A5052580369- Posttraumatic Stress Disorder Research
- Traumatic Brain Injury Research
- Migration, Health and Trauma
- Healthcare professionals’ stress and burnout
- Psychotherapy Techniques and Applications
- Eating Disorders and Behaviors
- Child Abuse and Trauma
- Treatment of Major Depression
- Suicide and Self-Harm Studies
- Resilience and Mental Health
- Health Policy Implementation Science
- Trauma and Emergency Care Studies
- Obesity, Physical Activity, Diet
- Mental Health Research Topics
- Primary Care and Health Outcomes
- Obesity and Health Practices
- Mental Health and Patient Involvement
- Identity, Memory, and Therapy
- Anesthesia and Neurotoxicity Research
- Cardiac Arrest and Resuscitation
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Counseling Practices and Supervision
- Palliative Care and End-of-Life Issues
- Meta-analysis and systematic reviews
- Disaster Response and Management
VA Boston Healthcare System
2016-2025
Minneapolis VA Health Care System
2016-2025
University of Minnesota
2016-2025
National Center for PTSD
2016-2025
National Center for Post Traumatic Stress Disorder
2020-2025
University of Minnesota Medical Center
2013-2024
Minneapolis VA Medical Center
2024
Boston University
2018
Hudson Institute
2017
Washington DC VA Medical Center
2016
Emerging data suggest that few veterans are initiating prolonged exposure (PE) and cognitive processing therapy (CPT) dropout levels high among those who do start the therapies. The goal of this study was to use a large sample seen in routine clinical care 1) report percent eligible referred (a) initiated PE/CPT, (b) dropped out (c) were early PE/CPT dropouts, 2) examine predictors initiation, 3) late dropout. We extracted from medical records 427 offered following an intake at Veterans...
Although women in the military are exposed to combat and its aftermath, little is known about whether as well pre-deployment risk/protective factors differentially predict post-deployment PTSD symptoms among compared men. The current study assesses influence of combat-related stressors on women's risk developing following deployment relative men's risk.Participants were 801 US National Guard Soldiers (712 men, 89 women) deployed Iraq or Afghanistan who completed measures potential one month...
Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) are first-line treatments for posttraumatic stress disorder (PTSD) have been disseminated throughout the U.S. Veterans Health Administration. Treatment non-completion is common lessens clinical effectiveness; however, prior work has failed to identify factors consistently associated with non-completion. Semi-structured interviews were conducted a national sample of veterans who recently completed (n = 60) or did not complete 66)...
After returning from an extended combat deployment to Iraq, 348 National Guard soldiers were administered the PTSD Checklist (PCL-M), and Beck Depression Inventory II (BDI-II) followed, on average, 3 months later by structured diagnostic interviews including Clinician-Administered Scale (CAPS) for Diagnostic Statistical Manual of Mental Disorders (4th ed.). There 6.5% who met criteria posttraumatic stress disorder (PTSD) based interview. The predictive validity PCL was examined contrasted...
Evidence-based psychotherapies for PTSD are often underused. The objective of this mixed-method study was to identify organizational and clinic factors that promote high levels reach evidence-based 10 years into their dissemination throughout the Veterans Health Administration. We conducted 96 individual interviews with staff from ten outpatient teams at nine sites differed in PTSD. Major themes associated included mission, leader engagement, operations, perceptions, practice environment....
Women veterans in the United States, particularly those with posttraumatic stress disorder (PTSD) or a history of military sexual assault, have unique health care needs, but their minority status US Veterans Health Administration (VHA) has led to documented healthcare disparities when compared men. This study's objective was obtain richer understanding challenges and successes encountered by women self-reported service-related trauma histories (particularly assault and/or symptomology)...
The two widely available evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD) are cognitive processing therapy and prolonged exposure. Although the U.S. Department of Veterans Affairs (VA) has invested in intensive clinical training to provide these first-line treatments, most military veterans do not receive therapies. Prior research indicates that patient interest motivation depend on how patients educated, differences information is presented shape their...
Despite a varied selection of available trauma-focused evidence-based psychotherapies (TF-EBPs) for posttraumatic stress disorder (PTSD), few veterans receive full course an treatment. A better understanding and alignment with veterans' PTSD treatment goals could be one way to improve engagement adherence, consistent veteran-oriented care within the U.S. Department Veterans Affairs (VA) Healthcare System. Few studies have examined specific or reasons seeking PTSD. We conducted qualitative...
Early detection of eating disorders (EDs) is crucial for both prevention and treatment; however, few ED measures have been validated among older adults, men, racially/ethnically diverse individuals, who may varying symptom presentations. We examined the psychometric quality three self-report within a sample U.S. military veterans, population that elevated rates EDs. Participants (N = 1,187) completed Eating Disorder Diagnostic Scale-5 (EDDS-5), Examination-Questionnaire (EDE-Q), SCOFF (Sick,...
Prolonged exposure (PE) and cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) are effective, but some patients do not respond adequately, dropout rates high. Patients' beliefs about treatment perceptions of components influence outcomes may be amenable to change through intervention. The present study sought identify reactions PE CPT that differentiated completers who screened negative a PTSD diagnosis after (PTSD-), positive (PTSD+), discontinuers attended six or...
To examine whether a traumatic brain injury (TBI) diagnosis was associated with increased outpatient service utilization and costs among Iraq Afghanistan (Operation Enduring Freedom [OEF]/Operation Iraqi [OIF]/Operation New Dawn [OND]) War veterans posttraumatic stress disorder (PTSD) who used Veterans Health Affairs (VHA) care in 1-year period.N/A.OEF/OIF/OND of PTSD and/or TBI utilized VHA services during fiscal year 2012 (N = 164 644).Observational study using administrative...
Dropout rates from trauma-focused PTSD treatments (TFTs) in VA clinics are particularly high. We conducted in-depth qualitative interviews with 29 veterans and their therapists to better understand this phenomenon. Participants were part of a multisite, mixed-methods study TFT adherence clinics. Veterans eligible for if they exhibited poor screened positive follow-up surveys. Interviews analyzed using dyadic analysis approaches. Therapists relied on stereotypes veterans' experiences missing...
This study evaluated the impact of a course prolonged exposure or cognitive processing therapy on mental health and medical service utilization care costs provided by Department Veterans Affairs (VA). Data VA were obtained from national databases for 70 veterans who completed at Midwestern center. Utilization services cost data examined year before after treatment. Results demonstrated significant decrease in use individual group psychotherapy. Direct associated with decreased 39.4%. Primary...
Examination of trends in Veterans Health Administration (VHA) healthcare utilization and costs among veterans with mild traumatic brain injury (mTBI) is needed to inform policy, resource allocation, treatment planning. The objective this study was assess the patterns VHA 3 years following TBI screening mTBI, compared without TBI. A retrospective cohort who underwent fiscal year 2010 conducted. We used associated by categories care compare diagnosed mTBI (n = 7318) those screened negative...
Objectives: To determine whether there are racial or ethnic disparities in receipt of U.S. Department Veterans Affairs (VA) psychotherapy services for veterans with posttraumatic stress disorder (PTSD), the authors examined odds any and individual among self-identified groups six months after individuals were diagnosed as having PTSD. Methods: Data from a national prospective cohort study 6,884 Patients no mental health care prior year surveyed immediately following PTSD diagnosis. VA...
Most veterans with posttraumatic stress disorder (PTSD) who receive care from the Veterans Health Administration (VHA) do not individual psychotherapy. The purpose of this study was to explore gender differences in initiation and completion a sufficient course (defined as attending 8 or more sessions) psychotherapy among male female VHA users recently diagnosed PTSD.