Boston University School of Public Health Directory

Ron Spiro III


Associate Professor, Epidemiology
Epidemiology

The Pennsylvania State University, MS
The Pennsylvania State University, PhD




Office: VAMC Boston,
Phone: (857) 364-2888
Email:

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Biography:

Dr. Avron (Ron) Spiro received his PhD in Human Development and Family Studies in 1982 from The Pennsylvania State University, specializing in adult development and aging and in developmental methodology.  

In 1986, he joined the VA Normative Aging Study (NAS), then at the Boston VA Outpatient Clinic, as a research psychologist and methodologist. In that position, he has studied the influences of health and disease on cognitive aging, and conducted longitudinal studies of personality, well-being, and mental health. He also works with the Dental Longitudinal Study (DLS), an ongoing study of dental health among NAS men. In 1998, the VA funded the Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), which incorporated the NAS/DLS.

In 1993, Dr. Spiro began collaborating with researchers at the VA HSR&D Center of Excellence at the Bedford VA Medical Center, known as the Center for Health Quality, Outcomes, and Economic Research (CHQOER). His work here focuses primarily on mental health, including PTSD and depression, and on patient-reported outcomes, including health-related quality of life.

In 1987, Dr. Spiro was appointed Assistant Professor of Epidemiology and Biostatistics at the Boston University School of Public Health, and was promoted to Associate Professor in the Department of Epidemiology in 2004.  In 2001, he was appointed as Associate Professor in the Department of Health Policy and Health Services Research at BU’s Goldman School of Dental Medicine.  In2008, he received a Research Career Scientist award from the Clinical Science R&D Service of the Department of Veterans Affairs.

 Dr. Spiro has been funded by NIH and VA. Currently, he is PI of a VA grant studying cognition and health, and is co-investigator on several projects funded by NIH and VA  studying health, personality, cognition and aging. Dr. Spiro also collaborates with researchers in the BU Goldman School of Dental Medicine on the Center for Research to Evaluate and Eliminate Dental Disparities (CREEDD), where he and his colleagues are developing measures of pediatric oral health-related quality of life (POHQOL).

His current work involves (a) examining the effects of health and disease on cognitive aging, (b) modeling longitudinal changes in personality in relation to health, (c) developing a lifespan approach to health, (d) assessing health-related quality of life, and (e) studying mental disorders and their impact on health and functioning.


 

Recent Publications:


Publications (Since 2001)

1.       Aldwin, C.M., Spiro, A. III, Levenson, M.R., & Cupertino, A. P.  (2001).  Longitudinal findings from the Normative Aging Study, III.  Personality, health trajectories, and mortality. Psychology and Aging, 16(3), 450-465.

2.       Boehmer, U., Kressin, N.R., Spiro, A. III, Garcia, R.I., Kazis, L., Miller, D.R., Randall, C.R., & Jones, J.A (2001).  Oral health of ambulatory care patients.  Military Medicine 166, 171-178.

3.       Brady, C.B., Spiro, A. III, McGlinchey-Berroth, R., Milberg, W., & Gaziano, J.M. (2001).  Stroke risk predicts executive function decline in health older men: Evidence from The Normative Aging Study.  Journal of Gerontology: Psychological Sciences, 56B, P340-346.

4.       Fitzpatrick, T.R., Spiro, A. III, Kressin, N.R., Greene, E., & Bossé, R. (2001). Leisure activities, stress, and health among bereaved and non-bereaved elderly men: The Normative Aging Study.  Omega, 43, 217-45.

5.       Jones, J.A, Kressin, N.R., Spiro, A. III, Randall, C.W., Miller, D.R., Hayes, C., Kazis, L. & Garcia, R. (2001).  Self-reported and clinical oral health in users of VA health care.  Journal of Gerontology: Medical Sciences, 56A, M55-M62. 

6.       Kressin, N.R., Reisine, S., Spiro, A. III, & Jones, J.A. (2001). Is negative affectivity associated with oral quality of life?  Community Dentistry and Oral Epidemiology, 29, 412-423.

7.       Lawrence, H.P., Garcia, R.I., Essick, G.K., Hall, J.W., Hawkins, R., Krall, E., Spiro, A. III, Vokonas, P.S., Kong, L., King, T., & Koch, G.G.  (2001).  A longitudinal study of the association between tooth loss and age-related hearing loss.  Special Care in Dentistry, 21(4), 129-140.

8.       Spiro, A. III (2001).  Health in midlife: Toward a lifespan view.  In M. E. Lachman (Ed.), Handbook of midlife development (pp. 156-187).  New York: Wiley & Sons.

9.       Spiro, A. III & Bossé, R. (2001).  The Normative Aging Study.  In G. Maddox (Ed.), Encyclopedia of aging (3rd ed., pp. 744-46).  New York: Springer Press.

10.   Jones, J.A., Spiro, A. III, Miller, D.R., Garcia, R. I., & Kressin, N.R.  (2002). Need for dental care in veterans: Assessment of patient-based measures.  Journal of the American Geriatrics Association, 50, 163-168.

11.   Kressin, N.R., Spiro, A. III, Atchison, K.A., Kazis, L., & Jones, J.A.  (2002).  Is depressive symptomatology associated with worse oral functioning and well-being among older adults?  Journal of Public Health Dentistry, 62, 5-12.

12.   Mroczek, D.M. & Spiro, A. III (2002).  Personality.  In D. J. Ekerdt (Editor in Chief), The encyclopedia of aging.  New York: Macmillan Reference USA.

13.   Niaura, R., Todaro, J. F., Stroud, L., Spiro, A. III, Ward, K., & Weiss, S.  (2002). Hostility, the metabolic syndrome, and incident coronary heart disease.  Health Psychology, 21, 588-593.

14.   Schnurr, P. P., Spiro, A. III, Vielhauer, M. J., Findler, M., & Hamblen, J.L. (2002). Trauma in the lives of older men: Findings from the Normative Aging Study.  Journal of Clinical Geropsychology, 8, 175-87.

15.   Smith, T. W. & Spiro, A. III. (2002). Personality, health, and aging: Prolegomenon for the next generation.  Journal of Research in Personality, 36, 363-394.(Erratum, p. 661).

16.   Aldwin, C.M., Park, C., & Spiro A. III (2003). UC/APA health psychology and aging conference. The Health Psychologist, 25(3), 18-19.

17.   Aldwin, C.M., Park, C., & Spiro A. III (2003). UC/APA health psychology and aging conference. Adult Development and Aging News, 31(2),  6-7.

18.   Charbonneau, A., Rosen, A. K., Ash, A. S., Owen, R. R., Kader, B., Spiro, A. III, Hankin, C., Herz, L., Pugh, M. J., Kazis, L. E., Miller, D. R., & Berlowitz, D. (2003). Measuring the quality of depression care in a large integrated health system. Medical Care, 41, 669-80.

19.   Jones, J.A., Orner, M.B., Spiro, A. III, & Kressin, N.R. (2003). Tooth loss and dentures: Patients' perspectives. International Dental Journal, 53 (5,Supplement), 327-34.

20.   Kressin, N. R., Boehmer, U., Nunn, M., & Spiro, A. III. (2003). Increased preventive practices lead to greater tooth retention.  Journal of Dental Research, 82(3), 223-27.

21.   Mroczek, D.K., & Spiro, A. III  (2003).  Modeling intraindividual change in personality traits: Findings from the Normative Aging Study. Journal of Gerontology: Psychological Sciences, 58B, P153-65.

22.   Mroczek, D.K., & Spiro, A. III. (2003). Personality structure and process, variance between and within: Integration via a developmental framework (Commentary).  Journals of Gerontology: Psychological Sciences, 58B, P305-6.

23.   Mroczek, D.K., Spiro, A. III, & Almeida, D. M. (2003). Between- and within-person variation in affect and personality over days and years: How basic and applied approaches can inform one another. Ageing International, 28, 260-78.

24.   Niaura, R.S., Stroud, L.R., Todaro, J., Ward, K.D., Spiro, A. III, Aldwin, C.M., Landsberg, L., & Weiss, S.T. (2003). Associations between repression, general maladjustment, body weight, and body shape in older males: The Normative Aging Study. International Journal of Behavioral Medicine, 10, 221-38.

25.   Rhodes, D., Spiro, A. III, Aro, A., & Hu, H. (2003). Relationship of bone and blood lead levels to mental health symptoms: The Normative Aging Study.  Journal of Occupational and Environmental Medicine, 45(11), 1144-51.

26.   Shen, B.J., Todaro, J.T., Niaura, R., McCaffery, J., Zhang, J., Spiro, A. III, & Ward, K.D. (2003). Are metabolic risk factors one unified syndrome? Modeling the structure of the metabolic syndrome X. American Journal of Epidemiology, 157, 701-11.

27.   Todaro, J.F.,  Shen, B-J., Niaura, R., Spiro, A. III, & Ward, K.D. (2003).  Effect of negative emotions on frequency of coronary heart disease (The Normative Aging Study).  American Journal of Cardiology, 92, 901-6.

28.   Wright, R.O., Tsaih, S.W., Schwartz, J., Spiro, A. III, McDonald, K., Weiss, S.T., & Hu, H.  (2003). Lead exposure biomarkers and Mini-mental Status Exam scores in older men.  Epidemiology, 14, 713-18.

29.   Charbonneau, A., Rosen, A. K., Ash, A. S., Owen, R. R., Kader, B., Spiro, A. III, Hankin, C., Herz, L., Pugh, M. J., Kazis, L. E., Miller, D. R., & Berlowitz, D. (2004). Monitoring depression care: In search of an accurate quality indicator. Medical Care, 42, 522-31.

30.   Connor, L.T., Spiro, A. III, Obler, L.K., & Albert, M.L. (2004).  Change in object naming ability during adulthood.  Journal of Gerontology: Psychological Sciences, 59, P203-9.

31.   Eisen, S.V., Normand, S-L., Belanger, A.J., Spiro, A. III, & Esch, D. (2004). The revised behavior and symptom identification scale (BASIS-R): Reliability and validity. Medical Care, 42, 1230-41.

32.   Frayne, S. M., Seaver, M. R., Loveland, S., Christiansen, C. L., Spiro, A. III, Parker, V., & Skinner, K. M. (2004). Burden of medical illness in women with depression and post-traumatic stress disorder. Archives of Internal Medicine, 164, 1306-12.

33.   Jones, J.A., Kressin, N.R., Miller, D.R., Orner, M.B., Garcia, R. I., & Spiro, A. III. (2004). Comparison of patient-based oral health outcome measures.  Quality of Life Research, 13, 975-85.

34.   Kalman, D., Lee, A., Chan, E., Miller, D.R., Spiro, A. III, Ren, X.S., & Kazis, L.E. (2004). Alcohol dependence, other psychiatric disorders, and health-related quality of life: A replication study in a large random sample of enrollees in the Veterans Health Administration. American Journal of Drug and Alcohol Abuse, 30, 473-87.

35.   Kazis, L.E., Lee, A.F., Spiro, A. III, Rogers, W.H., Ren, X.S., Miller, D.R., Selim, A.J., Hamed, A., & Haffer, S.C. (2004). Measurement comparisons of the Medical Outcomes Study and Veterans SF-36 health survey. Health Care Financing Review, 25(4), 43-58.

36.   Kazis, L. E., Miller, D. R., Clark, J., Skinner, K., Lee, A., Ren, X. S., Spiro, A. III, Rogers, W. H., & Ware, J.E. (2004). Improving the response choices on the Veterans SF-36 health survey role functioning scales: Results from the Veterans Health Study.  Journal of Ambulatory Care Management, 27, 263-80.

37.         Kazis, L.E., Miller, D.R., Skinner, K.M., Lee, A., Ren, X.S., Clark, J.A., Rogers, W.H., Spiro, A. III, Selim, J., Linzer, M., Payne, S., Mansell, D., & Fincke, B. G.  (2004).  Patient reported measures of health: The Veterans Health Study.  Journal of Ambulatory Care Management, 27, 70-83.

38.         McArdle, J.J., Hamagami, F., Jones, K., Jolesz, F., Sandor, T., Kikinis, R., Spiro, A. III, & Albert, M.S. (2004). Structural modeling of dynamic changes in memory and brain structure using longitudinal data from the Normative Aging Study.  Journal of Gerontology: Psychological Sciences, 59B, P294-304.

39.         Rogers, W. H., Kazis, L. E., Miller, D. R., Skinner, K.M., Clark, J.A., Spiro, A. III,  & Fincke, B.G. (2004). Comparing the health status of VA and non-VA ambulatory patients: The Veterans Health and Medical Outcomes Studies. Journal of Ambulatory Care Management, 27, 249-62.

40.         Selim, A.J., Berlowitz, D.R., Fincke, G., Cong, Z., Rogers, W.H., Haffer, S.C., Ren, X.S., Lee, A.F., Qian, S.X., Miller, D.R., Spiro, A. III, Selim, B.J., & Kazis, L.E. (2004). The health status of elderly veteran enrollees in the Veterans Health Administration. Journal of the American Geriatrics Society, 52, 1271-76.

41.         Skinner, K., Miller, D.R., Spiro, A. III, & Kazis, L.E. (2004). Measurement strategies designed and tested in the Veterans Health Study.  Journal of Ambulatory Care Management, 27, 180-89.

42.         Weisskopf, M.G., Wright, R.O., Schwartz, J., Spiro, A. III, Sparrow, D., Aro, A., & Hu, H.  (2004). Cumulative lead exposure and change in cognition among elderly men: The VA Normative Aging Study. American Journal of Epidemiology, 160, 1184-93.

43.         Brady, C.B., Spiro, A. III, & Gaziano, J.M. (2005). Effects of age and hypertension status on cognition: The VA Normative Aging Study. Neuropsychology, 19, 770-77.

44.         Clark, J., Spiro, A. III, Miller, D.R., Fincke, B. G., Skinner, K.M., & Kazis, L. E.  (2005). Patient-based measures of illness severity in the Veterans Health Study. Journal of Ambulatory Care Management, 28(3), 264-75.

45.         Fincke, B.G., Clark, J. A., Linzer, M., Spiro, A. III, Miller, D. R.,  Lee, A., & Kazis, L. (2005). Assessment of  long-term complications due to Type 2 diabetes using patient self-report: The diabetes complications index. Journal of Ambulatory Care Management, 28(3), 252-63.

46.         Miller, D., Clark, J.A., Rogers, W. H., Clark, J., Skinner, K., Spiro, A. III, Lee, A., & Kazis, L. (2005). The influence of place of administration on health-related quality of life assessments: Findings from the Veterans Health Study.  Journal of Ambulatory Care Management, 28(2), 111-24.

47.         Mroczek, D.K., & Spiro, A. III.  (2005). Change in life satisfaction during adulthood: Findings from the VA Normative Aging Study. Journal of Personality and Social Psychology, 88, 189-202.

48.         Schnurr, P.P., Lunney, C.A., Sengupta, A., & Spiro, A. III. (2005). A longitudinal study of retirement in older male military veterans. Journal of Consulting and Clinical Psychology, 73, 561-6.

49.         Selim, A.J., Fincke, B.G., Berlowitz, D.R. Miller, D.M., Zian, S.X., Lee, A., Cong, Z., Rogers, W.H., Selim, B.J., Ren, X.S., Spiro, A. III, & Kazis, L.E. (2005). Comprehensive health status assessment of centenarians: Results from the 1999 Large Health Survey of Veteran Enrollees. Journal of Gerontology: Medical Sciences, 60A, 515-19.

50.         Todaro, J.F., Con, A., Niaura, R., Spiro, A. III, Ward, K.D., & Roytberg, A. (2005),  Combined effects of the metabolic syndrome and hostility on the incidence of CHD (The Normative Aging Study). American Journal of Cardiology, 96, 221-26.

51.         Tucker, K.L., Qiao, N., Scott, T., Rosenberg, I., & Spiro, A. III. (2005). High homocysteine and low B vitamins predict cognitive decline in aging men: The VA Normative Aging Study. American Journal of Clinical Nutrition, 82, 627-35.

52.         Zhang, J., Niaura, R., Todaro, J.F., McCaffery, J.M., Shen, B.J., Spiro, A. III, & Ward, K.D.  (2005). Suppressed hostility predicted hypertension incidence among middle-aged men: The Normative Aging Study. Journal of Behavioral Medicine, 23, 443-54.

53.         Aldwin, C.M., Spiro, A. III , & Park, C.L. (2006). Health, behavior, and optimal aging: A life span developmental perspective. In J.E. Birren & K.W. Schaie (Eds.), Handbook of the psychology of aging (6th ed., pp. 85-104). New York: Elsevier.

54.         Davison, E.H., Gugliucci, M.R., King, L.A., King, D.W., Salgado, D.M., Spiro, A. III, & Bachrach., P. (2006). Late life emergence of early life trauma: The phenomenon of late-onset stress symptomatology among aging combat veterans. Research on Aging, 28, 84-114.

55.         Griffin, P.W., Mroczek, D.K., & Spiro, A. III. (2006). Variability in affective change among aging men: Findings from the VA Normative Aging Study. Journal of Research in Personality, 40, 942-65.

56.         Hankin, C.S., Spiro, A. III, Mansell, D., Miller, D.R. & Kazis, L. (2006). Mental disorders and medical care utilization: The Veterans Health Study.  Journal of Ambulatory Care Management, 29, 51-60.

57.         James, J.B., & Spiro, A. III. (2006).The impact of work on psychological health and well-being of older Americans. In J. James, P. Wink, & K.W. Schaie (Eds.), The crown of life: The dynamics of the early post retirement period.  New York: Springer Publishing.

58.         Jennings, P., Aldwin, C.M., Levenson, M.R., Spiro, A. III, & Mroczek, D.M. (2006). Combat exposure, perceived benefits of military service, and wisdom in later life: Findings from the Normative Aging Study. Research on Aging, 28, 115-134.

59.         Jones, J.A, Kressin, N.R., Kazis, L., Miller, D.R., Spiro, A. III, Lee, A., & Garcia, R. (2006). The impact of oral problems on quality of life. Journal of Ambulatory Care Management, 29, 167-81.

60.         Kazis, L.E., Miller, D.R., Skinner, K.M., Lee, A., Ren, X.S., Clark, J.A., Rogers, W.H., Spiro, A. III, Selim, A., Linzer, M., Payne, S.M., Mansell, D., & Fincke, B.G. (2006). Applications of methodologies of the Veterans Health Study in the VA healthcare system: Conclusions and summary. Journal of Ambulatory Care Management, 29, 182-88.

61.         Kinnunen, T. Haukkala, A., Korhonen, T., Quiles, Z.N., Spiro, A. III, & Garvey, A.J. (2006). Depression and smoking across 25 years of the Normative Aging Study. International Journal of Psychiatry in Medicine, 36, 413-26.

62.         Mansell, D., Penk, W., Hankin, C.S., Lee, A., Spiro, A. III, Skinner, K., & Kazis, L. (2006). The illness burden of alcohol-related disorders among VA patients: The Veterans Health Study.  Journal of Ambulatory Care Management, 29, 61-70.

63.         Mansell, D., Spiro, A. III, Lee, A., & Kazis, L. (2006). Validation of the primary care alcohol severity measure.  Journal of Ambulatory Care Management, 29, 87-97.

64.         Mroczek, D.K., Almeida, D.M.,  Spiro, A. III & Pafford, C. (2006).Intraindividual stability and change in personality. In D. K. Mroczek & T. D. Little (Eds.), Handbook of personality development (pp. 163-180). Mahwah, NJ: Lawrence Erlbaum.

65.         Mroczek, D.K., Spiro, A. III, & Griffin, P.W. (2006). Personality and aging. In J.E. Birren & K.W. Schaie (Eds.), Handbook of the psychology of aging (6th ed., pp. 363-77). New York: Elsevier.

66.         Mroczek, D.K., Spiro, A. III, Griffin, P.W., & Neupert, S.  (2006). Social influences on adult personality, self-regulation, and health.  In L. Carstensen & K.W. Schaie (Eds.), Social structure, aging and self-regulation.  New York: Springer Publishing.

67.         Neupert, S.D., Almeida, D.M., Mroczek, D.K., & Spiro, A. III. (2006). The effects of the Columbia shuttle disaster on the daily lives of older adults: Findings from the VA Normative Aging Study. Aging and Mental Health, 10(3), 272-81.

68.         Neupert, S.D., Almeida, D.M., Mroczek, D.K., & Spiro, A. III. (2006).Daily stressors and memory failures in  a naturalistic setting: Findings from the VA Normative Aging Study. Psychology and Aging, 21(2), 424-29.

69.         Selim, A.J., Kazis, L.E., Rogers, W.H., Qian, S., Rothendler, J.A., Lee, A. Ren, X.S., Hafer, S.C., Mardon, R., Miller, D.R., Spiro, A. III, Selim, B.J., & Fincke, B.G. (2006). Risk-adjusted mortality as an indicator of outcomes: Comparison of the Medicare Advantage Program with the Veterans Health Administration. Medical Care, 44, 359-65.

70.         Sloan, K.L., Montez, M.E., Spiro, A. III, Christiansen, C.L., Loveland, S., Shokeen, P., Herz, L., Eisen, S., Breckenridge, J.N., & Rosen, A.K. (2006). Development and validation of a psychiatric case-mix system. Medical Care, 44(6), 568-80.

71.         Spiro, A. III, Hankin, C.S., Mansell, D., & Kazis, L. (2006.) Post-traumatic stress disorder and health status: The Veterans Health Study. Journal of Ambulatory Care Management, 29, 71-86.

72.         Spiro, A. III & Vokonas, P.S. (2006). The Normative Aging Study. In R. Schulz (Ed.), Encyclopedia of Aging (4th ed., pp 888-89), New York: Springer Publishing.

73.         Weuve, J, Kelsey, K.T., Schwartz, J., Bellinger, D., Rajan, P., Spiro, A. III, Sparrow, D., Aro, A., & Hu, H. (2006). Delta-aminolevulinic acid dehydratase (ALAD) polymorphism and the relation between low-level lead exposure and the Mini-mental Status Exam: The VA Normative Aging Study. Occupational and Environmental Medicine, 63, 746-53.

74.         Yancura, L.A., Aldwin, C.M., & Spiro, A. III. (2006). Coping, affect, and the metabolic syndrome in older men: How does coping get under the skin? Journal of Gerontology: Psychological Sciences, 61, P295-P303.

75.         Yorgason, J.B., Almeida, D., Neupert, S., Spiro, A. III & Hoffman, L. (2006). A dyadic examination of daily health symptoms and emotional well-being in later life couples. Family Relations, 55, 613-24.

76.         Zhang, J., Niaura, R., Dyer, J.R., Shen, B.J., Todaro, J.F., McCaffery, J.M., Spiro, A. III, & Ward, K.D. (2006). Hostility and urinary norepinephrine interact to predict insulin resistance: The VA Normative Aging Study. Psychosomatic Medicine, 68, 718-26.

77.         Aldwin, C.M., Park, C.L., & Spiro, A. III (Eds.), (2007).  Handbook of health psychology and aging. New York: Guilford Press.

78.         Aldwin, C.M., Park, C.L., & Spiro, A. III. (2007). Health psychology and aging: An introduction. In C.M. Aldwin, C.L. Park, and A. Spiro III (Eds.), Handbook of health psychology and aging (pp. 3-8). New York: Guilford Press.

79.         Aldwin, C.M., Park, C.L., & Spiro, A. III. (2007). Health psychology and aging: Moving toward the next generation of research. In C.M. Aldwin, C.L. Park, and A. Spiro III (Eds.), Handbook of health psychology and aging (pp. 413-24). New York: Guilford Press.

80.         Eisen, S. V., Ranganathan, G., Seal, P., & Spiro, A. III.  (2007). Measuring clinically meaningful change following mental health treatment. Journal of Behavioral Health Services Research, 34(3), 272-89.

81.         Goral, M., Spiro, A. III, Albert, M.L., Obler, L.K. & Connor, L.T. (2007). Change in lexical skills in adulthood: Not a uniform decline. Mental Lexicon, 2, 215-38.

82.         King, L.A., King, D.W., Vickers, K., Davison, E., & Spiro, A. III. (2007). Late-onset stress symptomatology: A measure of stress symptoms in aging combat veterans.  Aging and Mental Health, 11, 175-91.

83.         Kubzansky, L.D., Koenen, K.C., Spiro, A. III, Vokonas, P.S., & Sparrow, D. (2007). A prospective study of posttraumatic stress disorder and coronary heart disease in the Normative Aging Study. Archives of General Psychiatry, 64, 109-16.

84.         Mroczek, D.K. & Spiro, A. III.  (2007).  Personality change influences mortality in older men. Psychological Science, 18(5), 371-75.

85.         Peters, J. L., Kubzansky, L., McNeely, E., Schwartz, J., Wright, R. O., Spiro, A. III, Sparrow, D., Nie, H., & Hu, H. (2007). Stress as a potential modifier of the impact of lead levels on blood pressure: The Normative Aging Study.  Environmental Health Perspectives, 115, 1154-59.

86.         Rajan, P., Kelsey, K.T., Schwartz, J.D., Belllinger, D.C., Weuve, J, Sparrow, D., Spiro, A. III, Smith, T.J., Nie, N., Hu, H, & Wright, R.O. (2007). Lead burden and psychiatric symptoms and the modifying influence of the delta-aminolevulinic acid dehydratase (ALAD) polymorphism: The VA Normative Aging Study.  American Journal of Epidemiology 166, 1400-1408.

87.         Selim, A.J., Kazis, L.E., Rogers, W.H., Qian, S., Rothendler, J.A., Spiro, A. III, Ren, X.S., Miller, D.R., Selim, B.J., & Fincke, B.G. (2007).  Change in health status as an indicator of outcomes: Comparison between the Medicare Advantage Program and the Veterans Health Administration. Quality of Life Research, 16, 1179-91.

88.         Spiro, A. III. (2007). The relevance of a lifespan developmental approach to health.  In Aldwin, C.M., Park, C.L., & Spiro, A. III (Eds.).  Handbook of health psychology and aging (pp. 75-93). New York: Guilford Press.

89.         Spiro, A. III & Vokonas, P.S. (2007). The VA Normative Aging Study. In K. Markides (Ed.), Encyclopedia of health and aging. Thousand Oaks: SAGE Publications.

90.         Wang F. T., Wright, R.O., Schwartz, J., Weuve, J., Spiro, A. III, Sparrow, D., & Hu, H. (2007). Modifying effects of the HFE polymorphisms on the association between lead burden and cognitive decline. Environmental Health Perspectives, 115, 1210-15.

91.         Weisskopf, M. G., Proctor, S., Wright, R.O., Schwartz, J., Spiro, A. III, Sparrow, D., Aro, A., & Hu, H. (2007).  Prospective study of cumulative lead exposure and cognitive test scores among elderly men: The VA Normative Aging Study. Epidemiology, 18, 59-66.

92.         Kressin, N.R., Jones, J.A., Orner, M.B., & Spiro, A. III.  (2008). A new brief measure of oral quality of life. Preventing Chronic Disease, 5(2). http://www.cdc.gov/pcd/issues/2008/apr/06_0147.htm.

93.         Miller, D.R., Rogers, W.H., Kazis, L.E., Spiro, A. III, Ren, X.S., & Haffer, S.C. (2008). Patient's self-report of diseases in the Medicare Health Outcomes Survey based on comparisons with linked survey and medical data from the Veterans Health Administration. Journal of Ambulatory Care Management, 31, 161-77.

94.         Neupert, S.D., Mroczek, D.K., & Spiro, A. III. (2008). Neuroticism moderates the daily relation between stressors and memory failures. Psychology and Aging, 23, 287-96.

95.         Park, S. K., O'Neill, M.S., Vokonas, P.S., Sparrow, D., Spiro, A. III, Tucker, K., Suh, H., Hu, H., &Schwartz, J. (2008). Traffic-related particles are associated with elevated homocysteine: The VA Normative Aging Study. American Journal of Respiratory and Critical Care Medicine, 178, 283-89.

96.        Pekkala, S., Albert, M.L., Spiro, A. III, & Erkinjuntti, T. (2008). Perseveration in Alzheimer's disease. Dementia and Geriatric Cognitive Disorders, 25, 109-114.

97.         Rajan, P., Kelsey, K.T., Schwartz, J.D., Belllinger, D.C., Weuve, J., Spiro, A. III, Sparrow, D., Smith, T.J., Nie, H., Weisskopf, M.G., Hu, H., & Wright, R.O.  Interaction of the delta- aminolevulinic acid dehydratase (ALAD) polymorphism and lead burden on cognitive function: The VA Normative Aging Study. Journal of Occupational and Environmental Medicine, 50, 1053-61.

98.         Shen, B. J., Avivi, Y., Todaro, J.T., Spiro, A. III, Laurenceau, J.P., Ward, K.D., & Niaura, R. (2008). Anxiety characteristics independently and prospectively predict myocardial infarction in men the unique contribution of anxiety among psychologic factors.  Journal of the American College of Cardiology, 51, 113-119.

99.         Shen, B., Countryman, A.J., Spiro, A. III, & Niaura, R. (2008). The contribution of hostility to fasting glucose:  The moderating role of marital status. Diabetes Care, 31, 1293-8.

100.      Spiro, A. III & Brady, C.B. (2008).  Integrating health into cognitive aging research and theory: Quo vadis? In S. M. Hofer & D. F. Alwin (Eds.), The handbook of cognitive aging: Interdisciplinary perspectives (pp. 260-83). Newbury CA: Sage Publications.

                                                                                                                      

In Press

101.      Boeninger, D.K., Shiraishi, R.W., Aldwin, C.M., & Spiro, A. III. Why do older men report lower stress ratings? Findings from the Normative Aging Study. International Journal for Aging and Human Development

102.      Siegler, I.C., Hooker, K., Bosworth, H., Elias, P. & Spiro, A. III. Adult development, aging, and gerontology. In J. Suls, K. W. Davidson, & R,M. Kaplan (eds.), Handbook of health psychology. New York: Guilford Press.

103.      Tucker, K., Knoops, K., Spiro, A. III, de Groot, L., Kromhout, D., & van Staveren W. Do dietary patterns in older men influence change in homocysteine through folate fortification? The Normative Aging Study.  Public Health Nutrition

 

Publications (Since 2001)

1.       Aldwin, C.M., Spiro, A. III, Levenson, M.R., & Cupertino, A. P.  (2001).  Longitudinal findings from the Normative Aging Study, III.  Personality, health trajectories, and mortality. Psychology and Aging, 16(3), 450-465.

2.       Boehmer, U., Kressin, N.R., Spiro, A. III, Garcia, R.I., Kazis, L., Miller, D.R., Randall, C.R., & Jones, J.A (2001).  Oral health of ambulatory care patients.  Military Medicine 166, 171-178.

3.       Brady, C.B., Spiro, A. III, McGlinchey-Berroth, R., Milberg, W., & Gaziano, J.M. (2001).  Stroke risk predicts executive function decline in health older men: Evidence from The Normative Aging Study.  Journal of Gerontology: Psychological Sciences, 56B, P340-346.

4.       Fitzpatrick, T.R., Spiro, A. III, Kressin, N.R., Greene, E., & Bossé, R. (2001). Leisure activities, stress, and health among bereaved and non-bereaved elderly men: The Normative Aging Study.  Omega, 43, 217-45.

5.       Jones, J.A, Kressin, N.R., Spiro, A. III, Randall, C.W., Miller, D.R., Hayes, C., Kazis, L. & Garcia, R. (2001).  Self-reported and clinical oral health in users of VA health care.  Journal of Gerontology: Medical Sciences, 56A, M55-M62. 

6.       Kressin, N.R., Reisine, S., Spiro, A. III, & Jones, J.A. (2001). Is negative affectivity associated with oral quality of life?  Community Dentistry and Oral Epidemiology, 29, 412-423.

7.       Lawrence, H.P., Garcia, R.I., Essick, G.K., Hall, J.W., Hawkins, R., Krall, E., Spiro, A. III, Vokonas, P.S., Kong, L., King, T., & Koch, G.G.  (2001).  A longitudinal study of the association between tooth loss and age-related hearing loss.  Special Care in Dentistry, 21(4), 129-140.

8.       Spiro, A. III (2001).  Health in midlife: Toward a lifespan view.  In M. E. Lachman (Ed.), Handbook of midlife development (pp. 156-187).  New York: Wiley & Sons.

9.       Spiro, A. III & Bossé, R. (2001).  The Normative Aging Study.  In G. Maddox (Ed.), Encyclopedia of aging (3rd ed., pp. 744-46).  New York: Springer Press.

10.   Jones, J.A., Spiro, A. III, Miller, D.R., Garcia, R. I., & Kressin, N.R.  (2002). Need for dental care in veterans: Assessment of patient-based measures.  Journal of the American Geriatrics Association, 50, 163-168.

11.   Kressin, N.R., Spiro, A. III, Atchison, K.A., Kazis, L., & Jones, J.A.  (2002).  Is depressive symptomatology associated with worse oral functioning and well-being among older adults?  Journal of Public Health Dentistry, 62, 5-12.

12.   Mroczek, D.M. & Spiro, A. III (2002).  Personality.  In D. J. Ekerdt (Editor in Chief), The encyclopedia of aging.  New York: Macmillan Reference USA.

13.   Niaura, R., Todaro, J. F., Stroud, L., Spiro, A. III, Ward, K., & Weiss, S.  (2002). Hostility, the metabolic syndrome, and incident coronary heart disease.  Health Psychology, 21, 588-593.

14.   Schnurr, P. P., Spiro, A. III, Vielhauer, M. J., Findler, M., & Hamblen, J.L. (2002). Trauma in the lives of older men: Findings from the Normative Aging Study.  Journal of Clinical Geropsychology, 8, 175-87.

15.   Smith, T. W. & Spiro, A. III. (2002). Personality, health, and aging: Prolegomenon for the next generation.  Journal of Research in Personality, 36, 363-394.(Erratum, p. 661).

16.   Aldwin, C.M., Park, C., & Spiro A. III (2003). UC/APA health psychology and aging conference. The Health Psychologist, 25(3), 18-19.

17.   Aldwin, C.M., Park, C., & Spiro A. III (2003). UC/APA health psychology and aging conference. Adult Development and Aging News, 31(2),  6-7.

18.   Charbonneau, A., Rosen, A. K., Ash, A. S., Owen, R. R., Kader, B., Spiro, A. III, Hankin, C., Herz, L., Pugh, M. J., Kazis, L. E., Miller, D. R., & Berlowitz, D. (2003). Measuring the quality of depression care in a large integrated health system. Medical Care, 41, 669-80.

19.   Jones, J.A., Orner, M.B., Spiro, A. III, & Kressin, N.R. (2003). Tooth loss and dentures: Patients' perspectives. International Dental Journal, 53 (5,Supplement), 327-34.

20.   Kressin, N. R., Boehmer, U., Nunn, M., & Spiro, A. III. (2003). Increased preventive practices lead to greater tooth retention.  Journal of Dental Research, 82(3), 223-27.

21.   Mroczek, D.K., & Spiro, A. III  (2003).  Modeling intraindividual change in personality traits: Findings from the Normative Aging Study. Journal of Gerontology: Psychological Sciences, 58B, P153-65.

22.   Mroczek, D.K., & Spiro, A. III. (2003). Personality structure and process, variance between and within: Integration via a developmental framework (Commentary).  Journals of Gerontology: Psychological Sciences, 58B, P305-6.

23.   Mroczek, D.K., Spiro, A. III, & Almeida, D. M. (2003). Between- and within-person variation in affect and personality over days and years: How basic and applied approaches can inform one another. Ageing International, 28, 260-78.

24.   Niaura, R.S., Stroud, L.R., Todaro, J., Ward, K.D., Spiro, A. III, Aldwin, C.M., Landsberg, L., & Weiss, S.T. (2003). Associations between repression, general maladjustment, body weight, and body shape in older males: The Normative Aging Study. International Journal of Behavioral Medicine, 10, 221-38.

25.   Rhodes, D., Spiro, A. III, Aro, A., & Hu, H. (2003). Relationship of bone and blood lead levels to mental health symptoms: The Normative Aging Study.  Journal of Occupational and Environmental Medicine, 45(11), 1144-51.

26.   Shen, B.J., Todaro, J.T., Niaura, R., McCaffery, J., Zhang, J., Spiro, A. III, & Ward, K.D. (2003). Are metabolic risk factors one unified syndrome? Modeling the structure of the metabolic syndrome X. American Journal of Epidemiology, 157, 701-11.

27.   Todaro, J.F.,  Shen, B-J., Niaura, R., Spiro, A. III, & Ward, K.D. (2003).  Effect of negative emotions on frequency of coronary heart disease (The Normative Aging Study).  American Journal of Cardiology, 92, 901-6.

28.   Wright, R.O., Tsaih, S.W., Schwartz, J., Spiro, A. III, McDonald, K., Weiss, S.T., & Hu, H.  (2003). Lead exposure biomarkers and Mini-mental Status Exam scores in older men.  Epidemiology, 14, 713-18.

29.   Charbonneau, A., Rosen, A. K., Ash, A. S., Owen, R. R., Kader, B., Spiro, A. III, Hankin, C., Herz, L., Pugh, M. J., Kazis, L. E., Miller, D. R., & Berlowitz, D. (2004). Monitoring depression care: In search of an accurate quality indicator. Medical Care, 42, 522-31.

30.   Connor, L.T., Spiro, A. III, Obler, L.K., & Albert, M.L. (2004).  Change in object naming ability during adulthood.  Journal of Gerontology: Psychological Sciences, 59, P203-9.

31.   Eisen, S.V., Normand, S-L., Belanger, A.J., Spiro, A. III, & Esch, D. (2004). The revised behavior and symptom identification scale (BASIS-R): Reliability and validity. Medical Care, 42, 1230-41.

32.   Frayne, S. M., Seaver, M. R., Loveland, S., Christiansen, C. L., Spiro, A. III, Parker, V., & Skinner, K. M. (2004). Burden of medical illness in women with depression and post-traumatic stress disorder. Archives of Internal Medicine, 164, 1306-12.

33.   Jones, J.A., Kressin, N.R., Miller, D.R., Orner, M.B., Garcia, R. I., & Spiro, A. III. (2004). Comparison of patient-based oral health outcome measures.  Quality of Life Research, 13, 975-85.

34.   Kalman, D., Lee, A., Chan, E., Miller, D.R., Spiro, A. III, Ren, X.S., & Kazis, L.E. (2004). Alcohol dependence, other psychiatric disorders, and health-related quality of life: A replication study in a large random sample of enrollees in the Veterans Health Administration. American Journal of Drug and Alcohol Abuse, 30, 473-87.

35.   Kazis, L.E., Lee, A.F., Spiro, A. III, Rogers, W.H., Ren, X.S., Miller, D.R., Selim, A.J., Hamed, A., & Haffer, S.C. (2004). Measurement comparisons of the Medical Outcomes Study and Veterans SF-36 health survey. Health Care Financing Review, 25(4), 43-58.

36.   Kazis, L. E., Miller, D. R., Clark, J., Skinner, K., Lee, A., Ren, X. S., Spiro, A. III, Rogers, W. H., & Ware, J.E. (2004). Improving the response choices on the Veterans SF-36 health survey role functioning scales: Results from the Veterans Health Study.  Journal of Ambulatory Care Management, 27, 263-80.

37.         Kazis, L.E., Miller, D.R., Skinner, K.M., Lee, A., Ren, X.S., Clark, J.A., Rogers, W.H., Spiro, A. III, Selim, J., Linzer, M., Payne, S., Mansell, D., & Fincke, B. G.  (2004).  Patient reported measures of health: The Veterans Health Study.  Journal of Ambulatory Care Management, 27, 70-83.

38.         McArdle, J.J., Hamagami, F., Jones, K., Jolesz, F., Sandor, T., Kikinis, R., Spiro, A. III, & Albert, M.S. (2004). Structural modeling of dynamic changes in memory and brain structure using longitudinal data from the Normative Aging Study.  Journal of Gerontology: Psychological Sciences, 59B, P294-304.

39.         Rogers, W. H., Kazis, L. E., Miller, D. R., Skinner, K.M., Clark, J.A., Spiro, A. III,  & Fincke, B.G. (2004). Comparing the health status of VA and non-VA ambulatory patients: The Veterans Health and Medical Outcomes Studies. Journal of Ambulatory Care Management, 27, 249-62.

40.         Selim, A.J., Berlowitz, D.R., Fincke, G., Cong, Z., Rogers, W.H., Haffer, S.C., Ren, X.S., Lee, A.F., Qian, S.X., Miller, D.R., Spiro, A. III, Selim, B.J., & Kazis, L.E. (2004). The health status of elderly veteran enrollees in the Veterans Health Administration. Journal of the American Geriatrics Society, 52, 1271-76.

41.         Skinner, K., Miller, D.R., Spiro, A. III, & Kazis, L.E. (2004). Measurement strategies designed and tested in the Veterans Health Study.  Journal of Ambulatory Care Management, 27, 180-89.

42.         Weisskopf, M.G., Wright, R.O., Schwartz, J., Spiro, A. III, Sparrow, D., Aro, A., & Hu, H.  (2004). Cumulative lead exposure and change in cognition among elderly men: The VA Normative Aging Study. American Journal of Epidemiology, 160, 1184-93.

43.         Brady, C.B., Spiro, A. III, & Gaziano, J.M. (2005). Effects of age and hypertension status on cognition: The VA Normative Aging Study. Neuropsychology, 19, 770-77.

44.         Clark, J., Spiro, A. III, Miller, D.R., Fincke, B. G., Skinner, K.M., & Kazis, L. E.  (2005). Patient-based measures of illness severity in the Veterans Health Study. Journal of Ambulatory Care Management, 28(3), 264-75.

45.         Fincke, B.G., Clark, J. A., Linzer, M., Spiro, A. III, Miller, D. R.,  Lee, A., & Kazis, L. (2005). Assessment of  long-term complications due to Type 2 diabetes using patient self-report: The diabetes complications index. Journal of Ambulatory Care Management, 28(3), 252-63.

46.         Miller, D., Clark, J.A., Rogers, W. H., Clark, J., Skinner, K., Spiro, A. III, Lee, A., & Kazis, L. (2005). The influence of place of administration on health-related quality of life assessments: Findings from the Veterans Health Study.  Journal of Ambulatory Care Management, 28(2), 111-24.

47.         Mroczek, D.K., & Spiro, A. III.  (2005). Change in life satisfaction during adulthood: Findings from the VA Normative Aging Study. Journal of Personality and Social Psychology, 88, 189-202.

48.         Schnurr, P.P., Lunney, C.A., Sengupta, A., & Spiro, A. III. (2005). A longitudinal study of retirement in older male military veterans. Journal of Consulting and Clinical Psychology, 73, 561-6.

49.         Selim, A.J., Fincke, B.G., Berlowitz, D.R. Miller, D.M., Zian, S.X., Lee, A., Cong, Z., Rogers, W.H., Selim, B.J., Ren, X.S., Spiro, A. III, & Kazis, L.E. (2005). Comprehensive health status assessment of centenarians: Results from the 1999 Large Health Survey of Veteran Enrollees. Journal of Gerontology: Medical Sciences, 60A, 515-19.

50.         Todaro, J.F., Con, A., Niaura, R., Spiro, A. III, Ward, K.D., & Roytberg, A. (2005),  Combined effects of the metabolic syndrome and hostility on the incidence of CHD (The Normative Aging Study). American Journal of Cardiology, 96, 221-26.

51.         Tucker, K.L., Qiao, N., Scott, T., Rosenberg, I., & Spiro, A. III. (2005). High homocysteine and low B vitamins predict cognitive decline in aging men: The VA Normative Aging Study. American Journal of Clinical Nutrition, 82, 627-35.

52.         Zhang, J., Niaura, R., Todaro, J.F., McCaffery, J.M., Shen, B.J., Spiro, A. III, & Ward, K.D.  (2005). Suppressed hostility predicted hypertension incidence among middle-aged men: The Normative Aging Study. Journal of Behavioral Medicine, 23, 443-54.

53.         Aldwin, C.M., Spiro, A. III , & Park, C.L. (2006). Health, behavior, and optimal aging: A life span developmental perspective. In J.E. Birren & K.W. Schaie (Eds.), Handbook of the psychology of aging (6th ed., pp. 85-104). New York: Elsevier.

54.         Davison, E.H., Gugliucci, M.R., King, L.A., King, D.W., Salgado, D.M., Spiro, A. III, & Bachrach., P. (2006). Late life emergence of early life trauma: The phenomenon of late-onset stress symptomatology among aging combat veterans. Research on Aging, 28, 84-114.

55.         Griffin, P.W., Mroczek, D.K., & Spiro, A. III. (2006). Variability in affective change among aging men: Findings from the VA Normative Aging Study. Journal of Research in Personality, 40, 942-65.

56.         Hankin, C.S., Spiro, A. III, Mansell, D., Miller, D.R. & Kazis, L. (2006). Mental disorders and medical care utilization: The Veterans Health Study.  Journal of Ambulatory Care Management, 29, 51-60.

57.         James, J.B., & Spiro, A. III. (2006).The impact of work on psychological health and well-being of older Americans. In J. James, P. Wink, & K.W. Schaie (Eds.), The crown of life: The dynamics of the early post retirement period.  New York: Springer Publishing.

58.         Jennings, P., Aldwin, C.M., Levenson, M.R., Spiro, A. III, & Mroczek, D.M. (2006). Combat exposure, perceived benefits of military service, and wisdom in later life: Findings from the Normative Aging Study. Research on Aging, 28, 115-134.

59.         Jones, J.A, Kressin, N.R., Kazis, L., Miller, D.R., Spiro, A. III, Lee, A., & Garcia, R. (2006). The impact of oral problems on quality of life. Journal of Ambulatory Care Management, 29, 167-81.

60.         Kazis, L.E., Miller, D.R., Skinner, K.M., Lee, A., Ren, X.S., Clark, J.A., Rogers, W.H., Spiro, A. III, Selim, A., Linzer, M., Payne, S.M., Mansell, D., & Fincke, B.G. (2006). Applications of methodologies of the Veterans Health Study in the VA healthcare system: Conclusions and summary. Journal of Ambulatory Care Management, 29, 182-88.

61.         Kinnunen, T. Haukkala, A., Korhonen, T., Quiles, Z.N., Spiro, A. III, & Garvey, A.J. (2006). Depression and smoking across 25 years of the Normative Aging Study. International Journal of Psychiatry in Medicine, 36, 413-26.

62.         Mansell, D., Penk, W., Hankin, C.S., Lee, A., Spiro, A. III, Skinner, K., & Kazis, L. (2006). The illness burden of alcohol-related disorders among VA patients: The Veterans Health Study.  Journal of Ambulatory Care Management, 29, 61-70.

63.         Mansell, D., Spiro, A. III, Lee, A., & Kazis, L. (2006). Validation of the primary care alcohol severity measure.  Journal of Ambulatory Care Management, 29, 87-97.

64.         Mroczek, D.K., Almeida, D.M.,  Spiro, A. III & Pafford, C. (2006).Intraindividual stability and change in personality. In D. K. Mroczek & T. D. Little (Eds.), Handbook of personality development (pp. 163-180). Mahwah, NJ: Lawrence Erlbaum.

65.         Mroczek, D.K., Spiro, A. III, & Griffin, P.W. (2006). Personality and aging. In J.E. Birren & K.W. Schaie (Eds.), Handbook of the psychology of aging (6th ed., pp. 363-77). New York: Elsevier.

66.         Mroczek, D.K., Spiro, A. III, Griffin, P.W., & Neupert, S.  (2006). Social influences on adult personality, self-regulation, and health.  In L. Carstensen & K.W. Schaie (Eds.), Social structure, aging and self-regulation.  New York: Springer Publishing.

67.         Neupert, S.D., Almeida, D.M., Mroczek, D.K., & Spiro, A. III. (2006). The effects of the Columbia shuttle disaster on the daily lives of older adults: Findings from the VA Normative Aging Study. Aging and Mental Health, 10(3), 272-81.

68.         Neupert, S.D., Almeida, D.M., Mroczek, D.K., & Spiro, A. III. (2006).Daily stressors and memory failures in  a naturalistic setting: Findings from the VA Normative Aging Study. Psychology and Aging, 21(2), 424-29.

69.         Selim, A.J., Kazis, L.E., Rogers, W.H., Qian, S., Rothendler, J.A., Lee, A. Ren, X.S., Hafer, S.C., Mardon, R., Miller, D.R., Spiro, A. III, Selim, B.J., & Fincke, B.G. (2006). Risk-adjusted mortality as an indicator of outcomes: Comparison of the Medicare Advantage Program with the Veterans Health Administration. Medical Care, 44, 359-65.

70.         Sloan, K.L., Montez, M.E., Spiro, A. III, Christiansen, C.L., Loveland, S., Shokeen, P., Herz, L., Eisen, S., Breckenridge, J.N., & Rosen, A.K. (2006). Development and validation of a psychiatric case-mix system. Medical Care, 44(6), 568-80.

71.         Spiro, A. III, Hankin, C.S., Mansell, D., & Kazis, L. (2006.) Post-traumatic stress disorder and health status: The Veterans Health Study. Journal of Ambulatory Care Management, 29, 71-86.

72.         Spiro, A. III & Vokonas, P.S. (2006). The Normative Aging Study. In R. Schulz (Ed.), Encyclopedia of Aging (4th ed., pp 888-89), New York: Springer Publishing.

73.         Weuve, J, Kelsey, K.T., Schwartz, J., Bellinger, D., Rajan, P., Spiro, A. III, Sparrow, D., Aro, A., & Hu, H. (2006). Delta-aminolevulinic acid dehydratase (ALAD) polymorphism and the relation between low-level lead exposure and the Mini-mental Status Exam: The VA Normative Aging Study. Occupational and Environmental Medicine, 63, 746-53.

74.         Yancura, L.A., Aldwin, C.M., & Spiro, A. III. (2006). Coping, affect, and the metabolic syndrome in older men: How does coping get under the skin? Journal of Gerontology: Psychological Sciences, 61, P295-P303.

75.         Yorgason, J.B., Almeida, D., Neupert, S., Spiro, A. III & Hoffman, L. (2006). A dyadic examination of daily health symptoms and emotional well-being in later life couples. Family Relations, 55, 613-24.

76.         Zhang, J., Niaura, R., Dyer, J.R., Shen, B.J., Todaro, J.F., McCaffery, J.M., Spiro, A. III, & Ward, K.D. (2006). Hostility and urinary norepinephrine interact to predict insulin resistance: The VA Normative Aging Study. Psychosomatic Medicine, 68, 718-26.

77.         Aldwin, C.M., Park, C.L., & Spiro, A. III (Eds.), (2007).  Handbook of health psychology and aging. New York: Guilford Press.

78.         Aldwin, C.M., Park, C.L., & Spiro, A. III. (2007). Health psychology and aging: An introduction. In C.M. Aldwin, C.L. Park, and A. Spiro III (Eds.), Handbook of health psychology and aging (pp. 3-8). New York: Guilford Press.

79.         Aldwin, C.M., Park, C.L., & Spiro, A. III. (2007). Health psychology and aging: Moving toward the next generation of research. In C.M. Aldwin, C.L. Park, and A. Spiro III (Eds.), Handbook of health psychology and aging (pp. 413-24). New York: Guilford Press.

80.         Eisen, S. V., Ranganathan, G., Seal, P., & Spiro, A. III.  (2007). Measuring clinically meaningful change following mental health treatment. Journal of Behavioral Health Services Research, 34(3), 272-89.

81.         Goral, M., Spiro, A. III, Albert, M.L., Obler, L.K. & Connor, L.T. (2007). Change in lexical skills in adulthood: Not a uniform decline. Mental Lexicon, 2, 215-38.

82.         King, L.A., King, D.W., Vickers, K., Davison, E., & Spiro, A. III. (2007). Late-onset stress symptomatology: A measure of stress symptoms in aging combat veterans.  Aging and Mental Health, 11, 175-91.

83.         Kubzansky, L.D., Koenen, K.C., Spiro, A. III, Vokonas, P.S., & Sparrow, D. (2007). A prospective study of posttraumatic stress disorder and coronary heart disease in the Normative Aging Study. Archives of General Psychiatry, 64, 109-16.

84.         Mroczek, D.K. & Spiro, A. III.  (2007).  Personality change influences mortality in older men. Psychological Science, 18(5), 371-75.

85.         Peters, J. L., Kubzansky, L., McNeely, E., Schwartz, J., Wright, R. O., Spiro, A. III, Sparrow, D., Nie, H., & Hu, H. (2007). Stress as a potential modifier of the impact of lead levels on blood pressure: The Normative Aging Study.  Environmental Health Perspectives, 115, 1154-59.

86.         Rajan, P., Kelsey, K.T., Schwartz, J.D., Belllinger, D.C., Weuve, J, Sparrow, D., Spiro, A. III, Smith, T.J., Nie, N., Hu, H, & Wright, R.O. (2007). Lead burden and psychiatric symptoms and the modifying influence of the delta-aminolevulinic acid dehydratase (ALAD) polymorphism: The VA Normative Aging Study.  American Journal of Epidemiology 166, 1400-1408.

87.         Selim, A.J., Kazis, L.E., Rogers, W.H., Qian, S., Rothendler, J.A., Spiro, A. III, Ren, X.S., Miller, D.R., Selim, B.J., & Fincke, B.G. (2007).  Change in health status as an indicator of outcomes: Comparison between the Medicare Advantage Program and the Veterans Health Administration. Quality of Life Research, 16, 1179-91.

88.         Spiro, A. III. (2007). The relevance of a lifespan developmental approach to health.  In Aldwin, C.M., Park, C.L., & Spiro, A. III (Eds.).  Handbook of health psychology and aging (pp. 75-93). New York: Guilford Press.

89.         Spiro, A. III & Vokonas, P.S. (2007). The VA Normative Aging Study. In K. Markides (Ed.), Encyclopedia of health and aging. Thousand Oaks: SAGE Publications.

90.         Wang F. T., Wright, R.O., Schwartz, J., Weuve, J., Spiro, A. III, Sparrow, D., & Hu, H. (2007). Modifying effects of the HFE polymorphisms on the association between lead burden and cognitive decline. Environmental Health Perspectives, 115, 1210-15.

91.         Weisskopf, M. G., Proctor, S., Wright, R.O., Schwartz, J., Spiro, A. III, Sparrow, D., Aro, A., & Hu, H. (2007).  Prospective study of cumulative lead exposure and cognitive test scores among elderly men: The VA Normative Aging Study. Epidemiology, 18, 59-66.

92.         Kressin, N.R., Jones, J.A., Orner, M.B., & Spiro, A. III.  (2008). A new brief measure of oral quality of life. Preventing Chronic Disease, 5(2). http://www.cdc.gov/pcd/issues/2008/apr/06_0147.htm.

93.         Miller, D.R., Rogers, W.H., Kazis, L.E., Spiro, A. III, Ren, X.S., & Haffer, S.C. (2008). Patient's self-report of diseases in the Medicare Health Outcomes Survey based on comparisons with linked survey and medical data from the Veterans Health Administration. Journal of Ambulatory Care Management, 31, 161-77.

94.         Neupert, S.D., Mroczek, D.K., & Spiro, A. III. (2008). Neuroticism moderates the daily relation between stressors and memory failures. Psychology and Aging, 23, 287-96.

95.         Park, S. K., O'Neill, M.S., Vokonas, P.S., Sparrow, D., Spiro, A. III, Tucker, K., Suh, H., Hu, H., &Schwartz, J. (2008). Traffic-related particles are associated with elevated homocysteine: The VA Normative Aging Study. American Journal of Respiratory and Critical Care Medicine, 178, 283-89.

96.        Pekkala, S., Albert, M.L., Spiro, A. III, & Erkinjuntti, T. (2008). Perseveration in Alzheimer's disease. Dementia and Geriatric Cognitive Disorders, 25, 109-114.

97.         Rajan, P., Kelsey, K.T., Schwartz, J.D., Belllinger, D.C., Weuve, J., Spiro, A. III, Sparrow, D., Smith, T.J., Nie, H., Weisskopf, M.G., Hu, H., & Wright, R.O.  Interaction of the delta- aminolevulinic acid dehydratase (ALAD) polymorphism and lead burden on cognitive function: The VA Normative Aging Study. Journal of Occupational and Environmental Medicine, 50, 1053-61.

98.         Shen, B. J., Avivi, Y., Todaro, J.T., Spiro, A. III, Laurenceau, J.P., Ward, K.D., & Niaura, R. (2008). Anxiety characteristics independently and prospectively predict myocardial infarction in men the unique contribution of anxiety among psychologic factors.  Journal of the American College of Cardiology, 51, 113-119.

99.         Shen, B., Countryman, A.J., Spiro, A. III, & Niaura, R. (2008). The contribution of hostility to fasting glucose:  The moderating role of marital status. Diabetes Care, 31, 1293-8.

100.      Spiro, A. III & Brady, C.B. (2008).  Integrating health into cognitive aging research and theory: Quo vadis? In S. M. Hofer & D. F. Alwin (Eds.), The handbook of cognitive aging: Interdisciplinary perspectives (pp. 260-83). Newbury CA: Sage Publications.

                                                                                                                      

In Press

101.      Boeninger, D.K., Shiraishi, R.W., Aldwin, C.M., & Spiro, A. III. Why do older men report lower stress ratings? Findings from the Normative Aging Study. International Journal for Aging and Human Development

102.      Siegler, I.C., Hooker, K., Bosworth, H., Elias, P. & Spiro, A. III. Adult development, aging, and gerontology. In J. Suls, K. W. Davidson, & R,M. Kaplan (eds.), Handbook of health psychology. New York: Guilford Press.

103.      Tucker, K., Knoops, K., Spiro, A. III, de Groot, L., Kromhout, D., & van Staveren W. Do dietary patterns in older men influence change in homocysteine through folate fortification? The Normative Aging Study.  Public Health Nutrition