Zafra Cooper, DPhil, BA, DClinPsych
Professor Adjunct of PsychiatryCards
Contact Info
The Veteran Study at Yale
157 Church Street
New Haven, CT 06510
United States
About
Titles
Professor Adjunct of Psychiatry
Biography
Dr Cooper is an Adjunct Professor of Psychiatry at the Yale University Department of Psychiatry and director of the Eating Disorders in Veterans study funded by the Congressionally Directed Medical Research Program (CDMRP). Previously she was Professor of Clinical Psychology at the University Department of Psychiatry at Oxford University where she was jointly responsible for management of the internationally recognized Centre for Research on Eating Disorders at Oxford (CREDO). Funded for many years by the Wellcome Trust, the centre studied various aspects of eating disorders, including their diagnosis and classification, their characterization and measurement, their aetiology and course and most importantly their treatment. In particular it specialized in the development and evaluation of treatments for eating disorders and obesity. The centre was responsible for the development of the transdiagnostic treatment for eating disorders, one of the leading evidence-based treatments endorsed by the influential UK National Institute for Health and Care Excellence (NICE) guidelines and the development of a universally used and accepted standardized method of assessing eating disorder psychopathology. While at Oxford, funded by a strategic award from the Wellcome Trust Dr Cooper jointly established a centre for research on the dissemination of evidence -based treatments and directed the research on measuring clinician competence and evaluating clinician training. Her ongoing research focuses on further treatment development with an emphasis on improving interventions for eating disorders co-occurring with other conditions (e.g., obesity and PTSD) and bridging the treatment gap by making treatment and provider training more accessible.
Appointments
Departments & Organizations
Education & Training
- Specialist CBT Training Fellow
- Oxford Cognitive Therapy Centre (1997)
- DClinPsych
- British Psychological Society (1985)
- Clinical Intern
- Cambridge Health Authority (1985)
- Clinical Intern
- Oxford Health Authority (1984)
- DPhil
- University of Oxford, Philosophy (1981)
- BA
- University of Cape Town, Psychology (1974)
Research
Overview
Current research
Eating Disorders in Veterans: Prevalence, Comorbidity, Risk and Health Care Use
The study aims to establish within a cohort of Veterans who were separated from service within the past year: the prevalence of full/subthreshold eating disorders among male and female Veterans; examine temporal associations among these disorders and comorbid disorders; document treatment patterns and healthcare preferences; identify barriers to care for those seeking mental health treatment; identify and investigate the role of general and military/Veteran-specific risk factors and validate two existing screening measures for eating disorder
Enabling translation of Science to Service to ENhance Depression CarE
Disseminating and implementing evidence based depression care in India. Dr. Cooper is working closely with Professor Vikram Patel and his research team (Harvard Medical School) to ensure the successful development (completed) and validation (ongoing) of a brief and scalable measure of non-specialist health worker competence for delivering evidence-based treatment for depression in primary care settings in Madhya Pradesh as part of a larger project to scale up care.
Extending the availability of treatment for eating disorders
Current projects with the National Eating Disorder Association (NEDA) in US and the UK counterpart (BEAT) to evaluate feasibility and acceptability of guided self help delivered through their respective helplines. Similar projects with colleagues at the University of Washington.
Medical Research Interests
ORCID
0000-0001-7963-656X- View Lab Website
Eating Disorders
Research at a Glance
Yale Co-Authors
Publications Timeline
Carlos Grilo, PhD
Donna Spiegelman, ScD
Janet Lydecker, PhD
Publications
Featured Publications
Cognitive behavioral therapy for eating disorders: A map of the systematic review evidence base
Kaidesoja M, Cooper Z, Fordham B. Cognitive behavioral therapy for eating disorders: A map of the systematic review evidence base. International Journal Of Eating Disorders 2022, 56: 295-313. PMID: 36315392, PMCID: PMC10092269, DOI: 10.1002/eat.23831.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsCognitive behavioral therapyLow-intensity cognitive behavioural therapyGroup cognitive behavioral therapySystematic reviewEvidence baseActive interventionBehavioral therapyGood short-term effectSearch of EmbaseCurrent evidence baseIndividual systematic reviewsOverview of CBTTreatment recommendationsLong-term effectsShort-term effectsHealth conditionsTherapyClinical innovationGeneralizability of findingsDisordersInsufficient dataInterventionQualified cliniciansTransdiagnostic sampleReview
2022
Adaptation and translation of a scalable measure for assessing health worker competence to deliver a brief psychological intervention: A case study from central India of its comparison to a performance-based measure
Joshi U, Haney J, Sequeira M, Singla D, Patel V, Bhan A, Cooper Z, Naslund J. Adaptation and translation of a scalable measure for assessing health worker competence to deliver a brief psychological intervention: A case study from central India of its comparison to a performance-based measure. Psychiatric Quarterly 2022, 94: 33-47. PMID: 36536268, DOI: 10.1007/s11126-022-10007-6.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsBrief psychological interventionPerformance-based measuresPsychological interventionsNon-specialist providersTraining programKnowledge measureEvidence-based training programsProvider training programsHealth workers' competenceWorker competenceMean scoreScalable assessmentScalable measureMultiple-choice assessmentMental disordersContinued comparisonCompetenceCultural adaptationCommon mental disordersMode of assessmentCompetency needsMeasuresInterventionUnique strengthsScoresDevelopment of the CBT-E Components Checklist: A tool for measuring therapist self-rated adherence to CBT-E
Bailey-Straebler S, Cooper Z, Dalle Grave R, Calugi S, Murphy R. Development of the CBT-E Components Checklist: A tool for measuring therapist self-rated adherence to CBT-E. IJEDO 2022, 4: 6-10. DOI: 10.32044/ijedo.2022.02.Peer-Reviewed Original ResearchCitationsConceptsAssociations between probable eating disorders and healthcare use among post-9/11 veteran men and women
Mitchell K, Sienkiewicz M, Smith B, Vogt D, Kehle-Forbes S, Cooper Z. Associations between probable eating disorders and healthcare use among post-9/11 veteran men and women. Journal Of Psychosomatic Research 2022, 157: 110811. PMID: 35413512, DOI: 10.1016/j.jpsychores.2022.110811.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsHealthcare useED treatmentProbable EDsVeteran menGreater healthcare useHigh healthcare useCross-sectional studyAvailability of treatmentLower ratesLogistic regression modelsU.S. military veteransED statusED symptomsMilitary veteransED researchWomenTreatmentAttitudinal barriersVeteransMenVulnerable groupsDisordersEDRegression modelsGender differencesDisordered eating in sexual minority post‐9/11 United States veterans
Serier K, Smith B, Cooper Z, Vogt D, Mitchell K. Disordered eating in sexual minority post‐9/11 United States veterans. International Journal Of Eating Disorders 2022, 55: 470-480. PMID: 35092637, DOI: 10.1002/eat.23680.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsSexual minority individualsSexual minoritiesSexual minority veteransMinority individualsPost-9/11 United StatesMinority veteransUnited StatesPost-9/11Lesbian womenIdentity groupsUnique healthcare needsMinority stressRole of discriminationEvidence of disparitiesMilitary experienceRates of DENational sampleHealthcare needsMilitary veteransMinorityDisparitiesGayWomenDiscriminationMental health
2021
Cognitive behavioural therapy for a variety of conditions: an overview of systematic reviews and panoramic meta-analysis
Fordham B, Sugavanam T, Edwards K, Hemming K, Howick J, Copsey B, Lee H, Kaidesoja M, Kirtley S, Hopewell S, das Nair R, Howard R, Stallard P, Hamer-Hunt J, Cooper Z, Lamb S. Cognitive behavioural therapy for a variety of conditions: an overview of systematic reviews and panoramic meta-analysis. Health Technology Assessment 2021, 25: 1-378. PMID: 33629950, PMCID: PMC7957459, DOI: 10.3310/hta25090.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsCognitive behavioral therapyHealth-related qualityCognitive-behavioural therapy patientsCognitive behavioral therapy trialSystematic reviewDelivery formatPain outcomesAlternative delivery formatsHealth Research (NIHR) Health Technology Assessment programmeNIHR Journals Library websiteSignificant interaction effectHealth Technology Assessment programmeGeneral effectModest effect sizesBehavioral therapyChild developmentFurther project informationDatabase of AbstractsHigh-quality evidenceRisk of biasTechnology Assessment programmeTrial evidence baseAllied Health LiteratureStudy inclusion criteriaIndividual trial dataPosttraumatic stress disorder and eating disorders: maintaining mechanisms and treatment targets
Mitchell K, Scioli E, Galovski T, Belfer P, Cooper Z. Posttraumatic stress disorder and eating disorders: maintaining mechanisms and treatment targets. Eating Disorders 2021, 29: 292-306. PMID: 33411646, DOI: 10.1080/10640266.2020.1869369.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPosttraumatic stress disorderStress disorderComorbid posttraumatic stress disorderCognitive-behavioral theoryImpulsivity/compulsivityEvidence-based treatmentsEmotion dysregulationInterpersonal traumaNegative affectTreatment targetsTrauma exposurePTSD symptomsHyperarousal symptomsED behaviorsBehavioral theoryPotential treatment targetBidirectional relationshipLifetime historyEvidence-based therapiesIntegrated modelFuture directionsDisordersTheoretical modelAngerCompulsivityDigital training for non-specialist health workers to deliver a brief psychological treatment for depression in India: Protocol for a three-arm randomized controlled trial
Naslund JA, Tugnawat D, Anand A, Cooper Z, Dimidjian S, Fairburn CG, Hollon SD, Joshi U, Khan A, Lu C, Mitchell LM, Muke S, Nadkarni A, Ramaswamy R, Restivo JL, Shrivastava R, Singh A, Singla DR, Spiegelman D, Bhan A, Patel V. Digital training for non-specialist health workers to deliver a brief psychological treatment for depression in India: Protocol for a three-arm randomized controlled trial. Contemporary Clinical Trials 2021, 102: 106267. PMID: 33421650, DOI: 10.1016/j.cct.2021.106267.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsEvidence-based psychological treatmentsHealthy Activity ProgramNon-specialist health workersPsychological treatmentMental health knowledgeDigital trainingBrief psychological treatmentFace training programFace trainingTraining programChange of competenceJob satisfactionManualized psychotherapyConventional faceWorker motivationHealth worker motivationCompetency measuresCoaching supportTrainingDepressionActivity programPrimary careOutcome variablesHealth workersThree-arm
2020
Mediators of change in cognitive behavior therapy and interpersonal psychotherapy for eating disorders: A secondary analysis of a transdiagnostic randomized controlled trial
Sivyer K, Allen E, Cooper Z, Bailey‐Straebler S, O'Connor M, Fairburn C, Murphy R. Mediators of change in cognitive behavior therapy and interpersonal psychotherapy for eating disorders: A secondary analysis of a transdiagnostic randomized controlled trial. International Journal Of Eating Disorders 2020, 53: 1928-1940. PMID: 33150640, PMCID: PMC7756462, DOI: 10.1002/eat.23390.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsBinge-eating frequencyCognitive behavior therapyEffects of CBTHypothesized mediatorsBehavior therapyMediation studiesInterpersonal psychotherapyWeeks of CBTMediators of changeCognitive processesPsychological treatmentCBTProblem severityRegular eatingKey methodological issuesMethodological issuesPsychotherapyMore effective treatmentsPutative mediatorsMechanism of actionDisordersEffective treatmentSecondary analysisEatingTime pointsAssessing health worker competence to deliver a brief psychological treatment for depression: Development and validation of a scalable measure
Restivo J, Mitchell L, Joshi U, Anand A, Gugiu P, Singla D, Hollon S, Patel V, Naslund J, Cooper Z. Assessing health worker competence to deliver a brief psychological treatment for depression: Development and validation of a scalable measure. Journal Of Behavioral And Cognitive Therapy 2020, 30: 253-266. PMID: 33409505, PMCID: PMC7785103, DOI: 10.1016/j.jbct.2020.10.001.Peer-Reviewed Original ResearchCitationsAltmetricConceptsPsychological treatmentTraining outcomesScalable measureBrief Behavioral Activation TreatmentBrief psychological treatmentBrief psychological interventionEvidence-based training programsHealthy Activity ProgramBehavioral Activation TreatmentPsychological interventionsEqual difficultyProvider training programsRasch modelHealth workers' competenceInitial validationWorker competenceMental health careTraining programCompetenceDepressionApplied knowledgeActivity programSpecialized trainingProvider competenceEducational level
Academic Achievements & Community Involvement
honor Lifetime Achievement Award
International AwardAcademy of Eating DisordersDetails06/03/2023
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The Veteran Study at Yale
157 Church Street
New Haven, CT 06510
United States