Alexander C. Kline

ORCID: 0000-0001-7420-7547
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About
Contact & Profiles
Research Areas
  • Posttraumatic Stress Disorder Research
  • Suicide and Self-Harm Studies
  • Traumatic Brain Injury Research
  • Migration, Health and Trauma
  • Child Abuse and Trauma
  • Treatment of Major Depression
  • Psychotherapy Techniques and Applications
  • Resilience and Mental Health
  • Gun Ownership and Violence Research
  • Mental Health Research Topics
  • Healthcare professionals’ stress and burnout
  • Emotions and Moral Behavior
  • Health Policy Implementation Science
  • Stress Responses and Cortisol
  • Alcohol Consumption and Health Effects
  • Prenatal Substance Exposure Effects
  • Personality Disorders and Psychopathology
  • Mental Health Treatment and Access
  • Homelessness and Social Issues
  • Grit, Self-Efficacy, and Motivation
  • Bipolar Disorder and Treatment
  • Agriculture and Farm Safety
  • Counseling Practices and Supervision
  • Cannabis and Cannabinoid Research
  • Substance Abuse Treatment and Outcomes

Leidos (United States)
2023-2025

Naval Health Research Center
2023-2025

VA San Diego Healthcare System
2021-2025

University of California, San Diego
2021-2024

Case Western Reserve University
2015-2021

United States Department of Veterans Affairs
2021

East Orange VA Medical Center
2012

The COVID-19 pandemic has raised considerable concerns about increased risk for suicidal behavior among US military veterans, who already had elevated rates of suicide before the pandemic.To examine longitudinal changes in from to nearly 10 months into and identify factors COVID-related variables associated with new-onset ideation (SI).This population-based prospective cohort study used data first second wave National Health Resilience Veterans Study, conducted November 18, 2019, December...

10.1001/jamapsychiatry.2021.2332 article EN JAMA Psychiatry 2021-08-25

Trauma-related guilt is common, associated with posttraumatic mental health problems, and can persist after stress disorder (PTSD) treatment. We compared the efficacy of two six-session psychotherapies, Trauma-Informed Guilt Reduction (TrIGR) Supportive Care Therapy (SCT), for reducing trauma-related guilt. TrIGR helps patients accurately appraise their role in trauma re-engage values. In SCT, guide session content. A total 184 veterans seeking VA services were enrolled across sites; 145...

10.1002/da.23244 article EN Depression and Anxiety 2022-01-25

Practice assignments (i.e. homework) are a key component in cognitive behavioral therapies that predict treatment outcomes for posttraumatic stress disorder (PTSD) and major depressive (MDD) separately. However, research has not explored these variables among individuals with comorbid PTSD MDD. This study evaluated whether practice assignment adherence helpfulness predicted (Clinician-Administered Scale DSM-5; CAPS-5) MDD (Montgomery-Åsberg Depression Rating Scale; MADRS) at posttreatment...

10.1080/16506073.2025.2482155 article EN public-domain Cognitive Behaviour Therapy 2025-03-26

Reintegration stress is commonly reported by returning Veterans with post-trauma distress and associated mental health functioning difficulties. Interventions are needed to reduce reintegration provide a pathway improve Veterans' connections their families, friends, communities. The present study compared the effectiveness of Trauma Informed Guilt Reduction Therapy (TrIGR) Supportive Care (SCT) in reducing stress, assessed Military Civilian Questionnaire (M2C-Q) at post-treatment 3- 6-month...

10.1080/08995605.2025.2479907 article EN Military Psychology 2025-03-26

Objective: Psychiatric and substance use disorders are prevalent among U.S. military veterans, yet many veterans do not engage in treatment. The authors examined characteristics associated with of mental health care a nationally representative veteran sample. Methods: Using 2019–2020 data from the National Health Resilience Veterans Study (N=4,069), predisposing, enabling, need factors perceived barriers to as correlates utilization (psychotherapy, counseling, or pharmacotherapy)....

10.1176/appi.ps.202100112 article EN Psychiatric Services 2021-11-15

Trauma-informed guilt reduction therapy (TrIGR), a six-session cognitive behavioral targeting trauma-related and distress, reduces symptoms of posttraumatic stress disorder (PTSD) depression, yet little is known regarding how why TrIGR may be effective. This study examined treatment-related changes in avoidant coping cognitions as possible mediators treatment effects on PTSD depression outcomes at 3- 6-month follow-up. Data were from randomized controlled trial for comparing supportive care...

10.1002/jclp.23659 article EN publisher-specific-oa Journal of Clinical Psychology 2024-02-10

Dropout is a ubiquitous psychotherapy outcome in clinical practice and treatment research alike, yet it remains poorly understood problem. Contemporary dropout dominated by models of prediction that lack strong theoretical foundation, often drawing on data from trials report an inconsistent incomplete fashion. In this article, we assert critical worthy investigation as mechanistic process. After briefly describing the scope problem, discuss many factors limit field’s present understanding...

10.1177/0145445518792251 article EN Behavior Modification 2018-08-05

Even after the most effective posttraumatic stress disorder (PTSD) treatments, symptoms often persist. Understanding residual is particularly relevant in military populations, who may be less responsive to PTSD interventions.

10.1037/tra0001621 article EN Psychological Trauma Theory Research Practice and Policy 2024-01-18

Posttraumatic stress disorder (PTSD) and major depressive (MDD) frequently co-occur can cause significant impairment. Data are lacking as to whether interventions targeting both PTSD MDD may improve treatment outcomes among individuals with this comorbidity compared existing evidence-based treatments alone. This randomized trial the effectiveness of cognitive processing therapy (CPT) enhanced behavioral activation (BA+CPT) versus CPT 94 service members (52 women 42 men; age M = 28.5 years)...

10.1016/j.psychres.2023.115330 article EN cc-by-nc-nd Psychiatry Research 2023-07-04

Objective Despite effective treatment options for posttraumatic stress disorder (PTSD), many patients do not complete therapy. This includes U.S. active duty service members, yet factors linked to attendance in this population remain understudied and dropout remains difficult predict. Additionally, most studies have examined samples with PTSD co-occurring major depressive (MDD) despite high rates of comorbidity.

10.1080/10503307.2024.2325519 article EN public-domain Psychotherapy Research 2024-03-18
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