A5009204253- Resilience and Mental Health
- Posttraumatic Stress Disorder Research
- Opioid Use Disorder Treatment
- Migration, Health and Trauma
- Pain Management and Opioid Use
- Healthcare professionals’ stress and burnout
- Heart Rate Variability and Autonomic Control
- Education and Military Integration
- Gender, Security, and Conflict
- Pediatric Pain Management Techniques
- Sexual Assault and Victimization Studies
- Suicide and Self-Harm Studies
- Maternal Mental Health During Pregnancy and Postpartum
- Psychosomatic Disorders and Their Treatments
- Employment and Welfare Studies
- Health, psychology, and well-being
- Prenatal Substance Exposure Effects
- Health disparities and outcomes
- Stress Responses and Cortisol
- Optimism, Hope, and Well-being
- Non-Invasive Vital Sign Monitoring
- Cardiac Arrest and Resuscitation
- Pain Management and Placebo Effect
- Pain Management and Treatment
- Global Health Workforce Issues
RTI International
2016-2021
Womack Army Medical Center
2018
North Carolina State University
2017
<h3>Importance</h3> This is the first multisite, randomized clinical trial of stellate ganglion block (SGB) outcomes on posttraumatic stress disorder (PTSD) symptoms. <h3>Objective</h3> To determine whether paired SGB treatments at 0 and 2 weeks would result in improvement mean Clinician-Administered PTSD Scale for<i>DSM-5</i>(CAPS-5) total symptom severity scores from baseline to 8 weeks. <h3>Design, Setting, Participants</h3> blinded, sham-procedure, used a 2:1 SGB:sham ratio was conducted...
Objective: Military veterans are more likely than civilians to experience trauma and posttraumatic stress disorder (PTSD). Research suggests, however, that some people who trauma, including veterans, report growth (PTG), or positive personal changes following adversity. In this study, we tested a comprehensive model of PTG, PTSD, satisfaction with life in veteran population, exploring the roles challenges core beliefs, types rumination, sex, time since event. Method: Data were collected via...
Military chaplains not only conduct religious services, but also provide counseling and spiritual support to military service members, operating as liaisons between soldiers mental health professionals. In this study, active-duty (N = 889) reported help-seeking behaviors health. Using logistic regressions, we describe the issues for which seeking help, then outline characteristics of those who are most likely seek help from a chaplain. Of sought chaplain within previous year, 29.9% high...
This paper examines accuracy, acceptability, and respondent burden of integrated screening to facilitate tailored sexual assault (SA) prevention program delivery in a basic military training (BMT) environment. Trainees (n = 5,951) received content based on self-reported sex, orientation, prior SA victimization perpetration, past-month post-traumatic stress symptoms. Bivariate analyses examined trainee-reported screener burden, including differences by tailoring-targeted subgroups (e.g....
Understanding mental health disorder diagnosis and treatment seeking among active-duty military personnel is a topic with both clinical policy implications. It has been well documented in populations that individual-level experience, including deployment history combat exposure, influences outcomes, but the impact of unit-level factors less understood. In current study, we used administrative longitudinal data to examine comprehensive set unit- predictors posttraumatic stress (PTSD),...
Despite efforts to understand the antecedents, correlates, and consequences of posttraumatic growth (PTG), role time since a traumatic event (time event) vis-à-vis PTG is not well understood. Part larger project exploring experiences following emotionally distressing events among military veterans (N = 197) using Amazon’s Mechanical Turk (Mturk), in current study, we sought clarify associations between PTG. We used cluster-analytic techniques analyses variance (a) determine number clusters,...
Psychological resilience is critical to minimize the health effects of traumatic events. Trauma may induce a chronic state hyperarousal, resulting in problems such as anxiety, insomnia, or posttraumatic stress disorder. Mind-body practices, relaxation breathing and mindfulness meditation, help reduce arousal likelihood psychological distress. To better understand resilience-building we are conducting Biofeedback-Assisted Resilience Training (BART) study evaluate whether practice slow, paced...
Background: Our previous research has highlighted the important link between coping behaviors and mental health symptoms in military personnel. This study seeks to extend these findings by examining each behavior issue individually. four specific aims: (1) test cross-sectional relationships at baseline follow-up, (2) examine stability of variable over time, (3) determine predictive nature on subsequent coping, (4) assess magnitude effect evaluate differential value symptoms. Methods: A...
Abstract We examined the longitudinal course of primary care patients in active duty Army with posttraumatic stress disorder (PTSD) and identified prognostic indicators PTSD severity. Data were drawn from a 6‐site randomized trial collaborative for dpression military. Subjects 474 soldiers (scores ≥ 50 on Checklist ‐Civilian Version). Four assessments completed at U.S. installations: baseline, follow‐ups 3 months (92.8% response rate [RR]), 6 (90.1% RR), 12 (87.1% RR). Combat exposure 7...
Abstract Background As of 2015, more than 2.7 million US military Veterans have served in support the Global War on Terror. The negative sequelae associated with deployment stressors and related traumas are well-documented. Although data mental health issues routinely collected from service members returning deployment, these not been made publicly available, leaving researchers clinicians to rely convenience samples, outdated studies small sample sizes. Methods Population-based Marines...
The goal of this study was to examine the relationship between sleep issues, mental health (perceived stress, posttraumatic stress disorder [PTSD] symptoms, and depressive symptoms), suicidal ideation (SI) in a sample military service members (N = 891) using mediation analyses. Sleep issues were related SI, PTSD, symptoms. perceived symptoms mediated SI; after accounting for no longer had direct effect on SI. findings suggest that may operate as risk factor
This study explored U.S. Air Force service members' perceptions of high-risk situations for sexual assault victimization. Qualitative data were collected from 52 active duty Airmen, including survivors and general population officers enlisted personnel. Participants recruited through posted flyers, base-wide e-mail messages, referrals the Sexual Assault Response Coordinator's office. Content analysis was used to summarize participants' opinions experiences. High-risk all Airmen included...
ABSTRACT Introduction Heart rate variability (HRV) is a biological marker that reflects an individual’s autonomic nervous system regulation. Psychological resilience ability to recover from adverse event and return physiological homeostasis mental well-being, indicated by higher resting HRV. The Biofeedback Assisted Resilience Training (BART) study evaluates resilience-building intervention, with or without HRV biofeedback. This article the feasibility of remote psychophysiological research...
The authors developed an integrated model of well-being, defined by happiness and physical health, among post-9/11 veterans, examining associations religious attendance, trauma, appreciation in life, ease readjustment to civilian life with well-being. Data on 712 military veterans (81.0% male) were drawn from the Pew Research Center's 2011 Veterans Study. conducted multiple regression analyses identify predictors health used structural equation modeling develop veteran authors' findings...
Several factors must be considered when examining violence victimization and mental health consequences among military service members: the prevalence of pre-military victimization, risk subsequent conferred by prior cumulative or multiplicative effect adverse events, trauma exposure issues in military, as well protective factors, such resilience. The present study seeks to examine differential impact several types both pre- peri-military on current symptoms, potential buffering resilience,...
Sexual assault prevention is a priority for the military and likely to be most effective when tailored specific needs individual experiences. Technology advances make it possible integrate individualized programming into group education settings common training, but this approach not without potential challenges. Prior implementing evaluating novel program, critical conduct feasibility study assess extent which program can successfully implemented, acceptable participants, rigorously...
Opioid misuse and addiction are at epidemic levels in the United States. Postoperative opioid prescription is inconsistent often excessive, including for cesarean section patients. Technology, such as mobile applications clinical decision support tools, can be used to decrease use among patients, determine more appropriate prescribing practices specific procedures. The objective of this study was examine preliminary impact Continuing Precision Medicine (CPM) application reduce pain...
Opioid misuse can, and should, be characterized as an epidemic public health crisis. misuse, use disorders, overdoses are costly in terms of morbidity, mortality, humanitarian economic costs. Managing the opioids postoperative period is essential point intervention combating opioid To address this critical issue, Continuous Precision Medicine (CPM; Research Triangle Park, NC) has developed a mobile application that tracks patient’s pain usage both opiates non-steroidal anti-inflammatory...
Abstract Background: Opioid misuse and addiction are at epidemic levels in the United States. Postoperative opioid prescription is inconsistent often excessive, including for cesarean section patients. Technology, such as mobile applications clinical decision support tools, can be used to decrease use among patients, determine more appropriate prescribing practices specific procedures. Methods: Patients undergoing were randomized either a control group or an experimental group, which CPMRx...