- Musculoskeletal pain and rehabilitation
- COVID-19 and Mental Health
- Workplace Health and Well-being
- Impact of Technology on Adolescents
- Healthcare professionals’ stress and burnout
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Total Knee Arthroplasty Outcomes
- Stress and Burnout Research
- Digital Mental Health Interventions
- Orthopaedic implants and arthroplasty
- Maternal and Perinatal Health Interventions
- Psychosomatic Disorders and Their Treatments
- Employment and Welfare Studies
- Pain Management and Placebo Effect
- Child Development and Digital Technology
- Social Media and Politics
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Knee injuries and reconstruction techniques
- Maternal and fetal healthcare
- Child and Adolescent Psychosocial and Emotional Development
- Pediatric Pain Management Techniques
- Substance Abuse Treatment and Outcomes
- Behavioral Health and Interventions
- Orthopedic Infections and Treatments
- Resilience and Mental Health
Texas State University
2015-2024
Military & Health Research Foundation
2024
GTx (United States)
2010-2017
The University of Texas at Arlington
2008-2012
The University of Texas Southwestern Medical Center
2012
The University of Texas at San Antonio
2012
Productive Rehabilitation Institute of Dallas for Ergonomics
2008-2010
Abstract: Central sensitization (CS) has been proposed as a common pathophysiological mechanism to explain related syndromes for which no specific organic cause can be found. The term “central sensitivity syndrome (CSS)” describe these poorly understood disorders CS. goal of this investigation was develop the Sensitization Inventory (CSI), identifies key symptoms associated with CSSs and quantifies degree symptoms. utility CSI, differentiate among different types chronic pain patients who...
Abstract Purpose Utilizing data from an online comprehensive occupational health survey, this study aimed to systematically evaluate the factors most strongly associated with intent‐to‐quit profession for public school teachers. Methods A total of 2,588 teachers 46 Texas districts responded a survey. Univariate and multivariate analyses were conducted identify specific demographic, occupational, intentions quit teaching within 1 year. Results Teachers fewer years’ experience alternative...
Abstract Although studies have shown that increases in the frequency of social media use may be associated with depressive symptoms individuals depression, current study aimed to identify specific behaviors related major disorder (MDD). Millennials ( N = 504) who actively Facebook, Twitter, Instagram, and/or Snapchat participated an online survey assessing depression and behaviors. Univariate multivariate analyses were conducted presence MDD. The results identified five key factors...
Factors other than surgical technique and implants impact patient outcomes following a total knee arthroplasty. The purpose of this study was to analyze the effects psychopathology on rate improvement arthroplasty in an indigent population.One hundred fifty-four consecutive patients undergoing primary for arthritis were enrolled available follow-up. Patients classified as having basis presence somatization, depression, and/or panic or anxiety disorder assessed with Patient Health...
Objective. We investigated the extent to which anxiety and depression mediate relationship between pain catastrophizing risk of prescription opioid misuse in chronic patients. Methods. 215 patients with occupational musculoskeletal disorders completed self-report measures upon admission a functional restorational program. A bootstrap multivariate regression analysis was conducted assess how mediated misuse. Results. Catastrophizing, anxiety, predicted higher for Furthermore, acted as...
Little is known about the psychological stress and secondary impacts emerging among general U.S. population as a result of ongoing COVID-19 pandemic. The purpose for current study to assess prevalence rates Generalized Anxiety Disorder (GAD) establish psychosocial correlates, pandemic-themed concerns, other comorbidities those with GAD at initial onset This online included 2,101 adults between April 14–22, 2020, during stay-at-home protocols assessed GAD, factors, pandemic-related factors...
Social media platforms and social networking sites are heavily focused on self-presentation impression management. The present study aimed to identify salient behaviors psychosocial factors most associated with high levels of upward online comparisons. An survey was administered through Amazon's Mechanical Turk assess demographics, factors, behaviors, including tendencies make comparisons online. Results revealed key related comparisons: those low quality life, perceived support, in fear...
The present study takes a new approach to understanding how presenteeism relates chronic pain or disability patient outcomes.The sample consisted of 2191 consecutive disabling musculoskeletal disorder patients, classified as either presentees (N = 704), absentees 1487), who were admitted functional restoration program. measures included medical evaluations, demographic data, psychiatric diagnoses at admission, an 1 year follow-up socioeconomic outcome assessment and validated questionnaires...
Abstract The purpose of the study was to systematically assess demographic, occupational, and psychosocial factors associated with Anxiety Disorder in public school teachers. A sample 3,361 teachers given an online questionnaire, including questions about factors. based on Patient Health Questionnaire. Univariate analyses a hierarchical logistic regression were used determine key Disorder. Individuals significantly more likely report absenteeism higher intent quit ( p < .001). showed that...
This study aimed to examine workplace depression among public teachers. Up 3,003 teachers completed an occupational health survey and Patient Health Questionnaire, which provided provisional diagnoses of major depressive disorder ( MDD ). Analyses explored key factors linked Teachers more likely meet criteria were Hispanic, divorced, had less experience, taught at elementary level, reported low job satisfaction control, higher absenteeism increased likelihood leaving the profession. with...
The purpose of this paper is to analyze the impact major depressive disorder, both preoperatively and one year postoperatively, on functional psychosocial outcomes total knee arthroplasty (TKA).Two hundred sixty patients undergoing a completed baseline 12-month follow-up assessments. Short-Form Health Inventory (SF36), Western Ontario McMaster University Arthritis Index (WOMAC), Knee Society Score (KSS) were measured postoperatively. Patient Questionnaire (PHQ) was used diagnose disorder...
The aim of this study was to evaluate specific adaptive coping strategies, including spirituality, social support, and healthy behaviours, that are associated with better quality life in a college student population. Four hundred forty (N = 440) students the United States mean age 20.67 (SD 2.94) completed an online survey measuring various strategies life. Univariate multivariate analyses were conducted identify Low, Moderate, High results showed overall, low stress (p < .001), high...
Objective: College students' reliance on social media is both a risk factor for alcohol-related problems and possible avenue intervention. Greater understanding of habits in relation to drinking may lead more effective prevention efforts. This study examined the use alcohol Hispanic non-Hispanic college students with without history binge drinking. Method: Participants (N = 424; age 18–25; 84% female) completed online surveys use, intensity Snapchat, Instagram, Facebook, Twitter, addiction,...
This study assessed the relationship between perceived stress of public school teachers and frequency total illness days. sample included 2542 number days within last 4 weeks. Independent variables measures stress, demographic characteristics, occupational factors, health behaviors. High levels were associated with increased (p < 0.01). Occupational factors mediated bivariate effect by approximately 37%. Efforts to reduce level in promote supportive working environments should be explored as...
Rates of mood disorders and substance use increased during the COVID-19 pandemic for postpartum women. The present study’s aims were to: (1) examine prevalence major depressive disorder (MDD) in women pandemic, (2) evaluate whether social support can buffer associations between MDD, psychosocial factors (perceived stress, generalized anxiety, intimate partner violence) (alcohol drug use). A nationwide survey included 593 mothers (within 12 months from birth). Participants assessed a...
To identify the prevalence, risk factors, and treatment outcomes of patients with chronic disabling occupational musculoskeletal disorders (CDOMD) who met criteria for fibromyalgia.This was a prospective prognostic study consecutive cohort CDOMD (n = 449) admitted treatment. Patients were assessed widespread pain fibromyalgia. The measures included demographic, injury-related information, psychosocial measures, 1-year work status follow-up.The fibromyalgia reported higher-level distress....