Paula P. Schnurr
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View article: Implausible Effects of Psychological Interventions Meta-Epidemiological Study and Development of a Simple Flagging Tool
Implausible Effects of Psychological Interventions Meta-Epidemiological Study and Development of a Simple Flagging Tool Open
In meta-analyses of psychological interventions, trials occasionally report effects that appear implausibly large. While such results are unlikely to reflect genuine treatment effects, this is rarely verifiable, and studies are often retai…
View article: A psychometric examination of computerized adaptive measures of posttraumatic stress disorder among military veterans.
A psychometric examination of computerized adaptive measures of posttraumatic stress disorder among military veterans. Open
Brenner et al. (2021) developed and initially tested two computerized adaptive measures of posttraumatic stress disorder (PTSD), one that provides a provisional diagnosis (PTSD computerized adaptive diagnostic screen [CAD-PTSD]) and one th…
View article: Addressing pandemic-related guilt and shame in U.S. military veterans: A pilot randomized controlled trial of trauma-informed guilt reduction and supportive care therapy.
Addressing pandemic-related guilt and shame in U.S. military veterans: A pilot randomized controlled trial of trauma-informed guilt reduction and supportive care therapy. Open
Findings suggest that veterans with PTSD and guilt may benefit more from trauma- or morally injurious event-focused interventions like TrIGR, while veterans without PTSD may be adequately supported by SCT. Larger, more diverse samples are …
View article: Effectiveness of digital interventions for eight mental disorders: A meta-analytic synthesis
Effectiveness of digital interventions for eight mental disorders: A meta-analytic synthesis Open
Digital interventions can be effective across a wide range of diagnosed mental disorders. For some indications, more high-quality trials and comparisons against care-as-usual are needed to confirm the robustness of the effect, particularly…
View article: Harnessing psychedelics for treating posttraumatic stress disorder: Does the science support all the hype?
Harnessing psychedelics for treating posttraumatic stress disorder: Does the science support all the hype? Open
This paper is an edited transcript of a plenary panel held at the 2024 Annual Meeting of the International Society for Traumatic Stress Studies (ISTSS) in Boston, Massachusetts, United States. The panel comprised Drs. Mark Creamer (moderat…
View article: Camaraderie Among US Veterans and Their Preferences for Health Care Systems and Practitioners
Camaraderie Among US Veterans and Their Preferences for Health Care Systems and Practitioners Open
Importance Unlike convenience, cost, and quality, camaraderie with other similar patients has not been reported as a prominent patient consideration when choosing a health care system or practitioner. As the Veterans Affairs (VA) Health Sy…
View article: Diagnostic accuracy and psychometric performance of two self‐report measures of posttraumatic stress disorder in older veterans
Diagnostic accuracy and psychometric performance of two self‐report measures of posttraumatic stress disorder in older veterans Open
The Primary Care PTSD Screen for DSM‐5 (PC‐PTSD‐5) and PTSD Checklist for DSM‐5 (PCL‐5) have demonstrated high levels of diagnostic accuracy and strong psychometric properties across various samples and settings. However, the impact of age…
View article: Gender and ethnoracial disparities in Veterans’ trauma exposure prevalence across differing life phases
Gender and ethnoracial disparities in Veterans’ trauma exposure prevalence across differing life phases Open
Background Veterans show increased vulnerability to trauma exposure. Yet, there is limited research examining Veterans’ prevalence of experiencing different trauma exposure types by race, gender, and ethnicity and across unique phases of l…
View article: Psychosocial Well-Being at the Time of Trauma Exposure and Risk of PTSD
Psychosocial Well-Being at the Time of Trauma Exposure and Risk of PTSD Open
This cohort study examines whether 3 well-being domains—vocational, financial, and social—are associated with the risk of developing subsequent posttraumatic stress disorder (PTSD) after a traumatic event.
View article: Posttraumatic Stress Disorder and Type 2 Diabetes Outcomes in Veterans
Posttraumatic Stress Disorder and Type 2 Diabetes Outcomes in Veterans Open
Importance Posttraumatic stress disorder (PTSD) symptom reduction is linked with lower risk of incident type 2 diabetes (T2D), but little is known about the association between PTSD and comorbid T2D outcomes. Whether PTSD is a modifiable r…
View article: Absolute and relative outcomes of psychotherapies for eight mental disorders: a systematic review and meta‐analysis
Absolute and relative outcomes of psychotherapies for eight mental disorders: a systematic review and meta‐analysis Open
Psychotherapies are first‐line treatments for most mental disorders, but their absolute outcomes (i.e., response and remission rates) are not well studied, despite the relevance of such information for health care users, providers and poli…
View article: Testing an Intervention to Improve Health Care Worker Well-Being During the COVID-19 Pandemic
Testing an Intervention to Improve Health Care Worker Well-Being During the COVID-19 Pandemic Open
Importance Stress First Aid is an evidence-informed peer-to-peer support intervention to mitigate the effect of the COVID-19 pandemic on the well-being of health care workers (HCWs). Objective To evaluate the effectiveness of a tailored pe…
View article: Session-level effects of cognitive processing therapy and prolonged exposure on individual symptoms of posttraumatic stress disorder among U.S. veterans.
Session-level effects of cognitive processing therapy and prolonged exposure on individual symptoms of posttraumatic stress disorder among U.S. veterans. Open
Findings may facilitate the shared decision-making process for patients choosing between CPT and PE. Session-level results provide direction for future research on the specific intervention components of CPT and PE. (PsycInfo Database Reco…
View article: Sex Differences in Psychopathology Following Potentially Traumatic Experiences
Sex Differences in Psychopathology Following Potentially Traumatic Experiences Open
Importance Various psychopathology may follow trauma; however, sex differences in these ranging manifestations of posttraumatic psychopathology remain understudied. Objective To investigate sex-specific incidence of posttraumatic psychopat…
View article: Protecting the Well-Being of Healthcare Workers during the COVID-19 Pandemic -- The COVER-HCW Project
Protecting the Well-Being of Healthcare Workers during the COVID-19 Pandemic -- The COVER-HCW Project Open
View article: Adaptation of Stress First Aid for Health Care Workers During COVID-19
Adaptation of Stress First Aid for Health Care Workers During COVID-19 Open
Frontline healthcare workers (HCWs) have experienced increased levels of stress and burnout during and after the pandemic, resulting in healthcare worker shortages and diminished quality of care for patients. Originally piloted in combat e…
View article: Enhancing Representation of Special Populations: An Approach to the Inclusion of Women Veterans in Va Clinical Trials
Enhancing Representation of Special Populations: An Approach to the Inclusion of Women Veterans in Va Clinical Trials Open
View article: Implementing precision methods in personalizing psychological therapies: Barriers and possible ways forward
Implementing precision methods in personalizing psychological therapies: Barriers and possible ways forward Open
View article: Severity of posttraumatic stress disorder, type 2 diabetes outcomes and all-cause mortality: A retrospective cohort study
Severity of posttraumatic stress disorder, type 2 diabetes outcomes and all-cause mortality: A retrospective cohort study Open
View article: Antihypertensive Medications and PTSD Incidence in a Trauma Cohort
Antihypertensive Medications and PTSD Incidence in a Trauma Cohort Open
Conclusions: These findings lay a foundation for additional research focusing on antihypertensive medications that appear most effective in reducing PTSD incidence following trauma and for additional replication work aimed at…
View article: Early Predictors of Chronic PTSD Symptom Trajectories in US Army Soldiers Deployed to the Iraq War
Early Predictors of Chronic PTSD Symptom Trajectories in US Army Soldiers Deployed to the Iraq War Open
Purpose The course of posttraumatic stress disorder (PTSD) symptoms varies among veterans of warzones, but sources of variation in long-term course remain poorly understood. Modeling of symptom growth trajectories facilitates understanding…
View article: Tools to Detect Risk of Death by Suicide
Tools to Detect Risk of Death by Suicide Open
Registration: PROSPERO: CRD42021285528.
View article: Comparative effectiveness of trauma-focused and non-trauma-focused psychotherapy for PTSD among veterans with comorbid substance use disorders: Protocol & rationale for a randomized clinical trial
Comparative effectiveness of trauma-focused and non-trauma-focused psychotherapy for PTSD among veterans with comorbid substance use disorders: Protocol & rationale for a randomized clinical trial Open
gov Identifier: NCT04581434.
View article: Divergent experiences of U.S. veterans who did and did not complete trauma-focused therapies for PTSD: A national qualitative study of treatment dropout
Divergent experiences of U.S. veterans who did and did not complete trauma-focused therapies for PTSD: A national qualitative study of treatment dropout Open
View article: Protecting the mental and physical well-being of frontline health care workers during COVID-19: Study protocol of a cluster randomized controlled trial
Protecting the mental and physical well-being of frontline health care workers during COVID-19: Study protocol of a cluster randomized controlled trial Open
View article: Does screening for PTSD lead to VA mental health care? Identifying the spectrum of initial VA screening actions.
Does screening for PTSD lead to VA mental health care? Identifying the spectrum of initial VA screening actions. Open
Despite the active posttraumatic stress disorder (PTSD) screening program in Department of Veterans Affairs (VA) primary care clinics and the availability of empirically supported treatments for PTSD at VA, many veterans for whom screening…
View article: PTSD symptom improvement and smoking cessation among a sample of veterans
PTSD symptom improvement and smoking cessation among a sample of veterans Open
Context: Poor health behaviors are common in persons with posttraumatic stress disorder (PTSD). PTSD symptom improvement has been followed by better health behaviors such as medication adherence and use of nutrition, weight loss, and subst…
View article: Deploying a telemedicine collaborative care intervention for posttraumatic stress disorder in the U.S. Department of Veterans Affairs: A stepped wedge evaluation of an adaptive implementation strategy
Deploying a telemedicine collaborative care intervention for posttraumatic stress disorder in the U.S. Department of Veterans Affairs: A stepped wedge evaluation of an adaptive implementation strategy Open
ClinicalTrials.gov Identifier: NCT02737098.
View article: The mental health of Vietnam theater veterans—the lasting effects of the war: 2016–2017 Vietnam Era Health Retrospective Observational Study
The mental health of Vietnam theater veterans—the lasting effects of the war: 2016–2017 Vietnam Era Health Retrospective Observational Study Open
Mental health data from the 2016–2017 Vietnam Era Health Retrospective Observational Study (VE‐HEROeS) were analyzed by cohort, represented by United States Vietnam theater veterans (VTs) who served in Vietnam, Cambodia, and Laos; nontheat…
View article: Using Danish national registry data to understand psychopathology following potentially traumatic experiences
Using Danish national registry data to understand psychopathology following potentially traumatic experiences Open
Research on posttraumatic psychopathology has focused primarily on posttraumatic stress disorder (PTSD); other posttraumatic psychiatric diagnoses are less well documented. The present study aimed to (a) develop a methodology to derive a c…