A5076390231- Musculoskeletal pain and rehabilitation
- Posttraumatic Stress Disorder Research
- Migraine and Headache Studies
- Traumatic Brain Injury Research
- COVID-19 and Mental Health
- Pain Management and Placebo Effect
- Healthcare professionals’ stress and burnout
- Pediatric Pain Management Techniques
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiovascular Syncope and Autonomic Disorders
- Suicide and Self-Harm Studies
- Cardiac Arrest and Resuscitation
- Art Therapy and Mental Health
- Ophthalmology and Visual Health Research
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Pain Management and Opioid Use
- Health and Wellbeing Research
- Stress Responses and Cortisol
- Spine and Intervertebral Disc Pathology
- Health Systems, Economic Evaluations, Quality of Life
- Maternal Mental Health During Pregnancy and Postpartum
- Death Anxiety and Social Exclusion
- Neurosurgical Procedures and Complications
- Pregnancy-related medical research
- Telemedicine and Telehealth Implementation
The University of Texas Health Science Center at San Antonio
2016-2025
South Texas Veterans Health Care System
2020-2025
The University of Texas Health Science Center at Houston
2020-2022
<h3>Importance</h3> Posttraumatic headache is the most disabling complication of mild traumatic brain injury. stress disorder (PTSD) symptoms are often comorbid with posttraumatic headache, and there no established treatments for this comorbidity. <h3>Objective</h3> To compare cognitive behavioral therapies (CBTs) PTSD treatment per usual (TPU) attributable to <h3>Design, Setting, Participants</h3> This was a single-site, 3–parallel group, randomized clinical trial outcomes at posttreatment,...
Abstract Background Trauma-focused psychotherapies for combat-related posttraumatic stress disorder (PTSD) in military veterans are efficacious, but there many barriers to receiving treatment. The objective of this study was determine if cognitive processing therapy (CPT) PTSD among active duty personnel and would result increased acceptability, fewer dropouts, better outcomes when delivered In-Home or by Telehealth as compared In-Office Methods trial used an equipoise-stratified...
Chronic lumbosacral radicular pain is a disabling condition commonly treated with epidural steroid injections (ESIs). Extant research suggests that psychosocial factors impact clinical outcomes among patients back pain. The purpose of this study to examine the relationship between variables and post-injection intensity. Interventional management clinic. A prospective longitudinal cohort repeated within-subject measures. Assessment timepoints included pre-injection baseline, immediately...
The objective was to explore how negative life events (NLEs, e.g., litigation related pain and disability, failing most recent physical fitness test, financial difficulties) are coping psychological adjustment in active duty military personnel.Data were gathered as part of the Evaluation Suicidality, Cognitions, Pain Experience study, a DoD-funded cross-sectional assessment chronic emotional among cohort members. investigators examined data from 147 respondents with complete survey data.The...
Chronic musculoskeletal pain is a complex problem, particularly for individuals with head injury and comorbid psychiatric conditions. The Fear Avoidance Model offers one of the strongest opportunities to conceptualize traumatic pain, but this model largely untested.This study tests chronic using sample from polytrauma patients in large Department Veterans Affairs facility who participated federally-funded interdisciplinary management.The present comprises secondary analysis 93 veterans...
Posttraumatic headache (PTH) is a common debilitating condition arising from head injury and highly prevalent among military service members veterans with traumatic brain (TBI). Diagnosis treatment for PTH still evolving, surprisingly little known about the putative mechanisms that drive these headaches. This manuscript describes design of randomized clinical trial two nonpharmacological (i.e., behavioral) interventions posttraumatic headache. Design this required careful consideration...
The novel coronavirus (2019; CV-19) is linked to increases in emotional distress and may be particularly problematic for those with pre-existing mental physical conditions, such as chronic pain posttraumatic stress disorder (PTSD). However, little empirical research has been published on resilience factors these individuals. present study aims examine authenticity a factor among and/or PTSD.
Posttraumatic headache is difficult to define and there debate about the specificity of 7-day onset criterion in current definition. There limited evidence available guide decision making this criterion.A nested cohort study 193 treatment-seeking veterans who met criteria for persistent attributed mild traumatic injury head, including some with delayed up 90 days post-injury, was undertaken. Survival analysis examined proportion participants reporting over time differences these proportions...
Abstract Introduction Headaches are one of the world’s most common disabling conditions. They also both highly prevalent and debilitating among military personnel can have a significant impact on fitness for duty. Hemiplegic migraines an uncommon, yet severely incapacitating, subtype migraine with aura which there has been increase amongst US over past decade. To date, not scientific report hemiplegic in United States personnel. Materials Methods The aim this study was to provide overview...
ABSTRACT Introduction Chronic pain and post-traumatic stress disorder (PTSD) comorbidity is prevalent among veterans associated with increased levels of severity pain-related disability. An improved understanding the relationship between these co-occurring disorders, in addition to effective integrated treatments, will develop by considering changes PTSD diagnostic criteria Diagnostic Statistical Manual Mental Disorders, Fifth Edition (DSM-5). The current study examined revised Checklist for...
Abstract Objective To characterize the relationship between head trauma types (blast injury, blunt combined blast+blunt injury) with subsequent headache presentations and functioning. Background Posttraumatic headaches (PTHs), most common sequelae of traumatic brain injury (TBI), are painful disabling. More than 400,000 veterans report having experienced a TBI, understanding predictors PTHs may guide treatment developments. Methods This study used nested‐cohort design analyzing baseline data...
Objective Prior work suggests perceived COVID-19-related threat and existential isolation (EI) would be associated with greater anxiety depression, worse subjective health well-being, lower hope. However, it was unclear whether such concerns might have additive effects (no interaction, two independent main effects) or interact (one effect modifies the other).Method Two studies collected data via MTurk during COVID-19 pandemic. Study 1 (N = 110) measured COVID19-related threat, EI, 2 2,673)...
The intent of this study is to examine treatment impact and efficiency observed when cognitive behavioral treatments for posttraumatic stress disorder (PTSD) are delivered in-person or using telehealth. This pooled data from 268 veterans enrolled in two PTSD clinical trials. In both trials, was in-home telehealth (
Objective: To conduct a descriptive transversal study to evaluate the incidence and demographic characteristics of post-traumatic headache using data from Defense Medical Epidemiology Database.Methods: A retrospective cohort was conducted 2008 2015 based on International Classification Diseases codes for both acute chronic headache.Results: total 17,010 new cases headaches were diagnosed among active duty military personnel. Reported rates in increased 29-fold over timeframe analyzed. Males...
There is a knowledge gap when treating comorbid chronic pain and posttraumatic stress disorder (PTSD) during the COVID-19 pandemic. Addressing this gap, 169 individuals (57.4% female), aged 39.8 years were recruited based on levels of pain-related disability PTSD symptoms. Participants assessed prior to, during, Improvements in marginally attenuated for group, compared to group. Results show that some condition-specific symptoms may not have been affected by Cautious interpretation warranted...
Abstract Over 400,000 U.S. military personnel have been diagnosed with a mild or moderate traumatic brain injury (TBI) since the year 2000. Posttraumatic headache (PTH) is one of most common and bothersome sequela after head injury. Persistent posttraumatic are headaches due to lasting longer than 3 months. About 40% who develop PTH TBI persistent about 20% original has negative impact on daily activities, including work social functioning. There no available guidelines for treating...
Abstract Objective To explore whether the association between change in headache management self‐efficacy and posttraumatic headache–related disability is partially mediated by a anxiety symptom severity. Background Many cognitive–behavioral therapy treatments for emphasize stress management, which includes strategies; however, little currently known about mechanisms of disability. Increasing our understanding could lead to improvements these debilitating headaches. Methods This study...
Journal of Integrative and Complementary MedicineAhead Print Considerations for Psychologically Informed Therapeutic Massage HeadachePaul S. Nabity, Shawn Farrokhi, John Finnell, Donald D. McGeary, Niki MunkPaul NabityAddress correspondence to: Paul PhD, Department Psychiatry Behavioral Sciences, University Texas Health Science Center, 5788 Eckhert Road, San Antonio, TX 78240, USA E-mail Address: [email protected]https://orcid.org/0000-0003-0040-7196Department TX, USA.Research Development...
OBJECTIVES/GOALS: Cognitive Processing Therapy (CPT) is a cognitive behavioral treatment for posttraumatic stress disorder (PTSD). CPT effective in treating combat-related PTSD among Veterans and active duty service members. It unknown whether improvement related to accommodation of patient preference the modality therapy, such as in-office, telehealth, in-home settings. An equipoise-stratified randomization design allows complete participants who are interested eligible all three arms. also...