Laurel L. Hourani

ORCID: 0000-0001-8617-1617
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About
Contact & Profiles
Research Areas
  • Posttraumatic Stress Disorder Research
  • Resilience and Mental Health
  • Suicide and Self-Harm Studies
  • Occupational Health and Performance
  • Healthcare professionals’ stress and burnout
  • Migration, Health and Trauma
  • Workplace Health and Well-being
  • Employment and Welfare Studies
  • Heart Rate Variability and Autonomic Control
  • Substance Abuse Treatment and Outcomes
  • Health disparities and outcomes
  • Agriculture and Farm Safety
  • Homelessness and Social Issues
  • Sleep and Work-Related Fatigue
  • Defense, Military, and Policy Studies
  • Stress Responses and Cortisol
  • Smoking Behavior and Cessation
  • Health and Wellbeing Research
  • School Health and Nursing Education
  • Education and Military Integration
  • Grief, Bereavement, and Mental Health
  • Gun Ownership and Violence Research
  • Psychosomatic Disorders and Their Treatments
  • Personality Disorders and Psychopathology
  • Mental Health Research Topics

RTI International
2010-2019

Naval Health Research Center
1999-2014

Research Triangle Park Foundation
2004-2014

University of Illinois Urbana-Champaign
2014

National Center for PTSD
2011

Veterans Health Administration
2011

University of California, Irvine
1995

University of California, Irvine Medical Center
1992

American University of Beirut
1986

Objective: Examine substance use and mental health issues among U.S. military personnel. Methods: Data were from the 2008 (and before) population-based Department of Defense Health Related Behavior Surveys. The sample size for survey was 28,546 (70.6% response rate). Results: Analyses examined use, stress, depression, post-traumatic stress disorder (PTSD), suicidal ideation attempts, deployment, job satisfaction. Trends show reductions in tobacco illicit drug but increases prescription...

10.7205/milmed-d-09-00132 article EN Military Medicine 2010-06-01

ABSTRACT Aims This study was designed to assess trends in cigarette, illicit drug, and heavy alcohol use among active‐duty military personnel from 1980 2005 examine the influence of socio‐demographic changes within on patterns substance use. Design Substance prevalence rates were estimated cross‐sectional data obtained nine self‐report surveys administered more than 150 000 service members world‐wide over a 25‐year period. Direct standardization used adjust for changes. Measurements Measures...

10.1111/j.1360-0443.2007.01841.x article EN Addiction 2007-06-12

Understanding the role of spirituality as a potential coping mechanism for military personnel is important given growing concern about mental health issues returning from war. This study seeks to determine extent which associated with selected problems among active duty and whether it moderates relationship between combat exposure/deployment (a) depression, (b) posttraumatic stress disorder (PTSD), (c) suicidality in personnel. Data were drawn 2008 Department Defense Survey Health Related...

10.1155/2012/425463 article EN cc-by Depression Research and Treatment 2012-01-01

We examined stress levels and other indicators of mental health in reservists active-duty military personnel by deployment status.We used data from the Department Defense Health-Related Behaviors surveys, which collect comprehensive, population-based for reserve forces. Data were collected 18 ,342 16, 146 personnel.Overall, with adjustment sociodemographic service differences, reported similar or less work family stress, depression, anxiety symptoms than did personnel. However, who had been...

10.2105/ajph.2011.300280 article EN American Journal of Public Health 2012-01-19

Abstract Decreased heart rate variability (HRV) is associated with posttraumatic stress disorder (PTSD) and depression symptoms, but PTSD's effects on the autonomic response potential influence of HRV biofeedback in relaxation training improving PTSD symptoms are not well understood. The objective this study was to examine impact a predeployment inoculation (PRESTINT) protocol physiologic measures large sample military population randomly assigned experimental biofeedback‐assisted versus...

10.1111/psyp.12455 article EN Psychophysiology 2015-06-11

This study examined the extent to which high levels of occupational and family stress were associated with mental health problems productivity loss among active duty military personnel. We analyzed data from 2002 Department Defense Survey Health-Related Behaviors Military Personnel, provided extensive population-based information on 12,756 personnel in all branches worldwide. reported higher at work than their life. The reporting highest those 25 or younger, who married spouses not present,...

10.7205/milmed.171.9.849 article EN Military Medicine 2006-09-01

Abstract Studies have not examined the factor structure or measurement invariance of posttraumatic stress disorder (PTSD) symptomatology using population‐based data. Confirmatory analysis PTSD Checklist‐Civilian Version (PCL‐C) was conducted in a representative sample U.S. active duty military personnel ( N = 15,593). Consistent with prior research, 4‐factor model consisting reexperiencing, avoidance, emotional numbing, and arousal factors superior to four alternative models. Measurement...

10.1002/jts.20492 article EN Journal of Traumatic Stress 2010-02-01

The study objective was to estimate complementary and alternative medicine (CAM) use among active duty military compare data with civilian use.A global survey on CAM in the 12 previous months conducted. Final participants (16,146) were stratified by gender, service, region, pay grade. Analysis included prevalence of use, demographic lifestyle characteristics.Approximately 45% respondents reported using at least one type therapy. Most commonly used therapies as follows: prayer for one's own...

10.1089/acm.2012.0108 article EN The Journal of Alternative and Complementary Medicine 2013-01-16

The objective of this pilot study was to design, develop, and evaluate a predeployment stress inoculation training (PRESIT) preventive intervention enable deploying personnel cope better with combat-related stressors mitigate the negative effects trauma exposure. PRESIT program consisted three modules: (1) educational materials on combat operational control, (2) coping skills involving focused relaxation breathing exercises biofeedback, (3) exposure video multimedia stressor environment...

10.7205/milmed-d-15-00192 article EN Military Medicine 2016-09-01

Inconsistent findings between studies of gender differences in mental health outcomes military samples have left open questions differential prevalence posttraumatic stress disorder (PTSD) among all United States Army soldiers and psychosocial comorbid risk protective factor profiles their association with receipt treatment.This study assesses the factors screening positive for PTSD men women based on two large, population-based obtained as part 2005 2008 U.S. Department Defense Surveys...

10.1089/jwh.2014.5078 article EN Journal of Women s Health 2015-11-12

Suicides have markedly increased among military personnel in recent years. We used path analysis to examine factors associated with suicidal/self‐harming ideation male Navy and Marine Corps transitioning civilian life. Roughly 7% of men (Sailors = 5.3%, Marines 9.0%) reported during the previous 30 days. Results suggest that combat exposure, substance abuse, resilience are suicidal ideation/self‐harming thoughts through mediation posttraumatic stress disorder symptoms and/or depression...

10.1111/j.1943-278x.2011.00039.x article EN Suicide and Life-Threatening Behavior 2011-05-20

Current military personnel are at risk of developing serious mental health problems, including chronic stress disorders and substance use disorders, as a result deployment. The most frequently studied effect combat exposure is post-traumatic disorder (PTSD). High-risk behaviors, alcohol aggression, have been associated with PTSD, but the optimal cutoff score on PTSD Checklist (PCL) for determining these behaviors has not clearly delineated. Using postdeployment active duty (AD) Reserve...

10.7205/milmed-d-11-00119 article EN Military Medicine 2012-10-01

Military chaplains not only conduct religious services, but also provide counseling and spiritual support to military service members, operating as liaisons between soldiers mental health professionals. In this study, active-duty (N = 889) reported help-seeking behaviors health. Using logistic regressions, we describe the issues for which seeking help, then outline characteristics of those who are most likely seek help from a chaplain. Of sought chaplain within previous year, 29.9% high...

10.1080/08854726.2016.1171598 article EN cc-by-nc-nd Journal of Health Care Chaplaincy 2016-05-18

Post-traumatic stress and other problems often occur after combat, deployment, military operations. Because techniques such as mindfulness meditation show efficacy in improving mental health, our team developed a mobile application (app) for individuals the armed forces with subclinical psychological secondary prevention of more significant disease. Based on Personal Health Intervention Toolkit (PHIT), app framework personalized health intervention studies, PHIT Duty integrates...

10.1093/milmed/usx157 article EN Military Medicine 2018-03-01
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