Robert Kohn
Biographic Data
| ID | 160051 |
|---|---|
| NAME | Robert Kohn |
| GIVEN NAMES | Robert |
| FAMILY NAME | Kohn |
| SIGNATURE | KOHN R |
| AFFILIATIONS | Brown University |
| ORCID | 0000-0001-8517-0719 |
| VERIFIED | Yes |
| TOTAL WORKS | 44 |
| TOTAL CITATIONS | 36 |
| AUTHOR COUNT | 43 |
| EDITOR COUNT | 1 |
| FIRST PUBLICATION YEAR | 1968 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 4 |
Modeling of demoralization in breast cancer
Early detection of demoralization and of the co-occurrence of depression and demoralization are essential for promoting the well-being of patients with breast cancer. Psychotherapy should focus on strengthening the modifiable negative correlates of demoralization, countering the modifiable positive correlates, and preventing the co-occurrence of demoralization and depression
Forensic psychiatric issues in intellectual disability
Forensic psychiatrists and neuropsychiatrists are likely to encounter individuals with intellectual disability as they are over‐represented in the judicial system. These individuals may have the full range of mental illnesses and comorbid conditions, including physical infirmity, sensory deficits, language impairment, and maladaptive behaviors. They are frequently disadvantaged in the judicial system due to lack of comprehension, lack of accommod…
The Block-Correlated Pseudo Marginal Sampler for State Space Models
Pseudo Marginal Metropolis-Hastings (PMMH) is a general approach to Bayesian inference when the likelihood is intractable, but can be estimated unbiasedly.Our article develops an efficient PMMH method that scales up better to higher dimensional state vectors than previous approaches.The improvement is achieved by the following innovations.First, a novel block version of PMMH that works with multiple particle filters is proposed.Second, the trimme…
A Statistical Recurrent Stochastic Volatility Model for Stock Markets
The stochastic volatility (SV) model and its variants are widely used in the financial sector, while recurrent neural network (RNN) models are successfully used in many large-scale industrial applications of deep learning. We combine these two methods in a nontrivial way and propose a model, which we call the statistical recurrent stochastic volatility (SR-SV) model, to capture the dynamics of stochastic volatility. The proposed model is able to …
Differential impact of resilience on demoralization and depression in Parkinson disease
These results expand our understanding of resilience by suggesting that it is a mechanism evolved to reduce or prevent demoralization and not just depression. Reducing demoralization and strengthening resilience as part of a comprehensive treatment plan are likely to improve the prognosis of Parkinson disease
Recurrent conditional heteroskedasticity
We propose a new class of financial volatility models, called the REcurrent Conditional Heteroskedastic (RECH) models, to improve both in‐sample analysis and out‐of‐sample forecasting of the traditional conditional heteroskedastic models. In particular, we incorporate auxiliary deterministic processes, governed by recurrent neural networks, into the conditional variance of the traditional conditional heteroskedastic models, for example, GARCH‐typ…
From Perceived Stress to Demoralization in Parkinson Disease: A Path Analysis
Early treatment and reversal of subjective incompetence and anxiety could potentially prevent the escalation of demoralization and the associated disruption in health-related quality of life and eventual suicide
Mixed Marginal Copula Modeling
This article extends the literature on copulas with discrete or continuous marginals to the case where some of the marginals are a mixture of discrete and continuous components. We do so by carefully defining the likelihood as the density of the observations with respect to a mixed measure. The treatment is quite general, although we focus on mixtures of Gaussian and Archimedean copulas. The inference is Bayesian with the estimation carried out b…
Mental health in the Americas: An overview of the treatment gap
The treatment gap for mental health remains a public health concern. A high proportion of adults, children, and indigenous individuals with serious mental illness remains untreated. The result is an elevated prevalence of mental disorders and global burden of disease
Geriatric Forensic Psychiatry
Geriatric Forensic Psychiatry: Principles and Practice is one of the first texts to provide a comprehensive review of important topics in the intersection of geriatric psychiatry, medicine, clinical neuroscience, forensic psychiatry, and law. It will speak to a broad audience among varied fields, including clinical and forensic psychiatry and mental health professionals, geriatricians and internists, attorneys and courts, regulators, and other pr…
Working with the Elderly Defendant through the Adjudicative Process: Principles and Practice
As the U.S. population ages, there will be more cases of elder abuse, neglect, and financial exploitation and, consequently, an increase in elderly criminal defendants in the criminal justice system. Because elderly persons appear in criminal court most frequently as crime victims, understanding the problems and needs of the elderly defendant receives less attention. This chapter reviews the cognitive and psychological changes with normal aging, …
Previous Violent Events and Mental Health Outcomes in Guatemala
Objectives. We analyzed a probability sample of Guatemalans to determine if a relationship exists between previous violent events and development of mental health outcomes in various sociodemographic groups, as well as during and after the Guatemalan Civil War. Methods. We used regression modeling, an interaction test, and complex survey design adjustments to estimate prevalences and test potential relationships between previous violent events an…
Psychiatric epidemiology and international mental health as a career in cultural psychiatry
Psychiatric epidemiology is one of the many paths to a career in cultural psychiatry. Psychiatric epidemiology has made numerous substantive contributions to cultural psychiatry. Areas in which psychiatric epidemiologists have contributed to cultural psychiatry include the undertaking of cross-national comparisons, studying the mental health of populations of importance to cultural psychiatry, studying risk factors that are of cultural importance…
Racial/ethnic and sexual behavior disparities in rates of sexually transmitted infections, San Francisco, 1999-2008
For all racial/ethnic groups in San Francisco, MSM carried a substantially higher burden of STIs compared to non-MSM except among African-American men. These racial and sexual behavior disparities warrant further public health attention and resources
Efficient Bayesian Inference for Multiple Change-Point and Mixture Innovation Models
Time series subject to parameter shifts of random magnitude and timing are commonly modeled with a change-point approach using Chib's algorithm to draw the break dates. We outline some advantages of an alternative approach in which breaks come through mixture distributions in state innovations, and for which the sampler of Gerlach, Carter, and Kohn allows reliable and efficient inference. We show how the same sampler can be used to model shifts i…
Textbook of Cultural Psychiatry
Cultural psychiatry is concerned with understanding the impact of social and cultural differences and similarities on mental illness and its treatments. A person's cultural characteristics can often lead to misunderstandings, influenced by language, non-verbal styles, codes of etiquette and assumptions. There may also be perceived misconceptions and differences in beliefs and values. In order to provide appropriate, sensitive and acceptable servi…
Global Assessment of Relational Functioning Scale (Garf): A Validity Study in Patients with Recurrent Major Depression in Brazil
The Global Assessment of Relational Functioning Scale (GARF) has been proposed as an additional domain on Axis V, yet few validation studies have been conducted. This study examines the validity of the Brazilian-Portuguese version of the GARF. An experienced family therapist interviewed 34 families in which one member had a diagnosis of DSM-IV recurrent major depression. A semi-structured family interview was used to classify families into functi…
Intimate Partner Violence and Long-Term Psychosocial Functioning in a National Sample of American Women
Using a nationally representative sample of American married or cohabiting women, this prospective study examined women who reported or denied intimate partner violence (IPV) at wave 1 and compared them on a range of psychosocial outcomes at a 5-year follow-up. This study also examined the rate of divorce or separation during the 5-year interval among women who reported IPV at wave 1 and explored whether certain predictors were related to ending …
Psychiatric Disorders among the Mapuche in Chile
Background: The Mapuche are the largest indigenous group in Chile; yet almost all data on the mental health of indigenous populations are from North America. Aim: The study examines the differential DSM-III-R prevalence rates of psychiatric disorders and service utilization among indigenous and non-indigenous community residence. Methods: The Composite International Diagnostic Interview (CIDI) was administered to a stratified random sample of 75 …
Los trastornos mentales en América Latina y el Caribe: Asunto prioritario para la salud pública
OBJETIVO: La creciente carga de trastornos mentales que afecta a las poblaciones de América Latina y el Caribe es demasiado grande para hacer caso omiso de ella. Por lo tanto, es una necesidad impostergable conocer la prevalencia de los trastornos mentales y la brecha de tratamiento, que está dada por la diferencia entre las tasas de prevalencia verdadera y las de las personas que han sido tratadas, que en algunos casos es grande pese a la existe…
Psychological and psychopathological reactions in Honduras following Hurricane Mitch: Implications for service planning
Out of a total population of 3.3 million adults (age 15 and older) in Honduras, it is estimated that over 492,000 of them may have developed PTSD due to Hurricane Mitch.
Patrones de uso de servicios entre adultos con problemas de salud mental, en Chile
Our results confirm the existence of a wide gap between the need for care and the treatment that is actually received. The informal and folkloric alternative resources (priests, family members, healers, herbalists, etc.) were used less frequently than is generally believed to be true. The indirect barriers of access to services--linked to a lack of knowledge and to stigma--were more frequent than were the direct barriers. A sizable number of peop…
Race and Psychiatric Services in Post-Apartheid South Africa: A Preliminary Study of Psychiatrists’ Perceptions
Objectives: The primary objective of this study was to examine the perception of the quality of psychiatric services five years after apartheid, and specifically whether care for black patients had improved. Design: A survey was distributed to South African psychiatrists during a national congress and by mail. The questionnaire focused on the quality of psychiatric care in general, for black and white patients, the racial composition of each resp…
Treinamento de clínicos para o diagnóstico e tratamento da depressão
OBJETIVO: Avaliar os resultados da aplicação de programa de treinamento da Organização Mundial de Saúde, voltado para diagnóstico e tratamento da depressão, dirigido a médicos clínicos gerais. MÉTODOS: Dezessete clínicos e 1.224 pacientes da cidade de Campinas, SP, participaram do estudo. Um mês antes e um após o treinamento, foram avaliados o conhecimento dos médicos, suas atitudes e o atendimento prestado aos pacientes; esses, por sua vez, comp…
The epidemiology of major depressive episodes: Results from the International Consortium of Psychiatric Epidemiology (Icpe) surveys
Absence of a common diagnostic interview has hampered cross‐national syntheses of epidemiological evidence on major depressive episodes (MDE). Community epidemiological surveys using the World Health Organization Composite International Diagnostic Interview administered face‐to‐face were carried out in 10 countries in North America (Canada and the US), Latin America (Brazil, Chile, and Mexico), Europe (Czech Republic, Germany, the Netherlands, an…
Telephone vs face-to-face interviewing in a community psychiatric survey
This study compared telephone with face-to-face interviewing in a community psychiatric survey. Two groups of women were investigated, Holocaust survivors and Europe-born respondents who were in prestate Israel during World War II. Both were administered the Psychiatric Research Interview Demoralization Scale and a short item scale investigating World War II experiences. Results showed a high compliance rate to the telephone mode. The subjects' s…
Socioeconomic differences in sexually transmitted disease rates among black and white adolescents, San Francisco, 1990 to 1992
This paper examines the effect of socioeconomic position on the differences in the 3-year rates (1990 to 1992) of reported cases of gonorrhea and chlamydia between Black and White adolescents, aged 12 to 20 years, residing in San Francisco. The crude relative risks for Blacks were 23.4 (95% confidence interval [CI] = 20.4, 27.8) for gonorrhea and 9.3 (95% CI = 8.3, 10.3) for chlamydia. Adjusting for poverty and occupational status, the relative r…
Global Assessment of Relational Functioning Scale (Garf): A Validity Study in Patients with Recurrent Major Depression in Brazil
The Global Assessment of Relational Functioning Scale (GARF) has been proposed as an additional domain on Axis V, yet few validation studies have been conducted. This study examines the validity of the Brazilian-Portuguese version of the GARF. An experienced family therapist interviewed 34 families in which one member had a diagnosis of DSM-IV recurrent major depression. A semi-structured family interview was used to classify families into functi…
Treinamento de clínicos para o diagnóstico e tratamento da depressão
OBJETIVO: Avaliar os resultados da aplicação de programa de treinamento da Organização Mundial de Saúde, voltado para diagnóstico e tratamento da depressão, dirigido a médicos clínicos gerais. MÉTODOS: Dezessete clínicos e 1.224 pacientes da cidade de Campinas, SP, participaram do estudo. Um mês antes e um após o treinamento, foram avaliados o conhecimento dos médicos, suas atitudes e o atendimento prestado aos pacientes; esses, por sua vez, comp…
An Anthropological and Epidemiological Overview of Mental Health in Belize
While the use of epidemiological and anthropological methods to determine health risk factors is growing, combined work in the area of psychiatric epidemiology is still limited. This article presents a preliminary overview of the mental health needs and resources in Belize using historic, demographic, epidemiologic and ethnographic methods to survey both the needs and societal resources available to the ethnically heterogeneous population of this…
Previous Violent Events and Mental Health Outcomes in Guatemala
Objectives. We analyzed a probability sample of Guatemalans to determine if a relationship exists between previous violent events and development of mental health outcomes in various sociodemographic groups, as well as during and after the Guatemalan Civil War. Methods. We used regression modeling, an interaction test, and complex survey design adjustments to estimate prevalences and test potential relationships between previous violent events an…
Caregivers of persons with Alzheimer's Disease: Cultural differences in perceived caregiver burden in Guatemala and Rhode Island
Psychiatric epidemiology and international mental health as a career in cultural psychiatry
Psychiatric epidemiology is one of the many paths to a career in cultural psychiatry. Psychiatric epidemiology has made numerous substantive contributions to cultural psychiatry. Areas in which psychiatric epidemiologists have contributed to cultural psychiatry include the undertaking of cross-national comparisons, studying the mental health of populations of importance to cultural psychiatry, studying risk factors that are of cultural importance…
Doctors' Strike: Medical care and confilct in Saskatchewan
Paying the Doctor???Systems of Remuneration and Their Effects
Interrelationships in the Use of Selected Health Services: A Cross-National Study
The purpose of the report is to examine the interrelationships in the use of selected health services, mainly from the methodological viewpoint. The study is based on survey data on adult respondents from a larger study in 12 study areas of seven countries. Results of correlational analyses indicate that the interrelationships in the medical care use were rather low when the analyses are based on retrospective survey data. The patterns of correla…
Two Roads to Health Care: U.S. and Canadian Policies 1945-1975
In dealing with principles on which to base major changes in our health care system, we would be well advised to first examine countries which in their social, economic, political, and constitutional structures resemble those of the United States. Given its federal constitution, closely related social philosophy, political thought, as well as similar economic, geographic and social conditions, Canada is selected for comparison as it is, in many p…
Local government policies and migration: Comment
Health Care: An International Study. Report of the WHO/International Collaborative Study of Medical Care Utilization
Physician and society A study of people's perception of the social role of physicians in a region of Yugoslavia
Physician and society
Somatic Symptoms Among Older Soviet Immigrants: An Exploratory Study
This exploratory study investigates the overlap of somatization and depressive symp toms among older Jewish-Soviet immigrants to the United States. It has been sug gested that this group has depression often masked by somatic complaints. In order to test this hypothesis fifty-five respondents completed the Symptom Checklist 90, PERI Demoralization Scale and the Social Support Network Inventory. The somatiza tion subscale was found to be significa…
Telephone vs face-to-face interviewing in a community psychiatric survey
This study compared telephone with face-to-face interviewing in a community psychiatric survey. Two groups of women were investigated, Holocaust survivors and Europe-born respondents who were in prestate Israel during World War II. Both were administered the Psychiatric Research Interview Demoralization Scale and a short item scale investigating World War II experiences. Results showed a high compliance rate to the telephone mode. The subjects' s…
On Gibbs sampling for state space models
We show how to use the Gibbs sampler to carry out Bayesian inference on a linear state space model with errors that are a mixture of normals and coefficients that can switch over time. Our approach simultaneously generates the whole of the state vector given the mixture and coefficient indicator variables and simultaneously generates all the indicator variables conditional on the state vectors. The states are generated efficiently using the Kalma…
Socioeconomic differences in sexually transmitted disease rates among black and white adolescents, San Francisco, 1990 to 1992
This paper examines the effect of socioeconomic position on the differences in the 3-year rates (1990 to 1992) of reported cases of gonorrhea and chlamydia between Black and White adolescents, aged 12 to 20 years, residing in San Francisco. The crude relative risks for Blacks were 23.4 (95% confidence interval [CI] = 20.4, 27.8) for gonorrhea and 9.3 (95% CI = 8.3, 10.3) for chlamydia. Adjusting for poverty and occupational status, the relative r…
Caregivers of persons with Alzheimer's Disease: Cultural differences in perceived caregiver burden in Guatemala and Rhode Island
Affective disorders among Jews: A historical review and meta-analysis
Descriptions of affective disorders among Jews date back to biblical times. For over a century the psychiatric literature has debated whether Jews are more vulnerable to affective disorders. To ascertain the validity of this finding we undertook a meta-analysis of data extracted from the literature published to date. Forty-three studies were identified that could be analysed statistically using Cohen's d and a Mantel-Haenszel summary odds ratio. …
PTSD an explanation for affective disorder among Jews: A response
Attitudes towards mental illness in the Commonwealth of Dominica
Little is known about the perception of mental illness in the English-speaking Caribbean. This study was conducted in 1995 to determine the attitudes, knowledge, and help-seeking practices for emotional disorders in the Commonwealth of Dominica. Two groups in Dominica were surveyed: 67 community leaders, consisting of nurses, teachers, and police officers; and 135 community members grouped into five socioeconomic strata that were collapsed to thr…
An Anthropological and Epidemiological Overview of Mental Health in Belize
While the use of epidemiological and anthropological methods to determine health risk factors is growing, combined work in the area of psychiatric epidemiology is still limited. This article presents a preliminary overview of the mental health needs and resources in Belize using historic, demographic, epidemiologic and ethnographic methods to survey both the needs and societal resources available to the ethnically heterogeneous population of this…
Factores de riesgo de trastornos conductuales y emocionales en la niñez: Estudio comunitario en el Uruguay
In light of our results, mental health in childhood is a social and public health problem that warrants further epidemiologic study in Uruguay
Optimal Volume of Environmentally Damaging Trade
It is controversial whether international trade enhances or degrades the global environment. In this model, environmental quality, as measured by biodiversity, is damaged by the consequences of trade, which include the commercialization of natural habitat, pollution and bioinvasion. However, there are also benefits of trade. When both countries internalize the external costs of production and trade, measures of environmental quality may be higher…
The epidemiology of major depressive episodes: Results from the International Consortium of Psychiatric Epidemiology (Icpe) surveys
Absence of a common diagnostic interview has hampered cross‐national syntheses of epidemiological evidence on major depressive episodes (MDE). Community epidemiological surveys using the World Health Organization Composite International Diagnostic Interview administered face‐to‐face were carried out in 10 countries in North America (Canada and the US), Latin America (Brazil, Chile, and Mexico), Europe (Czech Republic, Germany, the Netherlands, an…
Race and Psychiatric Services in Post-Apartheid South Africa: A Preliminary Study of Psychiatrists’ Perceptions
Objectives: The primary objective of this study was to examine the perception of the quality of psychiatric services five years after apartheid, and specifically whether care for black patients had improved. Design: A survey was distributed to South African psychiatrists during a national congress and by mail. The questionnaire focused on the quality of psychiatric care in general, for black and white patients, the racial composition of each resp…
Treinamento de clínicos para o diagnóstico e tratamento da depressão
OBJETIVO: Avaliar os resultados da aplicação de programa de treinamento da Organização Mundial de Saúde, voltado para diagnóstico e tratamento da depressão, dirigido a médicos clínicos gerais. MÉTODOS: Dezessete clínicos e 1.224 pacientes da cidade de Campinas, SP, participaram do estudo. Um mês antes e um após o treinamento, foram avaliados o conhecimento dos médicos, suas atitudes e o atendimento prestado aos pacientes; esses, por sua vez, comp…
Psychiatric Disorders among the Mapuche in Chile
Background: The Mapuche are the largest indigenous group in Chile; yet almost all data on the mental health of indigenous populations are from North America. Aim: The study examines the differential DSM-III-R prevalence rates of psychiatric disorders and service utilization among indigenous and non-indigenous community residence. Methods: The Composite International Diagnostic Interview (CIDI) was administered to a stratified random sample of 75 …
Los trastornos mentales en América Latina y el Caribe: Asunto prioritario para la salud pública
OBJETIVO: La creciente carga de trastornos mentales que afecta a las poblaciones de América Latina y el Caribe es demasiado grande para hacer caso omiso de ella. Por lo tanto, es una necesidad impostergable conocer la prevalencia de los trastornos mentales y la brecha de tratamiento, que está dada por la diferencia entre las tasas de prevalencia verdadera y las de las personas que han sido tratadas, que en algunos casos es grande pese a la existe…
Psychological and psychopathological reactions in Honduras following Hurricane Mitch: Implications for service planning
Out of a total population of 3.3 million adults (age 15 and older) in Honduras, it is estimated that over 492,000 of them may have developed PTSD due to Hurricane Mitch.
Medicine (30 works) · Psychology (24 works) · Psychiatry (21 works) · Political science (14 works) · Mental health (12 works) · Mental Health Treatment and Access (12 works) · Clinical Psychology (11 works) · Environmental health (10 works) · Population (9 works) · Family medicine (8 works)