Full Text Journal Articles by
Author Ron Acierno

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Individual symptom reduction and post-treatment severity: Varying levels of symptom amelioration in response to prolonged exposure for post-traumatic stress disorder.

Keith S Cox, Danielle Wiener, Sheila A M Rauch, Peter W Tuerk, Bethany Wangelin, Ron Acierno,

Many patients evince significant post-traumatic stress disorder (PTSD) symptoms after a dose of an evidence-based treatment (EBT) for PTSD. Little research systematically addresses if individual PTSD symptoms are more or less resistant to change through an EBT for PTSD or have greater or lesser post-treatment severity levels. Two studies within ... Read more >>

Psychol Serv (Psychological services)
[2021, :]

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A randomized clinical trial of in-person vs. home-based telemedicine delivery of Prolonged Exposure for PTSD in military sexual trauma survivors.

Ron Acierno, Anna E Jaffe, Amanda K Gilmore, Anna Birks, Carol Denier, Wendy Muzzy, Cristina M Lopez, Peter Tuerk, Anouk L Grubaugh,

Posttraumatic stress disorder (PTSD) is common in women who experienced Military Sexual Trauma (MST). Despite Veterans Affairs Medical Center-wide screening and tailored MST services, substantial barriers to care exist, and about 50 % of those who start evidence-based treatment for PTSD drop out prematurely. Home-based telemedicine (HBT) may reduce logistical ... Read more >>

J Anxiety Disord (Journal of anxiety disorders)
[2021, 83:102461]

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The Impact of COVID-19 on Psychotherapy Participation Among Individuals With Posttraumatic Stress Disorder Enrolled in Treatment Research.

Carmen P McLean, Sudie E Back, Christy Capone, Leslie Morland, Sonya B Norman, Sheila A M Rauch, Paula P Schnurr, Ellen Teng, Ron Acierno,

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 pandemic on individuals' ability to participate in posttraumatic stress disorder (PTSD) psychotherapy and ... Read more >>

J Trauma Stress (Journal of traumatic stress)
[2021, :]

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The Role of Discrimination Experiences in Postrape Adjustment Among Racial and Ethnic Minority Women.

Kate Walsh, Amanda K Gilmore, Simone C Barr, Patricia Frazier, Linda Ledray, Ron Acierno, Kenneth J Ruggiero, Dean G Kilpatrick, Heidi S Resnick,

Although recent studies have linked discrimination frequency among Black and Latinx individuals to PTSD symptom severity, to our knowledge, these associations have yet to be examined among a diverse sample of recent rape survivors. The current secondary analysis of existing data examined the role of discrimination experiences in post-traumatic stress ... Read more >>

J Interpers Violence (Journal of interpersonal violence)
[2021, :8862605211028006]

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Predictors of Response to Prolonged Exposure, Sertraline, and Their Combination for the Treatment of Military PTSD.

Sheila A M Rauch, H Myra Kim, Seth Lederman, Gregory Sullivan, Ron Acierno, Peter W Tuerk, Naomi M Simon, Margaret R Venners, Sonya B Norman, Carolyn B Allard, Katherine E Porter, Brian Martis, Eric Bui, Amanda W Baker, ,

<b><i>Objective:</i></b> The current study is an analysis of predictors of posttraumatic stress disorder (PTSD) treatment response in a clinical trial comparing (1) prolonged exposure plus placebo (PE + PLB), (2) PE + sertraline (PE + SERT), and (3) sertraline + enhanced medication management (SERT + EMM) with predictors including time since trauma (TST), self-report of pain, alcohol use, baseline symptoms, ... Read more >>

J Clin Psychiatry (The Journal of clinical psychiatry)
[2021, 82(4):]

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Effects of Emotion Dysregulation on Post-treatment Post-traumatic Stress Disorder and Depressive Symptoms Among Women Veterans With Military Sexual Trauma.

Cristina M Lopez, Amanda K Gilmore, Wilson J Brown, Christine K Hahn, Wendy Muzzy, Anouk Grubaugh, Ron Acierno,

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 symptoms of post-traumatic stress disorder (PTSD) and depression. In addition to PTSD and depression, MST is ... Read more >>

J Interpers Violence (Journal of interpersonal violence)
[2021, :8862605211005134]

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A secondary analysis of a brief video intervention on suicidal ideation among recent rape victims.

Kate Walsh, Christal L Badour, Kelly L Zuromski, Amanda K Gilmore, Dean G Kilpatrick, Ron Acierno, Heidi S Resnick,

Although rape has been linked to risk for suicidal ideation and attempts, there are scant data on the efficacy of brief interventions to reduce suicidality among recent rape victims. This secondary analysis of a randomized controlled trial investigated whether a video intervention delivered in the emergency department (ED), cortisol measured ... Read more >>

Psychol Serv (Psychological services)
[2021, 18(4):703-708]

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Behavioral Activation and Therapeutic Exposure vs. Cognitive Therapy for Grief Among Combat Veterans: A Randomized Clinical Trial of Bereavement Interventions.

Ron Acierno, Brooke Kauffman, Wendy Muzzy, Melba Hernandez Tejada, Carl Lejuez,

Approximately two-thirds of Operations Enduring Freedom, Iraqi Freedom, and New Veterans reported knowing someone who was killed or seriously injured, lost someone in their immediate unit, or personally saw dead or seriously injured Americans (Hoge et al., 2004; Thomas et al., 2010; Toblin et al., 2012). Thus, it is not ... Read more >>

Am J Hosp Palliat Care (The American journal of hospice & palliative care)
[2021, 38(12):1470-1478]

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Factors contributing to veterans' satisfaction with PTSD treatment delivered in person compared to telehealth.

C Nicole White, Brooke Y Kauffman, Ron Acierno,

<h4>Introduction</h4>Telehealth is an increasingly popular treatment delivery modality for mental healthcare, including evidence-based treatment for complex and intense psychopathologies such as post-traumatic stress disorder (PTSD). Despite the growing telehealth literature, there is a need for more confirmatory research on satisfaction with PTSD telehealth treatment, particularly among veterans, for whom the ... Read more >>

J Telemed Telecare (Journal of telemedicine and telecare)
[2021, :1357633X20987704]

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Conducting Prolonged Exposure for PTSD During the COVID-19 Pandemic: Considerations for Treatment.

Brooke A Fina, Edward C Wright, Sheila A M Rauch, Sonya B Norman, Ron Acierno, Lisa-Ann J Cuccurullo, Katherine A Dondanville, John C Moring, Lily A Brown, Edna B Foa,

The unprecedented effects and duration of the COVID-19 crisis are likely to elevate the population's level of anxiety due to psychological stress, economic hardship, and social isolation. This effect may be especially potent for individuals with preexisting mental health conditions, such as posttraumatic stress disorder (PTSD). Prolonged Exposure (PE) therapy ... Read more >>

Cogn Behav Pract (Cognitive and behavioral practice)
[2021, 28(4):532-542]

Cited: 3 times

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Re-engaging Dropouts of Prolonged Exposure for PTSD Delivered via Home-Based Telemedicine or In Person: Satisfaction with Veteran-to-Veteran Support.

Melba A Hernandez-Tejada, Ron Acierno, David Sánchez-Carracedo,

This paper describes feasibility of and patient and peer satisfaction with a Veteran-to-Veteran peer support program purposefully integrated into prolonged exposure (PE) for post-traumatic stress disorder (PTSD) to address barriers contributing to dropout from both in person and telemedicine delivered PE. Specifically, patients who had dropped out of PE were ... Read more >>

J Behav Health Serv Res (The journal of behavioral health services & research)
[2021, 48(2):171-182]

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Psychosocial functioning in veterans with combat-related PTSD: An evolutionary concept analysis.

Kristina Reich, Lynne S Nemeth, Martina Mueller, Lisa M Sternke, Ron Acierno,

<h4>Background</h4>Veterans returning from combat have a greater risk for developing posttraumatic stress disorder (PTSD) and greater severity of psychosocial functioning impairment. Previous research has demonstrated the strong association between PTSD and psychosocial functioning impairment. Psychosocial functioning is an ambiguous term often used in literature to discuss PTSD-associated consequences, intervention response, ... Read more >>

Nurs Forum (Nursing forum)
[2021, 56(1):194-201]

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Does Psychosocial Functioning Improve With Prolonged Exposure in Veterans With PTSD?: Exploring Traditional and Home-Based Telehealth Delivery Methods.

Kristina Reich, Lynne S Nemeth, Martina Mueller, Lisa Marie Sternke, Ron Acierno,

The current study explored whether prolonged exposure (PE), delivered in person or via home-based telehealth, had a therapeutic effect on psychosocial functioning in combat Veterans with posttraumatic stress disorder (PTSD). The effects of home-based telehealth on these metrics were also evaluated. In addition, we examined whether race, type of war ... Read more >>

J Psychosoc Nurs Ment Health Serv (Journal of psychosocial nursing and mental health services)
[2021, 59(2):31-40]

Cited: 1 time

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Emotion Dysregulation Predicts Dropout from Prolonged Exposure Treatment among Women Veterans with Military Sexual Trauma-Related Posttraumatic Stress Disorder.

Amanda K Gilmore, Cristina Lopez, Wendy Muzzy, Wilson J Brown, Anouk Grubaugh, Daniel W Oesterle, Ron Acierno,

<h4>Background</h4>Military sexual trauma (MST) is notably prevalent among military personnel and can result in mental and physical health problems, including post-traumatic stress disorder (PTSD). Although there are several evidence-based treatments for MST-related PTSD, including prolonged exposure (PE) therapy, it is unclear what factors are associated with premature termination (i.e., dropout) ... Read more >>

Womens Health Issues (Women's health issues : official publication of the Jacobs Institute of Women's Health)
[2020, 30(6):462-469]

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Delivering Prolonged Exposure Therapy via Videoconferencing During the COVID-19 Pandemic: An Overview of the Research and Special Considerations for Providers.

Stephanie Y Wells, Leslie A Morland, Emily R Wilhite, Kathleen M Grubbs, Sheila A M Rauch, Ron Acierno, Carmen P McLean,

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 teleconferencing (CVT) technology can be used to effectively deliver PE while reducing the risk of COVID-19 exposure during the pandemic ... Read more >>

J Trauma Stress (Journal of traumatic stress)
[2020, 33(4):380-390]

Cited: 8 times

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Meeting Kids Where They Are At-A Substance Use and Sexual Risk Prevention Program via Telemedicine for African American Girls: Usability and Acceptability Study.

Cristina Lopez, Amanda K Gilmore, Angela Moreland, Carla Kmett Danielson, Ron Acierno,

<h4>Background</h4>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 urban peers.<h4>Objective</h4>This study aims to evaluate the initial usability and acceptability of a low-cost, ... Read more >>

J Med Internet Res (Journal of medical Internet research)
[2020, 22(8):e16725]

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Peer support during in vivo exposure homework to reverse attrition from prolonged exposure therapy for posttraumatic stress disorder (PTSD): description of a randomized controlled trial.

Melba A Hernandez-Tejada, Wendy Muzzy, Matthew Price, Stephanie Hamski, Stephanie Hart, Edna Foa, Ron Acierno,

<h4>Background</h4>Effective 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). Unfortunately, dropout from these treatments regularly exceeds 30%. However, in a recent survey of patients who dropped out of PE, ... Read more >>

Trials (Trials)
[2020, 21(1):366]

Cited: 1 time

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Peer Support During In Vivo Exposure Homework to Reverse Attrition from Prolonged Exposure Therapy for PTSD: Description of a Randomized Controlled Trial

Melba Hernandez-Tejada, Wendy Muzzy, Matthew Price, Stephanie Hamski, Stephanie Hart, Edna Foa, Ron Acierno,

<h4>Background: </h4> Effective 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). Unfortunately, dropout from these treatments regularly exceeds 30%. However, in a recent survey of patients who dropped out ... Read more >>

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Understanding the impact of complicated grief on combat related posttraumatic stress disorder, guilt, suicide, and functional impairment in a clinical trial of post-9/11 service members and veterans.

Naomi M Simon, Susanne S Hoeppner, Rebecca E Lubin, Donald J Robinaugh, Matteo Malgaroli, Sonya B Norman, Ron Acierno, Elizabeth M Goetter, Samantha N Hellberg, Meredith E Charney, Eric Bui, Amanda W Baker, Erin Smith, H Myra Kim, Sheila A M Rauch,

<h4>Background</h4>Complicated grief (CG) is a bereavement-specific syndrome distinct from but commonly comorbid with posttraumatic stress disorder (PTSD). While bereavement is common among military personnel (Simon et al., 2018), there is little research on the impact of CG comorbidity on PTSD treatment outcomes.<h4>Methods</h4>To evaluate the impact of comorbid CG on PTSD ... Read more >>

Depress Anxiety (Depression and anxiety)
[2020, 37(1):63-72]

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Long-Term Effects of Abuse in Later Life Perpetrated by Family Members

Naomi Meinertz, Pi-Ju Liu, Ron Acierno,

Abstract 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 longitudinal data (wave one collected in 2008 and wave two in ... Read more >>

Innov Aging (Innovation in aging)
[2020, 4(Suppl 1):444-445]

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Post-Sexual Assault Mental Health: A Randomized Clinical Trial of a Video-Based Intervention.

Amanda K Gilmore, Kate Walsh, Patricia Frazier, Liza Meredith, Linda Ledray, Joanne Davis, Ron Acierno, Kenneth J Ruggiero, Dean G Kilpatrick, Anna E Jaffe, Heidi S Resnick,

The current study assessed the efficacy of a brief video intervention (Prevention of Post-Rape Stress [PPRS]) delivered in the emergency department to recent sexual assault (SA) victims. PPRS was compared to treatment as usual (TAU) and an active control condition (Pleasant Imagery and Relaxation Instruction [PIRI]). Primary outcomes were posttraumatic ... Read more >>

J Interpers Violence (Journal of interpersonal violence)
[2021, 36(21-22):10614-10637]

Cited: 5 times

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Home-based delivery of variable length prolonged exposure therapy: A comparison of clinical efficacy between service modalities.

Leslie A Morland, Margaret-Anne Mackintosh, Lisa H Glassman, Stephanie Y Wells, Steven R Thorp, Sheila A M Rauch, Phillippe B Cunningham, Peter W Tuerk, Kathleen M Grubbs, Shahrokh Golshan, Min Ji Sohn, Ron Acierno,

<h4>Objective</h4>This study examined clinical and retention outcomes following variable length prolonged exposure (PE) for posttraumatic stress disorder (PTSD) delivered by one of three treatment modalities (i.e., home-based telehealth [HBT], office-based telehealth [OBT], or in-home-in-person [IHIP]).<h4>Method</h4>A randomized clinical trial design was used to compare variable-length PE delivered through HBT, OBT, or ... Read more >>

Depress Anxiety (Depression and anxiety)
[2020, 37(4):346-355]

Cited: 8 times

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NATIONAL ELDER MISTREATMENT STUDY WAVE II: MENTAL HEALTH CORRELATES OF FINANCIAL MISTREATMENT

Melba Hernandez-Tejada, Ron Acierno, Jordan Watkins, Gabrielle Frook, Wendy Muzzy, Georgia Anetzberger, Mara Steedley,

Abstract 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 and perceived health is relatively unknown, and the objective of this article is to illustrate this ... Read more >>

Innov Aging (Innovation in aging)
[2019, 3(Suppl 1):S192-S193]

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RESILIENCE THROUGH CONNECTION: SOCIAL SUPPORT AND ELDER ABUSE, DISASTER, BEREAVEMENT, AND COMBAT

Ron Acierno, Wendy Muzzy,

Abstract 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 prevalence of anxiety and depressive disorders, the prevalences of which are, again, halved when ... Read more >>

Innov Aging (Innovation in aging)
[2019, 3(Suppl 1):S423-S423]

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THE NATIONAL ELDER MISTREATMENT STUDY 8 YEARS LATER: VICTIM MENTAL HEALTH OUTCOMES AND PROTECTIVE FACTORS

Melba Hernandez-Tejada, Ron Acierno, Georgia Anetzberger, Daniel Loew, Wendy Muzzy,

Abstract 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 (GAD), post-traumatic stress disorder (PTSD), and poor self-reported health. Methodology: Attempts were made to ... Read more >>

Innov Aging (Innovation in aging)
[2019, 3(Suppl 1):S476-S476]

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