A5075822711- Mental Health Treatment and Access
- Suicide and Self-Harm Studies
- Medical Imaging Techniques and Applications
- Radiation Detection and Scintillator Technologies
- Primary Care and Health Outcomes
- Psychosomatic Disorders and Their Treatments
- Traumatic Brain Injury Research
- Family Caregiving in Mental Illness
- Schizophrenia research and treatment
- Child and Adolescent Psychosocial and Emotional Development
- Advanced MRI Techniques and Applications
- Posttraumatic Stress Disorder Research
- Radiation Dose and Imaging
- Advanced X-ray and CT Imaging
- Chronic Disease Management Strategies
- Healthcare professionals’ stress and burnout
- Resilience and Mental Health
- Digital Mental Health Interventions
- Psychiatric care and mental health services
- Advanced Radiotherapy Techniques
- Health Policy Implementation Science
- Mental Health and Patient Involvement
- Sleep and related disorders
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Musculoskeletal pain and rehabilitation
University of Massachusetts Boston
2014-2023
Counseling Center
2018
Summa Barberton Hospital
2017
Feminist Archive North
2017
Williams (United States)
2015
University of Washington Medical Center
2005-2014
University of Washington
2000-2013
Seattle University
2003-2008
University of Rochester
2007
FrontLine Service
2007
Purpose: We compared a primary-care-based psychotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psychotherapy in treating late-life major depression and dysthymia. Design Methods: The data here are from the IMPACT study, which collaborative within clinic as usual treatment of 1,801 patients, 60 years age or older, with This study is secondary analysis (n = 433) participants who received either PST-PC (by means care) care). Results: Older adults had...
<b>PURPOSE</b> The purpose of this study was to ascertain physician characteristics associated with exploring suicidality in patients depressive symptoms and the influence patient antidepressant requests. <b>METHODS</b> Primary care physicians were randomly recruited from 4 sites northern California Rochester, NY; 152 participated (53%–61% those approached). Standardized portraying 2 conditions (major depression adjustment disorder) 3 request types (brand specific, general, or none) made...
Major depressive disorder (MDD) is prevalent after traumatic brain injury (TBI); however, there a lack of evidence regarding effective treatment approaches. We conducted choice-stratified randomized controlled trial in 100 adults with MDD within 10 years complicated mild to severe TBI test the effectiveness brief cognitive behavioral therapy administered over telephone (CBT-T) (n=40) or in-person (CBT-IP) (n=18), compared usual care (UC) (n=42). Participants were recruited from clinical and...
We are developing a software simulation system for emission tomography (SimSET). All the is being designed and documented using modern engineering techniques. As modules in completed they will be placed public domain. The first module of SimSET to released, photon history generator (PHG), tracks photons through tomograph field-of-view. PHG incorporates importance sampling [I] allows source activity attenuation modeled as voxelized objects three dimensions. input format object has been chosen...
We examined hopelessness and suicidal ideation in association with subthreshold threshold posttraumatic stress disorder (PTSD) a sample of Iraq Afghanistan War Veterans (U.S., N = 275) assessed within specialty VA postdeployment health clinic. completed paper-and-pencil questionnaires at intake. The military version the PTSD Checklist was used to determine levels (No PTSD; PTSD), endorsement or were as markers elevated suicide risk. also asked if they received mental treatment prior 6...
Objective: This study examined posttraumatic stress disorder (PTSD) as a potential moderating variable in the relationship between social support and elevated suicide risk sample of treatment-seeking Iraq Afghanistan War Veterans. Method: As part routine care, self-reported marital status, satisfaction with networks, PTSD, recent suicidality were assessed Veterans (N=431) referred for mental health services at large Veteran Affairs Medical Center. Logistic regression analyses conducted using...
Suicide has a large public health impact. Although effective interventions exist, the many people at risk for suicide cannot access these interventions. Exercise hold promise in terms of reducing because their ease implementation. While exercise reduces depression, and reductions depressive symptoms are linked to reduced suicidal ideation, no studies have directly risk. The current study examined this association, including potential mediators (i.e., sleep disturbance, posttraumatic stress...
Objective To characterise suicide-risk discussions in depressed primary-care patients. Design Secondary analysis of recordings and self reports by physicians Descriptive statistics depression suicide-related discussion, with qualitative extraction disclosure, enquiry physician response. Setting 12 clinics between July 2003 March 2005. Participants 48 1776 adult Measures Presence or during the encounter; patient demographics; symptom severity suicide ideation as measured Patient Health...
Preliminary results of an assessment the effects changing axial field view (AFOV) and detector ring diameter (DRD) a cylindrical PET tomograph on count-rate performance are presented. The was made using Monte Carlo simulations anthropomorphic phantom based Zubal phantom. This modified to include cylinders approximating arms legs, sequentially stepped through AFOV simulate whole-body scan covering region interest 1 m. DRD varied from /spl sim/60 cm sim/108 cm, 10 60 cm. A simple activity...
<b>PURPOSE</b> We wanted to describe the vocabulary and narrative context of primary care physicians' inquiries about suicide. <b>METHODS</b> One hundred fifty-two physicians (53% 61% those approached) were randomly recruited from 4 sites in Northern California Rochester, New York, participate a study assessing effect patient's request for antidepressant medication on physician's prescribing behavior. Standardized patients portraying 2 conditions (carpal tunnel syndrome major depression, or...
Correlates of patient disclosure suicide ideation to a primary care or mental health provider were identified. Secondary analyses IMPACT trial data conducted. Of the 107 patients 60 years age older who endorsed thoughts ending their life at least “a little bit” during past month, 53 indicated they had disclosed these this period. Multiple logistic regression was used identify predictors provider. Significant included poorer quality and prior specialty treatment. Among participants endorsing...
To explore the psychometric properties of 3 widely used measures depression in a sample individuals with traumatic brain injury (TBI) and major depressive disorder refine them to maximize efficiency.Secondary analysis data from randomized controlled trial cognitive-behavioral therapy for after TBI.Nationwide recruitment community clinical settings.One hundred adults within 10 years complicated mild severe TBI.Telephone in-person therapy.Patient Health Questionnaire-9 (PHQ-9), Symptom...
Previous research in US Army Soldiers shows rates of mental health concerns as two to four times higher on anonymous surveys than postdeployment assessments. In this study, presenting for reassessment completed questionnaires suicide risk factors: one linked the assessment and anonymous. About 5.1% respondents reported ideation questionnaire, 3.0% 0.9% reassessment. 56.4% who anonymously told nobody their thoughts. Current screening procedures identify only seven experiencing highlight need...
Several common methods for measuring treatment response present a snapshot of depression symptoms. The construct estimated depression-free days (DFDs) simultaneously captures outcome and estimates the patient's experience over time. study compared this measure with traditional measures used in research.This secondary data analysis was based on from Improving Mood-Promoting Access to Collaborative Treatment trial, multisite conducted 18 primary care clinics five states representing eight...
The relationships among academe, publishing, and industry can facilitate commercial bias in how drug efficacy safety data are obtained, interpreted, presented to regulatory bodies prescribers. Through a critique of published unpublished trials submitted the Food Drug Administration (FDA) European Medicines Agency (EMA) for approval new antidepressant, vortioxetine, we present case study "ghost management" information delivery process. We argue that currently accepted practices undermine...
The STRONG STAR Consortium (South Texas Research Organizational Network Guiding Studies on Trauma and Resilience) the to Alleviate PTSD are interdisciplinary multi-institutional research consortia focused detection, diagnosis, prevention, treatment of combat-related posttraumatic stress disorder (PTSD) comorbid conditions in military personnel veterans. This manuscript outlines consortia's state-of-the-science collaborative model how this can be used as a roadmap for future trauma-related...
Abstract Objective To establish the feasibility of and to generate preliminary evidence for efficacy a care management program addressing both physical emotional pain associated with late‐life depression osteoarthritis. Methods Treatment development pilot study in three university affiliated primary clinics. Participants were patients 60 years or older osteoarthritis pain. The intervention entailed nurse administered supporting arthritis treatment by physicians. Outcomes include depression,...