- Posttraumatic Stress Disorder Research
- Urological Disorders and Treatments
- Pediatric Urology and Nephrology Studies
- Resilience and Mental Health
- Child Abuse and Trauma
- Meta-analysis and systematic reviews
- Ethics in medical practice
- Suicide and Self-Harm Studies
- Ophthalmology and Visual Impairment Studies
- Migration, Health and Trauma
- Obesity and Health Practices
- Obesity, Physical Activity, Diet
- Disaster Response and Management
- Trauma and Emergency Care Studies
- Urinary Tract Infections Management
- Intestinal Malrotation and Obstruction Disorders
- Ophthalmology and Visual Health Research
- Intraocular Surgery and Lenses
- Criminal Justice and Corrections Analysis
- Eating Disorders and Behaviors
- Traumatic Brain Injury Research
- Abdominal Trauma and Injuries
- COVID-19 and Mental Health
- Torture, Ethics, and Law
- Neonatal and fetal brain pathology
McMaster University
2015-2024
Lawson Health Research Institute
2021-2024
St. Joseph’s Healthcare Hamilton
2024
Homewood Research Institute
2021-2023
Impact
2018-2021
McMaster Children's Hospital
2016
Canadian Centre for Policy Alternatives
2011
Queen's University
2011
Background: Given the highly stressful environment surrounding SARS-CoV-2 pandemic, healthcare workers (HCW) and public safety personnel (PSP) are at an elevated risk for adverse psychological outcomes, including posttraumatic stress disorder (PTSD) alcohol/substance use problems. As such, study aimed to identify associations between PTSD severity, related dissociation emotion dysregulation symptoms, problems among HCWs PSP.Methods: A subset of data (N = 498; 299; PSP 199) was extracted from...
Background: Potentially morally injurious experiences (PMIEs) are common during military service. However, it is unclear to what extent PMIEs related well-established adverse mental health outcomes.Objective: The objective of this study was use a population-based survey determine the associations between moral injury endorsement and presence past-year disorders in Canadian Armed Forces (CAF) personnel Veterans.Methods: Data were obtained from 2018 Members Veterans Mental Health Follow-up...
Healthcare workers (HCWs) across the globe have reported symptoms of Post-Traumatic Stress Disorder (PTSD) during COVID-19 pandemic. Moral Injury (MI) has been associated with PTSD in military populations, but is not well studied healthcare contexts. Distress (MD), a related concept, may enhance understandings MI and its relation to among HCWs. This study examined independent combined impact MD on Canadian HCWs
Abstract We apply the continuum of moral harms as described by Litz and King (J Trauma Stress 32:341–349, 2019), ranging from distress to injury, understand impacts correctional officer (CO) interpretations prison, recognizing how experiencing prison work informs their personal views. In current study, we analyze data 93 COs with a maximum 2 years experience, how, reflecting on occupational they perceive purpose place work—the federal penitentiary. Findings reveal space that believe should...
We studied the impact of caudal block vs dorsal penile on rate urethrocutaneous fistula and glans dehiscence in children who underwent hypospadias repair.We retrospectively reviewed records 849 consecutive patients tubularized incised plate repair between 2004 2015. A total 331 cases with incomplete medical records, other techniques redo were excluded. The preference for was based anesthesiologist discretion. Age at surgery, meatal location, preoperative testosterone stimulation, type...
Moral injury (MI) is defined as the profound psychological distress experienced in response to perpetrating, failing prevent, or witnessing acts that transgress personal moral standards values. Given elevated risk of adverse mental health outcomes exposure morally injurious experiences military members, it critical implement valid and reliable measures MI populations. We evaluated reliability, convergent, discriminant validity, well factor structure commonly used Injury Events Scale (MIES)...
Paramedics, firefighters, police officers and other public safety personnel (PSP) as well Canadian Armed Forces (CAF) members are frequently exposed to stressors demanding work environments. Although their specific work-related tasks may vary, a commonality between these occupations is the significant likelihood of repeated exposure potentially psychologically traumatic events (PPTE) over course careers. Due in part exposures, CAF PSP at an elevated risk mental health concerns including...
LAY SUMMARY Armed forces personnel are a population at risk for exposure to potentially traumatic and morally injurious events because of the high-risk nature military operations. The impacts deployment-related (PMIEs) increasingly being documented, with outcomes such as mental health interpersonal problems showing consistent associations that deeply transgress an individual’s held moral beliefs. To date, literature on PMIEs has focused killing atrocities. situations in which encounter...
Respiratory therapists (RTs) faced morally distressing situations throughout the COVID-19 pandemic, including working with limited resources and facilitating video calls for families of dying patients. Moral distress is associated a host adverse psychological functional outcomes (e.g. depression, anxiety, symptoms posttraumatic stress disorder [PTSD] impairment) consideration position departure. The purpose this study was to understand impact moral its on leave clinical among Canadian RTs...
The purpose of this study was to test the sensitivity and specificity eight undergraduate volunteer examiners conducting vision screening tests in a community setting, order determine if non-eye care professionals were able be trained an appropriate level skill.Eight conduct address gap pediatric eye care. Phase I implemented ophthalmology clinic, phase II conducted nine local schools. consisted 40 h training for each regarding specific tests. children at schools.A total 690 from schools...
• Transcending pilot findings demonstrate that it is possible to directly target proximal minority stressors and these are malleable change among transgender gender diverse (TGD) individuals. The present results show support for both treatment acceptability from participant perspectives, as well proof-of-concept the intervention. Participants endorsed: (1) feeling less alone being more connected other TGD individuals; (2) increased ability cope with challenge stress cognitions through...
War metaphors are consistently utilized during times of adversity in popular culture, with the current global pandemic being no exception. This paper discusses use war analogies to conjure images bravery and sacrifice, while noting that these tend focus exclusively on negative aspects war. Taking further, this expands how other military strategies experiences, such as a mission-focused approach, clear leadership, building resilience may indeed positively impact our effort slow spread SARS-COV-2.
The traumatic nature of high-risk military deployment events, such as combat, is well-recognized. However, whether other service-related events and demographic factors increase the risk moral injury (MI), which defined by consequences highly stressful morally-laden experiences, poorly understood. Therefore, objective this study was to examine determinants MI in Canadian Armed Forces (CAF) personnel.Data were obtained from 2018 Members Veterans Mental Health Follow-up Survey (CAFVMHS;...
Researchers and practitioners have begun to recognize empirically examine the mental health challenges facing public safety personnel (PSP). Empirical results from longitudinal data collection among PSP remains extremely scant, particularly for institutional correctional workers. We designed current study assess of Correctional Service Canada (CSC) officer recruits (CORs) across time help clarify potential or protective factors (CO) careers. The uses Canadian Workers' Wellbeing,...