Ron Acierno
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View article: Mental health outcomes of Latino emerging adults with autism spectrum disorder in a community-based, transition to adulthood program
Mental health outcomes of Latino emerging adults with autism spectrum disorder in a community-based, transition to adulthood program Open
Latino individuals with autism spectrum disorder (ASD) face unique challenges during their transition to adulthood. This study evaluates ¡Iniciando! la Adultez, a culturally adapted behavioral health program aimed at addressing the …
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: An Open Trial for Transdiagnostic Behavior Therapy for Primary Care (TBT-PC) in Veterans with Symptoms of Depression and Anxiety
An Open Trial for Transdiagnostic Behavior Therapy for Primary Care (TBT-PC) in Veterans with Symptoms of Depression and Anxiety Open
Transdiagnostic psychotherapies were developed to address multiple diagnostic presentations via a single, easier-to-implement protocol. However, despite advances, these protocols are largely limited to longer formats designed for mental he…
View article: Refining a Video and Text Message Intervention (STAR, Skills Training in Active Recovery) to Prevent the Onset or Escalation of Posttraumatic Stress and Opioid Misuse Among Recent Sexual Assault Survivors: Community Engaged Study
Refining a Video and Text Message Intervention (STAR, Skills Training in Active Recovery) to Prevent the Onset or Escalation of Posttraumatic Stress and Opioid Misuse Among Recent Sexual Assault Survivors: Community Engaged Study Open
Background Sexual violence is prevalent, and the consequences can be chronic and impairing. However, few interventions exist to prevent the onset or escalation of posttraumatic stress symptoms and opioid misuse among recent sexual violence…
View article: Mental Health Outcomes of Latino Emerging Adults with Autism Spectrum Disorder in a Community-Based, Transition to Adulthood Program
Mental Health Outcomes of Latino Emerging Adults with Autism Spectrum Disorder in a Community-Based, Transition to Adulthood Program Open
Latino individuals with autism spectrum disorder (ASD) face unique challenges during their transition to adulthood. This study evaluates ¡Iniciando! la Adultez, a culturally adapted behavioral health program aimed at addressing the co-occu…
View article: Who drops out of exposure therapy? A machine learning mega-analysis of PTSD patients
Who drops out of exposure therapy? A machine learning mega-analysis of PTSD patients Open
Posttraumatic stress disorder (PTSD) is a global mental health challenge. Although several types of evidence-based exposure therapies have been recognized as first line interventions for PTSD, high dropout rates remain of critical concern …
View article: A STEPPED-CARE SOCIAL AND MENTAL HEALTH ENGAGEMENT INTERVENTION FOR OLDER ADULT PROTECTIVE SERVICES CLIENTS
A STEPPED-CARE SOCIAL AND MENTAL HEALTH ENGAGEMENT INTERVENTION FOR OLDER ADULT PROTECTIVE SERVICES CLIENTS Open
Adult Protective Services (APS) clients are commonly characterized as socially isolated and depressed, and recently, lonely. The only evidence-based interventions for this population target depression and none have focused on social isolat…
View article: Optimizing Allocation to Telehealth and In-Person Prolonged Exposure for Women Veterans with Military Sexual Trauma: A Precision Medicine Approach
Optimizing Allocation to Telehealth and In-Person Prolonged Exposure for Women Veterans with Military Sexual Trauma: A Precision Medicine Approach Open
Military sexual trauma-related post-traumatic stress disorder (PTSD) is highly prevalent and costly among women veterans, making the need for effective and accessible treatment of critical importance. Access to care is a key mechanism of m…
View article: Building resilience: A specialty clinic tailored to older adults at risk for violence and abuse
Building resilience: A specialty clinic tailored to older adults at risk for violence and abuse Open
Objective Both structural (e.g., ageism) and personal (e.g., stigma) barriers hinder older adults' access to and engagement with mental health care. These barriers are particularly problematic for those vulnerable to interpersonal violence…
View article: AGING AND MENTAL HEALTH DURING AND AFTER THE PANDEMIC. AND OLDER ADULT SPECIALTY PSYCHOTHERAPY CLINIC FINDINGS
AGING AND MENTAL HEALTH DURING AND AFTER THE PANDEMIC. AND OLDER ADULT SPECIALTY PSYCHOTHERAPY CLINIC FINDINGS Open
A specialty clinic addressing psychological trauma secondary to elder abuse opened a few months before the pandemic began. The aim was to provide evidence-based psychotherapy for post-trauma psychological sequalae. We leveraged technology …
View article: Clinician perspectives on technology‐enhanced in vivo exposures during prolonged exposure therapy for PTSD
Clinician perspectives on technology‐enhanced in vivo exposures during prolonged exposure therapy for PTSD Open
Objective To investigate clinicians' perceptions regarding the use of mobile technology tools during prolonged exposure (PE) therapy to allow for monitoring and enhancing in‐vivo exposures (IVEs). Methods Clinicians with training in PE the…
View article: Written Exposure Therapy vs Prolonged Exposure Therapy in the Treatment of Posttraumatic Stress Disorder
Written Exposure Therapy vs Prolonged Exposure Therapy in the Treatment of Posttraumatic Stress Disorder Open
Importance Evidence-based treatments for posttraumatic stress disorder (PTSD) exist, but all require 8 to 15 sessions and thus are less likely to be completed than brief treatments. Written exposure therapy (WET) is a brief and efficacious…
View article: Home-based tDCS for apathy in Alzheimer’s disease: a protocol for a randomized double-blinded controlled pilot study
Home-based tDCS for apathy in Alzheimer’s disease: a protocol for a randomized double-blinded controlled pilot study Open
Background Apathy is among the most common behavioral symptoms in dementia and is consistently associated with negative outcomes in Alzheimer’s disease (AD). Despite its prevalence and clinical relevance, available pharmacological and non-…
View article: Patient-Facing, Semi-Automated, Solutions to Enhance Patient Participation in Measurement-Based Care Practice Standards in a Tele-Mental Health Specialty Clinic for Populations at Higher Risk for Self-Harm
Patient-Facing, Semi-Automated, Solutions to Enhance Patient Participation in Measurement-Based Care Practice Standards in a Tele-Mental Health Specialty Clinic for Populations at Higher Risk for Self-Harm Open
View article: Improving function through primary care treatment of PTSD: The IMPACT study protocol
Improving function through primary care treatment of PTSD: The IMPACT study protocol Open
View article: Management of Chronic Pain and PTSD in Veterans With tDCS+Prolonged Exposure: A Pilot Study
Management of Chronic Pain and PTSD in Veterans With tDCS+Prolonged Exposure: A Pilot Study Open
Introduction Chronic pain and posttraumatic stress disorder (PTSD) are prevalent comorbid conditions, particularly in Veterans; however, there are few integrated treatments for chronic pain and PTSD. Instead, interventions are typically im…
View article: The efficacy of 90-min versus 60-min sessions of prolonged exposure for PTSD: A randomized controlled trial in active-duty military personnel.
The efficacy of 90-min versus 60-min sessions of prolonged exposure for PTSD: A randomized controlled trial in active-duty military personnel. Open
60-min sessions of PE are noninferior to 90-min sessions with regard to both efficacy and efficiency. Thus, PE can be effectively delivered in shorter sessions, making it easier for behavioral health providers to implement within the milit…
View article: The Impact of COVID‐19 on Psychotherapy Participation Among Individuals With Posttraumatic Stress Disorder Enrolled in Treatment Research
The Impact of COVID‐19 on Psychotherapy Participation Among Individuals With Posttraumatic Stress Disorder Enrolled in Treatment Research Open
The onset of the COVID‐19 pandemic disrupted many aspects of daily life and required a rapid and unprecedented shift in psychotherapy delivery from in‐person to telemental health. In the present study, we explored the impact of the pandemi…
View article: Comparing written exposure therapy to Prolonged Exposure for the treatment of PTSD in a veteran sample: A non-inferiority randomized design
Comparing written exposure therapy to Prolonged Exposure for the treatment of PTSD in a veteran sample: A non-inferiority randomized design Open
View article: Effects of Emotion Dysregulation on Post-treatment Post-traumatic Stress Disorder and Depressive Symptoms Among Women Veterans With Military Sexual Trauma
Effects of Emotion Dysregulation on Post-treatment Post-traumatic Stress Disorder and Depressive Symptoms Among Women Veterans With Military Sexual Trauma Open
Military sexual trauma (MST), defined as sexual assault or repeated, threatening sexual harassment while in the military, is associated with increased risk of long-term mental and physical health problems, with the most common being sympto…
View article: Long-Term Effects of Abuse in Later Life Perpetrated by Family Members
Long-Term Effects of Abuse in Later Life Perpetrated by Family Members Open
Abuse in later life could potentially lead to lower levels of social support, especially when perpetrated by family members who are charged with protecting the older adult in their care. Using both waves of the National Elder Mistreatment …
View article: Conducting Prolonged Exposure for PTSD During the COVID-19 Pandemic: Considerations for Treatment
Conducting Prolonged Exposure for PTSD During the COVID-19 Pandemic: Considerations for Treatment Open
View article: Emotion Dysregulation Predicts Dropout from Prolonged Exposure Treatment among Women Veterans with Military Sexual Trauma-Related Posttraumatic Stress Disorder
Emotion Dysregulation Predicts Dropout from Prolonged Exposure Treatment among Women Veterans with Military Sexual Trauma-Related Posttraumatic Stress Disorder Open
View article: Delivering Prolonged Exposure Therapy via Videoconferencing During the COVID‐19 Pandemic: An Overview of the Research and Special Considerations for Providers
Delivering Prolonged Exposure Therapy via Videoconferencing During the COVID‐19 Pandemic: An Overview of the Research and Special Considerations for Providers Open
Leveraging technology to provide evidence‐based therapy for posttraumatic stress disorder (PTSD), such as prolonged exposure (PE), during the COVID‐19 pandemic helps ensure continued access to first‐line PTSD treatment. Clinical video tele…
View article: Meeting Kids Where They Are At–A Substance Use and Sexual Risk Prevention Program via Telemedicine for African American Girls: Usability and Acceptability Study
Meeting Kids Where They Are At–A Substance Use and Sexual Risk Prevention Program via Telemedicine for African American Girls: Usability and Acceptability Study Open
Background Rural African American youth lack access to drug and sexual risk–taking prevention programs available in more urban areas. Recent data indicate that rural youth now use substances at higher rates and at younger ages than their u…
View article: Peer Support During In Vivo Exposure Homework to Reverse Attrition from Prolonged Exposure Therapy for PTSD: Description of a Randomized Controlled Trial
Peer Support During In Vivo Exposure Homework to Reverse Attrition from Prolonged Exposure Therapy for PTSD: Description of a Randomized Controlled Trial Open
BackgroundEffective treatments for posttraumatic stress disorder (PTSD) (e.g., Prolonged Exposure (PE); Cognitive Processing Therapy (CPT)) exist and are widely adopted by the Departments of Veterans Affairs (VA) and Defense (DoD). Unfortu…
View article: NATIONAL ELDER MISTREATMENT STUDY WAVE II: MENTAL HEALTH CORRELATES OF FINANCIAL MISTREATMENT
NATIONAL ELDER MISTREATMENT STUDY WAVE II: MENTAL HEALTH CORRELATES OF FINANCIAL MISTREATMENT Open
Objective: Whereas prevalence of elder financial mistreatment has received increased attention over the past decade, health and mental health correlates are rarely studied. Thus, the potential relevance of financial abuse to mental health …
View article: THE NATIONAL ELDER MISTREATMENT STUDY 8 YEARS LATER: VICTIM MENTAL HEALTH OUTCOMES AND PROTECTIVE FACTORS
THE NATIONAL ELDER MISTREATMENT STUDY 8 YEARS LATER: VICTIM MENTAL HEALTH OUTCOMES AND PROTECTIVE FACTORS Open
The purpose of this study was to conduct an 8-year follow-up of the National Elder Mistreatment Study (NEMS) and specify risk ratios for negative outcomes of elder abuse, including DSM-5 defined depression, generalized anxiety disorder (GA…
View article: RESILIENCE THROUGH CONNECTION: SOCIAL SUPPORT AND ELDER ABUSE, DISASTER, BEREAVEMENT, AND COMBAT
RESILIENCE THROUGH CONNECTION: SOCIAL SUPPORT AND ELDER ABUSE, DISASTER, BEREAVEMENT, AND COMBAT Open
Elder abuse prevalence among community residing adults is 10%, but this prevalence is cut by more than half among those who report high levels of social connection. Relatedly, elder abuse outcomes are significant, producing increased preva…
View article: FACILITATORS AND BARRIERS FOR ELDER ABUSE VICTIMS SEEKING HELP: FINDINGS FROM THE NATIONAL ELDER MISTREATMENT STUDY
FACILITATORS AND BARRIERS FOR ELDER ABUSE VICTIMS SEEKING HELP: FINDINGS FROM THE NATIONAL ELDER MISTREATMENT STUDY Open
Understanding help-seeking among victims of elder abuse is a critical challenge in the field. The vast majority of elder abuse victims remain hidden from formal support/protective response systems, such as adult protective services, legal/…