Deborah J Brief

Deborah J Brief
U.S. Department of Veterans Affairs | VA · Department of Psychology

Ph.D.

About

54
Publications
6,176
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1,469
Citations
Citations since 2017
18 Research Items
499 Citations
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2017201820192020202120222023020406080100
2017201820192020202120222023020406080100

Publications

Publications (54)
Article
Background and Objectives: A large portion of veterans referred to substance use disorder (SUD) treatment do not attend their first appointment or leave treatment prematurely. Telehealth options may increase access to care and treatment attendance. This study compared treatment initiation and retention between inperson treatment pre-COVID-19 and te...
Article
Full-text available
Background: eHealth tools have the potential to meet the mental health needs of individuals who experience barriers to accessing in-person treatment. However, most users have less than optimal engagement with eHealth tools. Coaching from peer specialists may increase their engagement with eHealth. Objective: This pilot study aims to test the feasib...
Article
Objective: Rates of hazardous alcohol consumption and co-occurring posttraumatic stress disorder (PTSD) are high among returning combat veterans and may adversely affect satisfaction with life (SWL). Improving life satisfaction represents a potential secondary outcome of web-based interventions for alcohol use and PTSD. Understanding the relations...
Article
Understanding associations between chronic pain and health outcomes among detoxification patients may help improve treatment outcomes and abstinence rates. Exercise is a modifiable lifestyle factor that may reduce the effect of pain on outcomes in this population. The current study examined whether baseline pain, exercise, and their interaction wer...
Preprint
BACKGROUND Electronic health (eHealth) tools have the potential to meet the mental health needs of individuals who have barriers to accessing in-person treatment. However, most users have less than optimal engagement with eHealth tools. Coaching from peer specialists may increase engagement with eHealth. OBJECTIVE This pilot study aimed to 1) test...
Article
Full-text available
Background: eHealth tools have the potential to meet the mental health needs of individuals who experience barriers to accessing in-person treatment. However, most users have less than optimal engagement with eHealth tools. Coaching from peer specialists may increase their engagement with eHealth. Objective: This pilot study aims to test the fea...
Article
Objective Proportionally more women use online alcohol interventions but also report less robust treatment outcomes compared to men. Less is known about outcome disparities among veteran women, who are a growing demographic nationally. The current study examined gender differences among returning veteran men and women who used VetChange, a web-base...
Article
Background: Evidence-based web and mobile interventions are available for a range of mental health concerns. Little is known about how self-administered web interventions are used outside of controlled research trials, and there is a critical need to empirically examine real-world public implementation of such programs. To this end, the aim of the...
Article
Background Approximately one in four women veterans accessing the Department of Veterans Affairs (VA) engage in unhealthy alcohol use. There is substantial evidence for gender-sensitive screening (AUDIT-C=3) and brief intervention (BI) to reduce risks associated with unhealthy alcohol use in women veterans; however, VA policies and incentives remai...
Article
This study examined associations among cannabis use disorder (CUD), 12-step program participation, and cannabis and other drug use at baseline and 3- and 6-month follow-ups. Participants were age 50 or older in a study of veterans receiving medical management of alcohol and/or opioid withdrawal ( N = 171). Generalized estimating equations examined...
Article
Full-text available
The prevalence of hazardous drinking is elevated among returning veterans of Iraq and Afghanistan wars, particularly among returning veterans and those with co-occurring PTSD symptoms. Understanding the reasons for drinking as well as motivations for change can tremendously improve intervention efforts. Unfortunately, little is currently known rega...
Article
Objective Returning veterans report high rates of hazardous drinking, posttraumatic stress disorder (PTSD), and evidence low rates of formal treatment engagement. Web-based interventions may help address unmet treatment need, yet little is known regarding factors associated with outcomes or adherence to these interventions over time. In this study,...
Article
Full-text available
Link to full article: https://rdcu.be/bA3W7 Objective: The primary objectives of this paper were to 1) review empirical support for existing self-help smartphone applications for depression, anxiety, PTSD, and alcohol use disorders; 2) and evaluate whether commercially available self-help applications offer, or were derived from, empirically supp...
Article
Telehealth interventions have the potential to deter repeated detoxification episodes and improve outcomes. Using a sample of 298 detoxification inpatients, this randomized controlled trial compared Enhanced Telephone Monitoring (ETM) to usual care (UC) on the primary outcome of reducing subsequent detoxification, and secondary outcomes of linking...
Article
Background and objectives: Substance use disorder (SUD) has increased among women, including military veterans, yet SUD treatment was historically designed for males. This randomized controlled trial compared 12 individual sessions of a gender-focused SUD recovery model, A Woman's Path to Recovery (WPR) to an evidence-based, non-gender-focused SUD...
Article
Objective: The purpose of the current study was to evaluate the relationship between baseline levels of posttraumatic stress disorder (PTSD), combat exposure, and alcohol outcomes in a sample of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) veterans using a web-based self-management intervention (VetChange) for problem drinkin...
Article
The current review summarizes and critically evaluates the existing literature to shed light on two key questions: (a) the impact of trauma exposure on alcohol use (and vice versa; the impact of alcohol use on risk for trauma exposure) in women, and (b) the nature of PTSD–alcohol misuse comorbidity in women. The secondary aim was to explore moderat...
Article
Although completion of detoxification (detox) and a successful transition from detox to substance use disorder (SUD) treatment and/or mutual-help groups are associated with better SUD outcomes, many patients do not complete detox or do not receive SUD care following detox. The purpose of this structured evidence review, summarizing data extraction...
Article
Full-text available
The 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) reformulated posttraumatic stress disorder (PTSD) based partially on research showing there were 4 main factors that underlie the symptoms of the disorder. The primary aim of this study was to examine the temporal stability of the DSM-5 factors as measured by the P...
Article
Emerging methodological research suggests that the World Wide Web ("Web") is an appropriate venue for survey data collection, and a promising area for delivering behavioral intervention. However, the use of the Web for research raises concerns regarding sample validity, particularly when the Web is used for recruitment and enrollment. The purpose o...
Article
Full-text available
Objective: Veterans who served in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) commonly experience alcohol misuse and symptoms of posttraumatic stress disorder (PTSD) following their return from deployment to a war zone. We conducted a randomized clinical trial to evaluate the efficacy of a newly developed, 8-module, self-man...
Article
Full-text available
Objective: Veterans who served in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) commonly experience alcohol misuse and symptoms of posttraumatic stress disorder (PTSD) following their return from deployment to a war zone. We conducted a randomized clinical trial to evaluate the efficacy of a newly developed, 8-module, self-mana...
Article
Full-text available
A substantial number of military personnel who have served in Iraq (Operation Iraqi Freedom; OIF) and Afghanistan (Operating Enduring Freedom; OEF) develop symptoms of posttraumatic stress disorder (PTSD) in response to their military experiences and many of these same individuals will drink in a risky or problematic manner following deployment. If...
Article
Full-text available
Adverse psychosocial outcomes can be anticipated among youth exposed to Hurricane Katrina. Adolescents are particularly vulnerable to the consequences of this natural disaster and may suffer lasting consequences in the form of psychological morbidity and the development of negative health behaviors due to their exposure. We review existing literatu...
Article
Full-text available
Published findings are mixed regarding the underlying factor structure of the PTSD Checklist (PCL). Studies have found two-, three-, and four-factor solutions, which are only partially consistent with DSM-IV-defined PTSD symptom clusters (reexperiencing, avoidance, and hyperarousal). The current study examined the reliability, validity, and factor...
Article
Full-text available
This study assessed adherence to HAART among 67 HIV-infected adults, and the degree to which gender and psychological factors-including depression, drug and alcohol use, quality of life, and medication side effects-influenced adherence. Although overall adherence was greater than rates reported in similar studies, no significant difference in adher...
Article
Full-text available
Published findings are mixed regarding the underlying factor structure of the PTSD Checklist (PCL). Studies have found two-, three-, and four-factor solutions, which are only partially consistent with DSM-IV-defined PTSD symptom clusters (reexperiencing, avoidance, and hyperarousal). The current study examined the reliability, validity, and factor...
Article
Full-text available
Many individuals living with HIV have been exposed to some type of traumatic event during their lives and may be living with symptoms of post-traumatic stress disorder (PTSD). A substantial number of these individuals are also likely to show evidence of a co-morbid substance use disorder (SUD). There is reason to believe that the co-occurrence of H...
Chapter
As of June 2001, an estimated 466,023 persons were living with HIV/AIDS in the United States alone and an estimated 40 million people worldwide (1). It has become increasingly clear that people living with HIV/AIDS confront many challenges in their daily lives (e.g., following a complex medication regimen and facing premature death), some of which...
Article
Although individuals with comorbid posttraumatic stress disorder (PTSD) and substance use diagnoses are at heightened risk for relapse after substance abuse treatment, little is known about the specific situations in which these individuals are likely to relapse. The present study was designed to test whether a PTSD diagnosis related to substance u...
Article
Although individuals with comorbid posttraumatic stress disorder (PTSD) and substance use diagnoses are at heightened risk for relapse after substance abuse treatment, little is known about the specific situations in which these individuals are likely to relapse. The present study was designed to test whether a PTSD diagnosis related to substance u...
Article
This study examined whether self-efficacy was associated with lipid lowering and dietary change among men undergoing dietary counseling to lower cholesterol levels. Twenty-five hyperlipidemic men (total cholesterol ≧220 mg/dL) participated in four weeks of dietary instruction. Plasma lipids were measured prior to treatment, at posttreatment, and at...
Article
Social support is inversely associated with heart disease risk. Support may influence heart disease by encouraging health behavior change in high-risk individuals. This study examined the association between spouse support and maintenance of low-fat diets in men with hypercholesterolemia. Participants were 254 men enrolled in a 24-month randomized...
Article
We examined the effect of acute third intraventricular (IVT) injections of either saline or NPY (0.95, 3.0, 9.5, or 30.0 micrograms in 1 microliter) on the 1-, 4-, and 22-hour postinjection food and water intake of female obese (fa/fa), heterozygous lean (Fa/fa), and homozygous lean (Fa/Fa) Zucker rats. None of the doses of NPY had an effect on eit...
Article
Neuropeptides have been implicated in the short-term regulation of food intake and the long-term control of body weight. Previous studies have shown that central administration of neuropeptide Y (NPY), the most abundant of these peptides in the brain, produces robust increases of food intake. We now report that NPY, at doses that stimulate food int...
Article
Administration of AVP and related peptide fragments following ethanol (EtOH) administration has been shown to enhance retention of tolerance to ethanol. The present studies were designed specifically to: (1) examine the influence of AVP given concurrently with EtOH on the development of tolerance to the ataxic and hypothermic effects of EtOH in Lon...
Article
Three experiments were conducted to evaluate the accuracy of urine ultraviolet fluorescent tests for riboflavin, which has been used as a tracer for medication compliance in several clinical drug trials. Observer accuracy in discriminating riboflavin-positive or negative urine samples was found to vary with the method of observation, dose of ribofl...
Article
Surveyed the directors of 230 predoctoral internship programs in clinical and counseling psychology about the nature of clinical neuropsychological experiences provided at the internship site, training in neuropsychological batteries, information about providers, and availability of formal postdoctoral training. Of the 170 programs responding, 117...
Article
This study examined the effect of chronic infusions of insulin in one of three doses (5, 7.5 or 10 mU/day) into the third ventricle, on food and water intake and body weight in the rat. Solutions were infused via osmotic minipumps at a rate of 1 microliter/hour for seven days. The two highest doses of insulin produced a dose-related suppression of...
Article
Discusses the behavioral and neurophysiological conceptualizations of bulimia. The "eating habit control" and the "anxiety disorder" models of bulimia are currently the major behavioral formulations of this disorder. The eating habit control model traces the origin of bulimia to a deficit in knowledge and/or skills concerning the maintenance of ene...
Article
Streptozotocin diabetic rats received four daily subcutaneous injections of glycerol or a glycerol solution in place of water for a seven day period. Both night and total food intake in the subcutaneous glycerol group were significantly suppressed below untreated diabetic controls. The oral glycerol group showed a nonsignificant decrease in night f...
Article
Male rats were provided with flavored solutions (0.3 M glucose, 0.3 M glycerol or 0.6 M glycerol) or water before and after the induction of diabetes by streptozotocin. Normal animals given 0.3 M glucose showed a significant increase in fluid intake but normal animals offered the glycerol solutions did not show an increase in intake compared to ani...
Article
Full-text available
Long-term infusion of glucose, beta-hydroxybutyrate, and glycerol into the third ventricle of the rat brain caused a stabilization of body weight at a lower than normal level. Among the glucose- and glycerol-treated animals this weight loss was caused in part by temporary hypophagia. Among the animals treated with beta-hydroxybutyrate the weight lo...
Article
Typescript (photocopy). Thesis (M.A. in psychology)--University of Illinois at Chicago Circle, 1980. Includes bibliographical references (leaves 55-66).
Article
Thesis (Ph. D. in psychology)--University of Illinois at Chicago, 1984. Vita. Includes bibliographical references (leaves 89-104). Typescript (photocopy).

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