2024
Trauma exposure among young children in rural Pakistan: Associations with gender, mental health, and cognitive skills
Frost A, Collins A, Chung E, Escobar Carias M, Hagaman A, Gupta S, Bibi A, Sikander S, Maselko J. Trauma exposure among young children in rural Pakistan: Associations with gender, mental health, and cognitive skills. BMC Psychology 2024, 12: 454. PMID: 39183356, PMCID: PMC11346172, DOI: 10.1186/s40359-024-01944-x.Peer-Reviewed Original ResearchConceptsChild mental healthMental healthLow-resource settingsAssociated with increased mental health difficultiesRural PakistanMental health difficultiesTrauma exposureMental health problemsStrength of associationSample of mother-child dyadsIncreased anxiety scoresChildren's lifetime exposureTrauma-informed interventionsMother-child dyadsCognitive healthAssociated with genderHealth difficultiesBackgroundThe burdenAnxiety scoresHealth problemsHealthLifetime exposureExperience traumaChildren's cognitive skillsCognitive skillsGuided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China
Yi M, Li X, Chiaramonte D, Sun S, Pan S, Soulliard Z, Eisenstadt B, Ljótsson B, Hagaman A, Pachankis J. Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China. Behaviour Research And Therapy 2024, 181: 104605. PMID: 39029333, PMCID: PMC11371497, DOI: 10.1016/j.brat.2024.104605.Peer-Reviewed Original ResearchInternet-based CBTCognitive-behavioral therapySexual minority menSocial-cognitive mechanismsYoung sexual minority menMinority stressMinority menSession completionBehavioral healthSexual minority individualsModeration analysisAlcohol useMinority individualsMental healthInternalized stigmaFollow-upStigma experiencesRandomized controlled trialsSessionsTreatment efficacySecondary outcomesControlled trialsPrimary outcomeAffirmative supportHealthChildhood parental bonding and depression in adulthood: A study of mothers in rural Pakistan
Frost A, Hagaman A, Bibi A, Bhalotra S, Chung E, Haight S, Sikander S, Maselko J. Childhood parental bonding and depression in adulthood: A study of mothers in rural Pakistan. Journal Of Affective Disorders 2024, 356: 715-721. PMID: 38663557, PMCID: PMC11103589, DOI: 10.1016/j.jad.2024.04.090.Peer-Reviewed Original ResearchConceptsParental Bonding InstrumentStructured Clinical Interview for DSM DisordersRisk of depressionPsychological controlParenting behaviorsMental healthAssociated with decreased risk of depressionParent-child relationship qualityMeasures of parental controlAssociated with increased risk of depressionDepression in adulthoodRural PakistanMental health of childrenBehavioral controlRetrospective self-reportsMothers' parenting behaviorImpact of parenting behaviorsChild mental healthChildhood parental bondingAssociated with decreased riskHealth of childrenCross-sectional studyAssociated with increased riskDSM disordersAdulthood depression
2022
Prevalence and factors associated with depression, anxiety, and stress symptoms among home isolated COVID-19 patients in Western Nepal
Adhikari B, Poudel L, Thapa T, Neupane D, Maharjan P, Hagaman A, Bhandari N, Katuwal N, Shrestha B, Maharjan R, Shrestha S, Shrestha A, Tamrakar D, Rajbhandari B, Shahi B, Shrestha R, Karmacharya B, Shrestha A. Prevalence and factors associated with depression, anxiety, and stress symptoms among home isolated COVID-19 patients in Western Nepal. Dialogues In Health 2022, 2: 100090. PMID: 36624774, PMCID: PMC9721187, DOI: 10.1016/j.dialog.2022.100090.Peer-Reviewed Original ResearchCOVID-19 patientsCOVID-19 symptomsPrevalence of depressionComorbid conditionsHigher oddsStress symptomsLogistic regressionMental healthKarnali ProvinceHigh-risk groupAnxiety symptomsMultivariate logistic regressionCross-sectional studyCOVID-19 positivesFear of transmissionCOVID-19 pandemicStress Scale-21Smoking statusOdds ratioCOVID-19 positive casesTimely counselingPatientsStandardized questionnaireStress-related health outcomesSociodemographic factorsNon-linear associations between HPA axis activity during infancy and mental health difficulties during early childhood among children in rural Pakistan.
Frost A, Hagaman A, Baranov V, Chung EO, Bhalotra S, Sikander S, Maselko J. Non-linear associations between HPA axis activity during infancy and mental health difficulties during early childhood among children in rural Pakistan. Development And Psychopathology 2022, 35: 2086-2095. PMID: 35959681, PMCID: PMC9922341, DOI: 10.1017/s0954579422000773.Peer-Reviewed Original ResearchConceptsHPA axis activityMental health difficultiesAxis activityHealth difficultiesEarly childhoodHypothalamic pituitary adrenal axis activityPituitary-adrenal axis activitySDQ scoresAdrenal axis activityNon-linear associationLongitudinal cohortDepression trialsQuadratic associationHair cortisolDehydroepiandosteroneRural PakistanMental healthCortisolEarly adversitySignificant quadratic associationDifficulties QuestionnaireLow-resource contextsChildhoodChildrenAssociationThe Day‐in‐the‐Life method for assessing infant caregiving in rural Pakistan
O'Donnell K, Gallis J, Turner E, Hagaman A, Scherer E, Sikander S, Maselko J. The Day‐in‐the‐Life method for assessing infant caregiving in rural Pakistan. Family Relations 2022, 72: 1237-1253. PMID: 37346745, PMCID: PMC10281745, DOI: 10.1111/fare.12706.Peer-Reviewed Original ResearchDepression symptomsPatient health questionnaire-9 measuresMaternal mental healthMaternal depression symptomsExcellent interrater agreementFamily membersCohort studyFamily members' rolesChild healthCaregiving activitiesRural PakistanMental healthMultiple family membersSymptomsMothersInterrater agreementRegression analysisInfantsInfant caregivingChild caregivingCareCaregivingDaysChildrenAssociationMother-in-law childcare and perinatal depression in rural Pakistan
Chung E, Hagaman A, Bibi A, Frost A, Haight S, Sikander S, Maselko J. Mother-in-law childcare and perinatal depression in rural Pakistan. Women's Health 2022, 18: 17455057221141288. PMID: 36468464, PMCID: PMC9726850, DOI: 10.1177/17455057221141288.Peer-Reviewed Original ResearchConceptsPerinatal depressionMaternal mental healthMonths postpartumMental healthImmediate postpartum periodFirst year postpartumStructured Clinical InterviewCross-sectional associationsHigh motherMental Disorders-IVYear postpartumLife Events ChecklistPostpartum periodMajor depressionPerinatal periodMaternal depressionLow prevalenceBirth cohortClinical InterviewLow motherPostpartumRural PakistanStatistical ManualDepressionMothers
2021
What Does Social Support Sound Like? Challenges and Opportunities for Using Passive Episodic Audio Collection to Assess the Social Environment
Poudyal A, van Heerden A, Hagaman A, Islam C, Thapa A, Maharjan SM, Byanjankar P, Kohrt BA. What Does Social Support Sound Like? Challenges and Opportunities for Using Passive Episodic Audio Collection to Assess the Social Environment. Frontiers In Public Health 2021, 9: 633606. PMID: 33855008, PMCID: PMC8039317, DOI: 10.3389/fpubh.2021.633606.Peer-Reviewed Original ResearchConceptsNegative social interactionsSocial environmentSocial interactionSocial supportMental healthNegative stimuliSpeech exposureQuality of interactionPositive soundsAdult speechInfant babblingQualitative interviewsAccuracy scoresSpeechPre-trained modelCommon soundsSocial isolationYoung mothersAudio clipsAudio dataSoundAudio collectionsAudioLaughterHealth outcomesUtilizing passive sensing data to provide personalized psychological care in low-resource settings
Byanjankar P, Poudyal A, Kohrt BA, Maharjan SM, Hagaman A, van Heerden A. Utilizing passive sensing data to provide personalized psychological care in low-resource settings. Gates Open Research 2021, 4: 118. PMID: 33709058, PMCID: PMC7940775, DOI: 10.12688/gatesopenres.13117.2.Peer-Reviewed Original ResearchLay counsellorsMental health service providersLow-resource settingsHealth service providersDepression treatmentClinical progressPhysical activityPsychological careMental healthAdolescent mothersPsychological treatmentDiverse global settingsMothers' activitiesCounseling sessionsCounseling interventionMobile healthMothersAdverse childhood experiences and depression among women in rural Pakistan
LeMasters K, Bates LM, Chung EO, Gallis JA, Hagaman A, Scherer E, Sikander S, Staley BS, Zalla LC, Zivich PN, Maselko J. Adverse childhood experiences and depression among women in rural Pakistan. BMC Public Health 2021, 21: 400. PMID: 33632175, PMCID: PMC7905421, DOI: 10.1186/s12889-021-10409-4.Peer-Reviewed Original ResearchConceptsMajor depressive episodeSymptom severityPerinatal mental health interventionsWomen's depressionBackgroundAdverse childhood experiencesDepressive symptom severityMajority of womenACE-International QuestionnaireCurrent mental healthMental health interventionsAdverse childhood experiencesChildhood experiencesCohort studyDepressive episodeMonths postpartumPerinatal periodElevated riskPronounced elevationHealth interventionsMore ACEsRural PakistanMental healthFamily distressCommon pathwayDepression
2020
Utilizing passive sensing data to provide personalized psychological care in low-resource settings
Byanjankar P, Poudyal A, Kohrt B, Maharjan S, Hagaman A, van Heerden A. Utilizing passive sensing data to provide personalized psychological care in low-resource settings. Gates Open Research 2020, 4: 118. DOI: 10.12688/gatesopenres.13117.1.Peer-Reviewed Original ResearchLay counsellorsMental health service providersLow-resource settingsHealth service providersDepression treatmentClinical progressPhysical activityPsychological careMental healthAdolescent mothersPsychological treatmentDiverse global settingsMothers' activitiesCounseling sessionsCounseling interventionMobile healthMothers
2019
Psychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan
Hagaman A, Gallis JA, Bhalotra S, Baranov V, Turner EL, Sikander S, Maselko J. Psychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan. PLOS ONE 2019, 14: e0225163. PMID: 31743374, PMCID: PMC6863521, DOI: 10.1371/journal.pone.0225163.Peer-Reviewed Original ResearchConceptsPoor functioningFunctional impairmentPsychosocial characteristicsPerinatal mental healthFunctional trajectoriesPublic health implicationsImportant protective roleHigh functioning groupGroup-based trajectory modeling approachCohort studyThird trimesterFunction recoveryPerinatal periodAssess predictorsChild CohortProtective rolePsychosocial determinantsOne-yearMental healthImportant markerHealth implicationsTrajectory groupsFunctioning groupPregnancyLongitudinal findingsDelivering maternal mental health through peer volunteers: a 5-year report
Atif N, Bibi A, Nisar A, Zulfiqar S, Ahmed I, LeMasters K, Hagaman A, Sikander S, Maselko J, Rahman A. Delivering maternal mental health through peer volunteers: a 5-year report. International Journal Of Mental Health Systems 2019, 13: 62. PMID: 31534475, PMCID: PMC6747744, DOI: 10.1186/s13033-019-0318-3.Peer-Reviewed Original ResearchSustained motivationEvidence-based psychosocial interventionsMental healthOwn mental healthPeer volunteersMaternal mental healthAvenues of employmentNon-specialist health workersPsychosocial interventionsExtended interventionsPersonal benefitsMotivationGroup sessionsSuch interventionsRural RawalpindiCompetency checklistHealthy ProgrammeSocial standingResearch attentionPeersObservational toolFirst-line managementInterventionFuture directionsPerinatal depressionFather involvement in the first year of life: Associations with maternal mental health and child development outcomes in rural Pakistan
Maselko J, Hagaman AK, Bates LM, Bhalotra S, Biroli P, Gallis JA, O'Donnell K, Sikander S, Turner EL, Rahman A. Father involvement in the first year of life: Associations with maternal mental health and child development outcomes in rural Pakistan. Social Science & Medicine 2019, 237: 112421. PMID: 31398510, PMCID: PMC6708722, DOI: 10.1016/j.socscimed.2019.112421.Peer-Reviewed Original ResearchConceptsMaternal mental healthMonths postpartumMaternal depressionMental healthPerinatal depression interventionChild growthFirst yearDepression interventionsFather involvementProtective associationHigh-income countriesMost mothersBirth cohortChild development outcomesChild developmentPostpartumEffect estimatesProtective patternTime pointsDevelopmental milestonesConfidence intervalsRural settingsLongitudinal dataDepressionIncome countries
2016
An Investigation into Suicides Among Bhutanese Refugees Resettled in the United States Between 2008 and 2011
Hagaman AK, Sivilli TI, Ao T, Blanton C, Ellis H, Lopes Cardozo B, Shetty S. An Investigation into Suicides Among Bhutanese Refugees Resettled in the United States Between 2008 and 2011. Journal Of Immigrant And Minority Health 2016, 18: 819-827. PMID: 26758579, PMCID: PMC4905799, DOI: 10.1007/s10903-015-0326-6.Peer-Reviewed Original ResearchConceptsResettlement servicesRefugee communitiesRefugee servicesBhutanese refugeesRefugee populationsLack of careSelf-inflicted deathUnited StatesSocial supportFamily withdrawalPotential future avenuesPsychological autopsyFuture avenuesMigrantsRefugeesServicesMental healthSuicidal actsIntegration difficultiesSuicideMore researchCommunityDisappointmentActsExperience
2015
Task sharing in rural Haiti
McLean KE, Kaiser BN, Hagaman AK, Wagenaar BH, Therosme TP, Kohrt BA. Task sharing in rural Haiti. Intervention 2015, 13: 135-155. PMID: 26190953, PMCID: PMC4501397, DOI: 10.1097/wtf.0000000000000074.Peer-Reviewed Original ResearchStructured group trainingGroup trainingValue of apprenticeshipsExperiences of traineesLow motivationMental healthTrainee perspectiveQualitative findingsQualitative process evaluationCareer advancementTrainingMotivationKnowledge acquisitionSupport trainingTaskSkillsSupervisionTraineesHumanitarian settingsTranscultural adaptationApprenticeshipQualitative researchRural HaitiClinical competencyMastery