- Posttraumatic Stress Disorder Research
- Migration, Health and Trauma
- Child Abuse and Trauma
- Substance Abuse Treatment and Outcomes
- LGBTQ Health, Identity, and Policy
- Resilience and Mental Health
- Sexual Assault and Victimization Studies
- Adolescent Sexual and Reproductive Health
- Behavioral Health and Interventions
- Homelessness and Social Issues
- Suicide and Self-Harm Studies
- Intimate Partner and Family Violence
- Mental Health Treatment and Access
- Traumatic Brain Injury Research
- Sex work and related issues
- Health Policy Implementation Science
- Psychotherapy Techniques and Applications
- Attachment and Relationship Dynamics
- Child and Adolescent Psychosocial and Emotional Development
- Healthcare professionals’ stress and burnout
- HIV/AIDS Research and Interventions
- Sexuality, Behavior, and Technology
- Smoking Behavior and Cessation
- Racial and Ethnic Identity Research
- Schizophrenia research and treatment
Stanford University
2020-2025
VA Palo Alto Health Care System
2020-2024
National Center for PTSD
2020-2024
National Center for Post Traumatic Stress Disorder
2020-2024
Stanford Medicine
2021-2024
Palo Alto University
2022-2024
Eastern Kentucky Pride
2024
Productive Rehabilitation Institute of Dallas for Ergonomics
2024
University of Washington
2013-2022
Northwestern University
2021
Brain magnetic resonance images (MRI) of 104 healthy children and adolescents, aged 4–18, showed significant effects age gender on brain morphometry. Males had larger cerebral (9%) cerebellar (8%) volumes (P < 0.0001 P = 0.008. respectively), which remained even after correction for height weight After adjusting size, the putamen globus pallidus in males, while relative caudate size was females. Neither nor volume changed significantly across this range. Lateral ventricular increased males...
The volume of the temporal lobe, superior gyrus, amygdala, and hippocampus was quantified from magnetic images brains 99 healthy children adolescents aged 4–18 years. Variability in high for all structures examined. When adjusted a 9% larger total cerebral males, there were no significant differences between sexes. However, sex-specific maturational changes noted volumes medial structures, with left amygdala increasing significantly only males right females. Right-greater-than-left...
Because the caudate nuclei receive inputs from cortical regions implicated in executive functioning and attentional tasks, total brain volumes were examined boys with attention deficit hyperactivity disorder (ADHD) normal comparison subjects. To gain developmental perspective, a wide age range was sampled for both groups.The brains of 50 male ADHD patients (aged 6-19) 48 matched subjects scanned by magnetic resonance imaging (MRI). Volumetric measures head body nucleus obtained T1-weighted...
Survivors of sexual violence have high rates depression, anxiety, and post-traumatic stress disorder (PTSD). Although treatment for symptoms related to has been shown be effective in high-income countries, evidence is lacking low-income, conflict-affected countries.In this trial the Democratic Republic Congo, we randomly assigned 16 villages provide cognitive processing therapy (1 individual session 11 group sessions) or support female sexual-violence survivors with levels PTSD combined...
Systematic violence is a long-standing problem in Iraq. Research indicates that survivors often experience multiple mental health problems, and there need for more rigorous research targets symptoms beyond post-traumatic stress (PTS). Our objective was to test the effectiveness of two counseling therapies Southern Iraq addressing problems among systematic violence: (1) transdiagnostic intervention (Common Elements Treatment Approach or CETA); (2) cognitive processing therapy (CPT). The were...
Analysis of cerebral magnetic resonance images 24 subjects with Sydenham9s chorea and 48 age-, height-, weight-, gender-, handedness-matched controls demonstrated increased sizes the caudate, putamen, globus pallidus in group. In contrast, neither total cerebral, prefrontal, or midfrontal volumes thalamic area were increased. These results indicate selective involvement basal ganglia chorea. <b>NEUROLOGY 1995;45: </b> 2199-2203
Early-onset schizophrenia (first psychotic symptoms by age 12 years) has been the subject of a small number studies, and its biological continuity with later-onset disorder not established. In this study quantitative anatomic brain magnetic resonance images children adolescents early-onset were compared those matched controls. Brain abnormalities in childhood-onset examined relation to reported for schizophrenics.Anatomic imaging scans obtained 21 patients (mean +/- SD age, 14.6 2.1 years;...
An ongoing study of the phenomenology, genetics, neuropsychology, physiology (eye tracking, autonomic responsivity), neuroimaging, biochemistry, and pharmacology childhood-onset schizophrenia is described, pilot data are presented for first 22 subjects. Differentiation from autism "spectrum" disorders other poorly defined, severe neurodevelopmental needed. Eye tracking results similar to patterns seen in later-onset possibly more striking. Magnetic resonance imaging showed larger left...
Posttraumatic stress disorder (PTSD) and alcohol dependence (AD) frequently co-occur, although results of both cross-sectional longitudinal studies evaluating the nature their relationship have been mixed. There has varied support for competing models explaining how these conditions influence one another. To assess self-medication mutual maintenance models, as well examine potential moderating role drinking motives, current study used Generalized Estimating Equations to evaluate daily...
College represents a period of risk for heavy drinking and experiencing unwanted consequences associated with drinking. Previous research has identified specific events, including holidays (e.g., New Years), school breaks Spring Break) personally relevant events 21st birthdays), that are elevated negative alcohol-related consequences. The systematic evaluation relative offers insights into event-specific an empirical basis upon which to consider allocation limited prevention resources. Thus,...
Alcohol dependence (AD) and posttraumatic stress disorder (PTSD) are highly prevalent comorbid conditions associated with a significant level of impairment. Little systematic study has focused on gender differences specific to individuals both AD PTSD. The current examined gender-specific associations between PTSD symptom severity, drinking cope (i.e., reduce negative affect), for enhancement increase positive average alcohol use in clinical sample men (n = 46) women Results indicated that...
There is considerable excitement about implicit alcohol associations (IAAs) as predictors of college-student hazardous drinking; however, few studies have investigated IAAs prospectively, included multiple assessments, or controlled for previous drinking. Doing so essential showing the utility these predictors, and ultimately, targets screening intervention. Therefore, 3 (i.e., drinking identity, approach, excitement) were evaluated prospective in 1st- 2nd-year undergraduates United States.A...
Experiencing systematic violence and trauma increases the risk of poor mental health outcomes; few interventions for these types exposures have been evaluated in low resource contexts. The objective this randomized controlled trial was to assess effectiveness two psychotherapeutic interventions, Behavioral Activation Treatment Depression (BATD) Cognitive Processing Therapy (CPT), reducing depression symptoms using a locally adapted validated version Hopkins Symptom Checklist dysfunction...
Previous research suggests that sexual minorities are at greater risk for trauma exposure, mental health problems, and substance use. To date, few studies have examined racial/ethnic differences among in relation to health-related behaviors outcomes. Furthermore, of young adult minority women (SMW) virtually nonexistent. The current study adds the previous literature by exploring identity, health, use a nonprobability national sample SMW. A total 967 self- identified lesbian bisexual were...
A major obstacle to mental health treatment for many Americans is accessibility: the United States faces a shortage of providers, resulting in federally designated areas. Although digital treatments (DMHTs) are effective interventions common disorders, they have not been widely adopted by U.S. care system. National and international expert stakeholders representing organizations, insurance companies payers, employers, patients, researchers, policy makers, economists, DMHT investment...
Family support and rejection are associated with health outcomes among sexual minority women (SMW). We examined a social ecological development model young adult SMW, testing whether identity risk factors or outness to family interacted predict community connectedness collective self-esteem. Lesbian bisexual (N = 843; 57% bisexual) between the ages of 18-25 (M 21.4; SD 2.1) completed baseline 12-month online surveys. The sample identified as White (54.2%), multiple racial backgrounds...
Objective The purpose of this study is to examine associations between therapist adherence, competence, and modifications an evidence-based protocol (EBP) delivered in routine clinical care client outcomes. Method Data were derived from a NIMH-funded implementation-effectiveness hybrid Cognitive Processing Therapy (CPT) for PTSD diverse community health center. Providers (n = 19) treated clients 58) as part their care. Clients completed the PCL-S PHQ-9 at baseline, after each CPT session,...