Julie Kaplow

Julie Kaplow
Baylor College of Medicine | BCM · Department of Pediatrics

PhD, ABPP

About

71
Publications
41,448
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
3,389
Citations
Additional affiliations
July 2007 - present
University of Michigan
Position
  • Director, University of Michigan Trauma and Grief Center for Youth
January 2005 - December 2007
University of Medicine & Dentistry of New Jersey

Publications

Publications (71)
Technical Report
Full-text available
Please note that I am not permitted to disseminate this test directly, no matter who requests it. This test is officially owned by UCLA and copyright protected and distributed through UCLA's Office of Intellectual Property. For fee schedule and licensing agreement (available for online purchase) see http://oip.ucla.edu/PCBD. Developers can be con...
Article
Full-text available
We examined bereaved children's and surviving caregivers' psychological responses following the death of the other caregiver as a function of the stated cause of death. Participants included 63 parentally bereaved children and 38 surviving caregivers who were assessed using self-report instruments and in-person interviews. Surviving caregivers repo...
Article
Full-text available
To date, the US military has made major strides in acknowledging and therapeutically addressing trauma and post-traumatic stress disorder (PTSD) in service members and their families. However, given the nature of warfare and high rates of losses sustained by both military members (e.g., deaths of fellow unit members) and military families (e.g., lo...
Article
Full-text available
Two bereavement-related disorders are proposed for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V): Adjustment Disorder Related to Bereavement, to be located in the main body of the text as an official diagnostic entity; and Bereavement-Related Disorder, including a Traumatic Death Specifier, to be located in...
Article
Full-text available
The Grief Facilitation Inventory (GFI) is a newly-developed measure of caregiver behaviors theorized to facilitate or hinder children’s adaptive grief reactions. We examine its factor structure, reliability, and validity. An exploratory factor analysis identified four factors: Ongoing Connection, Existential Continuity/Support, Caregiver Grief Expr...
Article
Full-text available
The Persistent Complex Bereavement Disorder (PCBD) Checklist was constructed to facilitate the developmentally sensitive assessment of proposed PCBD criteria in bereaved children and adolescents 8–18 years of age. Initial analyses of the PCBD Checklist provided support for the hypothesized two-factor model. The purpose of the present study was to e...
Preprint
A. Plan for most common issues seen in our setting. How well do we know our clients and anticipate/detect their needs? Identify our most common clinical issues /hypotheses; develop assessment methods for identifying each condition.
Preprint
Full-text available
The Active Inhibition Scale (AIS; Ayers, Sandler, & Twohey, 1998) is an 11-item self-report measure of emotional suppression among children and adolescents. Previous research with the AIS has linked emotional suppression to several clinically-significant outcomes (e.g., posttraumatic stress symptoms and suicide) among trauma-exposed and bereaved yo...
Article
Full-text available
Objectives This study describes a pilot open trial of Multidimensional Grief Therapy, an assessment-driven, phasic individual therapy for bereaved youth. This study provides a preliminary outcome evaluation with respect to maladaptive grief reactions, post-traumatic stress symptoms, and depressive symptoms in bereaved youth. Methods The sample con...
Chapter
School-based clinicians are likely to encounter the death of a student or a student’s family member in their work. Providing a supportive school environment is crucial for those coping with the death of a loved one or peer. The role of school mental health professionals in assisting children, families, faculty, and staff in the aftermath of a death...
Article
Full-text available
Objective: Children and adolescents who experience potentially traumatic events are at risk for developing posttraumatic stress disorder (PTSD). Although psychometrically sound measures are now available to assess these youth, brief tools are currently needed for screening purposes. Two studies were conducted to develop and validate the UCLA PTSD R...
Article
Full-text available
As the intensity of such high-impact weather events increases (Walsh et al., 2016), more children will be exposed to potentially traumatic natural disasters, including hurricanes and hurricane-related flood events. Hurricane and flood exposure place youth at risk for a number of negative mental health outcomes, including posttraumatic stress disord...
Article
Full-text available
This study examined associations among violent victimization, perpetration, and suicide attempts in youth reporting suicide ideation, within an ideation-to-action framework of suicide. Data on 6,054 youth (Mage=16.20, SD=1.66) were drawn from the National Longitudinal Study of Adolescent to Adult Health, with information regarding violent victimiza...
Article
Full-text available
Objective: To describe the test construction procedure and evaluate the internal consistency, criterion-referenced validity, and diagnostic accuracy of the Child/Adolescent Self-Report Version of the UCLA PTSD Reaction Index for DSM-5 (RI-5) across 2 independent samples. Method: Study 1 examined the clarity, developmental appropriateness, accept...
Article
Full-text available
Using a sample of recently bereaved youth (N = 2,425; Mage = 15.31, SD = 1.50), this study examined associations between dimensions of religiousness and current functioning. Youth reported on their religious service attendance, religious coping, and the importance of religious beliefs and substance use, academic achievement, depressive symptoms, an...
Article
This study proposes a method for calculating the annual incidence rate of sibling bereavement among US youth using national epidemiological data. The proposed model combines data on family household size with national death statistics to calculate the number of siblings affected by the death of a child annually. From 2012 to 2015, an average of 61,...
Article
The present paper has two primary aims. The first is to propose basic guidelines for applying EBA concepts, principles, and practices to the task of assessing youth in the aftermath of a hurricane. These guidelines draw upon multiple sources, including both empirical studies of hurricane exposure-related risk factors and consequences and our clinic...
Article
Full-text available
Objective Childhood bereavement is linked to suicide‐related behaviors in adolescence and adulthood, but candidate mechanisms through which bereavement may lead to suicide‐related behaviors have not been explored. One candidate pathway is that grief reaction arising from bereavement lead to increased perceived burdensomeness and/or thwarted belongi...
Article
Full-text available
This study examined links between the language bereaved children use to describe the death of their caregiver and children's psychological/behavioral functioning and coping strategies. Participants included 44 children (54.5% male) aged 7 to 12 (M = 9.05) years who were bereaved by the death of a caregiver. Children were assessed via self‐ and care...
Article
Objectives: Both bereavement and thwarted belongingness serve as risk markers for youth suicide-related behaviors. This study examined candidate predictors of thwarted belongingness among bereaved youth, including caregiver cause of death and surviving caregiver coping style. Methods: Forty-three caregiver-bereaved families (58 children aged 7-1...
Article
Full-text available
Invited article published in The California Psychologist (official newsletter of the California Psychological Association).
Article
Full-text available
Purpose of Review To discuss the implications of natural disasters for pediatric palliative care patients and suggest a series of best practices for pediatric palliative care patients, their families, and their healthcare providers. Recent Findings Data from the aftermath of Hurricane Katrina provide insight into the effects of natural disasters o...
Article
Full-text available
The inclusion of Persistent Complex Bereavement Disorder (PCBD) in the DSM-5 appendix signifies a call for research regarding the distinguishing features and clinical utility of proposed PCBD criteria. Rigorously constructed tools for assessing PCBD are lacking, especially for youth. This study evaluated the validity and clinical utility of the PCB...
Preprint
The inclusion of Persistent Complex Bereavement Disorder (PCBD) in the DSM-5 appendix signifies a call for research regarding the distinguishing features and clinical utility of proposed PCBD criteria. Rigorously constructed tools for assessing PCBD are lacking, especially for youth. This study evaluated the validity and clinical utility of the PCB...
Preprint
The inclusion of Persistent Complex Bereavement Disorder (PCBD) in the DSM-5 appendix signifies a call for research regarding the distinguishing features and clinical utility of proposed PCBD criteria. Rigorously constructed tools for assessing PCBD are lacking, especially for youth. This study evaluated the validity and clinical utility of the PCB...
Article
Full-text available
ABSTRACT Background and scope of the problem. High prevalence rates of deaths by accidents, suicides, and homicides, coupled with expanding social networks, place adolescents at significant risk for traumatic bereavement occasioned by the traumatic deaths of their friends, romantic partners, and family members. Conceptual analysis. This conceptual...
Article
Full-text available
There is a need to delineate best practices for referring, assessing, and retaining students suspected of posttraumatic stress (PTS) and maladaptive grief (MG) in school-based treatment. Evidence-based risk-screening procedures should accurately include students who are appropriate for group treatment and exclude students who do not require treatme...
Article
Full-text available
Objective. Bereavement due to sudden loss may disrupt positive adjustment among youth, yet few studies have examined the age at which youth are most likely to first encounter sudden loss, the co-occurrence of sudden loss with other traumatic events, and the independent effects of sudden loss on academic functioning. Method. Data were analyzed from...
Article
Full-text available
Emerging adults with a lesbian, gay, or bisexual (LGB) identity are at greater risk for engaging in suicide-related behaviors. This disparity highlights a need to elucidate specific risk and protective factors associated with suicide-related behaviors among LGB youth, which could be utilized as targets for suicide prevention efforts in this populat...
Article
Full-text available
The death of a loved one, particularly a parent, has been identified as not only the most common, but also the most distressing form of adversity youth may experience in their lifetime. Surviving caregivers’ communication with their children may play a critical role in shaping bereaved children’s psychological functioning. However, few studies have...
Article
Full-text available
This study identifies risk factors for grief following a mass school shooting. Participants (N = 1,013) completed online questionnaires 3-4 months (Time 1) and 1 year (Time 2) post-shootings. We tested models predicting Time 2 grief reactions, exploring direct and indirect predictive effects of exposure variables (physical and social proximity) thr...
Article
Full-text available
Using data from N = 10,148 American youth (Mage = 15.18) who participated in the National Comorbidity Survey Adolescent Supplement, we tested whether duration of involvement in specific organized activities was associated with different sources of social support, and whether these links explained the health-related benefits affiliated with particip...
Article
Sleep problems in youth reliably forecast the development of anxiety and mood disorders, presumably due to increased emotional difficulties. However, precise emotional mechanisms have yet to be delineated. The current study investigated how sleep problems in adolescence are associated with different emotion regulation strategies, and how sleep and...
Article
Full-text available
Promoting trust in public officials and active political engagement is vital to sustaining a well-functioning democracy. Developmental psychologists propose that youths’ beliefs about government and participation in politics are rooted in personal experiences within their communities. Previous studies have focused on how positive experiences within...
Article
Full-text available
Objective: Although a large number of risk markers for suicide ideation have been identified, little guidance has been provided to prospectively identify adolescents at risk for suicide ideation within community settings. The current study addressed this gap in the literature by utilizing classification tree analysis (CTA) to provide a decision-ma...
Chapter
Growing recognition of the high prevalence rates of trauma exposure and its severe consequences across the life span have led to international calls to action to train clinicians in essential trauma competencies (Courtois and Gold 2009; Weine et al. 2002), many of which involve assessment (Cook et al. 2014). Nevertheless, standard assessment toolki...
Article
Full-text available
Objective. Internalizing and externalizing problems commonly co-occur with adolescent posttraumatic stress and grief reactions. However, little is known about whether these co-occurring symptoms moderate adolescents’ response to sequenced components of trauma- and grief-focused interventions. Method: Forty-four middle school students (aged 12 to 14...
Book
Full-text available
Developed by experts in trauma psychiatry and psychology and grounded in adolescent developmental theory, this is a modular, assessment-driven treatment that addresses the needs of adolescents facing trauma, bereavement, and accompanying developmental disruption. Created by the developers of the University of California, Los Angeles PTSD Reaction I...
Article
Full-text available
Violence exposure in adolescence can disrupt ongoing adjustment, yet few studies have examined potential mechanisms that can explain these effects. Using data from the National Longitudinal Study of Adolescent to Adult Health, we examined associations among adolescent violence exposure and indicators of adjustment in young adulthood, and tested whe...
Article
Full-text available
Persistent Complex Bereavement Disorder (PCBD) is a newly proposed diagnosis placed in the Appendix of the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as an invitation for further research. To date, no studies have examined the dimensionality of PCBD or explored whether different PCBD criteria domains relate in...
Article
The severity of posttraumatic stress disorder (PTSD) symptoms is linked to race and ethnicity, albeit with contradictory findings (reviewed in Alcántara, Casement, & Lewis-Fernández, 2013; Pole, Gone, & Kulkarni, 2008). We systematically examined Caucasian (n = 3,767) versus non-Caucasian race (n = 2,824) and Hispanic (n = 2,395) versus non-Hispani...
Article
Full-text available
The neurobiology of mood states is complicated by exposure to everyday stressors (e.g., psychosocial, ubiquitous environmental infections like CMV), each fluctuating between latency and reactivation. CMV reactivation induces proinflammatory cytokines (e.g., TNF-α) associated with induction of neurotoxic metabolites and the presence of mood states i...
Article
Full-text available
The serious illness or death of a caregiver are two of the most distressing events that can befall a child, and are often temporally linked. Although both adversities may impact children’s mental health, studies have not yet attempted to disentangle the effects of parental illness versus those of parental death with regard to children’s psychologic...
Article
Full-text available
The authors examined factors theorized to contribute to adaptive functioning in 56 parentally bereaved children (age 7-13) who had lost their caregiver within the previous 6 months. Adaptive functioning, defined as falling below clinical threshold levels on all measures of depression, posttraumatic stress, anxiety, and internalizing/externalizing s...
Article
Full-text available
Background and objectives: The vast majority of youth who lived through the Bosnian war were exposed to multiple traumatic events, including interpersonal violence, community destruction, and the loss of a loved one. This study examined factors that predict post-war psychological adjustment, specifically posttraumatic stress, in Bosnian adolescent...
Article
Full-text available
Mother-child communication may be an important factor in determining children's grief reactions following the death of the father. Using observational methods, the current study suggests that mothers' warm, sensitive, and engaged communication is associated with lower levels of maladaptive grief and depressive symptoms in children whose fathers hav...
Article
Full-text available
The high prevalence of trauma exposure in mental health service-seeking populations, combined with advances in evidence-based practice, competency-based training, common-elements research, and adult learning make this an opportune time to train the mental health workforce in trauma competencies. The Core Curriculum on Childhood Trauma (CCCT) utiliz...
Article
This study examined bereaved children's HPA-axis functioning (cortisol awakening response; CAR) in relation to psychological distress, coping, and surviving parents' grief reactions. Participants included 38 children (20 girls) with recent parental loss (previous 6 months) and 28 of their surviving caregivers (23 women) who were assessed using self...
Article
Full-text available
Suicidal ideation substantially increases the odds of future suicide attempts, and suicide is the second leading cause of death among adolescents. A history of adverse life events has been linked with future suicidal ideation and attempts, although studies examining potential mediating variables have been scarce. One probable mediating mechanism is...
Article
The current study examined coping and psychiatric symptoms in a longitudinal sample of sexually abused children. Coping was behaviorally coded from children's forensic interviews in the aftermath of sexual abuse. Using principal components analysis, coping behaviors were found to cluster into 3 categories: avoidant, expressive, and positive affecti...
Article
To examine potential differences in psychiatric symptoms between parent-bereaved youth (N = 172), youth who experienced the death of another relative (N = 815), and nonbereaved youth (N = 235), aged 11 to 21 years, above and beyond antecedent environmental and individual risk factors. Sociodemographics, family composition, and family functioning we...
Article
The goals of this research are to develop and test a prospective model of attention problems in sexually abused children that includes fixed variables (e.g., gender), trauma, and disclosure-related pathways. At Time 1, fixed variables, trauma variables, and stress reactions upon disclosure were assessed in 156 children aged 8-13 years. At the Time...
Article
The authors tested the hypothesis that children who are maltreated earlier in life are at greater risk for poor psychological functioning in adulthood than those maltreated later in life. Age of onset of maltreatment was assessed with 3 classifications: (a) continuous (ages 0-11 years); (b) dichotomous (early [ages 0-5 years] vs. later [ages 6-11 y...
Article
Full-text available
To develop a model of risk factors for posttraumatic stress disorder (PTSD) symptoms in parents of children with burns. Immediately following the burn and 3 months later, parents reported on their children's and their own psychological functioning and traumatic stress responses. Approximately 47% of the parents reported experiencing significant pos...
Article
There is a great need to better understand the impact of traumatic events very early in life on the course of children's future development. This report focuses on the intriguing case of a girl who witnessed the murder of her mother by her father at the age of 19 months and seemed to have no recollection of this incident until the age of 11, when s...
Article
To assess the incidence of and risk factors for Acute Stress Disorder (ASD) in children with injuries. Numerous studies have documented the increased incidence of PTSD in those initially diagnosed with ASD. PTSD symptoms cause tremendous morbidity and may persist for many years in some children. Children hospitalized with one or more injuries were...
Article
Background: To assess the incidence of and risk factors for Acute Stress Disorder (ASD) in children with injuries. Numerous studies have documented the increased incidence of PTSD in those initially diagnosed with ASD. PTSD symptoms cause tremendous morbidity and may persist for many years in some children. Methods: Children hospitalized with one o...
Article
Full-text available
The goal of this research was to develop and test a prospective model of posttraumatic stress symptoms in sexually abused children that includes pretrauma, trauma, and disclosure-related pathways. At time 1, several measures were used to assess pretrauma variables, trauma variables, and stress reactions upon disclosure for 156 sexually abused child...
Article
Full-text available
To determine whether child physical maltreatment early in life has long-term effects on psychological, behavioral, and academic problems independent of other characteristics associated with maltreatment. Prospective longitudinal study with data collected annually from 1987 through 1999. Randomly selected, community-based samples of 585 children fro...
Article
Full-text available
The purpose of this study was to identify kindergarten-age predictors of early-onset substance use from demographic, environmental, parenting, child psychological, behavioral, and social functioning domains. Data from a longitudinal study of 295 children were gathered using multiple-assessment methods and multiple informants in kindergarten and 1st...
Article
Full-text available
Examined the relation between early anxiety symptomatology (generalized and separation) and initiation of alcohol use 4 years later in an epidemiological sample of 936 children (45% girls), assessed at ages 9, 11, and 13, while controlling for the effects of depression. Although earlier overall anxiety symptomatology was unrelated to later onset of...