A5000771019- Migration, Health and Trauma
- Grief, Bereavement, and Mental Health
- Posttraumatic Stress Disorder Research
- Child Abuse and Trauma
- Disaster Response and Management
- Trauma and Emergency Care Studies
- Homelessness and Social Issues
- Family Support in Illness
- Suicide and Self-Harm Studies
- Resilience and Mental Health
- Child Welfare and Adoption
- Child and Adolescent Health
- Homicide, Infanticide, and Child Abuse
- Health and Conflict Studies
- Palliative Care and End-of-Life Issues
- Child and Adolescent Psychosocial and Emotional Development
- Health disparities and outcomes
- Art Therapy and Mental Health
- Gun Ownership and Violence Research
- Family and Disability Support Research
- Child Therapy and Development
- Pregnancy-related medical research
- Psychotherapy Techniques and Applications
- Maternal Mental Health During Pregnancy and Postpartum
- Adolescent and Pediatric Healthcare
Uniformed Services University of the Health Sciences
2016-2025
Henry M. Jackson Foundation
2023-2025
Walter Reed National Military Medical Center
2025
Unifor
2013-2024
Columbia University
2016-2018
Meyer Children's Hospital
2018
Regione del Veneto
2014
Walter Reed Army Institute of Research
1991-2005
Psychiatric Medical Center
1991
Objective: This study examined rates, predictors, and course of probable posttraumatic stress disorder (PTSD) depression among seriously injured soldiers during following hospitalization. Method: The patients were 613 U.S. hospitalized serious combat injury. Standardized screening instruments administered 1, 4, 7 months injury; 243 completed all three assessments. Cross-sectional longitudinal analyses risk factors performed. PTSD was assessed with the Checklist; Patient Health Questionnaire....
Abstract Combat injury in military service members affects both child and family functioning. This preliminary study examined the relationship of distress postinjury to preinjury deployment‐related distress, severity, disruption postinjury. Child was assessed by reports from 41 spouses combat‐injured who had been hospitalized at two tertiary care treatment centers. Families with high were more likely report Spouse‐reported severity unrelated distress. Findings suggest that early...
The purpose of this article was to examine the accuracy DSM-5 proposed criteria for persistent complex bereavement disorder in identifying putative cases clinically impairing grief and excluding nonclinical cases. Performance sets prolonged complicated were similarly assessed.Participants family members U.S. military service who died any cause since September 11, 2001 (N=1,732). Putative clinical samples derived from community sample using cutoff scores Inventory Complicated Grief Work...
Abstract Background The World Health Organization (WHO) International Classification of Disease (ICD-11) is expected to include a new diagnosis for prolonged grief disorder (ICD-11 PGD ). This study examines the validity and clinical utility ICD-11 guideline by testing its performance in well-characterized sample contrasting it with very different criteria set same name (PGD PLOS Methods We examined data from 261 treatment-seeking participants National Institute Mental (NIMH)-sponsored...
Although current research recognizes robust interdependence among family members, it is not yet evident that such principles have fully integrated into existing systems of care for military and veteran families. Such gaps can create disadvantages in delivering effective support, prevention, treatment, while including families may yield significant advantages. This article highlights theoretical frameworks empirical evidence illustrate the relevance systemic approaches to supporting service...
This study examined predictors of child and parent offender removal from the home following substantiated incidents neglect in U.S. Army families. Case records (n = 390) were coded to identify types incident characteristics associated with prior studies. Results indicate that a an are distinct characteristics. In bivariate analyses, failure provide physical needs (FTP), family mental health problems, co-occurring abuse each higher odds removal. multivariate substance use, abuse, early...
Abstract Background Distinguishing a disorder of persistent and impairing grief from normative allows clinicians to identify this often undetected disabling condition. As four diagnostic criteria sets for have been proposed, their similarities differences need be elucidated. Methods Participants were family members bereaved by US military service death ( N = 1732). We conducted analyses assess the accuracy each set in identifying threshold cases (participants who endorsed baseline Inventory...
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U.S. military service members die from a variety of causes (i.e., accidents, combat, illnesses, homicide, suicide, and terrorism) while on duty in greater numbers during times war, leaving behind bereaved dependent family members. Identifying characteristics these families improves our understanding their unique needs, helps educate providers who offer assistance to surviving members, better informs policy addressing health well-being. This study describes deceased (DSMs) died active between...
Recent theory and empirical research suggest that child neglect is a heterogeneous phenomenon characterized by various types. This study examined family risk factors associated with five types including failure to provide physical needs, lack of supervision, emotional neglect, moral-legal educational in 390 substantiated cases four U.S. Army communities. Family elevated each type relative other were identified using multivariate regression. Relatively distinct sets differentially the mental...
Bereavement by sudden and violent deaths can lead to increased grief severity, depression, reduced posttraumatic growth compared those bereaved natural causes. These outcomes be affected coping strategies whether a survivor had been "prepared" for the death. The present study examined effect of considering possibility death on in deaths.Participants suicide, accident, or combat completed an online survey about demographics (including cause death), coping, growth. A factor analysis measure...
Children who experience neglect typically endure multiple types of and abuse during a single maltreatment incident. However, research on the phenomenology predictors has primarily examined in isolation. To advance understanding incidents that more accurately reflect experiences children have been neglected, we latent classes defined by co-occurring forms abuse. inform efforts to identify families at-risk for particular neglect, associations between child, parent, family characteristics were...
Abstract Studies of terrorism‐related deaths are few and mostly focus on short‐term effects. To characterize long‐term bereavement outcomes, including resilience/recovery patterns comorbidity, following the September 11, 2001 (9/11), terrorist attacks, we report mental health conditions grief‐related impairment in 454 9/11 bereaved family members. In addition, contribution non‐9/11 lifetime traumas, pre‐9/11 conditions, post‐9/11 interim life events, grief services, income adequacy, social...
Increases in combat deployments have been associated with rises rates of child neglect U.S. military families. Although various types described families, it is unknown whether deployment status specific and other factors, such as substance misuse, play a role. To determine the contribution service member to risk types, data were collected from 390 substantiated Army case files. The contributions at time incident parental alcohol or drug-related misuse examined controlling for family rank...