Jennifer Langhinrichsen-Rohling

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Verified

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• Ph.D.
• Professor (Full) at University of North Carolina at Charlotte

Objectives: Experiences of racial discrimination within the healthcare system are potentially traumatic events (PTEs) that have been associated with lowered perceived trust in healthcare providers, ongoing symptoms of PTSD and depression, and anticipated healthcare avoidance. Based on the BITTEN trauma impact model, we test a pathway such that grea...

Sexual assault case attrition is significant during the judicial process, necessitating a better understanding of how juror-level factors, such as personal connection to sexual assault, impact rape myth beliefs and conviction decisions. Our study examined the differential influence of mock jurors’ degree of personal connection tosexual assault—via...

Objectives: Experiences of racial discrimination within the healthcare system are potentially traumatic events (PTEs) that have been associated with lowered perceived trust in healthcare providers (Hall et al., 2021), ongoing symptoms of PTSD and depression (Tamaian et al., 2024), and anticipated healthcare avoidance (Holder-Dixon et al., 2022). Ba...

Enhancing the effectiveness of Domestic Violence Intervention Programs (DVIPs) is necessary and may require up-to-date state-specific or national guidance. Currently, many U.S. states provide recommendations and requirements for DVIP length, content, and treatment curriculum through one or more of three types of documents: state laws, standards, an...

Identifying modifiable predictors of life-diminishing behaviors is paramount for health professionals seeking to promote the probability of longevity among young adults who can be at risk for suicide, overdose, and accidental injury and death. Family-of-origin experiences and unmet interpersonal needs are well-known risk factors for suicide; howeve...

Objective: This study explicates the relationship between college student's adverse childhood experiences (ACEs) and their anticipated engagement in five types of risky behaviors. Two transdiagnostic mechanisms were tested cross-sectionally: disconnection/rejection early maladaptive schemas (cognitive) and difficulties in emotional regulation (emot...

Understanding healthcare avoidance among college students is critical. In this study, we consider two broad cognitive contributors to greater healthcare avoidance: specific early maladaptive schema and negative appraisals of students’ prior worst healthcare experiences. From schema theory, we proposed college students holding greater levels of two...

Acceptance of dating violence (ADV) is a cognitive risk factor for violence perpetration and a common target of prevention programs. However, frequently used items assessing ADV are characterized by heteronormative item wording, and limited research has evaluated the degree to which ADV items function equivalently for both heterosexual and sexual m...

Objective: To adjust the decision criterion for the Word Memory Test (WMT, Green, 2003) to minimize the frequency of false positives. Method: Archival data were combined into a database (n = 3,210) to examine the best cut score for the WMT. We compared results based on the original scoring rules and those based on adjusted scoring rules using a cri...

This study considered whether experiencing cybervictimization is associated with increased recognition of cybervictimization intervention opportunities (i.e., witnessing others’ cybervictimization), as well as greater engagement in self-protective (e.g., changing usernames and privacy settings) and other-protective cybervictimization bystander resp...

Cyber dating abuse (CDA) is a growing public health concern among college students. CDA includes monitoring and abusive behaviors perpetrated toward an ex-partner via technology. Little is known about the predictors of CDA, particularly among sexual minority (SM) college students. Some theorized but relatively untested predictors include break-up c...

One factor potentially driving healthcare and hospital worker (HHW)’s declining mental health during the COVID-19 pandemic is feeling betrayed by institutional leaders, co-workers, and/or others’ pandemic-related responses and behaviors. We investigated whether HHWs’ betrayal-based moral injury was associated with greater mental distress and post-t...

Objective: To determine if similar levels of performance on the Overall Test Battery Mean (OTBM) occur at different forced choice test (FCT) p-value score failures. Second, to determine the OTBM levels that are associated with failures at above chance on various performance validity (PVT) tests. Method: OTBMs were computed from archival data obtain...

Teen dating violence (TDV) is a public health concern impacting more than half of U.S. adolescents aged 12 to 18. Sexual minority youth (i.e., adolescents who are not exclusively heterosexual) experience disproportionately high rates of TDV. Yet, measures of TDV such as the Conflict in Adolescent Dating Relationships Inventory (CADRI) have been dev...

The BITTEN theoretical framework conceptually links patient’s past healthcare betrayal and trauma experiences with their current and future healthcare interactions. BITTEN was used to examine whether healthcare experiences, behaviors, and needs differ between those with and without a history of sexual violence exposure. College students at two publ...

Objective To illustrate the process of developing and sustaining an academic‐public health partnership for behavioral health integration through an expansion of the Aligning Systems for Health (ASfH) framework. Study Setting Practice‐informed primary data (2017–2023) from the Holistic Opportunity Program for Everyone (HOPE) Initiative based in Cha...

Infidelity, a betrayal within a romantic partnership, often violates a person’s core beliefs about themselves and their significant other and can influence the degree to which a person can feel safe in romantic relationships. Infidelity can also increase exposure to sexually transmitted diseases that can compromise physical and mental health. There...

The COVID-19 pandemic has exacted a physical and mental health toll on health care and hospital workers (HHWs). To provide COVID-19 care, HHWs expected health care institutions to support equipment and resources, ensure safety for patients and providers, and advocate for employees' needs. Failure to do these acts has been defined as institutional b...

Intimate partner violence (IPV) is one of the most extensively studied forms of family violence. It has been largely conceptualized using heterosexuality as the default standard that is accompanied by an emphasis on violence as a tool to maintain male–female role and power differences. This has contributed to a prevailing narrative about IPV victim...

Technology-facilitated intimate partner violence (T-IPV), including social media surveillance (SMS) and cyber dating abuse (CDA), are increasingly common post-breakup experiences among college students. Although a large body of research has focused on identifying risk factors for both types of T-IPV, perpetrators of T-IPV may differ in their patter...

This community-academic-pharmacy partnership evaluated the impact of a pharmacist-led approach to diabetes management in under-resourced charitable pharmacy patients. Charitable pharmacies serve a large volume of under-resourced patients; pharmacist involvement may improve blood glucose management due to the frequency with which patients access the...

Campus mass shootings have become a pressing policy and public health matter. Twitter is a platform used for processing events among interested community members. Examining the responses of invested community members to a mass shooting on a college campus provides evidence for how this type of violence affects the immediate community and the larger...

This article presents data from the Growing up with Media study related to the implementation of a risk reduction protocol that resulted in three groups of youth: low-risk youth (no flags), youth flagged because of violence involvement and not clinically referred; and flagged youth who were referred to a team clinician due to additional risk consid...

Low rates of reporting sexual assault to law enforcement have been attributed to a culture of rape myth acceptance. Yet, rape myth acceptance rates and specific barriers to reporting have not been examined by sexual assault and reporting histories. This study compared the rape myth acceptance levels of reporting survivors, non-reporting survivors,...

Creating a trauma-sensitive classroom requires a shift in perspective from viewing a student’s problematic behavior as a function of poor character to considering it contextually. However, a trauma-sensitive perspective may be insufficient for school staff to implement trauma-sensitive practices. Theoretically, motivation, or readiness to change (R...

Posttraumatic growth (PTG) and depreciation are two potential outcomes after a traumatic event. PTG has been defined as the positive psychological changes that can occur when a person derives meaning from the traumatic experience. Depreciation occurs when a person becomes stuck in the trauma, unable to derive meaning. These two outcomes are not wel...

Healthcare-related institutional betrayal has been used to examine how patients' previous negative healthcare experiences influence their current provider-level trust and future interactions with the healthcare system. However, healthcare-related institutional betrayal has rarely been considered among emerging independent users of the healthcare sy...

Empirical research suggests that males are more accepting of dating violence relative to females, with female perpetrated violence evidencing greater social acceptance relative to male perpetrated violence (Karlsson et al., 2016). Moreover, acceptance of dating violence (ADV) is a known risk-factor of teen dating violence (TDV) perpetration (Temple...

The COVID-19 pandemic continues its global impact, with restrictions and shifts to telehealth significantly disrupting prenatal care and birth plans for many birthing people. Folkman’s revised stress and coping model (2008) suggests that different appraisals of a stressor (e.g., as a harm, threat, or challenge) may drive individuals’ coping respons...

The coronavirus disease (COVID-19) pandemic has substantially impacted psychological health in the U.S and has disproportionately impacted underresourced individuals. Despite the higher need for mental health services during this time, service availability and access were disrupted due to increased demand, social distancing recommendations, and sta...

The COVID-19 pandemic has forced couples to navigate illness-related stressors and unique public health responses, including extended lockdowns. This study focused on under-resourced North Carolina residents (n = 107) who self-reported changes in relationship conflict (Increased, Decreased, Stayed the Same) and intimate partner violence (IPV) durin...

Cyber psychological abuse and social media surveillance of ex-partners are relatively common virtual forms of behavior linked with intimate partner violence (Pineda, Galán, Martínez-Martínez, Campagne, & Piqueras, 2021) as well as on-going and dangerous intimate partner stalking (Logan & Langhinrichsen-Rohling, 2021). While both forms of behavior a...

This study focuses on identifying COVID-19 related exposure, stress, and mental health concerns in the larger Charlotte, North Carolina region, an area with many low-income and under resourced communities. A community-academic partnership conducted a regional COVID-19 needs assessment. Low-income adults (N = 156) completed an online-administered su...

Context: Community violence is a public health problem that erodes social infrastructure. Structural racism contributes to the disparate concentration of violence in communities of color. In Mecklenburg County, North Carolina, increasing trends in community violence show racial and geographic disparities that emphasize the need for cross-sector, d...

The City of Mobile Police Department’s (MPD) multidisciplinary Sexual Assault Kit Initiative team sought to identify and amend factors that theoretically contribute to high rates of sexual assault case attrition. First, the current study examined cross-sectional relations among officers’ rape myth endorsement, perceived understanding of trauma-info...

Disclosure of interpersonal violence (i.e., sexual violence, sexual harassment, dating violence, and stalking) is often the first step toward receiving social and systemic support. Research demonstrates that sexual assault and dating violence survivors on college campuses are more likely to disclosure to informal sources (i.e., friends and family)...

The BITTEN theoretical framework of trauma-informed healthcare proposes that each patient presents to a healthcare encounter with a baseline level of historical institutional B etrayal and trauma exposure that interacts with their I ndicator for healthcare engagement to potentially T rigger trauma symptoms, impacting patients' T rust in healthc...

The Title IX Office is responsible for addressing sex discrimination on college campuses. They receive reports of sexual harassment, sexual assault, dating violence, and stalking. Stalking is pervasive on campuses, with up to 40% of students experiencing some level of unwanted pursuit during their college career (McNamara & Marsil, 2012). However,...

A growing literature on kink practitioners reveals a complex picture of elevated risk of suicidal behaviors co-occurring with reduced reports of negative mental health outcomes. A key to understanding this conflicting pattern may be through identifying specific risk and protective mechanisms among distinct subgroups of kink practitioners. Compariso...

There has been a national push for universal psychosocial prevention screening in pediatric primary care. Implementation science highlights the importance of considering patients' perspectives when developing such procedures; however, minimal studies have examined this. The present study employed a mixed-methods design to examine caregivers of pedi...

Objective: Using Bronfenbrenner's socio-ecological model as a frame, we explored the impact of neighborhood disadvantage, household chaos, and personal stressors on current mental health symptoms in college students. Participants: 144 students at a large, public university in the southern U.S. Methods: Participants completed measures of demogr...

Introduction Patients with rare and/or care-intensive conditions, such as Ehlers-Danlos Syndrome (EDS), can pose challenges to their healthcare providers (HCPs). The current study used the BITTEN framework ¹ to code EDS patients’ open-ended written responses to a needs survey to determine their self-reported prevalence of healthcare institutional b...

The transition to parenthood represents a major life event for expectant parents, influencing personal and relational well-being. Unfortunately, the global coronavirus disease 2019 (COVID-19) pandemic may undermine first-time expectant mothers’ emotional health as elevated rates of depression, stress, and anxiety have been noted (Rajkumar, 2020). T...

Objective/Background A clear link between insomnia concerns and suicidal ideation has been shown in a variety of populations. These investigations failed to use a theoretical lens in understanding this relationship. Research within the veteran population has demonstrated that feelings of thwarted belongingness (TB), but not perceived burdensomeness...

Patients with complex medical conditions may have a medical history that includes multiple negative/traumatic experiences with the health care system over the course of their diagnosis and treatment. The BITTEN (Betrayal history by health-related institutions; Indicator for health care engagement; Trauma symptoms related to health care; Trust in he...

Burnout, an occupational syndrome characterized by feelings of emotional exhaustion, depersonalization of victims, and diminished personal accomplishment, is highly prevalent among police officers, perhaps as a result of regular and repeated exposure to job-related stressful events. Burnout might be especially problematic for officers working with...

Federally Qualified Health Centers (FQHCs) are a fast-growing source of healthcare for women with intersectional identities, or those most frequently exposed to and negatively impacted by interpersonal trauma. According to the “3 E” conceptualization of trauma, certain Event- and Experience-related characteristics of a trauma predict victims’ physi...

Federally Qualified Health Centers (FQHCs) are a fast‐growing source of healthcare for women with intersectional identities, or those most frequently exposed to and negatively impacted by interpersonal trauma. According to the “3 E” conceptualization of trauma, certain Event‐ and Experience‐related characteristics of a trauma predict victims’ physi...

Partner support during pregnancy is associated with many positive outcomes, including greater relationship satisfaction for both partners (Ramsdell et al., 2019) and better mental health among pregnant women (Cheng et al., 2016). Additionally, partner involvement during pregnancy reduces maternal postpartum emotional distress (Stapleton et al., 201...

Intimate partner violence (IPV) is a serious problem that has profound effects on the victim, the perpetrator, other family members, and society. This chapter describes research that has been conducted on the role of antisocial spectrum disorders in the expression of IPV, including psychopathy where relevant; the dynamics of the domestically violen...

This study examined whether different humor styles (adaptive vs. maladaptive) mediate the relationship between early maladaptive schemas (EMS) and current levels of resilience. Results from a sample of 511 college students indicated that individuals endorsing EMS were significantly more likely to engage in maladaptive humor and significantly less l...

Researchers have typically focused on individual’s abilities to respond to natural disasters, while family processes have received far less attention. To fill this gap, this study investigated how mothers’ and adolescents’ reports of their individual resilience predict their perceptions of family hardiness after experiencing an impactful natural di...

Social media surveillance (SMS) of ex-partners has been conceptualized as information gathering behavior (Frampton & Fox, 2018) that is likely to lead to unwanted pursuit behavior (e.g., following, insults, threats; UPB, Langhinrichsen-Rohling et al., 2000). Of concern, UPB and SMS predict intimate partner violence (Katz & Rich, 2015) and distress...

The alternative sexuality and sexual orientation minority (SM) communities are at risk for numerous health disparities. However, there is a dearth of research exploring the potential receptivity of these communities to the use of mobile technology to promote health. The present study reports findings from a feasibility study comprising two aims: (1...

Suicide-related behavior (SRB) is a mental health disparity experienced by the alternative sexuality community. We assessed mental health, relationship orientation, marginalized identities (i.e., sexual orientation minority, gender minority, racial minority, ethnic minority, and lower education), and preferences in information processing (PIP) as f...

Nurses need a pragmatic theory to understand and respond to the impact of vulnerable patients’ previous healthcare experiences, as these are likely to influence response and adherence to treatment plans. The authors of this paper present the new BITTEN (Betrayal history by health-related institutions, Indicator for healthcare engagement, Traumas re...

Objective: Differentiating suicide attempters from suicide ideators has been named a critical suicidology frontier (Klonsky & May, 2013). Per Bronfenbrenner's (1977, 1994) ecological systems theory, risk/protective factors from four ecological levels (individual, family, workplace, and community) were used to predict last year suicide attempt stat...

The developmental transition from adolescence to adulthood, a period of time known as emerging adulthood, is marked by great personal growth and interpersonal maturation (Arnett, Emerging adulthood: The winding road from the late teens through the twenties, Oxford University Press, New York, 2004). Risk-taking behaviors are seen as a significant im...

Aims: A mixed-methods study details a multidisciplinary team's efforts to assess and transform police response to sexual assault in a mid-size community. Method: A police department-wide survey (n = 331) determined baseline levels of officer exposure to trauma-informed training, rape myth acceptance, and awareness of community and nationwide sex...

Attitudes about violence and sex in dating relationships were related to psychological, physical, and sexual teen dating abuse perpetration and victimization. Data from Wave 4 of the national, randomly selected, Growing up with Media cohort (n = 876 adolescents aged 14‐19 years), collected in 2011, were analyzed. Dating youth perceived more peer pr...

Youth are commonly exposed to potentially traumatic events (PTEs). Following exposure, approximately 25% develop persistent mental and behavioral health (M/BH) symptoms, yet many go untreated or are misdiagnosed and suffer adverse outcomes. Primary care is an ideal setting for detection of traumarelated symptoms. The current article uses archival d...

The current study applied the Conservation of Resources (COR) disaster theory to explain suicide proneness after the Deepwater Horizon oilrig explosion. We had 213 residents in affected areas with complete measures of resource stability, distress, and coping 18 months after the disaster. Overall, 10% expressed clinically elevated suicide proneness....

The Mental and Behavioral Health (MBH) Capacity Project had a mission shared among 4 states to support MBH sustainability along the Gulf Coast. Integration of mental health into undersourced primary health clinics was an important goal of the project. The findings from the collaborative evaluation demonstrate long-term outcomes including the follow...

Standard evaluation practice in public health remains limited to evaluative measures linked to individual projects, even if multiple interrelated projects are working toward a common impact. Enterprise evaluation seeks to fill this policy gap by focusing on cross-sector coordination and ongoing reflection in evaluation. We provide an overview of th...

This study examined the relationship of students’ perceptions of school safety and school avoidance related to feeling unsafe with predictor variables: bullying victimization, student/teacher/parent/administration relations, rule clarity and consistency, school physical environment (negative and positive), and student’s belongingness. In a public h...

Background: After the Deepwater Horizon oil spill, posttraumatic stress symptoms (PTSS) in the U.S. Gulf Coast community rose quickly. Objective: With the chronic course of PTSS a concern, the current research investigated the usefulness of assessing oil contact as a way to identify community members with clinical levels of PTSS. Secondly, the stud...

Background: Addressing complex problems such as health disparities requires collaboration among individuals and agencies. Yet, methods by which productive and cohesive community-based volunteer workgroups are developed and activated to improve health outcomes are often not discussed. Objective: Using the transtheoretical model (TTM) as a framewo...

Context: The prevalence of trauma exposure among vulnerable, impoverished patients seeking primary care services is considerable. However, assessment of trauma-related symptoms is rare, even among behavioral health patients receiving primary care services within integrated health care centers. Objective: To determine the prevalence of clinically...

Context: The 2010 Deepwater Horizon oil spill triggered numerous concerns regarding the health and well-being of citizens within the already vulnerable Gulf Coast region. Four Mental and Behavioral Health Capacity Projects (MBHCPs) united to form the Quad-State MBHCP component of the Gulf Region Health Outreach Program (GRHOP). Their shared missio...

We describe the underlying role of environmental and social justice concepts in the development of the Gulf Region Health Outreach Program (GRHOP), an ongoing 5-year, $105 million community health program funded through the medical settlement of the Deepwater Horizon (DWH) oil spill. The DWH oil spill affected a broad area of the Gulf Coast, causin...

Depressive Symptoms in 9th grade Adolescents: Contributing Variables Background: Depressive symptoms range from 13 to 34% in adolescents. Early signs of mental distress are known to be related to stress. Aim: To examine stressful life events, perceived stress, cortisol, and bullying to determine the influence on depressive symptoms. Methods: Resea...

In college-aged adults (n = 766), the transition to adulthood may aggravate risk factors for suicidal behavior such as poor parental attachment and maladaptive self-schemas. Since poor parental attachment may facilitate developing maladaptive self-related schemas, this study was designed to determine whether specific maladaptive schemas mediate the...

Adolescents transitioning to high school may be at greater risk of depression and suicide if they are victims of bullying behavior. This study explored sex differences in bullying victimization (physical, verbal/social, and cyberbullying) and the impact on depressive symptoms and suicidal behaviors in ninth-grade students ( N = 233). Females report...

Adequate evaluation and response to suicide risk require (i) awareness of need, (ii) comfort gathering key information, and (iii) ongoing training. A survey administered at 2 urban primary care settings in the process of implementing integrated care measured awareness, comfort, and training related to suicide risk assessment among 31 primary care p...