Rachel Kimerling
Biographic Data
| ID | 127823 |
|---|---|
| NAME | Rachel Kimerling |
| GIVEN NAMES | Rachel |
| FAMILY NAME | Kimerling |
| SIGNATURE | KIMERLING R |
| AFFILIATIONS | VA Palo Alto Health Care System |
| ORCID | 0000-0003-0996-4212 |
| VERIFIED | Yes |
| TOTAL WORKS | 28 |
| TOTAL CITATIONS | 60 |
| AUTHOR COUNT | 28 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1998 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 4 |
Using Projective IRT to Evaluate the Effects of Multidimensionality on Unidimensional IRT Model Parameters
The application of unidimensional IRT models requires item response data to be unidimensional. Often, however, item response data contain a dominant dimension, as well as one or more nuisance dimensions caused by content clusters. Applying a unidimensional IRT model to multidimensional data causes violations of local independence, which can vitiate IRT applications. To evaluate and, possibly, remedy the problems caused by forcing unidimensional m…
An Exploratory Analysis of Factors Associated With Spontaneous Preterm Birth Among Pregnant Veterans With Post-Traumatic Stress Disorder
Psychometric evaluation of a patient-reported item bank for healthcare engagement
Impact of Wartime Stress Exposures and Mental Health on Later-Life Functioning and Disability in Vietnam-Era Women Veterans
OBJECTIVE: The effect of stress exposures and mental health sequelae on health-related outcomes is understudied among older women veterans. We examined a) the impact of wartime stress exposures on later-life functioning and disability in Vietnam-era women veterans and b) the extent to which mental health conditions known to be associated with stress-posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety dis…
Psychotherapy Utilization, Preferences, and Retention among Women Veterans with Post-traumatic Stress Disorder
Opportunity or Burden? A Behavioral Framework for Patient Engagement
BACKGROUND: Engaging patients as partners in their care is clinically appealing, yet challenging to implement, and we lack a measurement framework that is applicable to vulnerable populations. To address this gap, we conducted a qualitative study to refine a conceptual framework that reflects an individual's propensity to engage with care. OBJECTIVES: Our objectives were to refine the framework's domains of engagement behavior; identify key behav…
Four Decades after War
Sexual Assault and Women’s Health
National Center for PTSD, Dissemination and Training Division and Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, CA Supported by the Department of Veteran Affairs, Veterans Health Administration, Office of Research and Development, Health Services Research and Development (HSR&D) IIR 16-254. The views expressed in this article are those of the author and do not necessarily reflect the position or policy of t…
Assessment of a Revised Wartime Experiences Scale for Vietnam-Era Women
No Mission Too Difficult
No Mission Too Difficult: Responding to Military Sexual Assault Affiliation Rachel Kimerling PhDRachel Kimerling is with the National Center for PTSD, Dissemination and Training Division and the Center for Innovation to Implementation at the VA Palo Alto Health Care System, Palo Alto, CA.CopyRightCorrespondence should be sent to Rachel Kimerling, PhD, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road (PTSD-324), Menlo Par…
Increased Health Care Utilization and Costs Among Veterans With a Positive Screen for Military Sexual Trauma
BACKGROUND: The effects of sexual trauma on long-term health care utilization and costs are not well understood due to infrequent documentation of sexual trauma history in health care systems. The Veteran's Health Administration provides a unique opportunity to address this constraint as sexual trauma is actively screened for as part of routine care. METHODS: We used a retrospective cohort design to analyze Veteran's Health Administration mental …
The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5)
Binge Eating among Women Veterans in Primary Care
Access to Mental Health Care Among Women Veterans
BACKGROUND: Patient-centered access to mental health describes the fit between patient needs and resources of the system. To date, little data are available to guide implementation of services to women veterans, an underrepresented minority within Department of Veteran Affairs (VA) health care. The current study examines access to mental health care among women veterans, and identifies gender-related indicators of perceived access to mental healt…
Sexually Transmitted Infections and Sexual Dysfunctions Among Newly Returned Veterans With and Without Military Sexual Trauma
This cross-sectional study examined the odds of being diagnosed with a sexually transmitted infection (STI) or a sexual dysfunction disorder (SDD) among Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) American veterans receiving care in the Veterans' Health Administration (VHA) in relation to whether or not they have experienced military sexual trauma (MST). Among those veterans who experienced MST, the influence of a diagnosis of po…
Development and validation of a brief self-report measure of trauma exposure
Although information about individuals' exposure to highly stressful events such as traumatic stressors is often very useful for clinicians and researchers, available measures are too long and complex for use in many settings. The Trauma History Screen (THS) was developed to provide a very brief and easy-to-complete self-report measure of exposure to high magnitude stressor (HMS) events and of events associated with significant and persisting pos…
Organizational Factors Associated with Screening for Military Sexual Trauma
Gender Differences in Military Sexual Trauma and Mental Health Diagnoses among Iraq and Afghanistan Veterans with Posttraumatic Stress Disorder
Military Sexual Trauma and Patient Perceptions of Veteran Health Administration Health Care Quality
Psychiatric Diagnoses and Neurobehavioral Symptom Severity among OEF/OIF VA Patients with Deployment-Related Traumatic Brain Injury
Military-Related Sexual Trauma Among Veterans Health Administration Patients Returning From Afghanistan and Iraq
We examined military-related sexual trauma among deployed Operation Enduring Freedom and Operation Iraqi Freedom veterans. Of 125 729 veterans who received Veterans Health Administration primary care or mental health services, 15.1% of the women and 0.7% of the men reported military sexual trauma when screened. Military sexual trauma was associated with increased odds of a mental disorder diagnosis, including posttraumatic stress disorder, other …
What happens to youth removed from parental care
Intimate Partner Violence and Housing Instability
Epidemiology and Consequences of Women’s Revictimization
The Veterans Health Administration and Military Sexual Trauma
Objectives. We examined the utility of the Veterans Health Administration (VHA) universal screening program for military sexual violence. Methods. We analyzed VHA administrative data for 185 880 women and 4139888 men who were veteran outpatients and were treated in VHA health care settings nationwide during 2003. Results. Screening was completed for 70% of patients. Positive screens were associated with greater odds of virtually all categories of…
The Veterans Health Administration and Military Sexual Trauma
Objectives. We examined the utility of the Veterans Health Administration (VHA) universal screening program for military sexual violence. Methods. We analyzed VHA administrative data for 185 880 women and 4139888 men who were veteran outpatients and were treated in VHA health care settings nationwide during 2003. Results. Screening was completed for 70% of patients. Positive screens were associated with greater odds of virtually all categories of…
Military-Related Sexual Trauma Among Veterans Health Administration Patients Returning From Afghanistan and Iraq
We examined military-related sexual trauma among deployed Operation Enduring Freedom and Operation Iraqi Freedom veterans. Of 125 729 veterans who received Veterans Health Administration primary care or mental health services, 15.1% of the women and 0.7% of the men reported military sexual trauma when screened. Military sexual trauma was associated with increased odds of a mental disorder diagnosis, including posttraumatic stress disorder, other …
What happens to youth removed from parental care
Satisfaction with Relationship Power and the Perpetration of Dating Violence
This study examined the contribution of a new relationship power construct-satisfaction with relationship power-to physical violence by men against their dating partners. One hundred and fifty-six dating college males participated in this study. As hypothesized, satisfaction with relationship power, but not the amount of perceived relationship power, was related to dating violence by men. Confirming the conceptualization of psychological and phys…
Satisfaction with Relationship Power and the Perpetration of Dating Violence
This study examined the contribution of a new relationship power construct-satisfaction with relationship power-to physical violence by men against their dating partners. One hundred and fifty-six dating college males participated in this study. As hypothesized, satisfaction with relationship power, but not the amount of perceived relationship power, was related to dating violence by men. Confirming the conceptualization of psychological and phys…
The primary care PTSD screen (PC–PTSD)
Posttraumatic stress disorder (PTSD) is a frequently unrecognized anxiety disorder in primary care settings. This study reports on the development and operating characteristics of a brief 4-item screen for PTSD in primary care (PC-PTSD). 188 VA primary care patients completed the PC-PTSD, the PTSD Symptom Checklist (PCL) and the Clinician Administered Scale for PTSD (CAPS). The prevalence of PTSD was 24.5%. Signal detection analyses showed that w…
Intimate Partner Violence and Use of Welfare Services Among California Women
The current study is a population-based investigation of the association between past-year exposure to intimate partner violence (IPV) and current welfare use, while also accounting for the effects of other violence experienced in adulthood and symptoms of posttraumatic stress disorder (PTSD). These data indicate that acute exposure to intimate partner violence is significantly over-represented among women currently on welfare. However, it appear…
Intimate Partner Violence and Housing Instability
Epidemiology and Consequences of Women’s Revictimization
The Veterans Health Administration and Military Sexual Trauma
Objectives. We examined the utility of the Veterans Health Administration (VHA) universal screening program for military sexual violence. Methods. We analyzed VHA administrative data for 185 880 women and 4139888 men who were veteran outpatients and were treated in VHA health care settings nationwide during 2003. Results. Screening was completed for 70% of patients. Positive screens were associated with greater odds of virtually all categories of…
What happens to youth removed from parental care
Military-Related Sexual Trauma Among Veterans Health Administration Patients Returning From Afghanistan and Iraq
We examined military-related sexual trauma among deployed Operation Enduring Freedom and Operation Iraqi Freedom veterans. Of 125 729 veterans who received Veterans Health Administration primary care or mental health services, 15.1% of the women and 0.7% of the men reported military sexual trauma when screened. Military sexual trauma was associated with increased odds of a mental disorder diagnosis, including posttraumatic stress disorder, other …
Development and validation of a brief self-report measure of trauma exposure
Although information about individuals' exposure to highly stressful events such as traumatic stressors is often very useful for clinicians and researchers, available measures are too long and complex for use in many settings. The Trauma History Screen (THS) was developed to provide a very brief and easy-to-complete self-report measure of exposure to high magnitude stressor (HMS) events and of events associated with significant and persisting pos…
Organizational Factors Associated with Screening for Military Sexual Trauma
Gender Differences in Military Sexual Trauma and Mental Health Diagnoses among Iraq and Afghanistan Veterans with Posttraumatic Stress Disorder
Military Sexual Trauma and Patient Perceptions of Veteran Health Administration Health Care Quality
Psychiatric Diagnoses and Neurobehavioral Symptom Severity among OEF/OIF VA Patients with Deployment-Related Traumatic Brain Injury
Sexually Transmitted Infections and Sexual Dysfunctions Among Newly Returned Veterans With and Without Military Sexual Trauma
This cross-sectional study examined the odds of being diagnosed with a sexually transmitted infection (STI) or a sexual dysfunction disorder (SDD) among Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) American veterans receiving care in the Veterans' Health Administration (VHA) in relation to whether or not they have experienced military sexual trauma (MST). Among those veterans who experienced MST, the influence of a diagnosis of po…
Access to Mental Health Care Among Women Veterans
BACKGROUND: Patient-centered access to mental health describes the fit between patient needs and resources of the system. To date, little data are available to guide implementation of services to women veterans, an underrepresented minority within Department of Veteran Affairs (VA) health care. The current study examines access to mental health care among women veterans, and identifies gender-related indicators of perceived access to mental healt…
The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5)
Binge Eating among Women Veterans in Primary Care
Assessment of a Revised Wartime Experiences Scale for Vietnam-Era Women
No Mission Too Difficult
No Mission Too Difficult: Responding to Military Sexual Assault Affiliation Rachel Kimerling PhDRachel Kimerling is with the National Center for PTSD, Dissemination and Training Division and the Center for Innovation to Implementation at the VA Palo Alto Health Care System, Palo Alto, CA.CopyRightCorrespondence should be sent to Rachel Kimerling, PhD, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road (PTSD-324), Menlo Par…
Increased Health Care Utilization and Costs Among Veterans With a Positive Screen for Military Sexual Trauma
BACKGROUND: The effects of sexual trauma on long-term health care utilization and costs are not well understood due to infrequent documentation of sexual trauma history in health care systems. The Veteran's Health Administration provides a unique opportunity to address this constraint as sexual trauma is actively screened for as part of routine care. METHODS: We used a retrospective cohort design to analyze Veteran's Health Administration mental …
Sexual Assault and Women’s Health
National Center for PTSD, Dissemination and Training Division and Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, CA Supported by the Department of Veteran Affairs, Veterans Health Administration, Office of Research and Development, Health Services Research and Development (HSR&D) IIR 16-254. The views expressed in this article are those of the author and do not necessarily reflect the position or policy of t…
Four Decades after War
Impact of Wartime Stress Exposures and Mental Health on Later-Life Functioning and Disability in Vietnam-Era Women Veterans
OBJECTIVE: The effect of stress exposures and mental health sequelae on health-related outcomes is understudied among older women veterans. We examined a) the impact of wartime stress exposures on later-life functioning and disability in Vietnam-era women veterans and b) the extent to which mental health conditions known to be associated with stress-posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety dis…
Psychotherapy Utilization, Preferences, and Retention among Women Veterans with Post-traumatic Stress Disorder
Opportunity or Burden? A Behavioral Framework for Patient Engagement
BACKGROUND: Engaging patients as partners in their care is clinically appealing, yet challenging to implement, and we lack a measurement framework that is applicable to vulnerable populations. To address this gap, we conducted a qualitative study to refine a conceptual framework that reflects an individual's propensity to engage with care. OBJECTIVES: Our objectives were to refine the framework's domains of engagement behavior; identify key behav…
Medicine (25 works) · Psychology (17 works) · Psychiatry (16 works) · Posttraumatic Stress Disorder Research (13 works) · Clinical Psychology (11 works) · Mental health (10 works) · Family medicine (9 works) · Child Abuse and Trauma (8 works) · Health care (8 works) · Logistic regression (8 works)