factors. Psychological Medicine 44(10):2067-2076. PMCID: PMC4104249.
Kara Zivin, Aikens, James E, Trivedi, Ranak , Piette, John D. 2014. Diabetes self-management support using mHealth and enhanced informal caregiving. Journal of Diabetes and its Complications 28(2):171-176. PMCID: PMC3943823.
Kara Zivin, Pfeiffer, Paul N, Bohnert, A S.B., Ganoczy, Dara , Blow, Frederic C, Nallamothu, Brahmajee K, Kales, Helen C. 2014. Safety of High-Dosage Citalopram. American Journal of Psychiatry 171(1):20-22.
Kara Zivin, Burnett-Zeigler, Inger , Kim, H Myra, Chiang, Claire , Kavanagh, Janet , Rockefeller, Katherin , Sirey, Jo Anne, Kales, Helen C. 2014. The association between race and gender, treatment attitudes, and antidepressant treatment adherence. International Journal of Geriatric Psychiatry 29(2):169-177.
Sarah Andrea Burgard, Michael R Elliott, Kara Zivin, James S House. 2013. Working conditions and depressive symptoms: a prospective study of US adults. Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 55(9):1007-1014.
Kara Zivin, Neighbors, Harold W., Kales, Helen C, Nease, Donald E, Sirey, Jo Anne, Kim, Hyungjin Myra, Kavanagh, Janet , Lynn, Shana , Chiang, Claire , Valenstein, Marcia , Blow, Frederic C. 2013. Racial Differences in Adherence to Antidepressant Treatment in Later Life. American Journal of Geriatric Psychiatry 21(10):999-1009.
Kara Zivin. 2013. How are prescribing decisions made?. Psychiatric Services 64(4):295.
Kara Zivin, Pfeiffer, Paul N, Kim, Hyungjin M, Ganoczy, Danan , Valenstein, Marcia . 2013. Treatment-Resistant Depression and Risk of Suicide. Suicide and Life-Threatening Behavior 43(4):356-365.
Kara Zivin, Wharton, Tracy . 2013. The Economic, Public Health, and Caregiver Burden of Late-life Depression. Psychiatric Clinics of North America 36(4):631-649. PMCID: PMC4024243.
Kara Zivin, Pfeiffer, Paul N, Bohnert, A S.B., Ganoczy, Dara , Blow, Frederic C, Nallamothu, Brahmajee K, Kales, Helen C. 2013. Evaluation of the FDA Warning Against Prescribing Citalopram at Doses Exceeding 40 mg. American Journal of Psychiatry 170(6):642-650.
Kara Zivin, Kenneth M Langa, Pirraglia, Paul A, McCammon, Ryan J, Vijan, Sandeep . 2013. Trends in Depressive Symptom Burden Among Older Adults in the United States from 1998 to 2008. Journal of General Internal Medicine 28(12):1611-1619. PMCID: PMC3832736.
Kara Zivin, Szymanski, B , Bohnert, K , McCarthy, J . 2013. Integrated care: treatment initiation following positive depression screens. Journal of General Internal Medicine 28(3):346-52. PMCID: PMC3579958.
Kara Zivin, Burnett-Zeigler, I , Ilgen, M , Bohnert, K , Miller, E , Islam, K . 2013. The Impact of Psychiatric Disorders on Employment: Results from a National Survey (NESARC). Community Mental Health Journal 49(3):303-310.
Kara Zivin, Bonner, L , Lanto, A , Bolkan, C , Watson, G , Campbell, D , Chaney, E , Rubenstein, L . 2013. Help-Seeking from Clergy and Spiritual Counselors Among Veterans with Depression and PTSD in Primary Care. Journal of Religion and Health 52:707-718.
Kara Zivin, Bolkan, C , Bonner, L , Campbell, D , Lanto, A , Chaney, E , Rubenstein, L . 2013. Family Involvement, Medication Adherence, and Depression Outcomes Among Patients in Veterans Affairs Primary Care. Psychiatric Services 64(5):472-478.
Kara Zivin, Ilgen, M , Pfeiffer, P , Welsh, D , McCarthy, J , Valenstein, M , Miller, E , Islam, K , Kales, H . 2012. Early mortality and years of potential life lost among Veterans Affairs patients with depression. Psychiatric Services 63(8):823-6.
Kara Zivin, Campbell, D , Lanto, A , Chaney, E , Bolkan, C , Bonner, L , Miller, E , Valenstein, M , Waltz, T , Rubenstein, L . 2012. Relationships between mood and employment over time among depressed VA primary care patients. General Hospital Psychiatry 34(5):468-77.
Eisenberg, Daniel, Kara Zivin, Valenstein, M , Kim, Hyungjin Myra, Ganoczy, D , Pfeiffer, P , Downing, K , Hoggatt, K , Ilgen, M , Austin, K , Blow, F , McCarthy, J . 2012. Antidepressant agents and suicide death among US Department of Veterans Affairs patients in depression treatment. Journal of Clinical Psychopharmacology 32(3):346-53. PMCID: PMC3517726.
Kara Zivin, Pfeiffer, P , Ganoczy, D , McCarthy, J , Valenstein, M , Blow, F . 2012. Outpatient follow-up after psychiatric hospitalization for depression and later readmission and treatment adequacy. Psychiatric Services 63(12):1239-42.
Kara Zivin, Johnson-Lawrence, Vicki Demeitris, Szymanski, B , McCarthy, J , Valenstein, M , Pfeiffer, P . 2012. Primary care-mental health integration programs in the veterans affairs health system serve a different patient population than specialty mental health clinics. Primary Care Companion to CNS Disorders 14(3) PMCID: PMC3466035.
Kara Zivin, Johnson-Lawrence, Vicki Demeitris, Szymanski, B , Pfeiffer, P , McCarthy, J . 2012. VA primary care-mental health integration: patient characteristics and receipt of mental health services, 2008-2010. Psychiatric Services 63(11):1137-41.
Kara Zivin, Burnett-Zeigler, I , Pfeiffer, P , Glass, J , Ilgen, M , Flynn, H , Austin, K , Chermack, S . 2012. Psychotherapy utilization for acute depression within the Veterans Affairs health care system. Psychological Services 9(4):325-35.
Kara Zivin, Burnett-Zeigler, I , Islam, K , Ilgen, M . 2012. Longitudinal predictors of first time depression treatment utilization among adults with depressive disorders. Social Psychiatry and Psychiatric Epidemiology 47(10):1617-25.
Jacqui Smith, Kara Zivin, Kim, H , Stano, C , Ganoczy, D , Walters, H , Valenstein, M . 2012. Validation of key behaviourally based mental health diagnoses in administrative data: suicide attempt, alcohol abuse, illicit drug abuse and tobacco use. Bmc Health Services Research 12(18) PMCID: PMC3280157.
Kara Zivin, Pfeiffer, P , Szymanski, B , Valenstein, M , McCarthy, J . 2012. Trends in Antidepressant Prescribing for New Episodes of Depression and Implications for Health System Quality Measures. Medical Care 50(1):86-90.
Kara Zivin, Kales, H , Kim, H , Valenstein, M , Seyfried, L , Chiang, C , Cunningham, F , Schneider, L , Blow, F . 2012. Risk of Mortality Among Individual Antipsychotics in Patients With Dementia. American Journal of Psychiatry 169(1):71-79.
Kara Zivin, Burnett-Zeigler, I , Ilgen, M , Szymanski, B , Blow, F , Kales, H . 2012. Depression Treatment in Older Adult Veterans. American Journal of Geriatric Psychiatry 20(3):228-238.
Kara Zivin, Bohnert, A B, Welsh, D , Kilbourne, A . 2011. Ratings of Patient-Provider Communication Among Veterans: Serious Mental Illnesses, Substance Use Disorders, and the Moderating Role of Trust. Health Communication 26(3):267-274.
Kara Zivin, Burnett-Zeigler, I , Ilgen, M , Valenstein, M , Gorman, L , Blow, A , Duffy, S , Chermack, S . 2011. Prevalence and correlates of alcohol misuse among returning Afghanistan and Iraq Veterans. Addictive Behaviors 36(8):801-806.
Kara Zivin, Burnett-Zeigler, I , Ilgen, M , Bohnert, A B. 2011. Perceptions of Quality of Health Care Among Veterans With Psychiatric Disorders. Psychiatric Services 62(9):1054-1059.
Eisenberg, Daniel, Kara Zivin, Hunt, J , Speer, N . 2011. Mental Health Service Utilization Among College Students in the United States. Journal of Nervous and Mental Disease 199(5):301-308.
Kara Zivin, Zeber, J E, Miller, A L, Copeland, L A, McCarthy, J F, Valenstein, M , Greenwald, D , Kilbourne, A . 2011. Medication Adherence, Ethnicity, and the Influence of Multiple Psychosocial and Financial Barriers. Administration and Policy in Mental Health and Mental Health Services Research 38(2):86-95.
Kara Zivin, Mezuk, B , Bohnert, A B, Ratliff, S . 2011. Job Strain, Depressive Symptoms, and Drinking Behavior Among Older Adults: Results From the Health and Retirement Study. Journals of Gerontology B: Psychological and Social Sciences 66(4):426-434. PMCID: PMC3166196.
Kara Zivin, Pfeiffer, P N, Glass, J , Austin, K , Valenstein, M , McCarthy, J . 2011. Impact of Distance and Facility of Initial Diagnosis on Depression Treatment. Health Services Research 46(3):768-786.
Kara Zivin, Li, Z , Pfeiffer, P , Hoggatt, K , Downing, K , Ganoczy, D , Valenstein, M . 2011. Emergent Anxiety after Antidepressant Initiation: A Retrospective Cohort Study of Veterans Affairs Health System Patients With Depression. Clinical Therapeutics 33(12):1985-1992.
Kara Zivin, Pfeiffer, P N, Valenstein, M , Hoggatt, K , Ganoczy, D , Maixner, D , Miller, E . 2011. Electroconvulsive therapy for major depression within the Veterans Health Administration. Journal of Affective Disorders 130(1-2):21-25.
Kara Zivin, Flynn, H A, Sexton, M , Ratliff, S , Porter, K . 2011. Comparative performance of the Edinburgh Postnatal Depression Scale and the Patient Health Questionnaire-9 in pregnant and postpartum women seeking psychiatric services. Psychiatry Research 187(1-2):130-134.
Kara Zivin, Pfeiffer, P N, Ganoczy, D , Valenstein, M . 2011. Benzodiazepines and Adequacy of Initial Antidepressant Treatment for Depression. Journal of Clinical Psychopharmacology 31(3):360-364.
Kara Zivin, Pfeiffer, P , Szymanski, B , Post, E , Valenstein, M , McCarthy, J . 2011. Are Primary Care Mental Health Services Associated With Differences in Specialty Mental Health Clinic Use?. Psychiatric Services 62(4):422-425.
Kara Zivin, Bohnert, A S, Mezuk, B , Ilgen, M A, Welsh, D , Ratliff, S , Miller, E M, Valenstein, M , Kilbourne, A M. 2011. Employment Status of Patients in the VA Health System: Implications for Mental Health Services. Psychiatric Services 62(1):35-38.
Kara Zivin, Kales, H C, Kim, H M, Valenstein, M , Chiang, C , Ignacio, R , Ganoczy, D , Cunningham, F , Schneider, L S, Blow, F C. 2011. Trends in Antipsychotic Use in Dementia 1999-2007. Archives of General Psychiatry 68(2):190-197.
Perron,Brian E, Kara Zivin, Ilgen, M A, Price, A M, Burnett-Zeigler, I , Islam, K , Bohnert, A S. 2011. Longitudinal predictors of addictions treatment utilization in treatment-naive adults with alcohol use disorders. Drug and Alcohol Dependence 113(2-3):215-221. PMCID: PMC3005968.
Kara Zivin, Kenneth M Langa, Llewellyn, David J, Lang, Iain A, Vijan, Sandeep , Kabeto, Mohammed U, Miller, Erin M. 2010. Depression Among Older Adults in the United States and England. American Journal of Geriatric Psychiatry 18(11):1036-1044.
Kara Zivin, Kenneth M Langa, Heisler, Michele, Ratliff, Scott , Piette, John D. 2010. Factors Influencing Cost-Related Nonadherence to Medication in Older Adults: A Conceptually Based Approach. Value in Health 13(4):338-345.
Kara Zivin, Pfeiffer, P N, Szymanski, B R, Valenstein, M , Post, E P, Miller, E M, McCarthy, J F. 2010. Initiation of Primary Care-Mental Health Integration Programs in the VA Health System Associations With Psychiatric Diagnoses in Primary Care. Medical Care 48(9):843-851.
Kara Zivin, Pfeiffer, P N, Szymanski, B , Dhawan, N , DiFranco, D , Valenstein, M . 2010. Is there an "unhealthy volunteer effect" in mental health outpatient research?. Psychiatry Research 176(2-3):224-228.
Kara Zivin, Kim, H M, Ganoczy, D , Pfeiffer, P , Hoggatt, K , McCarthy, J F, Downing, K , Valenstein, M . 2010. Predictors of alternative antidepressant agent initiation among U. S. veterans diagnosed with depression. Pharmacoepidemiology and Drug Safety 19(10):1049-1056. PMCID: PMC2948143.
Kara Zivin, Ilgen, M A, Austin, K L, Bohnert, A S, Czyz, E K, Valenstein, M , Kilbourne, A M. 2010. Severe Pain Predicts Greater Likelihood of Subsequent Suicide. Suicide and Life-Threatening Behavior 40(6):597-608.
Perron,Brian E, Kara Zivin, Glass, J E, Ilgen, M A, Chermack, S T, Ratliff, S . 2010. Prevalence and correlates of specialty substance use disorder treatment for Department of Veterans Affairs Healthcare System patients with high alcohol consumption. Drug and Alcohol Dependence 112(1-2):150-155. PMCID: PMC2967645.
Kara Zivin, Kenneth M Langa, Kabeto, Mohammed U, Kales, Helen C. 2009. The Effect of Depression and Cognitive Impairment on Enrollment in Medicare Part D. Journal of the American Geriatrics Society 57(8):1433-1440.
Kara Zivin, Pfeiffer, P N, McCammon, R J, Kavanagh, J S, Walters, H , Welsh, D E, Difranco, D J, Browning, Mark E, Valenstein, M . 2009. "No-Shows": Who Fails to Follow Up With Initial Behavioral Health Treatment?. American Journal of Managed Care 15(2):105-112.
Kara Zivin, Zhang, Fudong, Madden, J M, Graves, A J, Soumerai, S B. 2009. Cost-Related Medication Nonadherence Among Beneficiaries With Depression Following Medicare Part D. American Journal of Geriatric Psychiatry 17(12):1068-1076.
Kara Zivin, Kerber, K , Kuebler, J , Jiang, Q M, Walters, H , Klinkman, M , McInnis, M , Valenstein, M . 2009. EFFECTIVENESS OF A DEPRESSION DISEASE MANAGEMENT PROGRAM IN IMPROVING DEPRESSION AND WORK FUNCTION-A PILOT STUDY. International Journal of Psychiatry in Medicine 39(1):1-13.
Kara Zivin, Ganoczy, D , Pfeiffer, P N, Miller, E M, Valenstein, M . 2009. Antidepressant Adherence After Psychiatric Hospitalization Among VA Patients with Depression. Administration and Policy in Mental Health and Mental Health Services Research 36(6):406-415. PMCID: PMC2941212.
Kara Zivin, Eisenberg, Daniel, Gollust, S E, Golberstein, E . 2009. Persistence of mental health problems and needs in a college student population. Journal of Affective Disorders 117(3):180-185.
Kara Zivin, Eisenberg, Daniel, Valenstein, M , Kim, H M, Ganoczy, D , McCarthy, J F, Austin, K L, Hoggatt, K , Piette, J D, Blow, F C, Olfson, M . 2009. Higher-risk periods for suicide among VA patients receiving depression treatment: Prioritizing suicide prevention efforts. Journal of Affective Disorders 112(1-3):50-58. PMCID: PMC2909461.
Eisenberg, Daniel, Kara Zivin, Valenstein, M , McCarthy, J F, Austin, K L, Ganoczy, D , Kim, H M, Piette, J D, Olfson, M , Blow, F C. 2009. Service Implications of Providing Intensive Monitoring During High-Risk Periods for Suicide Among VA Patients With Depression. Psychiatric Services 60(4):439-444. PMCID: PMC3855267.
Kara Zivin, Pfeiffer, P N, Ganoczy, D , Ilgen, M , Valenstein, M . 2009. COMORBID ANXIETY AS A SUICIDE RISK FACTOR AMONG DEPRESSED VETERANS. Depression and Anxiety 26(8):752-757. PMCID: PMC2935592.
Kara Zivin, McCarthy, J F, Valenstein, M , Kim, H M, Ilgen, M , Blow, F C. 2009. Suicide Mortality Among Patients Receiving Care in the Veterans Health Administration Health System. American Journal of Epidemiology 169(8):1033-1038.
Kara Zivin, Johnson, J G, First, M B, Block, S , Vanderwerker, L C, Zhang, B H. 2009. Stigmatization and Receptivity to Mental Health Services Among Recently Bereaved Adults. Death Studies 33(8):691-711. PMCID: PMC2834798.
Kara Zivin, Ilgen, M A, Downing, K , Hoggatt, K J, Kim, H M, Ganoczy, D , Austin, K L, McCarthy, J F, Patel, J M, Valenstein, M . 2009. Exploratory Data Mining Analysis Identifying Subgroups of Patients With Depression Who Are at High Risk for Suicide. Journal of Clinical Psychiatry 70(11):1495-1500.
Kara Zivin, Abelson,Jamie M, Erickson, S R, Guthrie, S , VanEtten-Lee, M , Himle, J , Hoffman, J , Santos, S F, Janeck, A S. 2009. SEVERITY OF ANXIETY AND WORK-RELATED OUTCOMES OF PATIENTS WITH ANXIETY DISORDERS. Depression and Anxiety 26(12):1165-1171.
Eisenberg, Daniel, Kara Zivin, Downs, M F, Golberstein, E . 2009. Stigma and Help Seeking for Mental Health Among College Students. Medical Care Research and Review 66(5):522-541.
Kara Zivin, Nosowsky, R , DiFranco, D , Valenstein, M , Kales, H C, Greden, J F. 2008. Criminal background checks for psychiatry? Michigan's mental health exceptionalisml. Journal of the American Academy of Psychiatry and the Law 36(1):6-9.
Kara Zivin, Kales, H C. 2008. Adherence to depression treatment in older adults - A narrative review. Drugs and Aging 25(7):559-571.
Kara Zivin, Zhang, B H, Mitchell, S L, Jones, R , Prigerson, H G. 2008. Depressive symptom trajectories and associated risks among bereaved Alzheimer disease caregivers. American Journal of Geriatric Psychiatry 16(2):145-55.
Kara Zivin, Ilgen, M A, McCammon, R J, Valenstein, M . 2008. Mental illness, previous suicidality, and access to guns in the United States. Psychiatric Services 59(2):198-200.
Kara Zivin, Bulakowski, E J, Philibert, J C, Siegel, S , Clifford, C A, Risbon, R , Cronin, K L. 2008. Evaluation of outcome associated with subcutaneous and intramuscular hemangiosarcoma treated with adjuvant doxorubicin in dogs: 21 cases (2001-2006). Journal of the American Veterinary Medical Association 233(1):122-128.
Kara Zivin, Kim, H M, McCarthy, J F, Austin, K L, Hoggatt, K J, Walters, H , Valenstein, M . 2007. Suicide mortality-among individuals receiving treatment for depression in the veterans affairs health system: Associations with patient and treatment setting characteristics. American Journal of Public Health 97(12):2193-2198. PMCID: PMC2089109.
Kara Zivin, Christakis, N A. 2007. The emotional toll of spousal morbidity and mortality. American Journal of Geriatric Psychiatry 15(9):772-779.
Kara Zivin, Zhang, Fudong, Soumerai, S B, Adams, A S, Ross-Degnan, D . 2007. Provider and patient characteristics associated with antidepressant nonadherence: The impact of provider specialty. Journal of Clinical Psychiatry 68(6):867-873.
Kara Zivin, Zhang, Fudong, Safran, D G, Ross-Degnan, D , Adams, A S, Gurwitz, J , Pierre-Jacques, M , Soumerai, S B. 2007. Depression and cost-related medication nonadherence in Medicare beneficiaries. Archives of General Psychiatry 64(5):602-608.
Kara Zivin, Gillick, Muriel R. 2007. The effect of underlying health status on patient or surrogate preferences for end-of-life care: a pilot study. American Journal of Hospice and Palliative Medicine 24(3):185-90.
Kara Zivin, Zhang, Fudong, Adams, A S, Minkoff, N , Grande, A , Weisblatt, R , Soumerai, S B, Ross-Degnan, D . 2006. Physician alerts to increase antidepressant adherence - Fax or fiction?. Archives of Internal Medicine 166(5):498-504.
Kara Zivin, Zhang, B , Maciejewski, P K, Sahay, N , Pirl, W F, Block, S D, Prigerson, H G. 2006. Mutuality and specificity of mental disorders in advanced cancer patients and caregivers. Social Psychiatry and Psychiatric Epidemiology 41(10):819-824. PMCID: PMC2504328.
Kara Zivin, Prigerson, H G. 2006. The stigma receptivity scale and its association with mental health service use among bereaved older adults. Journal of Nervous and Mental Disease 194(2):139-141. PMCID: PMC2487676.
Kara Zivin, Johnston, S C, Bambauer, D E, Zivin, J A. 2006. Reasons why few patients with acute stroke receive tissue plasminogen activator. Archives of Neurology 63(5):661-664.
Kara Zivin, Connor, D F. 2005. Characteristics of aggression in clinically referred children. Cns Spectrums 10(9):709-+.
Kara Zivin, McLaughlin, T J, Aupont, O , Stone, P , Mullan, M G, Colagiovanni, J , Polishuk, E , Johnstone, M , Locke, S E. 2005. Improving psychologic adjustment to chronic illness in cardiac patients - The role of depression and anxiety. Journal of General Internal Medicine 20(12):1084-1090. PMCID: PMC1490273.
Kara Zivin, Sabin, James E, Soumerai, Stephen B. 2005. The exclusion of benzodiazepine coverage in medicare: simple steps for avoiding a public health crisis. Psychiatric Services 56(9):1143-6.
Kara Zivin, Locke, S E, Aupont, O , Mullan, M G, McLaughlin, T J. 2005. Using the Hospital Anxiety and Depression Scale to screen for depression in cardiac patients. General Hospital Psychiatry 27(4):275-284.
Kara Zivin, Aupont, O , Stone, P H, Locke, S E, Mullan, M G, Colagiovanni, J , McLaughlin, T J. 2005. The effect of a telephone counseling intervention on self-rated health of cardiac patients. Psychosomatic Medicine 67(4):539-545.
Kara Zivin. 2005. State mental health policy: Proposition 63: Should other states follow California's lead?. Psychiatric Services 56(6):642-644.
Kara Zivin. 2004. Does antidepressant adherence have an effect on glycemic control among diabetic antidepressant users?. International Journal of Psychiatry in Medicine 34(4):291-304.

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