Ramin Mojtabai
Biographic Data
| ID | 2384195 |
|---|---|
| NAME | Ramin Mojtabai |
| GIVEN NAMES | Ramin |
| FAMILY NAME | Mojtabai |
| SIGNATURE | MOJTABAI R |
| AFFILIATIONS | Johns Hopkins University |
| ORCID | 0000-0002-2134-4043 |
| VERIFIED | Yes |
| TOTAL WORKS | 33 |
| TOTAL CITATIONS | 28 |
| WORKS AS AUTHOR | 33 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 1996 |
| LATEST PUBLICATION YEAR | 2022 |
| H-INDEX | 3 |
Long-Term Effect of Group Support Psychotherapy on Depression and HIV Treatment Outcomes
OBJECTIVE: We aimed to determine the effect of group support psychotherapy (GSP) compared with group HIV education (GHE) on depression and HIV treatment outcomes 24 months after treatment. We further aimed to investigate the mediating role of depression and antiretroviral therapy (ART) adherence in the relationship between GSP and viral load suppression. METHODS: Thirty HIV clinics across three districts were randomly assigned to deliver either G…
The relationship between social and environmental factors and symptom severity in the seriously mentally ill population
Background: The goal of this article is to investigate the relationship of psychiatric symptom severity with internalised stigma, neighbourhood environment, and social support among individuals with serious mental illness. Method: Using a longitudinal study design we examined the relationship between psychiatric symptom severity with internalised stigma, neighbourhood environment, and social support among 271 adults with serious mental illness re…
Adverse childhood experiences and comorbidity in a cohort of people who have injected drugs
Among people who have injected drugs, adverse childhood experiences were common and associated with increased occurrence of self-reported medical comorbidities. Findings highlight the persistent importance of adversity for physical health even in a population where all members have used drugs and there is a high burden of comorbidity
Public health risks associated with methadone in Iran
Stressful life events and transitions in problematic alcohol use involvement among US adults
OBJECTIVE: We investigated the impact of stressful life events (SLEs) for males and females on transitions in problematic alcohol involvement, both progression and recovery, over a 3-year interval. METHOD: Participants of both Wave 1 (2001-2002) and Wave 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) were stratified by sex (14,233 males and 19,550 females). Latent transition analysis estimated the im…
Insurance Loss in the Era of the Affordable Care Act
BACKGROUND: Every year, millions of Americans lose their health insurance and remain uninsured for various reasons, potentially impacting access to medical services. OBJECTIVE: To examine trends in health insurance loss in the periods shortly before and after implementation of Patient Protection and Affordable Care Act (ACA) and to assess the association of past-year health insurance loss with access to health services and medications. RESEARCH D…
Effects of the Affordable Care Act on Private Insurance Coverage and Treatment of Behavioral Health Conditions in Young Adults
Objectives. To assess changes in private insurance coverage and behavioral treatment of people aged 19 to 25 years and 26 to 35 years following the 2010 Affordable Care Act (ACA) dependent care provision and 2014 insurance reforms. Methods. We extracted data from the 2008 to 2016 US National Surveys on Drug Use and Health. We used an adjusted difference-in-differences approach to assess effects of age group on change in coverage. Replications in …
Has increased provision of treatment reduced the prevalence of common mental disorders? Review of the evidence from four countries
Many people identified as having common mental disorders in community surveys do not receive treatment. Modelling has suggested that closing this “treatment gap” should reduce the population prevalence of those disorders. To evaluate the effects of reducing the treatment gap in industrialized countries, data from 1990 to 2015 were reviewed from four English‐speaking countries: Australia, Canada, England and the US. These data show that the preval…
Social network, recovery attitudes and internal stigma among those with serious mental illness
BACKGROUND: Social network size and strength is an important determinant of overall health. AIMS: This study describes the extent and strength of the social network among a sample of individuals with serious mental illness (SMI) and explores the relationship between an individual's social network and their experience of internal stigma and recovery attitudes. METHODS: Over a 2-year period, consecutive new patients with SMI attending two community…
Insomnia as a predictor of job exit among middle-aged and older adults
OBJECTIVES: Poor health is a recognised predictor of workforce exit, but little is known about the role of insomnia in workforce exit. We examined the association between insomnia symptoms and subsequent job exit among middle-aged and older adults from the Health and Retirement Study (HRS). METHODS: The study sample consisted of 5746 respondents aged between 50 and 70 who were working for pay when interviewed in the HRS 2004 and were followed up …
Urban–Rural Differences in Suicide in the State of Maryland
Objectives. To assess whether the use of firearms explains rural–urban differences in suicide rates. Methods. We performed a retrospective analysis on all 6196 well-characterized adult suicides in Maryland from 2003 through 2015. We computed rate ratios by using census data and then stratified by sex, with adjustment for age and race. Results. Suicide rates were higher in rural compared with urban counties. However, the higher rural suicide rates…
Process Evaluation of a Randomized Controlled Trial of Group Support Psychotherapy for Depression Treatment Among People with HIV/Aids in Northern Uganda
We describe the process evaluation for a randomized controlled trial that compared group support psychotherapy (GSP) with group HIV education for treatment of depression among people with HIV. Process data were obtained using mixed methods. Variables evaluated were indicators of feasibility and acceptability; causal mediating processes and contextual influences. GSP was feasible and acceptable. Potential mediating variables between GSP and reduct…
National Trends in the Prevalence and Treatment of Depression in Adolescents and Young Adults
OBJECTIVES: This study examined national trends in 12-month prevalence of major depressive episodes (MDEs) in adolescents and young adults overall and in different sociodemographic groups, as well as trends in depression treatment between 2005 and 2014. METHODS: Data were drawn from the National Surveys on Drug Use and Health for 2005 to 2014, which are annual cross-sectional surveys of the US general population. Participants included 172 495 ado…
Continuing Versus New Prescriptions for Sedative-Hypnotic Medications
Objectives. To assess trends in continuing and new prescriptions for sedative-hypnotic medications, including benzodiazepines (BZDs) and non-BZD receptor agonists (nBZRAs). Methods. Data came from the National Ambulatory Medical Care Survey and comprised 287 288 randomly sampled patient visits. Physicians reported medications prescribed and whether they were “continuing” or “new” prescriptions. We assessed trends in continuing BZD, new BZD, conti…
Depressed Mood in Middle-Aged and Older Adults in Europe and the United States
Cultural differences in mental health norms reflected in vignette rating may partly explain between-country differences in self-reported depressive symptoms and perhaps other psychiatric complaints
Planning Patient-Centered Health Homes for Medicaid Psychiatric Patients at Greatest Risk for Intensive Service Use
Racial/Ethnic Disparities in Binge Eating
Asian Americans are more likely than non-Latino Whites to report binge eating, but are equally likely to meet binge eating disorder (BED) criteria. Using nationally representative data, we assessed whether differences in symptom reporting contributed to this disparity. Asian Americans were less likely than Whites to endorse BED symptoms related to distress or loss of control despite a higher prevalence of binge eating; they were also less likely …
Cigarette Smoking and Onset of Mood and Anxiety Disorders
Objectives. We examined the association between regular cigarette smoking and new onset of mood and anxiety disorders. Methods. We used logistic regression analysis to detect associations between regular smoking and new-onset disorders during the 3-year follow-up among 34 653 participants in the longitudinal US National Epidemiologic Survey on Alcohol and Related Conditions (2001–2005). We used instrumental variable methods to assess the appropri…
Medicaid Expansion Initiative in Massachusetts
Objectives. We assessed whether homeless adults entering substance abuse treatment in Massachusetts were less likely than others to enroll in Medicaid after implementation of the MassHealth Medicaid expansion program in 1997. Methods. We used interrupted time-series analysis in data on substance abuse treatment admissions from the Treatment 0Episode Data Set (1992–2009) to evaluate Medicaid coverage rates in Massachusetts and to identify whether …
Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries
Background Little is known about how the views of the public are related to self-stigma among people with mental health problems. Despite increasing activity aimed at reducing mental illness stigma, there is little evidence to guide and inform specific anti-stigma campaign development and messages to be used in mass campaigns. A better understanding of the association between public knowledge, attitudes and behaviours and the internalization of s…
Barriers to mental health treatment
Background The aim was to examine barriers to initiation and continuation of treatment among individuals with common mental disorders in the US general population. Method Respondents in the National Comorbidity Survey Replication with common 12-month DSM-IV mood, anxiety, substance, impulse control and childhood disorders were asked about perceived need for treatment, structural barriers and attitudinal/evaluative barriers to initiation and conti…
National Trends in Mental Health Disability, 1997–2009
Objectives. I assessed recent trends in mental health disability in the US nonelderly adult population in the context of trends in physical disabilities and psychological distress. Methods. Using data for 312 364 adults aged 18 to 64 years from the US National Health Interview Survey, 1997 to 2009, I examined time trends in self-reported disability attributed to mental health conditions, disability attributed to other chronic problems, and signif…
Chronic Disease Management for Depression in US Medical Practices
BACKGROUND: Chronic care model (CCM) envisages a multicomponent systematic remodeling of ambulatory care to improve chronic diseases management. Application of CCM in primary care management of depression has traditionally lagged behind the application of this model in management of other common chronic illnesses. In past research, the use of CCM has been operationalized by measuring the use of evidence-based organized care management processes (…
Social comparison of distress and mental health help-seeking in the US general population
Psychometric Properties of a Persian-Language Version of the Automatic Thoughts Questionnaire
Aims: To examine the psychometric properties of a Persian-language version of Hollon and Kendall's (1980) Automatic Thoughts Questionnaire (ATQ-Persian) – a measure of negative automatic thoughts in depression. Methods: In a sample of 125 student volunteers from two Iranian universities we assessed the internal consistency and test–retest reliability of ATQ-Persian, and examined its concurrent validity against the Beck Depression Inventory (Beck …
Trends in Contacts With Mental Health Professionals and Cost Barriers to Mental Health Care Among Adults With Significant Psychological Distress in the United States
Objectives. I assessed recent trends in prevalence of any contact with mental health professionals and nonuse of mental health care or prescription medications owing to cost among adults with significant psychological distress. Methods. In samples drawn from the National Health Interview Survey of 1997–2002, multiple logistic regression analysis was used to examine the association of survey year with mental health professional contacts and nonuse…
Urban–Rural Differences in Suicide in the State of Maryland
Objectives. To assess whether the use of firearms explains rural–urban differences in suicide rates. Methods. We performed a retrospective analysis on all 6196 well-characterized adult suicides in Maryland from 2003 through 2015. We computed rate ratios by using census data and then stratified by sex, with adjustment for age and race. Results. Suicide rates were higher in rural compared with urban counties. However, the higher rural suicide rates…
Racial/Ethnic Disparities in Binge Eating
Asian Americans are more likely than non-Latino Whites to report binge eating, but are equally likely to meet binge eating disorder (BED) criteria. Using nationally representative data, we assessed whether differences in symptom reporting contributed to this disparity. Asian Americans were less likely than Whites to endorse BED symptoms related to distress or loss of control despite a higher prevalence of binge eating; they were also less likely …
Cigarette Smoking and Onset of Mood and Anxiety Disorders
Objectives. We examined the association between regular cigarette smoking and new onset of mood and anxiety disorders. Methods. We used logistic regression analysis to detect associations between regular smoking and new-onset disorders during the 3-year follow-up among 34 653 participants in the longitudinal US National Epidemiologic Survey on Alcohol and Related Conditions (2001–2005). We used instrumental variable methods to assess the appropri…
Social comparison of distress and mental health help-seeking in the US general population
Effects of the Affordable Care Act on Private Insurance Coverage and Treatment of Behavioral Health Conditions in Young Adults
Objectives. To assess changes in private insurance coverage and behavioral treatment of people aged 19 to 25 years and 26 to 35 years following the 2010 Affordable Care Act (ACA) dependent care provision and 2014 insurance reforms. Methods. We extracted data from the 2008 to 2016 US National Surveys on Drug Use and Health. We used an adjusted difference-in-differences approach to assess effects of age group on change in coverage. Replications in …
National Trends in Mental Health Disability, 1997–2009
Objectives. I assessed recent trends in mental health disability in the US nonelderly adult population in the context of trends in physical disabilities and psychological distress. Methods. Using data for 312 364 adults aged 18 to 64 years from the US National Health Interview Survey, 1997 to 2009, I examined time trends in self-reported disability attributed to mental health conditions, disability attributed to other chronic problems, and signif…
Depressed Mood in Middle-Aged and Older Adults in Europe and the United States
Cultural differences in mental health norms reflected in vignette rating may partly explain between-country differences in self-reported depressive symptoms and perhaps other psychiatric complaints
Planning Patient-Centered Health Homes for Medicaid Psychiatric Patients at Greatest Risk for Intensive Service Use
Medicaid Expansion Initiative in Massachusetts
Objectives. We assessed whether homeless adults entering substance abuse treatment in Massachusetts were less likely than others to enroll in Medicaid after implementation of the MassHealth Medicaid expansion program in 1997. Methods. We used interrupted time-series analysis in data on substance abuse treatment admissions from the Treatment 0Episode Data Set (1992–2009) to evaluate Medicaid coverage rates in Massachusetts and to identify whether …
Misidentification phenomena in German psychiatry
Delusion as error
Error has been the major metaphor for understanding delusions through the past three centuries. Modern definition of delusion as erroneous opinion or belief is evidence of the continuing role of this metaphor to this day. However, through long habituation the metaphorical nature of the association between delusion and error is no longer recognized. In other words, the metaphor has become literal and all but invisible. This paper seeks to shed lig…
Perceived Need and Help-Seeking in Adults With Mood, Anxiety, or Substance Use Disorders
BACKGROUND: A majority of adults with common mental disorders do not seek professional help. To better understand why not, we examined the correlates of various stages of help-seeking, including perceived need for professional help, seeking such help, and from which professionals participants sought help. METHODS: The sample for this study comprised 1792 participants in the National Comorbidity Survey, conducted from 1990-1992, who were diagnosed…
Symptoms of Obsessive-Compulsive Disorder in a Sample of Iranian Patients
Background: Characteristic features of the obsessive-compulsive disorder (OCD) occur with remarkable consistency in different cultural settings. The content of symptoms, however, seems to vary across cultures. Aims: To examine the content of symptoms in a sample of OCD patients from Iran. Methods: In a sample of 135 patients recruited from three treatment settings the prevalence of symptoms with different contents were ranked and compared across …
Parental Psychopathology and Childhood Atopic Disorders in the Community
Objective: To examine the association of parental psychopathology and childhood atopic disorders in the general population. Methods: In a sample of 9,240 parent–child dyads drawn from the 1999 US National Health Interview Survey, the association of childhood atopic disorders with parental major depression, generalized anxiety disorder, and panic attacks was examined. Parental DSM-IV psychiatric diagnoses were ascertained by the Composite Internat…
Trends in Contacts With Mental Health Professionals and Cost Barriers to Mental Health Care Among Adults With Significant Psychological Distress in the United States
Objectives. I assessed recent trends in prevalence of any contact with mental health professionals and nonuse of mental health care or prescription medications owing to cost among adults with significant psychological distress. Methods. In samples drawn from the National Health Interview Survey of 1997–2002, multiple logistic regression analysis was used to examine the association of survey year with mental health professional contacts and nonuse…
Compliance with Mental Health and Other Specialty Care Referrals among Medicare/Medicaid Dual Enrollees
Psychometric Properties of a Persian-Language Version of the Automatic Thoughts Questionnaire
Aims: To examine the psychometric properties of a Persian-language version of Hollon and Kendall's (1980) Automatic Thoughts Questionnaire (ATQ-Persian) – a measure of negative automatic thoughts in depression. Methods: In a sample of 125 student volunteers from two Iranian universities we assessed the internal consistency and test–retest reliability of ATQ-Persian, and examined its concurrent validity against the Beck Depression Inventory (Beck …
Mojtabai Responds
Social comparison of distress and mental health help-seeking in the US general population
Barriers to mental health treatment
Background The aim was to examine barriers to initiation and continuation of treatment among individuals with common mental disorders in the US general population. Method Respondents in the National Comorbidity Survey Replication with common 12-month DSM-IV mood, anxiety, substance, impulse control and childhood disorders were asked about perceived need for treatment, structural barriers and attitudinal/evaluative barriers to initiation and conti…
National Trends in Mental Health Disability, 1997–2009
Objectives. I assessed recent trends in mental health disability in the US nonelderly adult population in the context of trends in physical disabilities and psychological distress. Methods. Using data for 312 364 adults aged 18 to 64 years from the US National Health Interview Survey, 1997 to 2009, I examined time trends in self-reported disability attributed to mental health conditions, disability attributed to other chronic problems, and signif…
Chronic Disease Management for Depression in US Medical Practices
BACKGROUND: Chronic care model (CCM) envisages a multicomponent systematic remodeling of ambulatory care to improve chronic diseases management. Application of CCM in primary care management of depression has traditionally lagged behind the application of this model in management of other common chronic illnesses. In past research, the use of CCM has been operationalized by measuring the use of evidence-based organized care management processes (…
Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries
Background Little is known about how the views of the public are related to self-stigma among people with mental health problems. Despite increasing activity aimed at reducing mental illness stigma, there is little evidence to guide and inform specific anti-stigma campaign development and messages to be used in mass campaigns. A better understanding of the association between public knowledge, attitudes and behaviours and the internalization of s…
Cigarette Smoking and Onset of Mood and Anxiety Disorders
Objectives. We examined the association between regular cigarette smoking and new onset of mood and anxiety disorders. Methods. We used logistic regression analysis to detect associations between regular smoking and new-onset disorders during the 3-year follow-up among 34 653 participants in the longitudinal US National Epidemiologic Survey on Alcohol and Related Conditions (2001–2005). We used instrumental variable methods to assess the appropri…
Medicaid Expansion Initiative in Massachusetts
Objectives. We assessed whether homeless adults entering substance abuse treatment in Massachusetts were less likely than others to enroll in Medicaid after implementation of the MassHealth Medicaid expansion program in 1997. Methods. We used interrupted time-series analysis in data on substance abuse treatment admissions from the Treatment 0Episode Data Set (1992–2009) to evaluate Medicaid coverage rates in Massachusetts and to identify whether …
Racial/Ethnic Disparities in Binge Eating
Asian Americans are more likely than non-Latino Whites to report binge eating, but are equally likely to meet binge eating disorder (BED) criteria. Using nationally representative data, we assessed whether differences in symptom reporting contributed to this disparity. Asian Americans were less likely than Whites to endorse BED symptoms related to distress or loss of control despite a higher prevalence of binge eating; they were also less likely …
Depressed Mood in Middle-Aged and Older Adults in Europe and the United States
Cultural differences in mental health norms reflected in vignette rating may partly explain between-country differences in self-reported depressive symptoms and perhaps other psychiatric complaints
Planning Patient-Centered Health Homes for Medicaid Psychiatric Patients at Greatest Risk for Intensive Service Use
National Trends in the Prevalence and Treatment of Depression in Adolescents and Young Adults
OBJECTIVES: This study examined national trends in 12-month prevalence of major depressive episodes (MDEs) in adolescents and young adults overall and in different sociodemographic groups, as well as trends in depression treatment between 2005 and 2014. METHODS: Data were drawn from the National Surveys on Drug Use and Health for 2005 to 2014, which are annual cross-sectional surveys of the US general population. Participants included 172 495 ado…
Continuing Versus New Prescriptions for Sedative-Hypnotic Medications
Objectives. To assess trends in continuing and new prescriptions for sedative-hypnotic medications, including benzodiazepines (BZDs) and non-BZD receptor agonists (nBZRAs). Methods. Data came from the National Ambulatory Medical Care Survey and comprised 287 288 randomly sampled patient visits. Physicians reported medications prescribed and whether they were “continuing” or “new” prescriptions. We assessed trends in continuing BZD, new BZD, conti…
Has increased provision of treatment reduced the prevalence of common mental disorders? Review of the evidence from four countries
Many people identified as having common mental disorders in community surveys do not receive treatment. Modelling has suggested that closing this “treatment gap” should reduce the population prevalence of those disorders. To evaluate the effects of reducing the treatment gap in industrialized countries, data from 1990 to 2015 were reviewed from four English‐speaking countries: Australia, Canada, England and the US. These data show that the preval…
Social network, recovery attitudes and internal stigma among those with serious mental illness
BACKGROUND: Social network size and strength is an important determinant of overall health. AIMS: This study describes the extent and strength of the social network among a sample of individuals with serious mental illness (SMI) and explores the relationship between an individual's social network and their experience of internal stigma and recovery attitudes. METHODS: Over a 2-year period, consecutive new patients with SMI attending two community…
Insomnia as a predictor of job exit among middle-aged and older adults
OBJECTIVES: Poor health is a recognised predictor of workforce exit, but little is known about the role of insomnia in workforce exit. We examined the association between insomnia symptoms and subsequent job exit among middle-aged and older adults from the Health and Retirement Study (HRS). METHODS: The study sample consisted of 5746 respondents aged between 50 and 70 who were working for pay when interviewed in the HRS 2004 and were followed up …
Urban–Rural Differences in Suicide in the State of Maryland
Objectives. To assess whether the use of firearms explains rural–urban differences in suicide rates. Methods. We performed a retrospective analysis on all 6196 well-characterized adult suicides in Maryland from 2003 through 2015. We computed rate ratios by using census data and then stratified by sex, with adjustment for age and race. Results. Suicide rates were higher in rural compared with urban counties. However, the higher rural suicide rates…
Psychiatry (27 works) · Medicine (26 works) · Psychology (16 works) · Clinical Psychology (14 works) · Mental Health Treatment and Access (14 works) · Environmental health (12 works) · Mental health (12 works) · Population (11 works) · Gerontology (9 works) · Gerontology (8 works)