A5032796376- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- LGBTQ Health, Identity, and Policy
- Attention Deficit Hyperactivity Disorder
- Sex work and related issues
- Child and Adolescent Psychosocial and Emotional Development
- HIV Research and Treatment
- HIV-related health complications and treatments
- Maternal Mental Health During Pregnancy and Postpartum
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Bipolar Disorder and Treatment
- Mental Health Treatment and Access
- HIV/AIDS drug development and treatment
- Medication Adherence and Compliance
- Psychotherapy Techniques and Applications
- Family Caregiving in Mental Illness
- Sexuality, Behavior, and Technology
- Homelessness and Social Issues
- Diabetes Management and Education
- Perfectionism, Procrastination, Anxiety Studies
- Migration, Health and Trauma
- Adolescent and Pediatric Healthcare
- Mental Health Research Topics
- Child Abuse and Trauma
University of Miami
2016-2025
Fenway Health
2014-2023
Massachusetts General Hospital
2010-2022
Florida State University
2016-2022
George Washington University
2021
Harvard University
2010-2019
Benson-Henry Institute
2019
Harvard Global Health Institute
2016-2019
Hudson Institute
2018
The Bronx Defenders
2018
The present study provides data on the reliability, validity and treatment sensitivity of Liebowitz Social Anxiety Scale (LSAS), one most commonly used clinician-administered scales for assessment social phobia.Three hundred eighty-two patients from several studies phobia were evaluated. An independent assessor administered LSAS to each patient prior initiation treatment. Patients also completed other measures anxiety avoidance, although specific varied across samples.The its subscales...
We examined the association between depression, measured as either a continuous symptom severity score or clinical disorder variable, with self-care behaviors in type 2 diabetes.We surveyed 879 diabetic patients from two primary care clinics using Harvard Department of Psychiatry/National Depression Screening Day Scale (HANDS), Summary Diabetes Self-Care Activities, and self-reported medication adherence.Of patients, 19% met criteria for probable major depression (HANDS >or=9), an additional...
Safe and effective long-acting injectable agents for preexposure prophylaxis (PrEP) human immunodeficiency virus (HIV) infection are needed to increase the options preventing HIV infection.
We tested the preliminary efficacy of a transdiagnostic cognitive-behavioral treatment adapted to improve depression, anxiety, and co-occurring health risks (i.e., alcohol use, sexual compulsivity, condomless sex) among young adult gay bisexual men. Treatment adaptations focused on reducing minority stress processes that underlie orientation-related mental disparities.
To test cognitive behavioral therapy for adherence and depression (CBT-AD) in type 2 diabetes.We hypothesized that CBT-AD would improve adherence; depression; and, secondarily, hemoglobin A 1c (A1C). RESEARCH DESIGN AND METHODSEighty-seven adults with unipolar uncontrolled diabetes received enhanced treatment as usual (ETAU), including medication adherence, self-monitoring of blood glucose (SMBG), lifestyle counseling; a provider letter documented psychiatric diagnoses.Those randomized to...
Attention-deficit/hyperactivity disorder (ADHD) in adulthood is a prevalent, distressing, and impairing condition that not fully treated by pharmacotherapy alone lacks evidence-based psychosocial treatments.To test cognitive behavioral therapy for ADHD adults with medication but who still have clinically significant symptoms.Randomized controlled trial assessing the efficacy of 86 symptomatic were already being medication. The study was conducted at US hospital between November 2004 June...
We sought to determine whether health care use and expenditures among gay bisexual men were reduced following the enactment of same-sex marriage laws in Massachusetts 2003.
Objective: Adherence may be the "Achilles heel" of pre-exposure prophylaxis (PrEP), a promising biomedical approach to HIV prevention. This article presents an explanation PrEP adherence for African serodiscordant couples derived from qualitative data. Design: Explaining quantitative findings is one way investigation contributes research in medicine and public health. interview study was nested Partners Study, phase III randomized trial evaluating oral tenofovir emtricitabine/tenofovir...
Jessica Haberer and colleagues investigate the association between high adherence to antiretroviral pre-exposure prophylaxis HIV transmission in a substudy of serodiscordant couples participating clinical trial. Please see later article for Editors' Summary
The purpose of this study was to better understand substance use behaviors and deleterious health consequences among individuals with HIV.We examined a multicenter cohort HIV-infected patients (n = 3,413) receiving care in 4 US cities (Seattle, Birmingham, San Diego, Boston) between December 2005 April 2010 the Centers for AIDS Research Network Integrated Clinical Systems (CNICS). We used generalized estimating equations model specific outcomes.Overall, 24% reported recent marijuana; 9%...
To test cognitive behavioral therapy for adherence and depression (CBT-AD) in type 2 diabetes. We hypothesized that CBT-AD would improve adherence; depression; and, secondarily, hemoglobin A1c (A1C).Eighty-seven adults with unipolar uncontrolled diabetes received enhanced treatment as usual (ETAU), including medication adherence, self-monitoring of blood glucose (SMBG), lifestyle counseling; a provider letter documented psychiatric diagnoses. Those randomized to the intervention arm also...
Depression and substance use, the most common comorbidities with HIV, are both associated poor treatment adherence. Injection drug users comprise a substantial portion of individuals HIV in United States globally. The present study tested cognitive behavioral therapy for adherence depression (CBT-AD) patients active abuse injection use.This is 2-arm, randomized controlled trial (N = 89) comparing CBT-AD enhanced as usual (ETAU). Analyses were conducted two time-frames: (a) baseline to...
In the present study, researchers examined factors related to depression, hopelessness, and suicidality in gay, lesbian, bisexual adolescents, compared with demographically similar heterosexual adolescents. Sexual minority adolescents reported greater past than did However, when controlling for other psychosocial predictors of distress, significant differences between 2 samples disappeared. For scores, effects sexual orientation were reduced, but still significant, accounting predictor...
We examined the therapeutic efficacy of a culturally adapted cognitive-behavior therapy for Cambodian refugees with treatment-resistant posttraumatic stress disorder (PTSD) and comordid panic attacks. used cross-over design, 20 patients in initial treatment (IT) condition delayed (DT). Repeated measures MANOVA, Group & times; Time ANOVAs, planned contrasts indicated significantly greater improvement IT condition, large effect sizes (Cohen's d) all outcome measures: Anxiety Sensitivity Index...
Previous studies have found high rates of childhood sexual abuse (CSA) among US men who sex with (MSM). CSA history has been associated a variety negative effects later in life including behaviors that place MSM at greater risk for HIV acquisition and transmission. The present analysis is the first to examine longitudinal association between infection, unprotected anal sex, serodiscordant as well mediators these relationships large sample HIV-uninfected MSM.The EXPLORE Study was behavioral...
Abstract We examined the feasibility, acceptability, and therapeutic efficacy of a culturally adapted cognitive–behavior therapy (CBT) for twelve Vietnamese refugees with treatment‐resistant posttraumatic stress disorder (PTSD) panic attacks. These patients were treated in two separate cohorts six staggered onset treatment. Repeated measures Group × Time ANOVAs between‐group comparisons indicated significant improvements, large effect sizes (Cohen's d ) all outcome measures: Harvard Trauma...
Antiretroviral therapy (ART) for HIV is increasingly being introduced and utilized in diverse areas of the world. However, little research exists on adherence to ART different cultural settings, particularly developing countries such as India. This formative qualitative study examined barriers facilitators among 60 (49 men, 11 women; 33 taking ART, 27 not currently ART) patients receiving primary care at YRG CARE, a nongovernmental organization, Chennai, The average participant reported...