A5029966313- Posttraumatic Stress Disorder Research
- Personality Disorders and Psychopathology
- Child and Adolescent Psychosocial and Emotional Development
- Psychotherapy Techniques and Applications
- Migration, Health and Trauma
- Mental Health Treatment and Access
- Traumatic Brain Injury Research
- Gastrointestinal motility and disorders
- Suicide and Self-Harm Studies
- Trauma and Emergency Care Studies
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Healthcare professionals’ stress and burnout
- Dementia and Cognitive Impairment Research
- Helicobacter pylori-related gastroenterology studies
- Child Abuse and Trauma
- Telemedicine and Telehealth Implementation
- Mental Health Research Topics
- Digital Mental Health Interventions
- Resilience and Mental Health
- Counseling Practices and Supervision
- Health and Well-being Studies
- Emotions and Moral Behavior
- Emergency and Acute Care Studies
- Family Caregiving in Mental Illness
- Health, psychology, and well-being
University of Washington
1994-2019
VA Portland Health Care System
2016-2019
Oregon Health & Science University
2009-2019
Portland VA Medical Center
2007-2018
University of Louisville
2016
Massachusetts Department of Mental Health
2016
United States Department of Veterans Affairs
2012
Harborview Medical Center
2005-2008
Novartis (Switzerland)
2003-2007
Foundation for Human Potential
2006
Context: Although posttraumatic stress disorder (PTSD) and alcohol abuse frequently occur among acutely injured trauma survivors, few real-world interventions have targeted these disorders.Objective: We tested the effectiveness of a multifaceted collaborative care (CC) intervention for PTSD abuse.Design: Randomized trial.Participants: recruited population-based sample 120 male female surgical inpatients 18 or older at level I center.Intervention: Patients were randomly assigned to CC (n =...
This study examined recognition of facial expressions emotion among women diagnosed with borderline personality disorder (BPD; n = 21), compared to a group histories childhood sexual abuse no current or prior diagnosis BPD (n 21) and history 20). Facial was assessed by slide set developed Ekman Matsumoto (Japanese Caucasian Expressions Emotion Neutral Faces, 1992), expanded improved from previous sets, utilized coding system that allowed for free responses rather than the more typical...
<b>Background:</b> Tegaserod has been shown to be an effective therapy for the multiple symptoms of irritable bowel syndrome (IBS) in Western populations. However, little information is available regarding use tegaserod Asia-Pacific population. <b>Aims:</b> To evaluate efficacy, safety, and tolerability versus placebo patients with IBS from region. <b>Patients:</b> A total 520 region IBS, excluding those diarrhoea predominant IBS. <b>Methods:</b> Patients were randomised receive either 6 mg...
<h3>Background</h3> Posttraumatic stress disorder (PTSD) is a prevalent that has been associated with elevated rates of medically unexplained physical symptoms, significant functional impairment, and high health care use. However, little known about actual costs PTSD. <h3>Methods</h3> We administered the PTSD Checklist (PCL) to 1225 female members metropolitan maintenance organization validated instrument using structured interview in subset 268 women. Participants were classified into 3...
Abstract Individuals with posttraumatic stress disorder (PTSD) experience deficits in emotional responding, yet to date these have been poorly understood. This study is an initial investigation of the role strategic, intentional withholding responses among individuals PTSD. In a sample 61 combat veterans, veterans PTSD reported significantly more frequent and intense their than did without The tendency withhold was associated PTSD, beyond measures comorbid distress. implications findings for...
In Brief Objective: To test the effectiveness of a stepped care intervention model targeting posttraumatic stress disorder (PTSD) symptoms after injury. Background: Few investigations have evaluated interventions for injured patients with PTSD and related impairments that can be feasibly implemented in trauma surgical settings. Methods: The investigation was pragmatic trial which 207 acutely hospitalized survivors were screened high symptom levels then randomized to combined management,...
Abstract In a large sample of Gulf War veterans (N = 2301) we examined the relations between PTSD symptoms assessed immediately upon returning from and self‐reported health problems 18–24 months later. symptomatology was predictive over time for both men women veterans, even after effects combat exposure were removed analysis. Female reported significantly more than male however, there no interactive effect gender on problems. These findings provide further support theory that psychological...
This study is an investigation of the concordance among different sources information on ratings depression in patients with Alzheimer's disease (AD). Informants were 75 outpatients diagnosed AD (22 major depressive disorder), their caregivers, and geriatric clinicians. Clinicians rated each patient Hamilton Rating Scale for Depression basis (a) patient's report, (b) caregiver's (c) clinician's evaluation. Overall, perceived themselves as less depressed than did caregivers or clinicians;...
Abstract This preliminary study examined treatment‐satisfaction and potential therapeutic benefits of Behavioral Activation as a primary care‐based treatment for posttraumatic stress disorder (PTSD) depression among Iraq Afghanistan War veterans. Eight veterans were enrolled, 6 completed at least 4 sessions, 5 posttreatment 3‐month follow‐up assessments after receiving 5–8 weekly sessions delivered in specialty postdeployment care clinic. Significant meaningful reductions PTSD symptoms found...
Evidence of feasibility, safety, and effectiveness home-based telebehavioral health (HBTBH) needs to be established before adoption HBTBH in the military system can occur. The purpose this randomized controlled noninferiority trial was compare care provided traditional in-office setting among personnel veterans.One hundred twenty-one U.S. service members veterans were recruited at a treatment facility Veterans Health Administration hospital. Participants receive 8 sessions behavioral...
Abstract Background: Tegaserod has been shown to be an effective therapy for the multiple symptoms of irritable bowel syndrome (IBS) in Western and Asia‐Pacific populations. This study evaluated efficacy, safety tolerability tegaserod versus placebo patients with IBS. Methods: Patients IBS (excluding those whose primary symptom was diarrhoea) were randomized receive either 6 mg b.i.d. (n = 327) or 320) a 12‐week double‐blind treatment period. The efficacy variable (over weeks 1 4) response...
Abstract In this article, the authors take perspective that effective treatment of complex trauma‐related problems requires, in absence empirically supported treatments, a reliance on theory, idiographic assessment, and principles change. Dialectical behavior therapy (DBT; M. Linehan, 1993) is used to demonstrate applicability approach multiproblem, heterogeneous populations general. Two case studies are presented highlight utility DBT specifically.
Cognitive Behavioral Therapy (CBT) interventions are efficacious in reducing posttraumatic stress disorder (PTSD) but challenging to implement acute care and other non-specialty mental health settings. This investigation identified barriers impacting CBT delivery through a content analysis of interventionist chart notes from an PTSD prevention trial. Only 8.5% all intervention patients were able complete CBT. Lack engagement, clinical logistical had the greatest impact on entry. Treatment...
Background: Injured survivors of individual and mass trauma receive their initial evaluation in acute care. Few investigations have comprehensively screened for posttraumatic stress disorder (PTSD) symptoms related comorbidities across sites. Methods: This investigation included 269 randomly selected injury hospitalized at two level 1 centers. All patients were PTSD, depressive, peritraumatic dissociative during surgical inpatient admission. Prior traumatic life events alcohol...
Abstract Imagery rehearsal therapy (IRT) may help reduce residual nightmares and posttraumatic stress disorder (PTSD) symptoms in veterans after trauma‐focused PTSD treatment. Fifteen male U.S. with trauma‐related nightmares, who had not previously completed treatment, attended 6 IRT group sessions. No benefits were observed immediately posttreatment. At 3‐ 6‐month follow‐up, however, nightmare frequency (nights/week) decreased ( p < .01). The number of nightmares/week .01), total .05),...
Primary health care clinics are increasingly providing psychiatric/psychological treatment of anxiety disorders, particularly for patients who do not have adequate access to specialty mental services. Adequate requires knowledge and attention patients' beliefs about available options. The current investigation examined psychotropic medications psychotherapy among a sample primary with disorders. influence key demographic variables on strength these was also explored. presence specific...
Abstract Tegaserod relieves overall and multiple individual constipation‐predominant irritable bowel syndrome (IBS‐C) symptoms. However, mechanisms for the relief of abdominal pain/discomfort are not well understood. The effects tegaserod on rectal sensitivity to distension were measured by nociceptive flexion RIII reflex, as evidenced spinal hyperexcitability (i.e. increase or facilitation reflex), in IBS‐C patients. A randomized, double‐blind, placebo‐controlled, parallel study was...