- Homelessness and Social Issues
- Substance Abuse Treatment and Outcomes
- Migration, Health and Trauma
- Community Health and Development
- Posttraumatic Stress Disorder Research
- Indigenous Health, Education, and Rights
- Child Abuse and Trauma
- Resilience and Mental Health
- Prenatal Substance Exposure Effects
- Intimate Partner and Family Violence
- Urban, Neighborhood, and Segregation Studies
- Racial and Ethnic Identity Research
- Attachment and Relationship Dynamics
- Stress Responses and Cortisol
- Suicide and Self-Harm Studies
- Geriatric Care and Nursing Homes
- Food Security and Health in Diverse Populations
- Child and Adolescent Psychosocial and Emotional Development
- Cannabis and Cannabinoid Research
- Health disparities and outcomes
- Opioid Use Disorder Treatment
- Religion, Spirituality, and Psychology
- Grief, Bereavement, and Mental Health
- Risk Perception and Management
- Menstrual Health and Disorders
University of Rhode Island
2020-2025
Brown University
2024-2025
University of Washington
2016-2020
Harborview Medical Center
2016-2020
Background: Indigenous youth are at increased risk of initiating substance use early ages and suffer greater negative consequences related to as compared non-Indigenous youth. Behavioral Theories Choice suggests that is contingent on the availability substances alternatives use. Objectives: The present study aimed investigate protective factors associated with in one group First Nation adolescents. Methods: Using a modified grounded theory approach, conducted qualitative focus groups...
Women who experience intimate partner violence (IPV) report multiple and diverse traumas. Exposure to community may be important consider when examining the development, maintenance, exacerbation of posttraumatic stress disorder (PTSD) symptoms in this population. The purpose study was examine relative unique associations between PTSD symptom clusters witnessing experiencing among women IPV. Participants were 171 IPV (Mage = 40.56; 40.3% white, 31.5% Black, 17.5% Hispanic or Latina)....
Objective: Drug use and related harm among women of color who experience intimate partner violence (IPV) is a serious clinical concern. Depression symptoms have been identified as an important risk factor for the development drug with history IPV. The current study advances this research by examining roles distinct domains racial microaggressions in relation between depression population. Method: Participants were 103 experiencing IPV (Mage = 40.39, 51% Black/African American). Results:...
Objective: Indigenous youth often exhibit high rates of alcohol use and experience disproportionate alcohol-related harm. We examined the moderating role that valuing cultural activities has on relationship between positive expectancies heavy drinking in a sample youth. Method: First Nation adolescents ages 11 18 living reserve eastern Canada (N = 106; mean age 14.6; 50.0% female) completed pencil-and-paper survey regarding their expectancies, use, beliefs about importance activities....
North American Indigenous (NAI) communities often cite substance misuse as problematic in their communities. The Competing Life Reinforcers (CLRs) model suggests that when reinforcers are valued, important, and incompatible with use, they will be associated less misuse. Three categories of CLRs were identified our formative work include the following: cultural, social, extracurricular activities. aims current study to test associations among valuing availability NAI adolescent alcohol...
This study is the first to document suicidality among chronically homeless people with alcohol problems (N = 134) and examine its trajectory following exposure immediate, permanent, low-barrier housing (i.e., Housing First). Suicidal ideation, intent, plans, prior attempts were assessed at baseline during a 2-year follow-up. Baseline suicidal ideation was over four times higher than in general population. Two-year, within-subjects, longitudinal analyses indicated severity of decreased by 43%...
Amazon's Mechanical Turk (MTurk) appears to be a reliable resource for studying clinical populations and accessing hard-to-reach populations. Recent research suggests that MTurk may also viable option military recruitment. The goal of the current study was examine utility collecting data on samples recruited via MTurk. Participants were 535 veterans (Mage = 37.45; 71.8% men; 69.5% White) who completed measures assessing trauma mental health. Findings indicate rates traumas health diagnoses...
Given the disproportionate alcohol-related consequences experienced by North American Indigenous youth, there is a critical need to identify related risk and protective factors. Self-compassion, which has been found mitigate effects of trauma exposure, may serve as one such factor given high-degree historical contemporary discrimination identified contributing disparities communities. However, no research examined how self-compassion (i.e., ability be kind accepting extend compassion towards...
Abstract Aims The present study assessed community and culturally specific alcohol‐related harm among North American Indigenous (NAI) individuals, as well the acceptability feasibility of reduction approaches in one reserve‐based NAI community. Methods Participants lived on or near a reserve Canada. Semi‐structured focus groups were conducted with health care workers ( N = 8, 75% NAI) members 9, 100% NAI). Self‐report questionnaires administered that measured strategies. Results Conventional...
People experiencing homelessness are disproportionately impacted by alcohol-related harm. Racially minoritized groups represented in the homeless population and likewise Most alcohol outcome measures have not been adequately psychometrically studied this marginalized across racial groups. This study documents psychometric properties, including measurement invariance, reliability, convergent validity, of a measure harm, Short Inventory Problems (SIP-2R), Black, North American Indigenous...
Background: Smoking prevalence and mortality is 5 times higher for the chronically homeless versus general population. Unfortunately, traditional smoking cessation treatment does not optimally engage this In a preliminary study, smokers experiencing chronic homelessness suggested providers avoid giving advice to quit instead use more compassionate, nonjudgmental style discuss broader menu of patient-driven options, including safer nicotine use. Most had negative perceptions medications;...
Abstract Background Research examining emotion dysregulation and alcohol use has increased exponentially over the past decade. However, these studies have been limited by their of cross‐sectional designs narrow definitions dysregulation. To address significant gaps in extant literature, this study utilized state‐of‐the‐art methodology (i.e., experience sampling) statistics dynamic structural equation modeling) to examine potential reciprocal associations between negative positive at...
Black emerging adults are significantly impacted by substance misuse. Posttraumatic stress disorder (PTSD) is associated with heightened misuse among adults. However, limited research has identified protective factors that may influence the strength of relation between PTSD and in this population. Addressing important limitation, present study examined potential moderating role perceived social support association symptoms (i.e., alcohol drug)
Women experiencing intimate partner violence (IPV) experience a heightened prevalence of alcohol use disorder (AUD). Hypothalamic-pituitary-adrenal (HPA)-axis functioning has been associated with increased risk for AUD in other populations, including individuals posttraumatic stress (PTSD) symptoms. The goal the present study was to determine whether PTSD symptom severity exacerbates relationship between HPA-axis and AUD. Participants were 151 community women who had experienced physical or...
Objective: Women of Color (WoC) experiencing intimate partner violence (IPV) have elevated rates posttraumatic stress disorder (PTSD) and alcohol use related harm (e.g., increased negative consequences). This secondary data analysis assessed the role racial microaggressions in association between PTSD among WoC IPV. Methods: Participants were 103 currently IPV using substances (Mage=40.39, 51.5% Black) who recruited from community completed assessments PTSD, microaggressions, harm. Results:...
Background: Literature underscores the importance of emotion dysregulation in clinical research. However, one critical limitation existing investigations this area involves lack psychometrically valid measures for assessing individuals' daily lives. This study examined factor structure and psychometric properties momentary versions Difficulties Emotion Regulation Scale (mDERS) Scale-Positive (mDERS-P).Methods: Participants were 145 community women (M age = 40.66, 40.7% white) experiencing...
American Indian (AI) adolescents report disproportionate higher rates of alcohol use and alcohol-related consequences than from other racial/ethnic groups. Trauma exposure is also reported at high among AI individuals likely confers risk for use. The purpose the present study was to examine effects assaultive trauma experiences (e.g., physical assault, sexual assault) on in adolescents.We conducted a secondary analysis self-reported data exposure, consumption, lifetime provided by 7th 12th...