Christina P C Borba
Dados Biográficos
| ID | 174285 |
|---|---|
| NOME | Christina P C Borba |
| PRENOMES | Christina P C |
| SOBRENOME | Borba |
| ASSINATURA | BORBA C P C |
| AFILIAÇÕES | Boston University |
| ORCID | 0000-0003-3559-9351 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 38 |
| TOTAL DE CITAÇÕES | 28 |
| TOTAL COMO AUTOR | 38 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2008 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 3 |
The Way the System is Working Out, It's Not Working at All”
Adverse social determinants of health (SDH) are associated with higher risk for ADHD and worse prognosis. Understanding the reason for this association is critical for planning interventions to reduce inequities in ADHD outcomes. To answer this question, we conducted a qualitative study with parents of preschoolers aged 3-5 years old with ADHD symptoms, recruited from a safety net hospital, to understand their perspectives on the relationship bet…
New Research Efforts and Approaches Are Needed to Change the Current Youth Suicide Risk Trends Among Health Disparity Groups
Trauma, risk, and resilience
The Liberian civil wars led to widespread destruction and devastation for its individuals, communities, and economy. However, individuals' subjective trauma experiences and long-term psychological impact remain relatively understudied. This study aims to explore context-specific traumatic events and examine how risk and protective factors combine with traumas to influence trajectories of suffering and recovery over time. We conducted 43 semi-stru…
Building a postgraduate psychiatry training program in Liberia through cross-country collaborations
Background: About 80% of the nearly 2 billion people experiencing psychiatric conditions worldwide do not have access to quality, affordable mental health care. In Africa, there are 0.004 psychiatrists per 10,000 people, with the shortage exacerbated by a limited number of postgraduate psychiatry training opportunities. As of 2018, there were only two psychiatrists in Liberia. Methods: This paper aims to offer a framework for developing postgradu…
A qualitative analysis of psychosocial stressors and health impacts of the Covid-19 pandemic on frontline healthcare personnel in the United States
There is a dearth of qualitative studies exploring the lived experiences of frontline healthcare personnel (HCP) during the coronavirus disease (COVID-19) pandemic. We examined workplace stressors, psychological manifestations of said stressors, and coping strategies reported through coded open-text responses from 1024 online surveys completed over two months by 923 HCP participating in three nationwide cohorts from Spring 2020. Our findings sugg…
Evaluating an Interprofessional Trauma-Based Education Course to Advance the Care and Health of Refugees
Making Room”
If he doesn’t buy in, it’s a waste of time”
Long-Term Trends in Psychiatric Emergency Services Delivered by the Boston Emergency Services Team
Orphans in post-conflict Liberia
Orphans in post-conflict settings have unique needs that have not been well-characterized. In post-conflict Liberia, maternal orphans are more likely to be without care than paternal orphans. This study examined the experiences of maternal orphans in Liberia, as they attempted to care for themselves and seek care from others, and the barriers they faced. In-depth interviews were conducted with 75 post-conflict Liberian orphans. We performed a sec…
Global mental health
T32 MH116140 - NIMH NIH HHS
Relationship between quality of life and social integration among patients with schizophrenia attending a Nigerian tertiary hospital
Using local terminology to measure substance use behaviors among youth in post-conflict Liberia
This mixed methods study aimed to use local terminology to accurately characterize the prevalence and risk factors associated with substance use and risky health behaviors among school-based youth in Monrovia, Liberia. An 86-question survey was validated using qualitative data obtained from focus groups at two secondary schools in central and greater Monrovia. The revised survey was then administered to 400 students from eight different secondary…
How Early Life Adversities Influence Later Life Family Interactions for Individuals with Schizophrenia in Outpatient Treatment
Gender-specific experiences of serious mental illness in rural Ethiopia
Considerable variation in the gender-specific prevalence of serious mental illness (SMI) has been reported in low- and middle-income countries (LMICs). In the rural setting of Butajira, Ethiopia, the male-to-female prevalence ratio of schizophrenia was reported to be 5:1. This qualitative study explores gender-specific experiences of SMI and the extent to which sociocultural factors may explain the observed difference in prevalence estimates. Usi…
Someone who is in this thing that I am suffering from”
Consumers’ Suggestions for Improving the Mental Healthcare System
An Exploration of the Help-Seeking Behaviors of Arab-Muslims in the US
While evidence has shown that professional mental health services are highly effective with treatment and symptom management, not all who need those services utilize them. Furthermore, there is evidence that certain racial, ethnic, cultural, and religious groups are less likely to seek or access mental health care. The Arab Muslim minority living in the US have low rates of seeking mental health services compared to other populations. An explorat…
Reflections from the Lebanese field
Humanitarian aid workers caring for Syrian refugees face major stressors as they attend to refugees' needs on the field. Without adequate psychosocial support, evidence has shown that fieldworkers experience high burnout and turnover as well as long-term poor mental health. Unfortunately, scarce training in this regard leaves them ill-equipped to care for themselves and practice resilience while handling trauma in the field. This paper highlights…
Description of the inpatient population and care received at a psychiatric unit in Lilongwe, Malawi
Like in much of Sub-Saharan Africa, descriptive data about psychiatric inpatients and inpatient psychiatric care in Malawi is limited. This study describes the inpatient population at the Bwaila Hospital Psychiatric Unit in Lilongwe, Malawi, as well as treatments received and treatment outcomes. Records of 419 psychiatric inpatients hospitalized from January 1, 2011 to December 31, 2011 were reviewed. Patients were primarily male (73.0%) and were…
Closing the mental health treatment gap through the collaboration of traditional and Western medicine in Liberia
Liberians have experienced significant psychological trauma following fourteen years of violent civil war and the 2014-2015 Ebola epidemic, but there are only two psychiatrists for the entire population. However, many traditional healers commonly treat mental health-related illnesses throughout the country. This paper examines the potential for collaboration between traditional and Western medicine to close the mental health treatment gap in Libe…
A qualitative investigation of the perceived role of peers in influencing substance use among youth in Monrovia, Liberia
Substance use and abuse has become an issue for adolescents globally. While multiple factors contribute to substance use, peer influence is particularly important. As such, this study aimed to examine students’ beliefs related to substance use, including the role peers have on substance use behaviors in Monrovia, Liberia. Nine focus groups were conducted with a total of 72 public school students in Monrovia. All focus groups were recorded, transc…
Narratives of Agency and Capability from Two Adolescent Girls in Post-conflict Liberia
Contributing Risk Factors for Substance Use Among Youth in Postconflict Liberia
Substance use is prevalent among youth in postconflict African countries and is associated with a number of public health problems such as poverty, child homelessness, and school truancy. This qualitative study explores the risk factors associated with substance use among Liberian youth from the perspective of public-school students. Nine focus groups were conducted with 72 Liberian public-school students (35 female, 37 male). Multiple risk facto…
Humanitarian space and well-being
Social and fieldworkers face enormous challenges in assisting millions of Syrian refugees in Lebanon since the Syrian war in 2011. We sought to assess the feasibility and acceptability of an adapted version of the SMART-3RP (Stress Management Relaxation Response Resilience Training) training to address the emotional and physical burden on the humanitarian field. Data were collected using the Symptom Checklist-90 (SCL-90), blood pressure, pulse an…
Substance use behaviors of secondary school students in post-conflict Liberia
In this study we sought to determine the prevalence of substance use among students in Monrovia, Liberia, in order to better characterize the extent of the problem and guide future research. We conducted a cross-sectional survey to examine the substance use behaviors of students in 16 secondary schools in greater and central Monrovia, Liberia. The sampling frame included all co-educational secondary schools in central and greater Monrovia. A tota…
How Early Life Adversities Influence Later Life Family Interactions for Individuals with Schizophrenia in Outpatient Treatment
Contributing Risk Factors for Substance Use Among Youth in Postconflict Liberia
Substance use is prevalent among youth in postconflict African countries and is associated with a number of public health problems such as poverty, child homelessness, and school truancy. This qualitative study explores the risk factors associated with substance use among Liberian youth from the perspective of public-school students. Nine focus groups were conducted with 72 Liberian public-school students (35 female, 37 male). Multiple risk facto…
A mental health needs assessment of children and adolescents in post-conflict Liberia
Between 1989 and 2004, Liberia experienced a devastating civil war that resulted in widespread trauma with almost no mental health infrastructure to help citizens cope. In 2009, the Liberian Ministry of Health and Social Welfare collaborated with researchers from Massachusetts General Hospital to conduct a rapid needs assessment survey in Liberia with local key informants ( n = 171) to examine the impact of war and post-war events on emotional an…
Mental health and adaptation of young Liberians in post-conflict Liberia
Civil wars have been raging in regions of Africa, bringing tremendous emotional and physical mayhem and destruction to populations and infrastructures. Much attention has been given to descriptions of child soldiers and the war, but little is known about the circumstances of young Liberians in post-conflict situations. This study explores the ways in which young Liberians are surviving in the post-conflict Liberian context. We used qualitative da…
Closing the mental health treatment gap through the collaboration of traditional and Western medicine in Liberia
Liberians have experienced significant psychological trauma following fourteen years of violent civil war and the 2014-2015 Ebola epidemic, but there are only two psychiatrists for the entire population. However, many traditional healers commonly treat mental health-related illnesses throughout the country. This paper examines the potential for collaboration between traditional and Western medicine to close the mental health treatment gap in Libe…
A qualitative investigation of the perceived role of peers in influencing substance use among youth in Monrovia, Liberia
Substance use and abuse has become an issue for adolescents globally. While multiple factors contribute to substance use, peer influence is particularly important. As such, this study aimed to examine students’ beliefs related to substance use, including the role peers have on substance use behaviors in Monrovia, Liberia. Nine focus groups were conducted with a total of 72 public school students in Monrovia. All focus groups were recorded, transc…
Narratives of Agency and Capability from Two Adolescent Girls in Post-conflict Liberia
A qualitative analysis of parental loss and family separation among youth in post-conflict Liberia
Between 1989 and 2003, the Republic of Liberia experienced a brutal civil war. In 2008, the population was approximately 3.5 million people, and there were an estimated 340,000 orphans. Nearly 6000 more children were orphaned by the Ebola epidemic from 2014-2015. The goal of this research was to explore the impact of parental loss, identify moderating factors, and consider interventions that could help vulnerable youth in post-conflict societies …
Long-Term Trends in Psychiatric Emergency Services Delivered by the Boston Emergency Services Team
Consumers’ Suggestions for Improving the Mental Healthcare System
The Use of Theory in Health Behavior Research from 2000 to 2005
Waist circumference does not predict insulin resistance in African American schizophrenia patients
The objective of the study was to determine whether race plays a role in the relationship between waist circumference and insulin resistance in an African American and white sample of subjects with schizophrenia. A cross-sectional comparison was conducted to determine the relationship between waist circumference and insulin resistance in 55 subjects treated with antipsychotic medication. Each subject underwent an anthropometric assessment of wais…
Building primary care practitioners’ attitudes and confidence in mental health skills in post-conflict Bosnia and Herzegovina
Our program attempted to integrate community mental health in primary care settings in post-conflict Travnik, Bosnia and Herzegovina. The training program underwent an extensive evaluation to determine its impact on the mental health knowledge, confidence in performing medical and psychiatric procedures, skills and attitudes of 93 Bosnian primary care practitioners (PCPs). There was a significant improvement in PCPs confidence in all clusters of …
A Day in the Life of Women With a Serious Mental Illness
A Qualitative Study Examining the Perceived Barriers and Facilitators to Medical Healthcare Services among Women with a Serious Mental Illness
Substance use behaviors of secondary school students in post-conflict Liberia
In this study we sought to determine the prevalence of substance use among students in Monrovia, Liberia, in order to better characterize the extent of the problem and guide future research. We conducted a cross-sectional survey to examine the substance use behaviors of students in 16 secondary schools in greater and central Monrovia, Liberia. The sampling frame included all co-educational secondary schools in central and greater Monrovia. A tota…
Mental health and adaptation of young Liberians in post-conflict Liberia
Civil wars have been raging in regions of Africa, bringing tremendous emotional and physical mayhem and destruction to populations and infrastructures. Much attention has been given to descriptions of child soldiers and the war, but little is known about the circumstances of young Liberians in post-conflict situations. This study explores the ways in which young Liberians are surviving in the post-conflict Liberian context. We used qualitative da…
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…
A mental health needs assessment of children and adolescents in post-conflict Liberia
Between 1989 and 2004, Liberia experienced a devastating civil war that resulted in widespread trauma with almost no mental health infrastructure to help citizens cope. In 2009, the Liberian Ministry of Health and Social Welfare collaborated with researchers from Massachusetts General Hospital to conduct a rapid needs assessment survey in Liberia with local key informants ( n = 171) to examine the impact of war and post-war events on emotional an…
Mental illness stigma and engagement in an implementation trial for Cognitive Processing Therapy at a diverse community health center
The present study aimed to describe associations between various types of mental health stigma and help-seeking behaviors among ethnically diverse clients with posttraumatic stress disorder (PTSD) served by an urban community health clinic. The present study draws qualitative data from a parent National Institute of Mental Health Study that aims to identify barriers and facilitators of implementing Cognitive Processing Therapy (CPT) for PTSD. A t…
A qualitative analysis of parental loss and family separation among youth in post-conflict Liberia
Between 1989 and 2003, the Republic of Liberia experienced a brutal civil war. In 2008, the population was approximately 3.5 million people, and there were an estimated 340,000 orphans. Nearly 6000 more children were orphaned by the Ebola epidemic from 2014-2015. The goal of this research was to explore the impact of parental loss, identify moderating factors, and consider interventions that could help vulnerable youth in post-conflict societies …
Humanitarian space and well-being
Social and fieldworkers face enormous challenges in assisting millions of Syrian refugees in Lebanon since the Syrian war in 2011. We sought to assess the feasibility and acceptability of an adapted version of the SMART-3RP (Stress Management Relaxation Response Resilience Training) training to address the emotional and physical burden on the humanitarian field. Data were collected using the Symptom Checklist-90 (SCL-90), blood pressure, pulse an…
Needs assessment with elder Syrian refugees in Lebanon
Currently, over 1 million Syrian and Palestinian refugees have fled Syria to take refuge in Lebanon. Among this vulnerable population, elder refugees warrant particular concern, as they shoulder a host of additional health and safety issues that require additional resources. However, the specific needs of elder refugees are often overlooked, especially during times of crisis. Our study used a semi-structured interview to survey the needs of elder…
The impact of transactional sex with teachers on public school students in Monrovia, Liberia – a brief report
Access to education has been shown to strongly influence adolescent health across the world, and strong relationships with teachers has been found to lead to better academic and psychosocial outcomes for students. In many low-income countries where adolescents have less access to education and are more likely to experience poor health outcomes, risky sexual behaviors can exacerbate these challenges by increasing the risk of unintended pregnancy a…
An Exploration of the Help-Seeking Behaviors of Arab-Muslims in the US
While evidence has shown that professional mental health services are highly effective with treatment and symptom management, not all who need those services utilize them. Furthermore, there is evidence that certain racial, ethnic, cultural, and religious groups are less likely to seek or access mental health care. The Arab Muslim minority living in the US have low rates of seeking mental health services compared to other populations. An explorat…
Reflections from the Lebanese field
Humanitarian aid workers caring for Syrian refugees face major stressors as they attend to refugees' needs on the field. Without adequate psychosocial support, evidence has shown that fieldworkers experience high burnout and turnover as well as long-term poor mental health. Unfortunately, scarce training in this regard leaves them ill-equipped to care for themselves and practice resilience while handling trauma in the field. This paper highlights…
Description of the inpatient population and care received at a psychiatric unit in Lilongwe, Malawi
Like in much of Sub-Saharan Africa, descriptive data about psychiatric inpatients and inpatient psychiatric care in Malawi is limited. This study describes the inpatient population at the Bwaila Hospital Psychiatric Unit in Lilongwe, Malawi, as well as treatments received and treatment outcomes. Records of 419 psychiatric inpatients hospitalized from January 1, 2011 to December 31, 2011 were reviewed. Patients were primarily male (73.0%) and were…
Closing the mental health treatment gap through the collaboration of traditional and Western medicine in Liberia
Liberians have experienced significant psychological trauma following fourteen years of violent civil war and the 2014-2015 Ebola epidemic, but there are only two psychiatrists for the entire population. However, many traditional healers commonly treat mental health-related illnesses throughout the country. This paper examines the potential for collaboration between traditional and Western medicine to close the mental health treatment gap in Libe…
A qualitative investigation of the perceived role of peers in influencing substance use among youth in Monrovia, Liberia
Substance use and abuse has become an issue for adolescents globally. While multiple factors contribute to substance use, peer influence is particularly important. As such, this study aimed to examine students’ beliefs related to substance use, including the role peers have on substance use behaviors in Monrovia, Liberia. Nine focus groups were conducted with a total of 72 public school students in Monrovia. All focus groups were recorded, transc…
Narratives of Agency and Capability from Two Adolescent Girls in Post-conflict Liberia
Contributing Risk Factors for Substance Use Among Youth in Postconflict Liberia
Substance use is prevalent among youth in postconflict African countries and is associated with a number of public health problems such as poverty, child homelessness, and school truancy. This qualitative study explores the risk factors associated with substance use among Liberian youth from the perspective of public-school students. Nine focus groups were conducted with 72 Liberian public-school students (35 female, 37 male). Multiple risk facto…
Gender-specific experiences of serious mental illness in rural Ethiopia
Considerable variation in the gender-specific prevalence of serious mental illness (SMI) has been reported in low- and middle-income countries (LMICs). In the rural setting of Butajira, Ethiopia, the male-to-female prevalence ratio of schizophrenia was reported to be 5:1. This qualitative study explores gender-specific experiences of SMI and the extent to which sociocultural factors may explain the observed difference in prevalence estimates. Usi…
Someone who is in this thing that I am suffering from”
Consumers’ Suggestions for Improving the Mental Healthcare System
Using local terminology to measure substance use behaviors among youth in post-conflict Liberia
This mixed methods study aimed to use local terminology to accurately characterize the prevalence and risk factors associated with substance use and risky health behaviors among school-based youth in Monrovia, Liberia. An 86-question survey was validated using qualitative data obtained from focus groups at two secondary schools in central and greater Monrovia. The revised survey was then administered to 400 students from eight different secondary…
Psychology (30 obras) · Medicine (29 obras) · Psychiatry (27 obras) · Mental health (20 obras) · Qualitative research (16 obras) · Migration, Health and Trauma (15 obras) · Clinical Psychology (13 obras) · Political science (13 obras) · Clinical Psychology (12 obras) · Mental Health Treatment and Access (12 obras)