A5046560748- Posttraumatic Stress Disorder Research
- Traumatic Brain Injury Research
- Resilience and Mental Health
- Migration, Health and Trauma
- Suicide and Self-Harm Studies
- Child Abuse and Trauma
- Psychotherapy Techniques and Applications
- Identity, Memory, and Therapy
- Occupational Health and Performance
- Musculoskeletal pain and rehabilitation
- Traumatic Brain Injury and Neurovascular Disturbances
- Healthcare professionals’ stress and burnout
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Stress Responses and Cortisol
Carl R. Darnall Army Medical Center
2011-2022
Central Texas Veterans Health Care System
2022
The University of Texas at Austin
2021
The University of Texas Health Science Center at San Antonio
2021
To determine whether group therapy improves symptoms of posttraumatic stress disorder (PTSD), this randomized clinical trial compared efficacy cognitive processing (cognitive only version; CPT-C) with present-centered (PCT) for active duty military personnel.Patients attended 90-min groups twice weekly 6 weeks at Fort Hood, Texas. Independent assessments were administered baseline, before sessions, and 2 weeks, months, 12 months posttreatment. A total 108 service members (100 men, 8 women)...
A common assumption among clinicians and researchers is that war trauma primarily involves fear-based reactions to life-threatening situations. However, the authors believe there are multiple types of in military context, each with unique perievent postevent response patterns. To test this hypothesis, they reviewed structured clinical interviews 122 active duty service members assigned reported index (principal, most currently distressing) events one or more following categories: Life Threat...
Post-traumatic stress disorder (PTSD) is presumably the result of life threats and conditioned fear. However, neurobiology fear fails to explain impact traumas that do not entail threats. Neuronal function, assessed as glucose metabolism with 18 fluoro-deoxyglucose positron emission tomography, was contrasted in active duty, treatment-seeking US Army Soldiers PTSD endorsing either danger- ( n = 19) or non-danger-based 26) traumas, compared soldiers without (Combat Controls, Civilian Controls...
We evaluated patterns and predictors of change from three efficacy trials trauma-focused cognitive-behavioral treatments (TF-CBT) among service members (N = 702; mean age 32.88; 89.4% male; 79.8% non-Hispanic/Latino). Rates clinically significant were also compared with other trials.The conducted in the same setting identical measures. The primary outcome was symptom severity scores on PTSD Symptom Scale-Interview Version (PSS-I; Foa, Riggs, Dancu, & Rothbaum, 1993).Symptom best explained by...
The STRONG STAR Consortium (South Texas Research Organizational Network Guiding Studies on Trauma and Resilience) the to Alleviate PTSD are interdisciplinary multi-institutional research consortia focused detection, diagnosis, prevention, treatment of combat-related posttraumatic stress disorder (PTSD) comorbid conditions in military personnel veterans. This manuscript outlines consortia's state-of-the-science collaborative model how this can be used as a roadmap for future trauma-related...
The purpose of this pilot study was to determine if the efficacy imaginal exposure for symptoms posttraumatic stress disorder (PTSD) could be improved by adding aerobic exercise. We hypothesized that exercise would enhance therapy. Active duty service members with clinically significant (PTSD Checklist-Stressor-Specific Version, [PCL-S], ≥25) were randomized into one four conditions: only; plus exercise; no exercise/no therapy (control). Participants (N = 72) primarily male, Army,...
Counterinsurgency (COIN) has become the cornerstone of military's strategy to combat terrorist threats. COIN operations are complex and often expose soldiers unfamiliar stressors as they fight enemy while developing maintaining rapport with local populace. Utilizing a retrospective record review protocol, we examined 282 mental health files assigned brigade team that operated from large forward operating base in Iraq during counterinsurgency campaign. Most reported sleep disturbance,...
Prolonged Exposure (PE) Therapy receives most of its empirical support from trials conducted with civilian posttraumatic stress disorder (PTSD) populations. There has been only limited research on use military personnel combat-related PTSD, and as a consequence, there less clinical discussion detailing application active duty service members. The purpose this paper is to highlight two challenges that commonly arise when conducting PE members: 1) selecting the appropriate index event focus in...
Several recent studies have demonstrated that posttraumatic stress disorder (PTSD) and insomnia treatments are associated with significant reductions in suicidal ideation (SI) among service members. However, few investigations evaluated the manner which suicide risk changes over time military personnel receiving PTSD or treatments. This paper describes study protocol for a project these aims: (1) explore potential genetic, clinical, demographic subtypes of large cohort deployed members; (2)...
Previous research with civilian populations has found strong associations between fibromyalgia (FM) and posttraumatic stress disorder (PTSD). We undertook this study to investigate the prevalence of FM in military service members without PTSD.Participants were active duty personnel recruited into either an epidemiologic cohort before a deployment or 1 3 PTSD treatment trials. Instruments used document included Checklist-Stressor-Specific Version, Symptom Scale-Interview, 2012 American...