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Medicine and Health Sciences Commons

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Selected Works

San Jose State University

Peer Reviewed Publications

Articles 1 - 8 of 8

Full-Text Articles in Medicine and Health Sciences

Anger Problems And Posttraumatic Stress Disorder In Male And Female National Guard And Reserve Service Members, Miranda E. Worthen, Sujit D. Rathod, Gregory Cohen, Laura Sampson, Robert Ursano, Robert Gifford, Carol Fullerton, Sandro Galea, Jennifer Ahern Apr 2014

Anger Problems And Posttraumatic Stress Disorder In Male And Female National Guard And Reserve Service Members, Miranda E. Worthen, Sujit D. Rathod, Gregory Cohen, Laura Sampson, Robert Ursano, Robert Gifford, Carol Fullerton, Sandro Galea, Jennifer Ahern

Miranda E. Worthen

Anger is a common problem among veterans and has been associated with posttraumatic stress disorder (PTSD). This study aimed to improve understanding of how anger and PTSD co-occur by examining gender differences and differences by whether the triggering traumatic event is deployment-related vs. civilian-related in current service members. A representative cohort of Reserve and National Guard service personnel (n = 1293) were interviewed to assess for deployment- or civilian-related traumas, PTSD, and anger. The prevalence of self-reported anger problems was estimated among male (n = 1036) and female (n = 257) service members. Log Poisson regression models with robust standard …


Facilitating War-Affected Young Mothers’ Reintegration: Lessons From A Participatory Action Research Study In Liberia, Sierra Leone, And Uganda., Miranda E. Worthen, G. Onyango, A. Veale, M. Wessells, S. Mckay Jan 2013

Facilitating War-Affected Young Mothers’ Reintegration: Lessons From A Participatory Action Research Study In Liberia, Sierra Leone, And Uganda., Miranda E. Worthen, G. Onyango, A. Veale, M. Wessells, S. Mckay

Miranda E. Worthen

Young women and girls formerly associated with armed forces and armed groups face multiple challenges. Many become pregnant or have children while they are associated and face stigma and marginalization upon reintegration into civilian communities. This article describes a multi-year participatory action research study that took place in twenty communities in Liberia, Sierra Leone, and northern Uganda from 2006 – 2009 and included more than 650 young mother participants. We find that this community-based approach to reintegration improved the wellbeing of young mother participants and their children. We discuss the challenges and limitations of conducting participatory action research with war-affected …


Iraq And Afghanistan Veterans’ Experiences Living With Their Parents After Separation From The Military, Miranda E. Worthen, M Moos, R Ahem May 2012

Iraq And Afghanistan Veterans’ Experiences Living With Their Parents After Separation From The Military, Miranda E. Worthen, M Moos, R Ahem

Miranda E. Worthen

When military service members separate from the military, many return to their families of origin, living with their parents for a period of several weeks to years. While research with veterans and their spouses has documented the particular strain of this reintegration period on veterans and their partners, little research to date has examined veterans’ experiences living with their parents. The present study sought to fill this research gap by investigating veterans’ experiences living with their parents using qualitative, in-depth interviews with Iraq and Afghanistan veterans in California. Overall, veterans appreciated the instrumental and emotional support their parents provided when …


Reintegration Of Young Mothers: Young Mothers Seeking Reintegration After Periods Of Time Spent Living With Fighting Forces And Armed Groups Face Exclusion And Stigma Rather Than The Support They And Their Children Badly Need., Miranda E. Worthen, Susan Mckay, Angela Veale, Mike Wessells Jan 2012

Reintegration Of Young Mothers: Young Mothers Seeking Reintegration After Periods Of Time Spent Living With Fighting Forces And Armed Groups Face Exclusion And Stigma Rather Than The Support They And Their Children Badly Need., Miranda E. Worthen, Susan Mckay, Angela Veale, Mike Wessells

Miranda E. Worthen

No abstract provided.


The Relations Between Traumatic Exposures, Post-Traumatic Stress Disorder And Anger In Male And Female Veterans, Miranda E. Worthen Jan 2011

The Relations Between Traumatic Exposures, Post-Traumatic Stress Disorder And Anger In Male And Female Veterans, Miranda E. Worthen

Miranda E. Worthen

Military personnel who have served in Operation Iraqi Freedom and Operation Enduring Freedom have experienced high rates of combat exposure, which is associated with posttraumatic stress disorder. Less is known about the relations between military sexual trauma (sexual harassment, assault, and rape while serving in the military) and posttraumatic stress disorder. Little is known about anger problems in this Operation Enduring Freedom/Operation Iraqi Freedom veteran population, which research from prior conflicts suggests may be a consequence of both traumas and posttraumatic stress disorder. Anger is an emotional state closely related to aggression, hostility, and violence. Veterans who have difficulty controlling …


Sex Trafficking Or Sex Work: Conceptions Of Trafficking Among Anti-Trafficking Organizations In Nepal, Miranda E. Worthen Jan 2011

Sex Trafficking Or Sex Work: Conceptions Of Trafficking Among Anti-Trafficking Organizations In Nepal, Miranda E. Worthen

Miranda E. Worthen

Trafficking for sexual purposes is widely recognized as a violation of human rights. Trafficking of women and girls within Nepal and from Nepal to India’s red light districts is thought to be extremely common. There is sharp debate within the anti-trafficking community, both within Nepal and globally, about why trafficking occurs and how to prevent it. I argue that this disagreement is rooted in two distinct underlying frameworks employed by anti-trafficking advocates to understand trafficking, which I identify as the “Prostitution Framework” and the “Labour Exploitation Framework”. This article introduces these frameworks and investigates where the anti-trafficking community in Nepal …


Building Meaningful Participation In (Re)Integration Among War-Affected Young Mothers In Liberia, Sierra Leone And Northern Uganda, S Mckay, A Veale, Miranda E. Worthen, M Wessells Jan 2011

Building Meaningful Participation In (Re)Integration Among War-Affected Young Mothers In Liberia, Sierra Leone And Northern Uganda, S Mckay, A Veale, Miranda E. Worthen, M Wessells

Miranda E. Worthen

No abstract provided.


‘I Stand Like A Woman’: Empowerment And Human Rights In The Context Of Community-Based Reintegration Of Girl Mothers Formerly Associated With Fighting Forces And Armed Groups, Miranda E. Worthen, A Veale, S Mckay, M Wessells Jan 2010

‘I Stand Like A Woman’: Empowerment And Human Rights In The Context Of Community-Based Reintegration Of Girl Mothers Formerly Associated With Fighting Forces And Armed Groups, Miranda E. Worthen, A Veale, S Mckay, M Wessells

Miranda E. Worthen

This article describes a multi-year participatory action research (PAR) study with young women and girls who were formerly associated with armed groups in Sierra Leone, Liberia, and northern Uganda and had children of their own during the conflict and with young mothers considered by their community to be especially vulnerable. Following a review of the literature on empowerment and human rights, the authors use examples from the PAR study to explore how empowerment and human rights relate in the context of reintegration of the most vulnerable members of society. In this context, the realization of rights and empowerment are inextricably …