2024
Mixed-methods formative evaluation of implementing an adapted suicide prevention treatment: Dialectical Behavior Therapy Skills Groups in the Veterans Health Administration
Decker S, Kroll-Desrosiers A, Mattocks K, Aunon F, Galliford E, Doran N, Baird S, Rielage J, Ridley J, Bannister J, Giovannelli T, Landes S, Goodman M, Walker L, DeRycke E, Shriver C, Spana E, Honsberger M, Brown H, Demirelli S, Shest E, Martino S. Mixed-methods formative evaluation of implementing an adapted suicide prevention treatment: Dialectical Behavior Therapy Skills Groups in the Veterans Health Administration. Frontiers In Psychiatry 2024, 15: 1495102. DOI: 10.3389/fpsyt.2024.1495102.Peer-Reviewed Original ResearchDialectical Behaviour Therapy Skills GroupEmotion dysregulationSuicide attemptsVeterans Health AdministrationSkill groupsReducing emotion dysregulationSuicide prevention treatmentsReduce suicide attemptsImproving coping skillsSuicidal behaviorCoping skillsSuicide preventionLimited staffingHealth AdministrationSuicideVeterans Health Administration medical centersHybrid effectiveness-implementation trialVeteran suicideMixed-methods formative evaluationVeteransIntegrated Promoting ActionEffectiveness-implementation trialPrevent veteran suicideQualitative dataRandomized controlled trialsClinical Documentation of Patient Identities in the Electronic Health Record: Ethical Principles to Consider
Decker S, Farook M, Meshberg-Cohen S, Matsuura T, Manning M, Abel E, Blakley L, Prelli F. Clinical Documentation of Patient Identities in the Electronic Health Record: Ethical Principles to Consider. Psychological Services 2024, 21: 589-600. PMID: 37917474, DOI: 10.1037/ser0000816.Peer-Reviewed Original ResearchMulticultural guidelinesAmerican Psychological Association’s multicultural guidelinesFluid identitiesLanguageLived experienceIdentitySet of questionsIdentity variablesPurpose of documentationEthical dilemmasDocumentation approachAssociation CodePsychologistsPatient identityEthical principlesOrganizational mandatesDocumentationGeneral principlesArticleDilemmaQuestionsExperienceLittle guidancePreliminary Feasibility, Acceptability and Referral Efficacy of a Drop-In Dialectical Behavior Therapy (DBT) Skills Group to Promote Enrollment in Standard DBT Skills Group
Aunon F, Carretta R, Lovell J, Wolkowicz N, Decker S. Preliminary Feasibility, Acceptability and Referral Efficacy of a Drop-In Dialectical Behavior Therapy (DBT) Skills Group to Promote Enrollment in Standard DBT Skills Group. Cognitive And Behavioral Practice 2024 DOI: 10.1016/j.cbpra.2024.01.003.Peer-Reviewed Original ResearchDBT skills groupSkill groupsDialectical Behaviour Therapy Skills GroupDialectical behavior therapyEvidence-based treatmentsDBT skillsBehavioral therapyMindfulness practiceTreatment readinessAmbivalent clientsPretreatment interventionClientsPreliminary feasibilitySkillsMindfulnessAcceptanceSessionsEfficacyParticipantsPretreatmentReferralGroupIntervention
2023
Barriers and Facilitators to Dialectical Behavior Therapy Skills Groups in the Veterans Health Administration
Decker S, Matthieu M, Smith B, Landes S. Barriers and Facilitators to Dialectical Behavior Therapy Skills Groups in the Veterans Health Administration. Military Medicine 2023, 189: 1055-1063. PMID: 37104810, DOI: 10.1093/milmed/usad123.Peer-Reviewed Original ResearchDBT skills groupVeterans Health AdministrationDialectical behavior therapyStand-alone interventionPromoting ActionHealth AdministrationVA health care systemHealth Services frameworkBehavior therapySuicide prevention interventionsStand-alone treatmentInstitutional review boardMixed-methods program evaluationSemi-structured telephone interviewsHealth care systemResearch implementationMore veteransPrevention interventionsLeadership supportConsultation teamHealth service domainsTelephone interviewsReview boardCare systemIntervention
2021
Military sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment
Decker SE, Ramsey CM, Ronzitti S, Kerns RD, Driscoll MA, Dziura J, Skanderson M, Bathulapalli H, Brandt CA, Haskell SG, Goulet JL. Military sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment. Psychiatry Research 2021, 303: 114089. PMID: 34247061, DOI: 10.1016/j.psychres.2021.114089.Peer-Reviewed Original ResearchConceptsMental health diagnosesMilitary sexual traumaVeterans Healthcare AdministrationSuicidal ideationHealth diagnosisSexual traumaRelative risk estimatesOEF/OIF/OND veteransSample of veteransPost-9/11 veteransSuicide risk factorsMental health concernsClinical remindersRisk factorsRelative riskHigh riskMen veteransMental healthcareHealth concernRisk estimatesMST survivorsWomenDiagnosisTraumaVeteransCorrespondence Between Retrospective and Momentary Self‐Reported Posttraumatic Stress Disorder Symptoms: Evidence for Peak and End Effects in Veterans
Decker SE, Rosen MI, Cooney NL, Schnurr PP, Black AC. Correspondence Between Retrospective and Momentary Self‐Reported Posttraumatic Stress Disorder Symptoms: Evidence for Peak and End Effects in Veterans. Journal Of Traumatic Stress 2021, 34: 889-894. PMID: 33743184, DOI: 10.1002/jts.22669.Peer-Reviewed Original ResearchDSM‐5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans
Masheb RM, Ramsey CM, Marsh AG, Decker SE, Maguen S, Brandt CA, Haskell SG. DSM‐5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans. International Journal Of Eating Disorders 2021, 54: 1171-1180. PMID: 33665848, DOI: 10.1002/eat.23501.Peer-Reviewed Original ResearchConceptsPrevalence estimatesDSM-5Disorder diagnosisDisorder groupNight eating syndromeHigher mean BMIUnited States military veteransMental health symptomsBinge Eating DisorderHigher prevalence estimatesMental health concernsMental Health AssociationMean BMIAtypical ANPurging DisorderDisorder prevalenceVeteran populationGender differencesSpecific diagnosisBulimia nervosaAnorexia nervosaHealth symptomsHealth concernNon-eating disorder groupMental health
2020
Sex Differences in Military Sexual Trauma and Severe Self-Directed Violence
Gross GM, Ronzitti S, Combellick JL, Decker SE, Mattocks KM, Hoff RA, Haskell SG, Brandt CA, Goulet JL. Sex Differences in Military Sexual Trauma and Severe Self-Directed Violence. American Journal Of Preventive Medicine 2020, 58: 675-682. PMID: 32037020, DOI: 10.1016/j.amepre.2019.12.006.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaSelf-directed violenceSexual traumaWomen veteransCox proportional hazards regression modelVeterans Health Administration (VHA) careProportional hazards regression modelsHazards regression modelsOperations Enduring Freedom/Iraqi Freedom/New Dawn veteransPsychiatric morbidityNew Dawn veteransSuicide attemptsBivariate analysisPreventative effortsTraumaWomenMenSex differencesVeteransRiskRegression modelsDemographic variablesSevere selfHospitalizationMorbidityChapter 12 Dialectical behavior therapy research and program evaluation in the Department of Veterans Affairs
Landes S, Decker S, McBain S, Goodman M, Smith B, Sullivan S, Spears A, Meyers L. Chapter 12 Dialectical behavior therapy research and program evaluation in the Department of Veterans Affairs. 2020, 275-292. DOI: 10.1016/b978-0-12-816384-9.00012-9.Peer-Reviewed Original ResearchDBT skills groupDialectical behavioral therapyBorderline personality disorderVeterans AffairsPosttraumatic stress disorderFemale veteransPersonality disorderIntensive outpatient programEvidence-based psychotherapiesTreatment of veteransProgram evaluationOutpatient programHigh riskTolerance groupDBT researchBehavioral therapyStress disorderEmotion dysregulationBehavior therapy researchDisordersVeteransSuicidalityDysregulationEfficacyTherapy research
2019
Is Emotion Dysregulation Associated With Suicidal Ideation in Post 9/11 Veterans?
Decker SE, Hoff R, Martino S, Mazure CM, Park CL, Porter E, Kraus SW. Is Emotion Dysregulation Associated With Suicidal Ideation in Post 9/11 Veterans? Archives Of Suicide Research 2019, 25: 126-140. PMID: 31556798, DOI: 10.1080/13811118.2019.1661895.Peer-Reviewed Original ResearchGender Differences in Suicide and Self-Directed Violence Risk Among Veterans With Post-traumatic Stress and Substance Use Disorders
Ronzitti S, Loree AM, Potenza MN, Decker SE, Wilson SM, Abel EA, Haskell SG, Brandt CA, Goulet JL. Gender Differences in Suicide and Self-Directed Violence Risk Among Veterans With Post-traumatic Stress and Substance Use Disorders. Women's Health Issues 2019, 29: s94-s102. PMID: 31253249, DOI: 10.1016/j.whi.2019.04.010.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderGender-related differencesSelf-directed violenceTreatment strategiesCox proportional hazards regression modelProportional hazards regression modelsDiagnosis of PTSDWomen Veterans Cohort StudyHazards regression modelsSubstance use disordersSubgroups of veteransHazard ratioCohort studySuicidal behavior riskDecreased riskClinical variablesPotential confoundersHigh prevalenceUse disordersWomen veteransPost-traumatic stressNumber of womenPTSD diagnosisSuicidal behaviorSuicide riskFeasibility and preliminary efficacy of dialectical behaviour therapy skills groups for Veterans with suicidal ideation: pilot
Decker SE, Adams L, Watkins LE, Sippel LM, Presnall-Shvorin J, Sofuoglu M, Martino S. Feasibility and preliminary efficacy of dialectical behaviour therapy skills groups for Veterans with suicidal ideation: pilot. Behavioural And Cognitive Psychotherapy 2019, 47: 616-621. PMID: 30894240, PMCID: PMC6936751, DOI: 10.1017/s1352465819000122.Peer-Reviewed Original ResearchConceptsDialectical behavior therapyUncontrolled pilot studySuicidal ideationPilot studyPrimary mental health providersBehavior therapyMental health careMental health providersEmotion dysregulationPreliminary efficacyHigh riskVeterans' useBaseline scoresHealth providersPotential efficacySuicide riskAdditional riskDysregulationSample t-testHealth careVeteransEfficacyIdeationT-testRisk
2018
Positive and negative affect in cocaine use disorder treatment: Change across time and relevance to treatment outcome
Decker SE, Morie KP, Malin‐Mayo B, Nich C, Carroll KM. Positive and negative affect in cocaine use disorder treatment: Change across time and relevance to treatment outcome. American Journal On Addictions 2018, 27: 375-382. PMID: 29923665, PMCID: PMC6309484, DOI: 10.1111/ajad.12716.Peer-Reviewed Original Research
2016
Incidence of Mental Health Diagnoses in Veterans of Operations Iraqi Freedom, Enduring Freedom, and New Dawn, 2001-2014.
Ramsey C, Dziura J, Justice AC, Altalib HH, Bathulapalli H, Burg M, Decker S, Driscoll M, Goulet J, Haskell S, Kulas J, Wang KH, Mattocks K, Brandt C. Incidence of Mental Health Diagnoses in Veterans of Operations Iraqi Freedom, Enduring Freedom, and New Dawn, 2001-2014. American Journal Of Public Health 2016, 107: 329-335. PMID: 27997229, PMCID: PMC5227942, DOI: 10.2105/ajph.2016.303574.Peer-Reviewed Original ResearchConceptsMental health diagnosesMajor depressive disorderPosttraumatic stress disorderHealth diagnosisIncidence rateDrug use disorder diagnosisIncident posttraumatic stress disorderOperation Iraqi FreedomAge 18Veterans Health Administration electronic health recordsDisorder diagnosisIncident bipolar disorderHigh-risk groupSociodemographic risk factorsAlcohol use disorder diagnosisMental health conditionsEnduring FreedomIraqi FreedomRace/ethnicityElectronic health recordsIncident schizophreniaRisk factorsDepressive disorderAge 45MDD diagnosisJust Showing Up Is Not Enough: Homework Adherence and Outcome in Cognitive–Behavioral Therapy for Cocaine Dependence
Decker SE, Kiluk BD, Frankforter T, Babuscio T, Nich C, Carroll KM. Just Showing Up Is Not Enough: Homework Adherence and Outcome in Cognitive–Behavioral Therapy for Cocaine Dependence. Journal Of Consulting And Clinical Psychology 2016, 84: 907-912. PMID: 27454780, PMCID: PMC5341374, DOI: 10.1037/ccp0000126.Peer-Reviewed Original ResearchConceptsUrine toxicology screenCognitive behavioral therapyCocaine use outcomesHomework adherenceTreatment attendanceToxicology screenCocaine useUse outcomesMultiple logistic regressionBaseline cocaine useVariety of disordersCocaine use severityTreatment endClinical trialsCocaine use frequencyImproved outcomesCocaine dependenceLogistic regressionCBT sessionsAdherenceUse severityPrior studiesGreater reductionOutcomesTreatmentEmotion regulation strategies in individuals with cocaine use disorder maintained on methadone
Decker SE, Morie K, Hunkele K, Babuscio T, Carroll KM. Emotion regulation strategies in individuals with cocaine use disorder maintained on methadone. American Journal On Addictions 2016, 25: 529-532. PMID: 27658192, PMCID: PMC5367621, DOI: 10.1111/ajad.12439.Peer-Reviewed Original Research
2015
Patient pre-treatment expectations and substance use treatment outcomes
Serafini K, Decker S, Kiluk B, Anez L, Paris M, Frankforter T, Carroll K. Patient pre-treatment expectations and substance use treatment outcomes. Drug And Alcohol Dependence 2015, 156: e201. DOI: 10.1016/j.drugalcdep.2015.07.541.Peer-Reviewed Original Research
2014
Assessment concordance and predictive validity of self‐report and biological assay of cocaine use in treatment trials
Decker SE, Frankforter T, Babuscio T, Nich C, Ball SA, Carroll KM. Assessment concordance and predictive validity of self‐report and biological assay of cocaine use in treatment trials. American Journal On Addictions 2014, 23: 466-474. PMID: 24628970, PMCID: PMC4139466, DOI: 10.1111/j.1521-0391.2014.12132.x.Peer-Reviewed Original ResearchConceptsPredictive validityPsychosocial outcomesCocaine useSelf-report assessmentsSelf-report accuracyCocaine treatment trialSelf-reported dataPost-treatment pointSelf-reported cocaine useMethod variancePost-treatment outcomesTreatment trialsTreatment completionAssessment methodsUrinalysis resultsValidityRandomized clinical trials
2013
Military Sexual Assault and Homeless Women Veterans: Clinical Correlates and Treatment Preferences
Decker SE, Rosenheck RA, Tsai J, Hoff R, Harpaz-Rotem I. Military Sexual Assault and Homeless Women Veterans: Clinical Correlates and Treatment Preferences. Women's Health Issues 2013, 23: e373-e380. PMID: 24183412, DOI: 10.1016/j.whi.2013.09.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultCrime VictimsFemaleHumansIll-Housed PersonsMental HealthMiddle AgedMilitary PersonnelMultivariate AnalysisPatient Acceptance of Health CarePatient PreferencePrevalenceRetrospective StudiesRisk FactorsSelf ReportSex OffensesSocioeconomic FactorsStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMilitary sexual assaultHomeless female veteransFemale veteransSexual assaultGreater mental health symptomsMental health symptomsSerious psychological sequelaePsychological distressPsychological sequelaeHomeless women veteransHealth symptomsThird of participantsTreatment preferencesPsychiatric symptomsCurrent homelessnessVeteransWomen veteransAssaultGreater severityClinical correlatesPTSDClinical symptomsHomeless womenObservational studyHigh riskUnintended effects of training on clinicians’ interest, confidence, and commitment in using motivational interviewing
Decker SE, Martino S. Unintended effects of training on clinicians’ interest, confidence, and commitment in using motivational interviewing. Drug And Alcohol Dependence 2013, 132: 681-687. PMID: 23684633, PMCID: PMC3752312, DOI: 10.1016/j.drugalcdep.2013.04.022.Peer-Reviewed Original Research