- Posttraumatic Stress Disorder Research
- Suicide and Self-Harm Studies
- Substance Abuse Treatment and Outcomes
- Resilience and Mental Health
- Migration, Health and Trauma
- Healthcare professionals’ stress and burnout
- Occupational Health and Performance
- Behavioral Health and Interventions
- Homelessness and Social Issues
- Traumatic Brain Injury Research
- Health and Wellbeing Research
- Opioid Use Disorder Treatment
- Psychological Well-being and Life Satisfaction
- Sleep and Work-Related Fatigue
- Smoking Behavior and Cessation
- Mental Health Treatment and Access
- Psychological and Temporal Perspectives Research
- Health, psychology, and well-being
- Digital Mental Health Interventions
- Grief, Bereavement, and Mental Health
- Child and Adolescent Psychosocial and Emotional Development
- Mental Health Research Topics
- Global Health Workforce Issues
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Cardiac Arrest and Resuscitation
National Center for PTSD
2014-2025
National Center for Post Traumatic Stress Disorder
2025
VA San Diego Healthcare System
2022-2025
University of Memphis
2015-2022
San Diego State University
2022
Memphis VA Medical Center
2017
Veterans Health Administration
2016
VA Boston Healthcare System
2015
Syracuse University
2010
Abstract. Background: In 2008, the Veterans Health Administration (VHA) implemented use of safety planning for suicide prevention. A plan is a list strategies, developed collaboratively with provider, patient to when risk elevated. Despite plans in VHA, little known about implementation fidelity, extent which are delivered as intended, or patient-level outcomes planning. Aims: This study aimed explore fidelity regional VHA hospital and examine associations between quality completeness...
This article reviews the use of ecological momentary assessment (EMA) and intervention (EMI) in clinical research applications. EMA refers to a method data collection that attempts capture respondents' activities, emotions, thoughts moment, their natural environment. It typically uses prompts administered through personal electronic device, such as smartphone or tablet. EMI extends this technique includes microlevel interventions devices. These technological developments hold promise for...
Posttraumatic stress disorder (PTSD) and alcohol use (AUD) frequently co-occur. Prolonged exposure (PE) is an effective treatment for PTSD but shows smaller effects in patients with co-occurring AUD. Topiramate may help reduce symptoms. This double-blind, placebo-controlled outpatient clinical trial compared 12 sessions of PE plus either topiramate or placebo. One hundred U.S. veterans (mean age=45 years [SD=12], 84% men) PTSD+AUD were randomly assigned to 16 weeks PE+topiramate (up 250 mg)...
Heavy drinking among college students in the United States is common and results a wide range of problems. Symptoms depression are also may exacerbate problems associated with heavy drinking, but to date most studies have been cross sectional relied on an aggregate measure alcohol Further, depressive symptoms predict other elements risk drinkers, including greater experience substance-related reinforcement, diminished substance-free reinforcement. The current study examines as prospective...
There is a large body of literature documenting the relationship between traumatic stress and deleterious physical health outcomes. Although posttraumatic disorder (PTSD) symptoms have been proposed to explain this relationship, previous research has produced inconsistent results when moderating variables such as gender or type stressor are considered. Within sample Operation Enduring Freedom Iraqi (OEF/OIF) Veterans, current study examined if deployment stressors (i.e., combat stress,...
Abstract Traumatic brain injury (TBI) is associated with suicidal behavior among veterans, and gender differences in the strength of associations may exist. Almost all research has been limited to Veterans Health Administration (VHA) patients, it unclear if findings generalize veterans who do not use VHA services. We examined gender‐ VHA‐user‐specific between TBI related deployment postdeployment ideation a U.S. national sample 1,041 female 880 male Operation Enduring Freedom (OEF) Iraqi...
Symptoms of posttraumatic stress (PTS) show significant comorbidity with alcohol use, but little is known about the mechanisms that might account for this comorbidity. Deficits in reward functioning have long been implicated misuse and more recently PTS reactions, no study has examined whether deprivation may serve as a transdiagnostic risk factor comorbid PTS-alcohol misuse. The current cross-sectional sought to test behavioral economic hypothesis would be related both symptoms problems,...
The loss of a loved one to homicide is associated with considerable distress, often in the form posttraumatic stress disorder (PTSD) and complicated grief (CG), alcohol misuse. Yet alcohol-related problems from are issues that disproportionally affect African Americans. present study investigated use sample 54 American survivors. Although there was low prevalence hazardous drinking, higher levels PTSD, grief, depression severity. In addition, scores on Alcohol Use Disorders Identification...
We examined the use of Personality Assessment Inventory (PAI) in a small sample 47 U.S. military veterans conflicts Iraq and Afghanistan. Approximately half met criteria for posttraumatic stress disorder (PTSD) based on Clinician-Administered PTSD Scale. PAI profiles were compared between non-PTSD groups. The group had clinically significant scores (≥ 70 T) 5 clinical scales (anxiety, anxiety-related disorders, depression, paranoia, schizophrenia) 10 subscales consistent with typical symptom...
Behavioral economic theory can help researchers understand complex behavior by considering the availability and value associated with an individual's choices. This study explored how behavioral constructs relate to alcohol consumption problems in a sample of trauma-exposed young adults. We further whether these explained unique variance outcomes beyond coping-related drinking motives. Participants were 91 adults who reported recent (Mage = 26.53, female 36.26%, non-White 41.75%). recruited...
Research indicates that posttraumatic stress disorder (PTSD) is strongly associated with physical health difficulties, and social support may be protective for both problems. Social support, however, often broadly conceptualized. The present analysis explores how Veteran-specific (during military deployment postdeployment) moderate the relationship between PTSD functioning. Participants were recruited from a VA Medical Center. Self-report data analyzed 63 Veterans (17.46% female; 42.86%...
Although brief alcohol interventions (BAIs) that incorporate personalized feedback demonstrate efficacy for reducing the frequency and quantity of consumption in veteran samples, little research has explored influence BAIs symptoms posttraumatic stress disorder (PTSD). The goal this investigation was to understand whether PTSD symptom severity diagnostic status changed after exposure an intervention targeted misuse integrated on PTSD.Sixty-eight combat veterans (8.8% female; 27.9% African...
This study reports findings from an open trial of a two-session intervention for veterans with symptoms PTSD and hazardous drinking. Rooted in behavioral economic theory, this aimed to decrease alcohol use increase alcohol-free activities through personalized normative feedback. assessed the feasibility acceptability sample 15 veterans. Participants completed assessments at baseline post-intervention (1-month 3-months). Thirteen participants (86.6%) were retained between assessment second...
Trauma-informed beliefs often decrease during posttraumatic stress disorder (PTSD) treatment. This may also extend to anxiety sensitivity (AS), defined as a fear of anxiety-related sensations and that is dangerous and/or intolerable. However, little known about how AS changes exposure-based psychopharmacological PTSD treatments. Further, high be risk factor for diminished symptom improvement increased treatment dropout. To better understand impacts impacted by treatment, we conducted...
Posttraumatic cognitions are a mechanism of posttraumatic stress disorder (PTSD) symptom reduction in trauma-focused interventions for PTSD. It is unclear how changes associated with important clinical correlates PTSD, including drinking and psychosocial functioning. This study examined if during integrated treatment co-occurring PTSD/alcohol use (AUD) were concurrent improvements PTSD severity, heavy drinking, functioning.One hundred nineteen veterans (65.5% white 89.9% men) PTSD/AUD...
Posttraumatic cognitions are a mechanism of posttraumatic stress disorder (PTSD) symptom reduction in trauma-focused interventions for PTSD. It is unclear how changes associated with important clinical correlates PTSD, including drinking, psychosocial functioning and suicidal ideation (SI). This study examined if during integrated treatment co-occurring PTSD/alcohol use (AUD) were concurrent improvements PTSD severity, heavy functioning, SI. 119 Veterans PTSD/AUD randomized to receive...