- Electroconvulsive Therapy Studies
- Treatment of Major Depression
- Posttraumatic Stress Disorder Research
- Bipolar Disorder and Treatment
- Migration, Health and Trauma
- Diabetes Management and Education
- Mental Health Treatment and Access
- Chronic Disease Management Strategies
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Telemedicine and Telehealth Implementation
- Healthcare professionals’ stress and burnout
- Transcranial Magnetic Stimulation Studies
- Suicide and Self-Harm Studies
- Perfectionism, Procrastination, Anxiety Studies
- Child and Adolescent Psychosocial and Emotional Development
- Diabetes Management and Research
- Statistical Distribution Estimation and Applications
- Genetic Neurodegenerative Diseases
- Mobile Health and mHealth Applications
- Takotsubo Cardiomyopathy and Associated Phenomena
- Neonatal Respiratory Health Research
- Health disparities and outcomes
- Infant Development and Preterm Care
- Maternal Mental Health During Pregnancy and Postpartum
- Schizophrenia research and treatment
Medical University of South Carolina
2012-2024
Wake Forest University
2022-2023
Ralph H. Johnson VA Medical Center
2011-2017
Australian Psychological Society
2017
Icahn School of Medicine at Mount Sinai
2011-2016
Lutheran Medical Center
2016
New York State Psychiatric Institute
2016
Zucker Hillside Hospital
2016
Northwell Health
2016
Cornell University
2016
This study examined the frequency and associated distress of potentially traumatic or harmful experiences occurring within psychiatric settings among persons with severe mental illness who were served by a public-sector health system.Participants 142 randomly selected adult patients recruited through day hospital program. Participants completed battery self-report measures to assess events that occurred during course their care, lifetime trauma exposure, symptoms posttraumatic stress...
Objective To compare the relative efficacy of electroconvulsive therapy (ECT) in psychotic and nonpsychotic patients with unipolar major depression. Methods The outcome an acute ECT course 253 (n = 176) 77) depression was assessed first phase ongoing National Institute Mental Health-supported four-hospital collaborative study continuation treatments after successful courses. administered bilateral electrode placement at 50% above titrated seizure threshold. remission criteria were rigorous:...
<h3>Background</h3> Although electroconvulsive therapy (ECT) has been shown to be extremely effective for the acute treatment of major depression, it never systematically assessed as a strategy relapse prevention. <h3>Objective</h3> To evaluate comparative efficacy continuation ECT (C-ECT) and combination lithium carbonate plus nortriptyline hydrochloride (C-Pharm) in prevention depressive relapse. <h3>Design</h3> Multisite, randomized, parallel design, 6-month trial performed from 1997...
Article Abstract Background: Remission of illness in patients with major depressive disorder (MDD) is achieved less than half initially treated medication. Electroconvulsive therapy (ECT) another treatment option. We report the speed response and remission rates a cohort depressed who received course acute-phase ECT initial phase an ongoing multicenter randomized trial continuation versus pharmacotherapy. Method: Patients MDD according to DSM-IV criteria bilateral 3 times weekly. Prior each...
Background Electroconvulsive therapy (ECT) is an effective treatment for major depression. Optimising efficacy and minimising cognitive impairment are goals of ongoing technical refinements. Aims To compare the effects a novel electrode placement, bifrontal, with two standard placements, bitemporal right unilateral in ECT. Method This multicentre randomised, double-blind, controlled trial (NCT00069407) was carried out from 2001 to 2006. A total 230 individuals depression, bipolar unipolar,...
The Prolonging Remission in Depressed Elderly (PRIDE) study evaluated the efficacy of right unilateral ultrabrief pulse electroconvulsive therapy (ECT) combined with venlafaxine for treatment geriatric depression.PRIDE was a two-phase multisite study. Phase 1 an acute course ECT, open-label at seven academic medical centers. In phase 2 (reported separately), patients who had remitted were randomly assigned to receive pharmacotherapy (venlafaxine plus lithium) or continuation ECT. 1,...
The randomized phase (phase 2) of the Prolonging Remission in Depressed Elderly (PRIDE) study evaluated efficacy and tolerability continuation ECT plus medication compared with alone depressed geriatric patients after a successful course 1).PRIDE was two-phase multisite study. Phase 1 an acute right unilateral ultrabrief pulse ECT, augmented venlafaxine. 2 two treatment arms: only arm (venlafaxine lithium, over 24 weeks) (four treatments month, additional as needed, using Symptom-Titrated,...
OBJECTIVE: This study assessed the incidence, severity, and course of expressed suicidal intent in depressed patients who were treated with ECT. The data are from first phase an ongoing, collaborative multicenter study, overall aim which was to compare continuation ECT pharmacotherapy prevention relapse after a successful METHOD: Suicidal intent, as by during interview, scored at baseline before each session item 3 on 24-item Hamilton Depression Rating Scale 444 unipolar depression. RESULTS:...
Currently recognized risk factors for coronary artery disease have been identified primarily from investigations of white populations. In this investigation, we estimated mortality rates and any cause death among whites blacks.
We compared the efficacy of telepsychiatry and same-room treatment combat-related post-traumatic stress disorder (PTSD) using cognitive behavioural therapy in 14 weekly, 90-min sessions. Of 97 patients referred for study participation, 38 were randomized (17 into telepsychiatry, 21 same-room), approximately 25 (the number differed by instrument) had at least one post-baseline assessment. Measures clinical process outcomes examined. No group differences found on three-month follow-up....
Abstract We hypothesized that PTSD symptomatology would have an inverse relationship with functional status and vary as a function of sociodemographic variables. Primary care patients ( N = 513) at two VA Medical Centers were randomly selected recruited to participate. After adjustment for other demographic symptom levels significantly related age (younger had more severe symptoms), employment (disabled persons higher levels), war zone experience, clinic location. was inversely mental...
Clinical epidemiology and biostatistics , کتابخانه مرکزی دانشگاه علوم پزشکی تهران
Combat veterans returning to society with impairing mental health conditions such as PTSD and major depression (MD) report significant barriers care related aspects of traditional psychotherapy service delivery (e.g., stigma, travel time, cost). Hence, alternate treatment methods are needed. Home-based telehealth (HBT) is one option; however, this mode has not been compared in person, clinic-based for adequately powered trials. The present study was designed compare relative noninferiority...
The purpose of this study is to determine the prevalence subthreshold posttraumatic stress disorder (PTSD) and its association with specific traumas, other psychiatric diagnoses, healthcare use, functional status among 669 veterans in four VA Medical Centers. A cross-sectional, epidemiological design incorporating self-report measures, structured interviews, chart reviews was used obtain relevant information for analyses. Comparisons across three trauma-exposed groups (PTSD, PTSD, no PTSD)...
Although concerns have been expressed that mortality from coronary disease and all other causes is greater among Blacks than Whites, we hypothesized that, when socioeconomic status adequately considered, inequalities between Whites are insignificant. The study population was a random sampling of Black White men who were 35 years age or older recruited into the Charleston Heart Study in 1960. Education level occupational at baseline used to compare over ensuing 28 men, classified as low high...
Objective The primary objective was to determine whether occupational exposure organic solvents is related an increased risk of systemic sclerosis (SSc; scleroderma). Methods Occupational histories were obtained from 178 SSc patients and 200 controls. Exposure scores computed for each individual using job matrices, which validated by industrial expert. Results Among men, those with more likely than controls have a high cumulative intensity score (odds ratio [OR] 2.9, 95% confidence interval...
Article Abstract Objective: Although significant advances have been made in recent years the treatment of generalized anxiety disorder (GAD), many patients remain symptomatic despite ongoing treatment, underscoring need for adjunctive new treatments to help improve response. Method: Forty with a primary diagnosis DSM-IV GAD, who continued experience GAD symptoms current anxiolytic at least 4 weeks†duration, as evidenced by Hamilton Rating Scale Anxiety (HAM-A) total score >= 18 and Clinical...