A5006974046- Posttraumatic Stress Disorder Research
- Traumatic Brain Injury Research
- Migration, Health and Trauma
- Telemedicine and Telehealth Implementation
- Anesthesia and Neurotoxicity Research
- Healthcare professionals’ stress and burnout
- Child Abuse and Trauma
- Resilience and Mental Health
- Suicide and Self-Harm Studies
- Psychosomatic Disorders and Their Treatments
- Stress Responses and Cortisol
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Cardiac Arrest and Resuscitation
- Digital Mental Health Interventions
- Healthcare Systems and Technology
- Treatment of Major Depression
- Cardiac Health and Mental Health
- Cancer survivorship and care
- Psychotherapy Techniques and Applications
- Child and Adolescent Psychosocial and Emotional Development
- COVID-19 and healthcare impacts
- Transcranial Magnetic Stimulation Studies
- Cardiovascular Health and Risk Factors
- Primary Care and Health Outcomes
- Obesity and Health Practices
University of Michigan
2025
VA Ann Arbor Healthcare System
2025
Atlanta VA Medical Center
2025
University of Virginia
2005-2023
Center for Prevention Services
2019-2023
Ralph H. Johnson VA Medical Center
2011-2020
Medical University of South Carolina
2011-2020
Hudson Institute
2020
Virtually Better
2020
Saint Louis University
2019
Abstract The authors present a pilot study of 12 veterans diagnosed with combat‐related PTSD and treated prolonged exposure therapy (PE) via telehealth technology. A reference sample 35 combat in‐person PE in the same clinic is also included for comparison. Feasibility clinical outcomes interest include technical performance practicality equipment, patient safety, treatment completion rates, number sessions required termination, outcomes. Results indicated large statistically significant...
Combat veterans returning to society with impairing mental health conditions such as PTSD and major depression (MD) report significant barriers care related aspects of traditional psychotherapy service delivery (e.g., stigma, travel time, cost). Hence, alternate treatment methods are needed. Home-based telehealth (HBT) is one option; however, this mode has not been compared in person, clinic-based for adequately powered trials. The present study was designed compare relative noninferiority...
Meta-analyses of treatments for posttraumatic stress disorder (PTSD) suggest that trauma-focused psychotherapies produce greater benefits than antidepressant medications alone.To determine the relative efficacy prolonged exposure therapy plus placebo, sertraline hydrochloride, and enhanced medication management in treatment PTSD.The Prolonged Exposure Sertraline Trial was a randomized, multisite, 24-week clinical trial conducted at Veterans Affairs Ann Arbor Healthcare System, San Diego...
Telehealth technology may reduce the effect of treatment barriers and improve participation in for veterans with posttraumatic stress disorder (PTSD). The present study is an ongoing randomized controlled trial comparing effectiveness prolonged exposure (PE) delivered via person or home-based video telehealth modalities.A total 52 combat-related PTSD were to receive 8-12 weeks PE through either standard in-person office-based care.Participants evinced significant reductions symptoms PTSD,...
Posttraumatic stress disorder (PTSD) is associated with functional impairment, co-occurring diagnoses, and increased health care utilization. Associated high demand for services an important contributor to the large public-health cost of PTSD. Treatments incorporating exposure therapy are efficacious in ameliorating or eliminating PTSD symptoms. Accordingly, Veterans Health Administration has made significant investments toward nationwide dissemination a manualized protocol, prolonged (PE)....
Background Understanding cognitive and biological mechanisms of PTSD treatment can help refine treatments increase rates response. Methods Thirty-six veterans with were randomly assigned to receive Prolonged exposure therapy (PE) or Present-Centered (PCT). We examined symptoms, trauma-related cognitions, two indices HPA axis function (cortisol awakening response cortisol a script-driven imagery task). Results Thirty started 26 completed. PE resulted in significantly more symptom reduction...
A proportion of U.S. veterans returning from Iraq and Afghanistan have experienced mild traumatic brain injury (mTBI), which is associated with increased risk for developing posttraumatic stress disorder (PTSD). Prolonged Exposure (PE) has proven effectiveness in the treatment PTSD; however, some clinicians reservations about using PE individuals a history mTBI. We examined impact PTSD or without mTBI naturalistic sample 51 who received at Veterans Health Administration clinic. also analyzed...
Modest weight loss from clinical interventions improves glycemic control in type 2 diabetes (T2DM). Data are sparse on the effects of via commercial programs. This study examined and standard Weight Watchers program, combined with telephone email consultations a certified educator (WW), compared nutrition counseling education (standard care, SC).In 12-month randomized controlled trial at 16 U.S. research centers, 563 adults T2DM (HbA1c 7-11%; BMI 27-50 kg/m2 ) were assigned to either...
One in 3 veterans will dropout from trauma-focused treatments for posttraumatic stress disorder (PTSD). Social environments may be particularly important to influencing treatment retention. We examined the role of 2 support system factors predicting dropout: social control (direct efforts by loved ones encourage participate and face distress) symptom accommodation (changes ones' behavior reduce veterans' PTSD-related distress).Veterans a one were surveyed across 4 VA hospitals. All...
Objective This study examined clinical and retention outcomes following variable length prolonged exposure (PE) for posttraumatic stress disorder (PTSD) delivered by one of three treatment modalities (i.e., home-based telehealth [HBT], office-based [OBT], or in-home-in-person [IHIP]). Method A randomized trial design was used to compare variable-length PE through HBT, OBT, IHIP. Treatment duration number sessions) determined either achievement a criterion score on the PTSD Checklist...
Background Physiological reactivity to trauma-related cues is a primary symptom of PTSD and can be assessed objectively using script-driven imagery paradigms. However, subjective self-reported measures are the most common outcome indices utilized in treatment trials clinic settings. We examined physiological during short trauma task as an objective index response treatment, optimized for use routine clinical care Methods Participants were 35 male combat veterans receiving prolonged exposure...
The alpha-2 adrenergic receptor antagonist, yohimbine, can facilitate fear extinction in animals and humans. One potential mechanism is increased noradrenergic activity associated arousal the presence of conditioned stimuli. Accordingly, yohimbine might augment prolonged exposure (PE) therapy for posttraumatic stress disorder (PTSD), where heightened exposure-oriented a theorized driver empirical predictor treatment success. A double-blind placebo-controlled randomized trial (NCT 01031979)...
Posttraumatic stress disorder (PTSD) is associated with increased risk of type 2 diabetes (T2D). Improvement in PTSD has been improved self-reported physical health and hypertension; however, there no literature, to our knowledge, on whether improvement T2D risk.To examine clinically meaningful symptom reduction lower T2D.This retrospective cohort study examined Veterans Health Affairs medical record data from 5916 patients who received specialty care between fiscal years 2008 2012 were...
There is significant support for exposure therapy as an effective treatment posttraumatic stress disorder (PTSD) across a variety of populations, including veterans; however, there little empirical information regarding how veterans different war theaters respond to therapy. Accordingly, questions remain effectiveness PTSD eras. Such have important implications the dissemination evidence based treatments, development, and policy. The current study compared outcomes 112 Vietnam War, first...
Background Posttraumatic stress disorder ( PTSD ) is associated with risk of cardiovascular disease CVD ). Biopsychosocial factors likely account for some or all this association. We determined whether 1, a combination comorbid conditions explained the association between and incident . Methods Results Eligible patients used 1 5 Veterans Health Affairs medical centers distributed across United States. Data were obtained from electronic health records. At index date, 2519 VA patients, 30 to...
This is a small preliminary but novel study assessing the feasibility of repetitive transcranial magnetic stimulation (rTMS) delivery to veterans with posttraumatic stress disorder (PTSD) while they simultaneously receive prolonged exposure (PE) therapy.A prospective, randomized, double-blinded, active sham-controlled design combined weekly sessions rTMS and standard PE at Veterans Administration Hospital. Eight adult patients received full course protocol-driven therapy were randomly...