A5008639039- Child and Adolescent Psychosocial and Emotional Development
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Personality Disorders and Psychopathology
- Mental Health Research Topics
- Psychotherapy Techniques and Applications
- Suicide and Self-Harm Studies
- Mental Health and Psychiatry
- Digital Mental Health Interventions
- Homelessness and Social Issues
- Mental Health Treatment and Access
- COVID-19 and Mental Health
- Bipolar Disorder and Treatment
- Smoking Behavior and Cessation
- Obsessive-Compulsive Spectrum Disorders
- Psychosomatic Disorders and Their Treatments
- Schizophrenia research and treatment
- Attention Deficit Hyperactivity Disorder
- Substance Abuse Treatment and Outcomes
- Telemedicine and Telehealth Implementation
- Tryptophan and brain disorders
- Adolescent and Pediatric Healthcare
- HIV/AIDS Research and Interventions
- Food Security and Health in Diverse Populations
- Mental Health and Patient Involvement
- Obesity, Physical Activity, Diet
McLean Hospital
2022-2025
Harvard University
2016-2024
Boston University
2015-2022
Rhode Island Hospital
2021
Providence College
2021
Massachusetts General Hospital
2014-2019
Borderline personality disorder (BPD) is a severe, difficult-to-treat psychiatric condition that represents large proportion of treatment-seeking individuals. BPD characterized by high rates co-occurrence with depressive and anxiety disorders, recently articulated conceptualizations this comorbidity suggest these disorders may result from common temperamental vulnerabilities functional maintenance factors. The Unified Protocol for the Transdiagnostic Treatment Emotional Disorders (UP) was...
Most patients in community practice attend significantly fewer sessions than are recommended by treatment protocols that have demonstrated efficacy addressing emotional disorders. Personalized interventions target the core processes thought to maintain a wide range of disorders may serve increase efficiency, this gap. This study sought evaluate feasibility and acceptability personalized delivery mechanistically transdiagnostic intervention, Unified Protocol (UP) for Transdiagnostic Treatment...
There are no studies of the safety and effectiveness telehealth psychiatric treatment partial hospital level care, in general, for borderline personality disorder (BPD) particular. In present report from Rhode Island Methods to Improve Diagnostic Assessment Services (MIDAS) project, authors compared their program treating patients with BPD. For both in-person BPD were highly satisfied reported a significant reduction symptoms admission discharge. Both groups improvement functioning, coping...
Background: Most research evaluating telehealth psychiatric treatment has been conducted in outpatient settings. There is a great lack of assessing the efficacy more acute, intensive settings such as partial hospital. In face COVID-19 pandemic, much behavioral health transitioned to virtual format. present report from Rhode Island Methods Improve Diagnostic Assessment and Services (MIDAS) project, we examined effectiveness our hospital program (PHP). Method: The sample included 207 patients...
Objective: Among people living with HIV, cigarette smoking rates are higher than among the general population, and anxiety, depression, their disorders common associated poorer outcomes during cessation. This study evaluated efficacy of an integrated cessation intervention, developed to target concurrently HIV. Method: Smokers HIV who reported at least moderate motivation quit were randomized into a novel 9-week intervention (QUIT), consisting 1 psychoeducation (prerandomization) session 9...
Interpersonal dysfunction robustly predicts suicide attempts (SA) and non-suicidal self-injury (NSSI) in adolescents. We sought to better elucidate how two interpersonal constructions (interpersonal sensitivity social problem-solving strategies) may lead NSSI vs. SA compared non-overlapping groups of adolescents engaged either (n = 49, Mage 15.80, SD 1.23, 63% female) or 50, 15.35, 1.34, 82% female), healthy controls (HC; n 43, 15.46, 1.30, 61% female). hypothesized: (1) greater deficits...
<title>Abstract</title> Irritability is a transdiagnostic construct associated with diverse psychiatric disorders in youth. This study examined the association between food insecurity and irritability clinically community-recruited sample of children aged 8–16 (N = 183). Participants their parents completed structured interviews measures assessing irritability, security, socioeconomic status (SES). Child-reported was significantly greater whereas parent-reported not. Regression analyses...
Behavioral activation (BA) is a treatment approach that uses functional analysis and context-dependent strategies to enhance environmental positive reinforcement for adaptive, healthy behavior, decrease behavioral avoidance. BA has gained considerable support the of depression can be broadly applied across wide range settings clinical populations. In this article, we provide brief description as therapeutic strategy present case example illustrating integration with other components...
Individuals with borderline personality disorder (BPD) often report chronic, severe self-hatred. It is frequently experienced as immutable, seen a barrier to recovery, and associated risk for self-injury suicide attempts. Yet self-hatred remains poorly understood, underdiagnosed, undertreated presentation of BPD. In this concept article review, we describe the nature in BPD related disorders, propose theory development BPD, review assessments interventions self-hatred, consider next steps...
Homeless individuals experience higher rates of mental illness than the general population, though this group is less likely to receive evidence-based psychological treatment for these difficulties. One explanation science-to-service gap may be that most empirically supported interventions are designed address a single disorder, which not map on substantial comorbidity present in safety-net samples, and create high training burden often underresourced clinicians who must learn multiple...
Objectives This study explored the associations between domains of experiential avoidance and severity functions non-suicidal self-injury (NSSI). Methods Undergraduates reporting a history repeated engagement in NSSI (N = 150) completed measures avoidance, psychopathology, self-injury. Results Procrastination, specific domain was related to self-injurious behavior; however, procrastination did not account for significant incremental variance over above contributions depression anxiety....
Cognitive behavioral therapy for adherence and depression (CBT-AD) in HIV improves both outcomes relative to enhanced treatment as usual (ETAU). However, persons with injection drug use (PWIDU) histories, gains seen during have not been maintained postintervention. Therefore, we examined whether heroin or cocaine at study entry moderated acquisition maintenance of after CBT-AD. HIV-positive adults opioid dependence (n = 89) were randomly assigned CBT-AD ETAU completed 3-, 6-, 12-month...
Abstract Although evidence-based psychological treatments such as cognitive behavioral therapy (CBT) have strong empirical support for reducing anxiety and depression symptoms, CBT outcome research often does not report race ethnicity variables, or assess how well works people from historically excluded racial ethnic groups. This study presents post hoc analyses comparing treatment retention symptom outcomes participants of color ( n = 43) White 136) a randomized controlled efficacy trial...