Graduate Students Database Psychology and Neuroscience Arts & Sciences Duke University |
||
HOME > Arts & Sciences > pn > Graduate Students | Search Help Login |
| Publications of Jessica Coleman :chronological alphabetical combined listing:%% Journal Articles @article{fds369023, Author = {Nagy, GA and Cassiello-Robbins, C and Anand, D and Arnold, ML and Coleman, JN and Nwosu, J and Singh, RS and Woodward, EN}, Title = {Building a multicultural peer-consultation team: Planning, implementing, and early sustainment evaluation.}, Journal = {Transcultural Psychiatry}, Volume = {59}, Number = {6}, Pages = {844-862}, Year = {2022}, Month = {December}, url = {http://dx.doi.org/10.1177/13634615221105117}, Abstract = {This article represents an implementation-focused evaluation of a multicultural peer-consultation team situated within a psychiatry department in a large academic medical center in the Southern United States. The evaluation comprised anonymous self-report questionnaires (<i>n</i> = 14) as well as individual (<i>n</i> = 3) or group interviews (<i>n</i> = 10) conducted by outside independent evaluators. Participants were current and former team members (i.e., graduate trainees, mental health care providers, clinical and research staff members) who voluntarily participated in this multimethod implementation evaluation. Results indicated that attendance on the team had several important impacts on members, and most notably an increased ability to provide multiculturally competent care, that is treatment that carefully and routinely considers the influence of culture and context on patients and therefore their clinical presentation. Further, no negative impacts from participating on the team were noted. A primary strength of the team's sustainability is that participation on the team was deemed to be relevant and useful by current and former team members. A major barrier to participation on the team is competing demands, such as high clinical loads. We conclude that this model for multicultural peer-consultation holds promise as an effective and implementable educational method for mental health care professionals. We discuss strengths, limitations, and future directions for research.}, Doi = {10.1177/13634615221105117}, Key = {fds369023} } @article{fds359577, Author = {Coleman, JN and Batchelder, AW and Kirakosian, N and Choi, KW and Shipherd, JC and Bedoya, CA and Safren, SA and Ironson, G and O'Cleirigh, C}, Title = {Indirect effects of dissociation on the relationship between lifetime PTSD symptoms and condomless sex among men who have sex with men with a history of childhood sexual abuse.}, Journal = {Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (Issd)}, Volume = {23}, Number = {3}, Pages = {279-295}, Year = {2022}, Month = {May}, url = {http://dx.doi.org/10.1080/15299732.2021.1989118}, Abstract = {Posttraumatic stress disorder (PTSD) symptoms may interfere with gay, bisexual and other men who have sex with men's (MSM) ability to engage in safe sex practices. An indirect relationship with dissociation may help to elucidate the relationship between PTSD symptom severity and condomless sex among MSM with childhood sexual abuse (CSA) histories. These relationships have not previously been examined in this group, which has a unique vulnerability for HIV acquisition. A cross-sectional sample of MSM with histories of CSA (<i>N</i>=290) was recruited at study sites in Boston, MA, and Miami, FL. Participants had a mean age of 37.95 years (<i>SD</i>=11.68), 22% were African American and 29.4% identified as Latino. The sample reported a mean of 10.47 <i>(SD</i>=4.38) lifetime PTSD symptoms and 26.4% met the clinical threshold for dissociation. Logistic regression models (adjusted for age, education, and substance use disorder) were used to assess indirect effects of dissociation on the relationship between lifetime PTSD symptoms and condomless anal/vaginal sex episodes with serodiscordant or unknown status partners in the past 3 months. Dissociation accounted for the association between lifetime PTSD symptom severity and condomless sex episodes. The Sobel test (Sobel = 2.04, <i>p</i>= .042; CI 95% bias-corrected bootstrap) suggested significant indirect effects for dissociation. Dissociation among MSM with CSA histories may compromise accurate appraisals of sexual risk and safety and increase vulnerability for HIV acquisition. Further research is warranted to address HIV prevention in the context of PTSD symptom severity to improve the mental health of MSM and increase the effectiveness of HIV prevention interventions.}, Doi = {10.1080/15299732.2021.1989118}, Key = {fds359577} } @article{fds369024, Author = {Knippler, ET and Mwamba, RN and Coleman, JN and Knettel, BA and Minja, LM and Kisigo, GA and Ngocho, JS and Cichowitz, C and Mmbaga, BT and Watt, MH}, Title = {Attitudes Toward Pregnancy Among Women Enrolled in Prevention of Mother-to-Child Transmission of HIV (PMTCT) Services in Moshi, Tanzania.}, Journal = {Aids and Behavior}, Volume = {25}, Number = {12}, Pages = {4008-4017}, Year = {2021}, Month = {December}, url = {http://dx.doi.org/10.1007/s10461-021-03339-0}, Abstract = {For pregnant women living with HIV (WLWH), feelings about pregnancy may influence their emotional well-being and health seeking behaviors. This study examined attitudes toward pregnancy and associated factors among women enrolled in prevention of mother-to-child transmission of HIV (PMTCT) services in Moshi, Tanzania. 200 pregnant WLWH were enrolled during their second or third trimester of pregnancy and completed a structured survey. Univariable and multivariable regression models examined factors associated with attitudes toward pregnancy, including demographics, interpersonal factors, and emotional well-being. Attitudes toward the current pregnancy were generally positive, with 87% of participants reporting feeling happy about being pregnant. In the final multivariable model, having higher levels of partner support, being newly diagnosed with HIV, and having fewer children were significantly associated with more positive attitudes toward their pregnancy. Findings point to a need for tailored psychosocial support services in PMTCT, as well as comprehensive reproductive health care for WLWH.}, Doi = {10.1007/s10461-021-03339-0}, Key = {fds369024} } @article{fds349127, Author = {Coleman, JN and DeRycke, EC and Bastian, LA and Calhoun, PS and Beckham, JC and Kroll-Desrosiers, AR and Haskell, SG and Mattocks, K and Brandt, CA and Wilson, SM}, Title = {Predictors of prenatal smoking among US women veterans.}, Journal = {J Health Psychol}, Volume = {26}, Number = {13}, Pages = {2648-2655}, Year = {2021}, Month = {November}, url = {http://dx.doi.org/10.1177/1359105320913100}, Abstract = {This study investigated prevalence and factors associated with prenatal smoking among US women veterans using cross-sectional data from a cohort study of veterans from recent wars utilizing Veterans Health Administration primary care (N = 6190). Among the participants, 747 (12.0%) were current smokers and 1039 (16.8%) were former smokers. Multivariable logistic regression indicated that White race, substance use disorder, and posttraumatic stress disorder were associated with increased likelihood of smoking during pregnancy. Conversely, being married and officer rank were associated with decreased likelihood of prenatal smoking. Findings suggest a need for empirical testing of interventions to address perinatal smoking, substance use, and mental health.}, Doi = {10.1177/1359105320913100}, Key = {fds349127} } @article{fds369025, Author = {Osaki, H and Sao, SS and Kisigo, GA and Coleman, JN and Mwamba, RN and Renju, J and Mmbaga, BT and Watt, MH}, Title = {Male engagement guidelines in antenatal care: unintended consequences for pregnant women in Tanzania.}, Journal = {Bmc Pregnancy and Childbirth}, Volume = {21}, Number = {1}, Pages = {720}, Year = {2021}, Month = {October}, url = {http://dx.doi.org/10.1186/s12884-021-04141-5}, Abstract = {<h4>Background</h4>The meaningful engagement of male partners in antenatal care (ANC) can positively impact maternal and newborn health outcomes. The Tanzania National Plan for the Elimination of Mother to Child Transmission of HIV recommends male partners attend the first ANC appointment as a strategy for HIV prevention and treatment. This recommendation seeks to increase uptake of HIV and reproductive healthcare services, but unintended consequences of these guidelines may negatively impact women's ANC experiences. This study qualitatively examined the impact of policy promoting male engagement on women's ANC experiences.<h4>Methods</h4>The study was conducted in two urban clinics in Kilimanjaro Region, Tanzania. In-depth interviews were conducted with 19 participants (13 women and 6 male partners) attending a first ANC appointment. A semi-structured guide was developed, applying Kabeer's Social Relations Approach. Data were analyzed using applied thematic analysis, combining memo writing, coding, synthesis, and comparison of themes.<h4>Results</h4>Male attendance impacted the timing of women's presentation to ANC and experience during the first ANC visit. Women whose partners could not attend delayed their presentation to first ANC due to fears of being interrogated or denied care because of their partner absence. Women presenting with partners were given preferential treatment by clinic staff, and women without partners felt discriminated against. Women perceived that the clinic prioritized men's HIV testing over involvement in pregnancy care.<h4>Conclusions</h4>Study findings indicate the need to better assess and understand the unintended impact of policies promoting male partner attendance at ANC. Although male engagement can benefit the health outcomes of mothers and newborn children, our findings demonstrate the need for improved methods of engaging men in ANC. ANC clinics should identify ways to make clinic settings more male friendly, utilize male attendance as an opportunity to educate and engage men in pregnancy and newborn care. At the same time, clinic policies should be cognizant to not discriminate against women presenting without a partner.}, Doi = {10.1186/s12884-021-04141-5}, Key = {fds369025} } @article{fds356462, Author = {Coleman, JN and Milford, C and Mosery, N and Choi, KW and Greener, LR and Matthews, LT and Harrison, A and Bangsberg, DR and Safren, SA and Smit, JA and Psaros, C}, Title = {"I did not plan … that is what hurts": Pregnancy intentions and contraceptive use among pregnant young women in KwaZulu-Natal, South Africa.}, Journal = {African Journal of Aids Research}, Volume = {20}, Number = {2}, Pages = {149-157}, Year = {2021}, Month = {July}, url = {http://dx.doi.org/10.2989/16085906.2021.1914693}, Abstract = {Unintended pregnancy impacts many young women in South Africa, and rates of consistent contraceptive use among this population are suboptimal. Limited empirical work has investigated reasons for inconsistency between pregnancy intention and contraceptive use behaviour with data collected during pregnancy. We explored pregnancy intentions and discordance between intentions and contraceptive use prior to conception among young pregnant women in KwaZulu-Natal, South Africa. In-depth qualitative interviews were conducted with 35 women during pregnancy (mean age = 19.3; range = 18-21) in 2011 and 2012. Data were analysed using content analysis. All participants reported unintended pregnancies; almost half were not using contraception near conception. Reasons for not intending to become pregnant spanned personal, social, health, and economic domains. Participants living with HIV (<i>n =</i> 13) expressed specific concerns related to impacts of pregnancy on HIV disease management and fear of transmission of HIV to the infant. Discordance between pregnancy intentions and contraceptive use prior to conception was attributed to personal, social, health and structural domains. Findings indicate a need for interventions that address barriers to contraceptive use in order to minimise unintended pregnancy and support safe, desired pregnancies among young women.}, Doi = {10.2989/16085906.2021.1914693}, Key = {fds356462} } @article{fds340638, Author = {Batchelder, AW and Safren, SA and Coleman, JN and Boroughs, MS and Thiim, A and Ironson, GH and Shipherd, JC and O'Cleirigh, C}, Title = {Indirect Effects From Childhood Sexual Abuse Severity to PTSD: The Role of Avoidance Coping.}, Journal = {Journal of Interpersonal Violence}, Volume = {36}, Number = {9-10}, Pages = {NP5476-NP5495}, Year = {2021}, Month = {May}, url = {http://dx.doi.org/10.1177/0886260518801030}, Abstract = {Men who have sex with men (MSM) disproportionately experience childhood sexual abuse (CSA) compared with heterosexual men, often resulting in continued trauma-related sequelae, including symptoms of posttraumatic stress disorder (PTSD) such as avoidance. The variability in trauma-related sequelae may be associated with chronicity or duration of CSA. The relationship between duration of CSA and later PTSD symptom severity is not well understood, including the extent coping strategies account for these relationships. We used linear regression to examine these relationships and to assess the indirect effects of avoidance (behavioral disengagement and denial) and adaptive coping strategies on the relationship between CSA duration and adult PTSD symptom severity on a diverse sample included 290 MSM with a history of CSA. In adjusted models, CSA duration was significantly associated with adult PTSD symptom severity (standardized β = .23, <i>p</i> < .000) and with avoidance coping (standardized β = .19, <i>p</i> = .002). Separating this out, behavioral disengagement was significantly associated with CSA duration (standardized β = .20, <i>p</i> = .001) but denial was not. In adjusted analyses assessing indirect effects, avoidance coping partially accounted for the relationship between CSA duration and total trauma symptom severity (standardized β reduced from .23 to .17; Sobel = 2.90, <i>p</i> = .004). Similarly, behavioral disengagement partially accounted for the association between CSA duration and total symptoms (standardized β reduced from .23 to .18; Sobel = 2.68, <i>p</i> = .007). Avoidance coping, and behavioral disengagement specifically, may play a role in the severity of PTSD symptoms experienced by MSM with CSA histories. This work emphasizes the need for clinicians to consider behavioral disengagement in understanding PTSD symptom severity among MSM with histories of CSA.}, Doi = {10.1177/0886260518801030}, Key = {fds340638} } @article{fds348761, Author = {Psaros, C and Smit, JA and Mosery, N and Bennett, K and Coleman, JN and Bangsberg, DR and Safren, SA}, Title = {PMTCT Adherence in Pregnant South African Women: The Role of Depression, Social Support, Stigma, and Structural Barriers to Care.}, Journal = {Annals of Behavioral Medicine}, Volume = {54}, Number = {9}, Pages = {626-636}, Year = {2020}, Month = {September}, url = {http://dx.doi.org/10.1093/abm/kaaa005}, Abstract = {<h4>Background</h4>Depression is a robust predictor of nonadherence to antiretroviral (ARV) therapy, which is essential to prevention of mother-to-child transmission (PMTCT). Women in resource-limited settings face additional barriers to PMTCT adherence. Although structural barriers may be minimized by social support, depression and stigma may impede access to this support.<h4>Purpose</h4>To better understand modifiable factors that contribute to PMTCT adherence and inform intervention development.<h4>Methods</h4>We tested an ARV adherence model using data from 200 pregnant women enrolled in PMTCT (median age 28), who completed a third-trimester interview. Adherence scores were created using principal components analysis based on four questions assessing 30-day adherence. We used path analysis to assess (i) depression and stigma as predictors of social support and then (ii) the combined associations of depression, stigma, social support, and structural barriers with adherence.<h4>Results</h4>Elevated depressive symptoms were directly associated with significantly lower adherence (est = -8.60, 95% confidence interval [-15.02, -2.18], p < .01). Individuals with increased stigma and depression were significantly less likely to utilize social support (p < .01, for both), and higher social support was associated with increased adherence (est = 7.42, 95% confidence interval [2.29, 12.58], p < .01). Structural barriers, defined by income (p = .55) and time spent traveling to clinic (p = .31), did not predict adherence.<h4>Conclusions</h4>Depression and social support may play an important role in adherence to PMTCT care. Pregnant women living with HIV with elevated depressive symptoms and high levels of stigma may suffer from low social support. In PMTCT programs, maximizing adherence may require effective identification and treatment of depression and stigma, as well as enhancing social support.}, Doi = {10.1093/abm/kaaa005}, Key = {fds348761} } @article{fds347602, Author = {Knettel, BA and Robertson, C and Ciya, N and Coleman, JN and Elliott, SA and Joska, JA and Sikkema, KJ}, Title = {"I cannot change what happened to me, but I can learn to change how I feel": A case study from ImpACT, an intervention for women with a history of sexual trauma who are living with HIV in Cape Town, South Africa.}, Journal = {Psychotherapy (Chicago, Ill.)}, Volume = {57}, Number = {1}, Pages = {90-96}, Year = {2020}, Month = {March}, url = {http://dx.doi.org/10.1037/pst0000263}, Abstract = {Sexual trauma is highly prevalent among women living with HIV in South Africa, and there is a great need for psychotherapeutic interventions to address these concerns. Improving AIDS Care After Trauma (ImpACT) is a manualized intervention, based on stress and coping theories, that builds skills for coping with sexual trauma and HIV to promote long-term HIV care engagement. Using qualitative case study methodology, we report the case of Xoliswa, a 34-year-old woman with a complex history of sexual trauma and alcohol use who was diagnosed with HIV 1 year prior to enrollment in ImpACT. The interventionist, a lay counselor, worked with Xoliswa in a primary care clinic to address her concerns by exploring personal values, managing barriers to HIV care, and teaching active coping. Xoliswa's drinking reduced, symptoms of trauma and depression improved, and she maintained strong HIV care engagement. The interventionist experienced stress and emotional challenges in delivering ImpACT to Xoliswa and other highly traumatized women, and the interventionist's skill development and support received through training and supervision are briefly discussed. The case demonstrates the feasibility of ImpACT in a resource-limited setting and highlights themes and barriers in therapy, which can inform future interventions for women living with HIV. (PsycINFO Database Record (c) 2020 APA, all rights reserved).}, Doi = {10.1037/pst0000263}, Key = {fds347602} } @article{fds369027, Author = {Pita, MG and Coleman, JN and Kimmick, G and Keefe, FJ and Bosworth, HB and Sutton, LM and Owen, L and Gandhi, V and Shelby, RA}, Title = {ASSOCIATION BETWEEN PERCEIVED DISCRIMINATION IN MEDICAL CARE AND SELF-EFFICACY FOR PURSUING BREAST CANCER FOLLOW-UP CARE}, Journal = {Annals of Behavioral Medicine}, Volume = {54}, Pages = {S702-S702}, Year = {2020}, Key = {fds369027} } @article{fds369028, Author = {Coleman, JN and Kimmick, G and Keefe, FJ and Bosworth, HB and Sutton, LM and Owen, L and Gandhi, V and Shelby, RA}, Title = {PERCEPTIONS OF FOLLOW-UP CARE AMONG BREAST CANCER SURVIVORS: ASSOCIATIONS WITH COMMUNICATION AND TRUST IN MEDICAL CARE}, Journal = {Annals of Behavioral Medicine}, Volume = {54}, Pages = {S279-S279}, Year = {2020}, Key = {fds369028} } @article{fds369029, Author = {Arthur, SS and Bovbjerg, DH and Keefe, FJ and Kimmick, G and Sutton, LM and Owen, L and Hwang, E-SS and Raybon, KB and Coleman, JN and Shelby, RA}, Title = {FEASIBILITY TRIAL OF TARGETED PAIN COPING SKILLS TRAINING FOR PERSISTENT PAIN AFTER BREAST CANCER SURGERY}, Journal = {Annals of Behavioral Medicine}, Volume = {54}, Pages = {S548-S548}, Year = {2020}, Key = {fds369029} } @article{fds369030, Author = {Coleman, JN and Sao, S and Kisigo, G and Mwamba, R and Ngocho, JS and Mmbaga, BT and Osaki, H and Minja, L and Renju, J and Watt, MH}, Title = {MALE PARTNERS' ANTENATAL CARE ATTENDANCE AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN IN NORTHERN TANZANIA}, Journal = {Annals of Behavioral Medicine}, Volume = {54}, Pages = {S397-S397}, Year = {2020}, Key = {fds369030} } @article{fds340636, Author = {Labbe, AK and Wilner, JG and Coleman, JN and Marquez, SM and Kosiba, JD and Zvolensky, MJ and Smits, JAJ and Norton, PJ and Rosenfield, D and O'Cleirigh, C}, Title = {A qualitative study of the feasibility and acceptability of a smoking cessation program for people living with HIV and emotional dysregulation.}, Journal = {Aids Care Psychological and Socio Medical Aspects of Aids/Hiv}, Volume = {31}, Number = {5}, Pages = {609-615}, Year = {2019}, Month = {May}, url = {http://dx.doi.org/10.1080/09540121.2018.1533225}, Abstract = {Despite high rates of co-occurring tobacco use and anxiety among persons living with HIV, evidence-based interventions for these individuals are limited. An existing cognitive-behavioral treatment protocol for smoking cessation and anxiety (Norton, P. J., & Barrera, T. L. (2012). Transdiagnostic versus diagnosis-specific CBT for anxiety disorders: A preliminary randomized controlled noninferiority trial. Depression and Anxiety, 29(10), 874-882. https://doi.org/10.1002/da.21974) was modified to address transdiagnostic constructs, such as anxiety sensitivity, distress tolerance, and depressive symptomatology (Labbe, A. K., Wilner, J. G., Kosiba, J. D., Gonzalez, A., Smits, J. A., Zvolensky, M. J., … O'Cleirigh, C. (2017). Demonstration of an Integrated Treatment for Smoking Cessation and Anxiety Symptoms in People with HIV: A Clinical Case Study. Cognitive and Behavioral Practice, 24(2), 200-214. https://doi.org/10.1016/j.cbpra.2016.03.009). This study examines the feasibility and acceptability of the intervention as determined from qualitative data from structured exit interviews from 10 participants who completed treatment. Results demonstrated that participants were very motivated to quit smoking and enrolled in the program for health-related reasons and to be able to quit. Participants found nearly all the treatment components to be useful for reaching their smoking cessation goal and in managing emotional dysregulation. Last, all participants stated that they would strongly recommend the treatment program. This qualitative study provides initial evidence for the feasibility and acceptability of a modified smoking cessation treatment protocol for HIV+ individuals with anxiety and emotional dysregulation. Future research will focus on evaluating the efficacy of the protocol in a full-scale randomized controlled trial, as well as working to collect qualitative data from participants who discontinue treatment to better understand reasons for treatment attrition.}, Doi = {10.1080/09540121.2018.1533225}, Key = {fds340636} } @article{fds346312, Author = {Choi, KW and Smit, JA and Coleman, JN and Mosery, N and Bangsberg, DR and Safren, SA and Psaros, C}, Title = {Mapping a Syndemic of Psychosocial Risks During Pregnancy Using Network Analysis.}, Journal = {International Journal of Behavioral Medicine}, Volume = {26}, Number = {2}, Pages = {207-216}, Year = {2019}, Month = {April}, url = {http://dx.doi.org/10.1007/s12529-019-09774-7}, Abstract = {<h4>Background</h4>Psychosocial risks during pregnancy impact maternal health in resource-limited settings, and HIV-positive women often bear a heavy burden of these factors. This study sought to use network modeling to characterize co-occurring psychosocial risks to maternal and child health among at-risk pregnant women.<h4>Methods</h4>Two hundred pregnant HIV-positive women attending antenatal care in South Africa were enrolled. Measured risk factors included younger age, low income, low education, unemployment, unintended pregnancy, distress about pregnancy, antenatal depression, internalized HIV stigma, violence exposure, and lack of social support. Network analysis between risk factors was conducted in R using mixed graphical modeling. Centrality statistics were examined for each risk node in the network.<h4>Results</h4>In the resulting network, unintended pregnancy was strongly tied to distress about pregnancy. Distress about pregnancy was most central in the network and was connected to antenatal depression and HIV stigma. Unintended pregnancy was also associated with lack of social support, which was itself linked to antenatal depression, HIV stigma, and low income. Finally, antenatal depression was connected to violence exposure.<h4>Conclusions</h4>Our results characterize a network of psychosocial risks among pregnant HIV-positive women. Distress about pregnancy emerged as central to this network, suggesting that unintended pregnancy is particularly distressing in this population and may contribute to further risks to maternal health, such as depression. Prevention of unintended pregnancies and interventions for coping with unplanned pregnancies may be particularly useful where multiple risks intersect. Efforts addressing single risk factors should consider an integrated, multilevel approach to support women during pregnancy.<h4>Trial registration</h4>ClinicalTrials.gov identifier: NCT03069417.}, Doi = {10.1007/s12529-019-09774-7}, Key = {fds346312} } @article{fds340637, Author = {OʼCleirigh, C and Zvolensky, MJ and Smits, JAJ and Labbe, AK and Coleman, JN and Wilner, JG and Stanton, AM and Gonzalez, A and Garey, L and Regenauer, KS and Rosenfield, D}, Title = {Integrated Treatment for Smoking Cessation, Anxiety, and Depressed Mood in People Living With HIV: A Randomized Controlled Trial.}, Journal = {Journal of Acquired Immune Deficiency Syndromes}, Volume = {79}, Number = {2}, Pages = {261-268}, Year = {2018}, Month = {October}, url = {http://dx.doi.org/10.1097/qai.0000000000001787}, Abstract = {<h4>Objective</h4>Among people living with HIV, cigarette smoking rates are higher than among the general population, and anxiety, depression, and their disorders are common and associated with smoking and poorer outcomes during cessation. This study evaluated the efficacy of an integrated smoking cessation intervention, developed to target anxiety, depression, and smoking cessation concurrently among people living with HIV.<h4>Method</h4>Smokers living with HIV who reported at least moderate motivation to quit smoking were randomized into a novel 9-week integrated intervention (QUIT), consisting of 1 psychoeducation (prerandomization) session and 9 weekly 1-hour sessions of cognitive behavioral therapy for smoking cessation and anxiety/depression plus nicotine replacement therapy, or a 9-week enhanced standard smoking intervention (ETAU), consisting of 1 psychoeducation session (prerandomization) and 4 brief weekly check-in sessions plus nicotine replacement therapy. All were instructed to make a quit attempt at week 6.<h4>Results</h4>Seventy-two participants were enrolled, and 53 were randomized. 41/53 participants completed the active treatment phase of the study. 7-day point-prevalence abstinence, verified with expired carbon monoxide, was significantly higher among those in the integrated intervention than those in the enhanced standard intervention both end-of-treatment {[MQUIT = 59%, METAU = 9%; b = 5.60, 95% confidence interval: (2.64 to 8.56), t(332) = 3.72, P < 0.001]} and 6-months post-quit date {[MQUIT = 46%, METAU = 5%; b = 7.69, 95% confidence interval: (4.60 to 10.78), t(332) = 4.90, P < 0.001]}. Consideration of patterns of missingness did not alter the significance of these findings.<h4>Conclusions</h4>The integrated intervention was associated with substantially higher short-term and long-term abstinence rates than the enhanced standard intervention. These data provide promising initial evidence supporting the benefits of an integrated anxiety-depression/smoking cessation program specifically tailored for people living with HIV.}, Doi = {10.1097/qai.0000000000001787}, Key = {fds340637} } @article{fds334111, Author = {O'Cleirigh, C and Perry, NS and Taylor, SW and Coleman, JN and Costa, PT and Mayer, KH and Safren, SA}, Title = {Personality Traits and Adaptive HIV Disease Management: Relationships with Engagement in Care and Condomless Anal Intercourse Among Highly Sexually Active Sexual Minority Men Living with HIV.}, Journal = {Lgbt Health}, Volume = {5}, Number = {4}, Pages = {257-263}, Year = {2018}, Month = {May}, url = {http://dx.doi.org/10.1089/lgbt.2016.0065}, Abstract = {PURPOSE:The purpose of this study was to identify systematic relationships between personality domains and engagement in HIV care and secondary HIV prevention among sexual minority men living with HIV. METHODS:This cross-sectional study examined the relationships between general personality traits of the Five-Factor Model of personality (e.g., Neuroticism and Conscientiousness) and engagement in medical care and condomless anal intercourse among a sample of highly sexually active sexual minority men living with HIV (N = 60). RESULTS:Conscientiousness (B = -0.01, P < 0.05), Openness (B = -0.03, P < 0.05), and Extraversion (B = -0.03, P < 0.001) were each associated with engaging in fewer episodes of condomless anal intercourse and Conscientiousness alone was significantly related to having fewer sexual partners (B = -0.04, P < 0.001). Conscientiousness (odds ratio [OR] = 1.07, confidence interval [CI]: 1.01-1.13) and Extraversion (OR = 1.13, CI: 1.04-1.22) were both associated significantly with prevention service use. Conscientiousness alone was related to engagement in HIV medical case management (B = -0.11, P < 0.05), whereas both Conscientiousness (B = 0.41, P < 0.0001) and Neuroticism (B = -0.64, P < 0.001) were associated with perceived health. Furthermore, compared with the normative sample for the NEO-Personality Inventory-Revised, men in our sample scored significantly higher on Neuroticism and significantly lower on Conscientiousness (Ps < 0.05). CONCLUSION:These findings suggest that enduring individual differences may account, in part, for some of the high levels of condomless anal intercourse reported by this group, as well as engagement in and use of prevention services. We suggest strategies for engaging this group in secondary HIV prevention programs and initiatives.}, Doi = {10.1089/lgbt.2016.0065}, Key = {fds334111} } @article{fds334112, Author = {Shaffer, KM and Jacobs, JM and Coleman, JN and Temel, JS and Rosand, J and Greer, JA and Vranceanu, A-M}, Title = {Anxiety and Depressive Symptoms Among Two Seriously Medically Ill Populations and Their Family Caregivers: A Comparison and Clinical Implications.}, Journal = {Neurocritical Care}, Volume = {27}, Number = {2}, Pages = {180-186}, Publisher = {Springer Science and Business Media LLC}, Year = {2017}, Month = {October}, url = {http://dx.doi.org/10.1007/s12028-016-0358-3}, Abstract = {<h4>Background</h4>Anxiety and depression are common among patients with acute illness and their families. In oncology, psychosocial services addressing these symptoms are increasingly part of regular practice. Less is known about psychiatric distress among patients with acute neurological injury (ANI) and their family caregivers. To highlight this inequity in psychosocial intervention across medical services, we compared anxiety and depressive symptomatology shortly following diagnosis among patients facing incurable cancer or ANI and their family caregivers.<h4>Methods</h4>Recruited from the same hospital, participants were patients within 8 weeks of receiving a diagnosis of incurable cancer (N = 350) and their family caregivers (N = 275; total patient/caregiver dyads = 275) and patients hospitalized in the Neuroscience ICU in the past 2 weeks (N = 81) and their family caregivers (N = 95; total dyads = 75). Participants reported anxiety and depressive symptoms using the Hospital Anxiety and Depression Scale. Symptomatology was compared across illnesses using independent samples t-tests and multiple regressions controlling for differences in sample demographics.<h4>Results</h4>Patients with ANI (M = 6.90) reported greater anxiety symptoms than those with cancer (M = 5.31, p < .001), while caregivers for patients with ANI (M = 5.45) reported greater depressive symptoms than caregivers for patients with cancer (M = 3.81, p < .001). Results remained when controlling for demographic differences between samples.<h4>Conclusion</h4>This is the first cross-comparison of psychiatric distress in patients and family caregivers affected by two distinct, life-threatening illnesses early in the illness trajectory. Findings support the priority of addressing psychiatric distress among patients with ANI and their family caregivers, as has been emphasized in the psychosocial oncology field.}, Doi = {10.1007/s12028-016-0358-3}, Key = {fds334112} } @article{fds334113, Author = {Ashaba, S and Kaida, A and Coleman, JN and Burns, BF and Dunkley, E and O'Neil, K and Kastner, J and Sanyu, N and Akatukwasa, C and Bangsberg, DR and Matthews, LT and Psaros, C}, Title = {Psychosocial challenges facing women living with HIV during the perinatal period in rural Uganda.}, Journal = {Plos One}, Volume = {12}, Number = {5}, Pages = {e0176256}, Publisher = {Public Library of Science (PLoS)}, Editor = {Mazza, M}, Year = {2017}, Month = {January}, url = {http://dx.doi.org/10.1371/journal.pone.0176256}, Abstract = {The complexities of navigating pregnancy while living with HIV predispose women to additional stress. Finding ways to minimize psychosocial challenges during the perinatal period may maximize the well-being of mothers living with HIV and their children. The goal of this study was to explore psychosocial challenges experienced by women living with HIV (WLWH) during pregnancy and the postpartum. We conducted individual in-depth interviews with 20 WLWH recruited from an HIV treatment cohort study in Mbarara, Uganda as part of a larger study exploring perinatal depression. We conducted content analyses to identify themes related to challenges of WLWH during pregnancy and the postpartum. Participants had a median age of 33 years [IQR: 28-35], a median of 3 living children [IQR: 2-5], and 95% had achieved HIV-RNA suppression. Challenges were organized around the following themes: HIV -related stigma from health professionals, HIV status disclosure dilemma, unintended pregnancy and intimate partner violence, HIV and environmental structural barriers and distress and fear related to maternal and child health. Stigma centered on discrimination by health care professionals and personal shame associated with being pregnant as a WLWH. This led to difficulty engaging in HIV care, particularly when coupled with structural barriers, such as lack of transportation to clinic. Participants experienced intimate partner violence and lacked support from their partners and family members. Distress and fear about the health and uncertainty about the future of the unborn baby due to maternal deteriorating physical health was common. The perinatal period is a time of stress for WLWH. Challenges experienced by WLWH may compromise successful engagement in HIV care and may reduce quality of life for women and their children. Strategies aimed at alleviating the challenges of WLWH should involve the larger structural environment including partners, family and community member as well as policy makers, funders and program implementers to work together for the common cause. These consolidated efforts may not only lower the risk of psychological distress but has potential to create long lasting solutions to benefit the wider community.}, Doi = {10.1371/journal.pone.0176256}, Key = {fds334113} } %% Chapters in Books @misc{fds369026, Author = {Shelby, R and Coleman, J and Arthur, S and Acharya, K and Heath, A and Flather, M and Westbrook, K and Dorfman, C}, Title = {Sexual and Reproductive Health Concerns}, Booktitle = {Common Issues in Breast Cancer Survivors: A Practical Guide to Evaluation and Management}, Publisher = {SPRINGER}, Editor = {Kimmick, G and Shelby, R and Sutton, L}, Year = {2021}, Month = {September}, ISBN = {303075376X}, Abstract = {This book provides a clinically useful resource for evaluation and management of the symptoms and issues that burden survivors of breast cancer.}, Key = {fds369026} } @misc{fds351483, Author = {Sikkema, KJ and Coleman, JN}, Title = {Psychotherapy for PTSD and stress disorders}, Pages = {193-222}, Booktitle = {Global Mental Health and Psychotherapy: Adapting Psychotherapy for Low- and Middle-Income Countries}, Year = {2019}, Month = {January}, ISBN = {9780128149331}, url = {http://dx.doi.org/10.1016/B978-0-12-814932-4.00009-4}, Abstract = {LMIC are affected by serious issues that contribute to the development of traumatic stress, such as war and conflict, internal displacement, poverty, food insecurity, and disease. Evidence-based psychological treatments for PTSD have been developed and tested in high-income countries, but less research has been conducted in LMIC to examine if similar treatments for PTSD are efficacious in various cultural contexts and within a range of delivery settings. In this chapter, we review psychological interventions for PTSD and stress disorders that have been evaluated in LMIC, provide an overview of their efficacy, synthesize the strengths and weaknesses of empirical work to date, and discuss future directions for research and treatment implementation. Resulting studies were organized by population stressor into the following sections: (American Psychiatric Association, 2013) conflict and violence, (Scott, Koenen, Aguilar-Gaxiola, et al., 2013) natural disasters, and (Turner & Lloyd, 1995) gender-based violence, including comorbid medical conditions. Existing interventions have several methodological strengths, such as numerous studies utilizing empirically supported approaches, group-based intervention structures, and delivery by nonspecialists in mental health (e.g., lay counselors or community health workers). The treatments evaluated are on a continuum of traditions from those in the CBT framework such as TF-CBT and NET to broader psychological treatments such as problem-solving, IPT, and BA. A limitation is that trials have largely compared treatments with a wait list control, no-treatment control, or treatment-as-usual condition. Therefore, for many PTSD trials, the extent of the effect attributable to treatment is not clear. Future directions should include testing mechanisms of change in treatment, developing brief and scalable interventions that have been culturally tailored, and using attention-matched control comparisons to elucidate effective treatment components.}, Doi = {10.1016/B978-0-12-814932-4.00009-4}, Key = {fds351483} } | |
Duke University * Arts & Sciences * Faculty * Staff * Grad * Postdocs * Reload * Login |