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Full-Text Articles in Medicine and Health Sciences

Disparities, Desperation, And Divisiveness: Coping Withcovid-19 In India, Soumyadeep Mukherjee Jan 2020

Disparities, Desperation, And Divisiveness: Coping Withcovid-19 In India, Soumyadeep Mukherjee

Faculty Publications

India enforced one of the world’s largest lockdowns in the last quarter of March 2020 to minimize the impact of the COVID-19 pandemic. This commentary focuses on the mental health implications of the ongoing pandemic as well as the lockdown that lasted for more than two months and is still in place in certain areas. Whereas loneliness, stress, anxiety, and depression have been widespread, vulnerable sections of the population, including daily wage workers, migrant laborers, religious minorities, women and children, and the elderly, have been facing various forms of economic, sociopolitical, and familial stigma, racism, and violence. By and large, …


The Promise Of Inclusion For Female Student Health, Kate D. Romero, Kymberlee O'Brien Jan 2020

The Promise Of Inclusion For Female Student Health, Kate D. Romero, Kymberlee O'Brien

Faculty Publications

Despite extensive inclusion and diversity initiatives, females do not feel valued or included and still report higher stress, discrimination and microaggressions than males. Cumulative effects of social devaluation on health were examined for students at a STEM University. A sample of 292 undergraduates were asked about daily and chronic experiences of inclusion using surveys assessing personal perceived stress and subtle and overt social devaluation. Females reported significantly higher microaggressions and perceived stress, associated with lower physical and mental health. Females in high social devaluation (SD) reported lower total well-being (TWB) across several domains. An exploratory factor analyses examined factor loadings …


Handgrip Strength Of World Trade Center (Wtc) Responders: The Role Of Re-Experiencing Posttraumatic Stress Disorder (Ptsd) Symptoms, Soumyadeep Mukherjee, Sean Clouston, Roman Kotov, Evelyn Bromet, Benjamin Luft Mar 2019

Handgrip Strength Of World Trade Center (Wtc) Responders: The Role Of Re-Experiencing Posttraumatic Stress Disorder (Ptsd) Symptoms, Soumyadeep Mukherjee, Sean Clouston, Roman Kotov, Evelyn Bromet, Benjamin Luft

Faculty Publications

This study sought to examine whether handgrip strength (HGS), a measure of muscle strength and a biomarker of aging, was associated with post-traumatic stress disorder (PTSD) in a cohort of World Trade Center (WTC) responders at midlife. Methods : HGS was assessed utilizing a computer-assisted hand dynamometer administered to a consecutive sample of men and women (n = 2016) who participated in rescue and recovery efforts following theWorld Trade Center (WTC) attacks and subsequently attended monitoring appointments in Long Island, NY. PTSD symptom severity and depressive symptoms were assessed using the PTSD specific-trauma checklist (PCL-S) and the Patient Health Questionnaire …


Hair Cortisol And Lifetime Discrimination: Moderation By Subjective Social Status, Kymberlee O'Brien, Jerrold Meyer, Edward Tronick, Celia L. Moore Jan 2017

Hair Cortisol And Lifetime Discrimination: Moderation By Subjective Social Status, Kymberlee O'Brien, Jerrold Meyer, Edward Tronick, Celia L. Moore

Faculty Publications

Discrimination has been associated with elevated cortisol as measured in saliva, blood, and urine. This study investigated the association between lifetime discrimination and hair cortisol concentrations, considered a measure of chronic stress. We recruited 180 young adults from diverse backgrounds. Participant responses to lifetime discrimination, home stress, and subjective status measures were recorded. Lifetime discrimination significantly predicted hair cortisol concentrations, supporting past research that discrimination experiences impact neuroendocrine systems. To our knowledge, these are the first findings associating hair cortisol concentrations with discrimination and supports prior evidence positing discrimination as a chronic stressor that serves as a risk factor for …


Social Work In A Digital Age: Ethical And Risk Management Challenges, Frederic G. Reamer Jan 2013

Social Work In A Digital Age: Ethical And Risk Management Challenges, Frederic G. Reamer

Faculty Publications

Digital, online, and other electronic technology has transformed the nature of social work practice. Contemporary social workers can provide services to clients by using online counseling, telephone counseling, video counseling, cybertherapy (avatar therapy), selfguided Web-based interventions, electronic social networks, e-mail, and text messages. The introduction of diverse digital, online, and other forms of electronic social services has created a wide range of complex ethical and related risk management issues. This article provides an overview of current digital, online, and electronic social work services; identifies compelling ethical issues related to practitioner competence, client privacy and confidentiality, informed consent, conflicts of interest, …


Relationship Between Hair Cortisol And Perceived Chronic Stress In A Diverse Sample, Kymberlee O'Brien, E. Z. Tronick, C. L. Moore Jan 2012

Relationship Between Hair Cortisol And Perceived Chronic Stress In A Diverse Sample, Kymberlee O'Brien, E. Z. Tronick, C. L. Moore

Faculty Publications

Hair cortisol (CORT) is a biomarker of chronic stress via long-termalterations in hypothalamus–pituitary–adrenal axis activity. Relationships to perceived stressmeasures, however, have rarely been specifically investigated. A diverse sample of 135 adults participated in a study assessing relationships between chronic stress indicator CORT to perceived stress and health indicators. CORT was not correlated to single perceived domain indices but with a global stress composite. Differences in objective and subjective measures were found for sociodemographics: racial/ethnic identity, sex and socioeconomic status (SES). Race by SES interactions predicted both CORT and perceived stress, but produced a complex and partially unanticipated pattern of results. …


Relational Psychophysiology And Mutual Regulation During Dyadic Therapeutic And Development Relating, Kymberlee O'Brien Jan 2012

Relational Psychophysiology And Mutual Regulation During Dyadic Therapeutic And Development Relating, Kymberlee O'Brien

Faculty Publications

Human experiences of empathy and presence are quintessential in therapeutic as well as intimate relationships. The work on relational psychophysiology has informed psychotherapeutic research by illustrating how early life physiological concordance between mother and infant are critical in mutual dyadic regulation. These processes cross several developmental domains, including biological, affective, social, and self-identity. By examining physiological concordance, this research has propelled our understanding of mutual regulation into the more expansive understanding of dyadically expanded states of consciousness. The core of the therapeutic relationship inherently engenders expanded opportunities and reorganization of the client, as well as the therapist. By incorporating the …


Healthy, Wealthy, Wise? Psychosocial Factors Influencing The Socioeconomic Status-Health Gradient, Kymberlee O'Brien Jan 2012

Healthy, Wealthy, Wise? Psychosocial Factors Influencing The Socioeconomic Status-Health Gradient, Kymberlee O'Brien

Faculty Publications

The present research investigated psychosocial factors: control beliefs; social relations moderating the SES–health gradient. Participants included 3775 respondents from a national probability sample, Midlife in United States (t1: Age, M = 46.40, SD = 13.00, t2: Age, M = 55.47, SD = 12.43), who provided reports on control beliefs, social relations, and health at two assessment occasions (1994/1995 and 2002/2003). Hierarchical regression demonstrated that control beliefs, social support, and strain uniquely moderated relationships between SES and longitudinal health. The present study highlights the importance of psychosocial factors as protective mechanisms of socioeconomic disadvantages and associated long-term deleterious health outcomes.