Debra Kaysen
Dados Biográficos
| ID | 1302197 |
|---|---|
| NOME | Debra Kaysen |
| PRENOMES | Debra |
| SOBRENOME | Kaysen |
| ASSINATURA | KAYSEN D |
| AFILIAÇÕES | Stanford University |
| ORCID | 0000-0001-7961-2787 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 44 |
| TOTAL DE CITAÇÕES | 134 |
| TOTAL COMO AUTOR | 44 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2003 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 5 |
Item Response Theory Analysis of the PCL-5 in Measuring Sexual Violence-Related PTSD Symptoms Among Bisexual+ Women
Women with multi-gender attractions (i.e. bisexual+ women) experience alarmingly high rates of sexual violence (SV), which puts women at risk for posttraumatic stress disorder (PTSD). Bisexual+ women experience higher rates of PTSD compared to heterosexual and lesbian/gay people. The PTSD Checklist for DSM-5 (PCL-5) is a widely used self-report measure of PTSD symptoms. We conducted an item response theory (IRT) analysis to evaluate the item diff…
The Impact of Skill Utilization on Alcohol Use Outcomes Following Completion of a Brief Web-Based Alcohol Intervention
Objective: This study examined the impact of skill utilization on alcohol use outcomes following a brief mobile-based intervention among heavy-drinking college women with sexual assault histories. Method: Participants were heavy drinking college women with sexual assault histories (N = 77) who were randomized as part of a larger study to complete a 14-d intervention that included modules focused on emotion regulation (ER) and alcohol reduction st…
Impact of self-reported cannabis use on veterans’ intensive PTSD treatment outcomes
Infrequent and/or recreational cannabis use frequency prior to or concurrent with treatment did not meaningfully impact intensive PTSD treatment outcomes. Findings associated with concurrent use need to be interpreted with caution due to the small subsample. Future research should explore whether more frequent cannabis use and the dosage differentially impact PTSD treatment outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved)
Avoidant coping behaviors as risk factor in the relationship between heterosexism and PTSD severity among young sexual minority women
These findings highlight avoidant coping behaviors' role in the relationship between heterosexism and PTSD severity among SMW. Clinicians should consider interventions to reduce avoidant coping (denial and self-blame) when treating PTSD in SMW, given ongoing heterosexism exposure. (PsycInfo Database Record (c) 2025 APA, all rights reserved)
A Randomized Comparison Trial Testing Two Culturally Adapted HIV Prevention Approaches for Native Americans Reducing Trauma Symptoms Versus Substance Misuse
An examination of facilitators and barriers to care receipt among specific groups of LGBTQ+ and cisgender heterosexual veterans
The present study examined rates and factors associated with past-year Veterans Health Administration (VHA) overall healthcare utilization and VA mental health treatment among LGBTQ+ and cisgender heterosexual veterans. Baseline data from a national longitudinal study of LGBTQ+ and cisgender heterosexual veteran VHA users and non-users (N = 1,062) were used in generalized linear models to estimate the predicted prevalence of VHA healthcare utiliz…
Longitudinal Investigation of Stigma and Psychosocial Outcomes Among Women Exposed to Sexual Violence in the Democratic Republic of Congo
Current studies suggest relationships between sexual violence, stigma, and psychosocial functioning but cannot disentangle temporal relationships. We used longitudinal data from the Democratic Republic of Congo to fit models estimating whether stigma predicted the long-term psychosocial well-being of sexual-violence-exposed women who participated in a cognitive processing therapy trial. We found that felt stigma predicted depression and anxiety (…
Navigating Heterosexism
Sexual minority women (SMW) face elevated trauma and PTSD rates compared to heterosexual peers. This study tested whether specific dimensions of heterosexism contribute to PTSD severity among 514 trauma-exposed SMW (ages 18-25). Self-reported heterosexism was positively associated with PTSD symptoms (β = .33, p < .115). Findings highlight the central role of isolation in PTSD among SMW, underscoring the importance of targeted, affirming mental he…
Mental health care-seeking and barriers
In a community with a high density of Latinx immigrants, just under half of respondents wanting mental health care successfully connected. Perceived informational, financial, and stigma-related barriers impacted the likelihood to connect with mental health care. These factors should be considered when designing programs and interventions to improve mental health care access and services in the Latinx community
Pilot randomized clinical trial of an app-based early intervention to reduce PTSD and alcohol use following sexual assault
The general direction of effects indicates that THRIVE, coupled with coaching, reduces risk for PTSD and alcohol outcomes beyond coached monitoring. These findings suggest that apps like THRIVE may provide an option for early intervention for sexual assault survivors. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
Improving voluntary engagement for posttraumatic stress disorder treatment among active-duty service members using motivational enhancement therapy
Results suggest both MET and high-quality referral options have promise as a means of increasing evidence-based treatment uptake and decreasing PTSD for service members with PTSD. MET may be particularly useful for individuals with low confidence in their ability to address PTSD. Given the individual and societal costs of PTSD, there is a need for interventions facilitating treatment uptake. (PsycInfo Database Record (c) 2024 APA, all rights rese…
A participant-randomized pilot hybrid II trial of group cognitive processing therapy for incarcerated persons with posttraumatic stress and substance use disorder symptoms
Implicit trauma identity associations in treatment-seeking U.S. military personnel do not predict or change in response to cognitive processing therapy for PTSD
More tailoring of implicit trauma measures for military personnel and/or treatment-seeking patients may be needed. The measure may lack sensitivity to change in response to treatment and have reduced utility in treatment-seeking samples with high symptom burden and less variability in symptoms. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
Maintenance of intervention effects
This study extends prior research to show that treatment impacts can be maintained for several years despite experiences of ongoing trauma. The women described continuing to meet with the women in their therapy group and using the skills they learned in the psychotherapy, providing evidence of the potential for these programs to provide valuable social supports and skills that people use as they continue to face adversity
Doomscrolling
Cross-sectional studies have demonstrated associations between COVID news exposure, anxiety, and depression. However, longitudinal research examining the directionality of these associations is extremely limited. Further, most studies have focused on the general population and neglected sexual and gender minority individuals (SGM), a population disproportionately impacted by the pandemic. To address these limitations, the current study utilized d…
Examination of Sex-Related Distress and Self-Medication Drinking Model in U.S. College Women
Adult sexual assault (ASA) in college remains a concern. Consequently, many college-aged women experience negative emotions surrounding sexual activity (sex-related distress). Consistent with self-medication theory, some drink to cope with sex-related distress, which may reduce distress, but lead to greater drinking quantity before sex and negative sexual consequences. How women with ASA histories navigate sexual situations and cope with sex-rela…
Understanding parental vaccine refusal
Prospective predictors of work limitations in young adult lesbian and bisexual women
Trauma exposure and mental health problems adversely affect work functioning. Sexual minority women are at increased risk for trauma exposure, depression, and PTSD. Sexual minority women also experience unique stressors related to their sexual orientation, which can directly impact work functioning. However, little research to date has examined the impact of trauma exposure and mental health problems among sexual minority women on their occupatio…
A formative evaluation of a web-based intervention for women with a sexual assault history and heavy alcohol use
Incorporating user feedback early in the intervention development process provides critical information for content and delivery modifications that may enhance the target population's engagement and satisfaction with the final product. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
A Prospective Study of Predictors and Consequences of Hooking Up for Sexual Minority Women
Discussing substance use with clients during the Covid-19 pandemic
During the COVID-19 pandemic, trauma-exposed individuals may have heightened risk for substance use. Using substances to cope may contribute to the development of problematic substance use over time. It is imperative to initiate conversations about substance use with clients during this time and motivational interviewing offers an ideal framework for doing so. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
Developing an integrated intervention to address intimate partner violence and psychological distress in Congolese refugee women in Tanzania
ISRCTN65771265, June 27, 2016
Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women
An overlooked sequela of HIV risk is trauma exposure, yet few HIV interventions address trauma exposure, mental health, and substance misuse. In a two-arm randomized controlled trial 73 Native American women were randomized to a culturally-adapted Cognitive Processing Therapy (CPT) or 6-weeks waitlist. Outcomes assessed: PTSD symptom severity, alcohol use frequency, substance abuse or dependence diagnosis, and high-risk sexual behavior defined as…
Stressors and drinking in sexual minority women
Sexual minority women are at elevated risk for exposure to stressors (both traumatic and discriminatory) and have higher rates of alcohol consumption and problems. The psychological mediation framework (Hatzenbuehler, 2009) suggests that both general (e.g., traumatic events to which minorities and nonminorities may be exposed) and minority-group-specific (e.g., discrimination) stressors contribute to psychopathology through mediators such as emot…
Prospective Risk for Incapacitated Rape Among Sexual Minority Women
Sexual minority women (SMW), including lesbian and bisexual women, are at greater risk for heavy drinking and sexual victimization than heterosexual women. Risk factors for alcohol-related sexual victimization, such as incapacitated rape (IR), include frequent heavy drinking and hookups among heterosexual women, but it is less clear whether these risk factors extend to SMW. This current study was designed to address this gap. In a national sample…
Current Intimate Relationship Status, Depression, and Alcohol Use Among Bisexual Women
Racial/ethnic differences in identity and mental health outcomes among young sexual minority women
Previous research suggests that sexual minorities are at greater risk for trauma exposure, mental health problems, and substance use. To date, few studies have examined racial/ethnic differences among sexual minorities in relation to health-related behaviors and outcomes. Furthermore, studies of racial/ethnic differences among young adult sexual minority women (SMW) are virtually nonexistent. The current study adds to the previous literature by e…
What Is Hooking Up? Examining Definitions of Hooking Up in Relation to Behavior and Normative Perceptions
Research has demonstrated ambiguity about the definition of hooking up among college students. The current research examined whether there were multiple definitions of hooking up among college students and how different definitions might be associated with the participant's own hooking up behavior and normative perceptions of peer hooking up behavior. A random sample (N = 1,468) of undergraduates (56.4% female) completed a Web-based survey compos…
Resilience in Community
Family support and rejection are associated with health outcomes among sexual minority women (SMW). We examined a social ecological development model among young adult SMW, testing whether identity risk factors or outness to family interacted with family rejection to predict community connectedness and collective self‐esteem. Lesbian and bisexual women (N = 843; 57 % bisexual) between the ages of 18–25 (M = 21.4; SD = 2.1) completed baseline and …
Coping as a mediator of internalized homophobia and psychological distress among young adult sexual minority women
Sexual minorities have higher rates of depression and anxiety than their heterosexual counterparts. This elevated risk of psychological distress has generally been hypothesized to be a result of the effects of discrimination including internalized negative beliefs about sexual minorities. However, little research has examined the role of various types of coping in mediating between internalized homophobia and mental health. We tested the direct r…
Peritraumatic Responses and Their Relationship to Perceptions of Threat in Female Crime Victims
Peritraumatic responses, aside from dissociation, have been understudied in acute trauma populations. Participants were 172 female rape, 68 assault, and 80 robbery victims recruited through formal reporting agencies and assessed 1 month after the crime. Despite substantial overlap across crimes, rape victims reported more emotional responses reflecting fear, detachment, shame, and more nonactive behavioral responses. Regression analysis examining…
The Relationship between Condom-Related Protective Behavioral Strategies and Condom Use among College Students
This study evaluated the relationship between condom-related protective behavioral strategies (PBS; including those that require active behavior and mental planning) and condom use at both global and event levels. College students (N = 623; 57.8% female) completed self-report measures of condom-related PBS, as well as drinking and sexual behavior. Logistic regression findings indicated that students who reported greater use of condom-related PBS …
Stressors and drinking in sexual minority women
Sexual minority women are at elevated risk for exposure to stressors (both traumatic and discriminatory) and have higher rates of alcohol consumption and problems. The psychological mediation framework (Hatzenbuehler, 2009) suggests that both general (e.g., traumatic events to which minorities and nonminorities may be exposed) and minority-group-specific (e.g., discrimination) stressors contribute to psychopathology through mediators such as emot…
Prospective Risk for Incapacitated Rape Among Sexual Minority Women
Sexual minority women (SMW), including lesbian and bisexual women, are at greater risk for heavy drinking and sexual victimization than heterosexual women. Risk factors for alcohol-related sexual victimization, such as incapacitated rape (IR), include frequent heavy drinking and hookups among heterosexual women, but it is less clear whether these risk factors extend to SMW. This current study was designed to address this gap. In a national sample…
Examination of Sex-Related Distress and Self-Medication Drinking Model in U.S. College Women
Adult sexual assault (ASA) in college remains a concern. Consequently, many college-aged women experience negative emotions surrounding sexual activity (sex-related distress). Consistent with self-medication theory, some drink to cope with sex-related distress, which may reduce distress, but lead to greater drinking quantity before sex and negative sexual consequences. How women with ASA histories navigate sexual situations and cope with sex-rela…
Understanding parental vaccine refusal
College status, perceived drinking norms, and alcohol use among sexual minority women
Lesbian, gay, and bisexual young adults are at elevated risk for drinking compared to heterosexual young adults, and this discrepancy is particularly striking for sexual minority women (SMW). Perceived social norms are strong predictors of young adult alcohol use, especially among college students. The college environment is often one where increases in alcohol use are seen, but the impact of college status on SMW's drinking has been understudied…
A Prospective Study of Predictors and Consequences of Hooking Up for Sexual Minority Women
The Effect of Cognitive Therapy on Structural Social Capital
Objectives. We evaluated changes in social capital following group-based cognitive processing therapy (CPT) for female survivors of sexual violence. Methods. We compared CPT with individual support in a cluster-randomized trial in villages in South Kivu province, Democratic Republic of the Congo. Local psychosocial assistants delivered the interventions from April through July 2011. We evaluated differences between CPT and individual support cond…
Incapacitated Rape and Alcohol Use in White and Asian American College Women
This study examined the role of Asian ethnicity as a moderator of drinking outcomes associated with alcohol-related sexual assault (incapacitated rape). Participants were 5,467 Asian American and White college women. Results found the overall MANOVA for ethnicity and incapacitated rape (IR) interactions to be significant. Asian American participants with no history of IR had fewer drinking problems than White American participants with no history…
Living in Danger
In this article on the effects of chronic traumatization, research is reviewed regarding the association between chronicity of traumatization and posttraumatic stress disorder (PTSD) symptomatology. The contribution of the broader traumatic context to PTSD symptomatology is also examined. This review focuses on three populations: combat veterans, child sexual abuse survivors, and survivors of domestic violence. The challenges of defining chronici…
Peritraumatic Responses and Their Relationship to Perceptions of Threat in Female Crime Victims
Peritraumatic responses, aside from dissociation, have been understudied in acute trauma populations. Participants were 172 female rape, 68 assault, and 80 robbery victims recruited through formal reporting agencies and assessed 1 month after the crime. Despite substantial overlap across crimes, rape victims reported more emotional responses reflecting fear, detachment, shame, and more nonactive behavioral responses. Regression analysis examining…
The Relationship between Condom-Related Protective Behavioral Strategies and Condom Use among College Students
This study evaluated the relationship between condom-related protective behavioral strategies (PBS; including those that require active behavior and mental planning) and condom use at both global and event levels. College students (N = 623; 57.8% female) completed self-report measures of condom-related PBS, as well as drinking and sexual behavior. Logistic regression findings indicated that students who reported greater use of condom-related PBS …
Incapacitated Rape and Alcohol Use in White and Asian American College Women
This study examined the role of Asian ethnicity as a moderator of drinking outcomes associated with alcohol-related sexual assault (incapacitated rape). Participants were 5,467 Asian American and White college women. Results found the overall MANOVA for ethnicity and incapacitated rape (IR) interactions to be significant. Asian American participants with no history of IR had fewer drinking problems than White American participants with no history…
Adaptation of cognitive processing therapy for treatment of torture victims
What Is Hooking Up? Examining Definitions of Hooking Up in Relation to Behavior and Normative Perceptions
Research has demonstrated ambiguity about the definition of hooking up among college students. The current research examined whether there were multiple definitions of hooking up among college students and how different definitions might be associated with the participant's own hooking up behavior and normative perceptions of peer hooking up behavior. A random sample (N = 1,468) of undergraduates (56.4% female) completed a Web-based survey compos…
Posttraumatic cognitions, somatization, and PTSD severity among Asian American and White college women with sexual trauma histories
The need for trauma research with monoracial groups such as Asian Americans (AA) has recently been emphasized to better understand trauma experiences and inform interventions across populations. Given AA cultural contexts, posttraumatic cognitions and somatization may be key in understanding trauma experiences for this group. AA and White American (WA) trauma-exposed college women completed a survey on sexual trauma history, posttraumatic cogniti…
Coping as a mediator of internalized homophobia and psychological distress among young adult sexual minority women
Sexual minorities have higher rates of depression and anxiety than their heterosexual counterparts. This elevated risk of psychological distress has generally been hypothesized to be a result of the effects of discrimination including internalized negative beliefs about sexual minorities. However, little research has examined the role of various types of coping in mediating between internalized homophobia and mental health. We tested the direct r…
The Effect of Cognitive Therapy on Structural Social Capital
Objectives. We evaluated changes in social capital following group-based cognitive processing therapy (CPT) for female survivors of sexual violence. Methods. We compared CPT with individual support in a cluster-randomized trial in villages in South Kivu province, Democratic Republic of the Congo. Local psychosocial assistants delivered the interventions from April through July 2011. We evaluated differences between CPT and individual support cond…
Modeling Cyclical Patterns in Daily College Drinking Data with Many Zeroes
Daily college drinking data often have highly skewed distributions with many zeroes and a rising and falling pattern of use across the week. Alcohol researchers have typically relied on statistical models with dummy variables for either the weekend or all days of the week to handle weekly patterns of use. However, weekend versus weekday categorizations may be too simplistic and saturated dummy variable models too unwieldy, particularly when covar…
Delivering cognitive processing therapy in a community health setting
Despite the applicability of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) to addressing sequelae of a range of traumatic events, few studies have evaluated whether the treatment itself is applicable across diverse populations. The present study examined differences and similarities among non-Latino, Latino Spanish-speaking, and Latino English-speaking clients in rigid beliefs-or "stuck points"-associated with PTSD s…
College status, perceived drinking norms, and alcohol use among sexual minority women
Lesbian, gay, and bisexual young adults are at elevated risk for drinking compared to heterosexual young adults, and this discrepancy is particularly striking for sexual minority women (SMW). Perceived social norms are strong predictors of young adult alcohol use, especially among college students. The college environment is often one where increases in alcohol use are seen, but the impact of college status on SMW's drinking has been understudied…
Racial/ethnic differences in identity and mental health outcomes among young sexual minority women
Previous research suggests that sexual minorities are at greater risk for trauma exposure, mental health problems, and substance use. To date, few studies have examined racial/ethnic differences among sexual minorities in relation to health-related behaviors and outcomes. Furthermore, studies of racial/ethnic differences among young adult sexual minority women (SMW) are virtually nonexistent. The current study adds to the previous literature by e…
Current Intimate Relationship Status, Depression, and Alcohol Use Among Bisexual Women
Resilience in Community
Family support and rejection are associated with health outcomes among sexual minority women (SMW). We examined a social ecological development model among young adult SMW, testing whether identity risk factors or outness to family interacted with family rejection to predict community connectedness and collective self‐esteem. Lesbian and bisexual women (N = 843; 57 % bisexual) between the ages of 18–25 (M = 21.4; SD = 2.1) completed baseline and …
Post-traumatic Stress Disorder and HIV Risk Behaviors among Rural American Indian/Alaska Native Women
We assessed the relationship between post-traumatic stress disorder (PTSD), binge drinking, and HIV sexual risk behavior by examining number of unprotected sex acts and number of sexual partners in the past 6 months among 129 sexually active American Indian women. A total of 51 (39.5%) young women met PTSD criteria. Among women who met the PTSD criteria, binge drinking was associated with a 35% increased rate of unprotected sex (IRR 1.35, p < .05…
A descriptive analysis of where and with whom lesbian versus bisexual women drink
Interventions to reduce problematic drinking among SMW may benefit from addressing social context
Sociocultural and structural perpetuators of domestic violence in pregnancy
In India, reported rates of domestic violence rise as high as 31%. Abuse against pregnant women in India is associated with depressive and PTSD symptoms, and poor birth outcomes, yet no evidence-based interventions have been tested on this population. In this cross-sectional qualitative study, we sought perspective on South Indian women's concerns about abuse during pregnancy and what they believed would help. Participants cited economic dependen…
The impact of Cognitive Processing Therapy on stigma among survivors of sexual violence in eastern Democratic Republic of Congo
ClinicalTrials.gov NCT01385163
Developing an integrated intervention to address intimate partner violence and psychological distress in Congolese refugee women in Tanzania
ISRCTN65771265, June 27, 2016
Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women
An overlooked sequela of HIV risk is trauma exposure, yet few HIV interventions address trauma exposure, mental health, and substance misuse. In a two-arm randomized controlled trial 73 Native American women were randomized to a culturally-adapted Cognitive Processing Therapy (CPT) or 6-weeks waitlist. Outcomes assessed: PTSD symptom severity, alcohol use frequency, substance abuse or dependence diagnosis, and high-risk sexual behavior defined as…
Stressors and drinking in sexual minority women
Sexual minority women are at elevated risk for exposure to stressors (both traumatic and discriminatory) and have higher rates of alcohol consumption and problems. The psychological mediation framework (Hatzenbuehler, 2009) suggests that both general (e.g., traumatic events to which minorities and nonminorities may be exposed) and minority-group-specific (e.g., discrimination) stressors contribute to psychopathology through mediators such as emot…
Prospective Risk for Incapacitated Rape Among Sexual Minority Women
Sexual minority women (SMW), including lesbian and bisexual women, are at greater risk for heavy drinking and sexual victimization than heterosexual women. Risk factors for alcohol-related sexual victimization, such as incapacitated rape (IR), include frequent heavy drinking and hookups among heterosexual women, but it is less clear whether these risk factors extend to SMW. This current study was designed to address this gap. In a national sample…
Discussing substance use with clients during the Covid-19 pandemic
During the COVID-19 pandemic, trauma-exposed individuals may have heightened risk for substance use. Using substances to cope may contribute to the development of problematic substance use over time. It is imperative to initiate conversations about substance use with clients during this time and motivational interviewing offers an ideal framework for doing so. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
Prospective predictors of work limitations in young adult lesbian and bisexual women
Trauma exposure and mental health problems adversely affect work functioning. Sexual minority women are at increased risk for trauma exposure, depression, and PTSD. Sexual minority women also experience unique stressors related to their sexual orientation, which can directly impact work functioning. However, little research to date has examined the impact of trauma exposure and mental health problems among sexual minority women on their occupatio…
Clinical Psychology (37 obras) · Psychology (37 obras) · Medicine (34 obras) · Psychiatry (31 obras) · Clinical Psychology (28 obras) · Social Psychology (16 obras) · Poison control (15 obras) · Psychological intervention (14 obras) · Sexual minority (14 obras) · Social Psychology (14 obras)