- Posttraumatic Stress Disorder Research
- Resilience and Mental Health
- Migration, Health and Trauma
- Child Abuse and Trauma
- Healthcare professionals’ stress and burnout
- Child and Adolescent Psychosocial and Emotional Development
- Traumatic Brain Injury Research
- Child and Adolescent Health
- Employment and Welfare Studies
- Occupational Health and Performance
- Mental Health Treatment and Access
- Suicide and Self-Harm Studies
- Stress Responses and Cortisol
- Health and Well-being Studies
- Racial and Ethnic Identity Research
- Substance Abuse Treatment and Outcomes
- Identity, Memory, and Therapy
- Homelessness and Social Issues
- Education and Military Integration
- Disaster Response and Management
- Psychiatric care and mental health services
- Anesthesia and Neurotoxicity Research
- Child Therapy and Development
- Climate Change and Health Impacts
- Psychotherapy Techniques and Applications
VA Mid-Atlantic Health Care Network
2011-2023
Duke University
2011-2023
Mental Illness Research, Education and Clinical Centers
2009-2023
Durham VA Health Care System
2013-2023
National Center for Post Traumatic Stress Disorder
2003-2023
Durham VA Medical Center
2009-2019
Campbell University
2019
Duke University Hospital
2002-2018
Duke Medical Center
2004-2018
Thomas Jefferson National Accelerator Facility
2014
Initial treatment of major depressive disorder in adolescents may include cognitive-behavioral therapy (CBT) or a selective serotonin reuptake inhibitor (SSRI). However, little is known about their relative combined effectiveness.To evaluate the effectiveness 4 treatments among with disorder.Randomized controlled trial volunteer sample 439 patients between ages 12 to 17 years primary Diagnostic and Statistical Manual Mental Disorders, Fourth Edition, diagnosis disorder. The was conducted at...
ContextThe terrorist attacks of September 11, 2001, represent an unprecedented exposure to trauma in the United States.ObjectivesTo assess psychological symptom levels States following events 11 and examine association between postattack symptoms a variety indices events.DesignWeb-based epidemiological survey nationally representative cross-sectional sample using Posttraumatic Stress Disorder (PTSD) Checklist Brief Symptom Inventory, administered 1 2 months attacks.Setting ParticipantsSample...
The Combat Exposure Scale (CES) was constructed as an attempt to measure the subjective report of wartime stressors experienced by combatants
Omissions in Acknowledgments in: The Treatment for Adolescents With Depression Study (TADS): Long-term Effectiveness and Safety Outcomes
The aim of this study was to determine the reliability and validity a proposed measure peritraumatic dissociation and, as part that effort, relationship between dissociative experiences during disturbing combat trauma subsequent development posttraumatic stress disorder (PTSD).A total 251 male Vietnam theater veterans from Clinical Examination Component National Veterans Readjustment Study were examined war zone exposure, retrospective reports most events, general tendencies with PTSD case...
Interviews were conducted with a nationally representative sample of 1,200 male Vietnam veterans and the spouses or co-resident partners 376 these veterans. The veteran interview contained questions to determine presence posttraumatic stress disorder (PTSD) items tapping family marital adjustment, parenting problems, violence. spouse partner (S/P) assessed S/P's view items, as well her own mental health, drug, alcohol problems behavioral school-aged children living at home. Compared families...
Structural equation modeling procedures were used to examine relationships among several war zone stressor dimensions, resilience-recovery factors, and post-traumatic stress disorder symptoms in a national sample of 1,632 Vietnam veterans (26% women 74% men). A 9-factor measurement model was specified on mixed-gender subsample the data then replicated separate subsamples female male veterans. For both genders, structural models supported strong mediation effects for intrapersonal resource...
Background:The Caring for Children in the Community Study examined prevalence of DSM-IV psychiatric disorders and correlates mental health service use rural African American white youth.Methods: Four thousand five hundred youth aged 9 to 17 years from 4 North Carolina counties were randomly selected school databases.Parents completed telephone questionnaires about their children's behavior problems.A second-stage sample 1302 was identified recruitment into interview phase study, 920 (70.7%)...
Abstract This paper examines exposure to potentially traumatic events from middle childhood through adolescence, and vulnerability such exposure. Analyses are based on the first 4 annual waves of data a longitudinal general population study youth in western North Carolina, involving 4,965 interviews with 1,420 children adolescents their parents or guardians. Participants reported DSM extreme stressors (“high magnitude events”), other (“low background factors. In this sample, one‐quarter...
Few guidelines exist for the psychological assessment of posttraumatic stress disorder (PTSD) in Vietnam combat veterans. The focus present study was to develop empirically based criteria use Minnesota Multiphasic Personality Inventory (MMPI) aid and diagnosis PTSD. Two hundred patients were assigned either a PTSD group (n = 100) or non-PTSD control 100). Standard clinical profiles demonstrated that had overall higher mean elevations an 8-2 configuration. A discriminant function analysis on...
<h3>Importance</h3> Being exposed to trauma is a common childhood experience associated with symptoms and impairments in childhood. <h3>Objective</h3> To assess the association between cumulative exposure adult psychiatric functional outcomes. <h3>Design, Setting, Participants</h3> Prospective, population-based cohort study of 1420 participants. A community representative sample participants was assessed structured Child Adolescent Psychiatric Assessment interviews up 8 times (ages 9-16...
Abstract Fear conditioning is an established model for investigating posttraumatic stress disorder (PTSD). However, symptom triggers may vaguely resemble the initial traumatic event, differing on a variety of sensory and affective dimensions. We extended fear-conditioning to assess generalization conditioned fear processing neurocircuitry in PTSD. Military veterans ( n =67) consisting PTSD =32) trauma-exposed comparison =35) groups underwent functional magnetic resonance imaging during low...
Relationships among pretrauma risk factors (e.g., family instability, childhood antisocial behavior), war-zone stressors combat, perceived threat), posttrauma resilience-recovery variables hardiness, social support), and posttraumatic stress disorder (PTSD) symptom severity were examined. Data from a national sample of 432 female 1,200 male veterans analyzed using structural equation modeling. For both genders, direct links to PTSD pretrauma, war-zone, variable categories found; several...
Veterans Administration Medical Center, Jackson, Mississippi andUniversity of CenterThere appears to be a high incidence posttraumatic stress disorders (PTSD)in Vietnam veterans. Yet there is little information available on the reliability andvalidity any approach assessment these combat-related disorders.The present study was designed determine if responses presentation ofmild combat stimuli would distinguish following three carefully matchedgroups veterans: (a) those with an exclusive...
Objective:A two-part study was conducted to examine the health status of Vietnam veterans with posttraumatic stress disorder (PTSD). In part 1, and without PTSD were compared on behaviors self-reported physician-rated problems. Consistency self-report physician rating for problems across two groups compared. 2, association between symptom severity, depression, somatization, in patients evaluated.Method:In 276 combat (225 51 PTSD) provided information, medical records reviewed. 225 completed...
Abstract A complete understanding of the consequences service in a war zone includes examining lifetime and current prevalence post‐traumatic stress disorder (PTSD), partial PTSD. Cases PTSD are persons who have clinically significant symptoms PTSD, but do not meet full diagnostic criteria. The National Vietnam Veterans Readjustment Study (NVVRS) estimated to be 30.9% among male theater veterans, 26.% females; was an additional 22.5% 21.2%, respectively; 11.1% males 7.8% females. NVVRS...
No abstract available for this article.
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) should ensure systematic attention to age-specific manifestations selective modifications the diagnostic criteria for posttraumatic stress disorder (PTSD) among children adolescents. authors propose developmental refinements conceptual framework PTSD based on an appreciation different neurosignatures danger safety, maturational processes that underlie symptom presentation. This includes preliminary evidence...