- Posttraumatic Stress Disorder Research
- Traumatic Brain Injury Research
- Migration, Health and Trauma
- Suicide and Self-Harm Studies
- Resilience and Mental Health
- Spinal Cord Injury Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Telemedicine and Telehealth Implementation
- Sleep and related disorders
- Sleep and Work-Related Fatigue
- Cardiac Arrest and Resuscitation
- Musculoskeletal pain and rehabilitation
- Disaster Response and Management
- Stress Responses and Cortisol
- Total Knee Arthroplasty Outcomes
- Musculoskeletal synovial abnormalities and treatments
- Psoriasis: Treatment and Pathogenesis
- Healthcare professionals’ stress and burnout
- Shoulder Injury and Treatment
- Trauma and Emergency Care Studies
- Spondyloarthritis Studies and Treatments
- Digital Mental Health Interventions
- Substance Abuse Treatment and Outcomes
- Child Abuse and Trauma
- Lysosomal Storage Disorders Research
Virginia Commonwealth University
2014-2024
University of Cambridge
2010-2024
VA Central California Health Care System
2021-2023
Addenbrooke's Hospital
2010-2022
Hunter Holmes McGuire VA Medical Center
2011-2021
Cambridge University Hospitals NHS Foundation Trust
2015-2021
United States Department of Veterans Affairs
2021
Maroc Numeric Cluster
2019
FrontLine Service
2019
Durham VA Medical Center
2008-2017
Abstract People who experience trauma and develop posttraumatic stress disorder (PTSD) are at increased risk for poor health. One mechanism that could explain this is accelerated biological aging, which associated with the accumulation of chronic diseases, disability, premature mortality. Using data from 2309 post-9/11 United States military veterans participated in VISN 6 MIRECC’s Post-Deployment Mental Health Study, we tested whether PTSD exposure were rate assessed using a validated DNA...
The present study examined the structural validity of 25-item Connor–Davidson Resilience Scale (CD-RISC) in a large sample U.S. veterans with military service since September 11, 2001. Participants ( N = 1,981) completed CD-RISC, structured clinical interview and self-report questionnaire assessing psychiatric symptoms. was randomly divided into two subsamples: an initial (Sample 1: n 990) replication 2: 991). Findings derived from exploratory factor analysis (EFA) did not support...
The United States (US) Department of Veterans Affairs (VA) Mid-Atlantic Mental Illness Research, Education, and Clinical Center (MIRECC) Post-Deployment Health (PDMH) multi-site study examines post-deployment mental health in US military Afghanistan/Iraq-era veterans. includes the comprehensive behavioral characterization over 3600 participants genetic, metabolomic, neurocognitive, neuroimaging data for many participants. design also incorporates an infrastructure a repository to re-contact...
Abstract Research generally supports a 4‐factor structure of posttraumatic stress disorder (PTSD) symptoms. However, few studies have established factor invariance by comparing multiple groups. This study examined PTSD symptom using the Davidson Trauma Scale (DTS) across three veteran samples: treatment‐seeking Vietnam‐era veterans, post‐Vietnam‐era and Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) research participants. Confirmatory analyses DTS items demonstrated that...
Abstract Objective To examine whether the Theory of Reasoned Action (TRA) and Technology Acceptance Model (TAM) apply to psychologists’ openness using telepsychology. Method Participants were 1,791 psychologists currently practicing psychotherapy. represented all 50 US states averaged 26.33 ( SD = 11.18) years in clinical practice. The study used a cross‐sectional, national online design. Results Path analyses derived from TRA TAM evidenced poor fit. A newly‐developed, third model achieved...
This study investigates prior reports of high neuropsychological symptom validity test (SVT) failure rates in post-deployed Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) active and veteran military personnel, using a large, multi-site sample (N = 214) drawn from three levels the Department Defense/Department Veterans Affairs (VA) Polytrauma System Care. The rate its relationship to research versus dual research/clinical context evaluation were examined, addition secondary...
Primary objectives: To measure common psychiatric conditions after military deployment with blast exposure and test relationships to post-concussion syndrome (PCS) symptoms mild traumatic brain injury (mTBI) history.Research design: Cross-sectional.Methods procedures: Service members or Veterans (n = 107) within 2 years of underwent structured interviews for mTBI, post-traumatic stress disorder (PTSD) multiple mood anxiety diagnoses.Main outcomes results: MTBI history active PTSD were both...
Background: The term resilience is applied in numerous ways the mental health field, leading to different perspectives of what constitutes a resilient response and disparate findings regarding its prevalence following trauma.Objective: illustrate impact various definitions on our understanding resilience, we compared (absence PTSD, absence current diagnosis, generalized psychological distress, an alternative trauma load–resilience discrepancy model difference between actual predicted...
Telepsychology has the potential to help mental health service providers reach millions of people in rural areas or those limited by other factors. This study examined pre-COVID-19 deterrents reported psychologists who did not use telepsychology. Participants were 1,400 with an average 26.3 (SD = 11.18) years practice currently practicing within United States but All 50 states represented as well Washington, DC. The most commonly deterrents, from least frequent, insufficient training, client...
The ongoing controversy whether mild traumatic brain injury (TBI) can cause chronic sequel is partly due to diagnostic limitations. Diagnosing TBI particularly challenging when assessment not immediate, and informed, first responder documentation or witness corroboration absent. In this common scenario, the diagnosis made entirely on self-report of an initial period alteration consciousness (AOC) associated with a plausible mechanism. Yet, there scant published empirical guidance methods for...
Sleep disturbances are well documented in relation to trauma exposure and posttraumatic stress disorder (PTSD), but correlates of such remain understudied veteran populations. We conducted a preliminary study sleep Operation Enduring Freedom, Iraqi New Dawn veterans (n = 133; mean [standard deviation] age 29.8 [4.7] y).