Roland Maiuro

Albert Einstein Healthcare Network · Moss Rehabilitation Research Institute

Objective: The investigators examined predictors of treatment response to anger self-management training (ASMT) among patients with chronic moderate-severe traumatic brain injury (TBI). Methods: A multicenter randomized clinical trial comprising 90 participants with moderate-severe TBI was conducted. Fifty-four participants who were randomly ass...

Objectives Treatment enactment, a final stage of treatment implementation, refers to patients’ application of skills and concepts from treatment sessions into everyday life situations. We examined treatment enactment in a two-arm, multicenter trial comparing two psychoeducational treatments for persons with chronic moderate to severe traumatic brai...

Anger and irritability are important clinical problems in acquired brain injury, including traumatic brain injury (TBI) and stroke. Presentations vary widely, from agitation and aggression during the acute confusional state following TBI to chronic problems with temper control that undermine employment, relationships, and community participation. A...

Objective: To test efficacy of 8-session, 1:1 treatment, anger self-management training (ASMT), for chronic moderate to severe traumatic brain injury (TBI). Setting: Three US outpatient treatment facilities. Participants: Ninety people with TBI and elevated self-reported anger; 76 significant others (SOs) provided collateral data. Design: Mu...

Anger and irritability are important and persistent clinical problems following traumatic brain injury (TBI). Treatment options include medications, behavioral modification, and psychotherapies, but some are impractical and none have proven efficacy with this population. We describe a randomized multi-center clinical trial testing a novel, one-on-o...

: To examine the feasibility and gather preliminary data on the efficacy of a fully manualized, 8-session, psychoeducational treatment for irritability and anger after traumatic brain injury (TBI), called anger self-management training (ASMT). : A total of 10 persons with moderate to severe, chronic TBI with significant cognitive impairment and ele...

The articles in this special issue reflect promising initial applications of the TTM and the concept of motivation to change with respect to victims and perpetrators of intimate partner abuse. These studies illustrate both the benefits and the challenges inherent in assessing and applying the concepts of readiness and motivation to change in this a...

We empirically surveyed and analyzed existing standards for the treatment of perpetrators of domestic violence across the United States. Specific areas examined included: presence and scope; administrative entity for certifying; screening and risk assessment protocols; minimum length of treatment; theoretical or conceptual orientation; treatment co...

Domestic violence (DV) is a common, under-recognized source of visits to health care professionals. Even when recognized, physicians are reluctant to deal with DV, citing a lack of education and lack of confidence in addressing issues presented by DV patients. Only a small number of DV education programs have been shown to lead to improvements in p...

An empirical review and critique of existing state standards for batterer programs in the domestic violence field appeared timely, given the current debate about their status and utility. Although there has been a considerable amount of polemic discussion of the topic, relatively limited data have been reported. The present article surveyed the con...

Despite rapid proliferation of descriptive studies of health care providers (HCPs) and protocols for identification and management of domestic violence (DV), few reliable instruments exist for assessing HCPs' attitudes, beliefs, and behaviors regarding this practice. This study describes the development and psychometric properties of a measure of a...

Diagnosis of domestic violence (DV) in primary care is low compared to its prevalence. Care for patients is deficient. Over a 1-year period, we tested the effectiveness of an intensive intervention to improve asking about DV, case finding, and management in primary care. The intervention included skill training for providers, environmental orchestr...

To assess the attitudes and beliefs of the primary care provider team (physicians, physician assistants, nurses, and medical assistants) toward the identification and management of abused patients and perpetrators of domestic violence (DV). Survey of the health care team using a confidential questionnaire. Five primary care clinics with 240 provide...

Domestic violence as encountered in day-to-day practice is greatly underidentified. It is estimated that only 3% of cases are presently being identified, and practitioners are uncertain of what to do if a case is discovered. In this paper, a training program to improve identification and management of domestic violence (DV) in primary care and the...

In an attempt to further evolve our understanding and response to domestic violence as a public health problem, a number of investigators have begun to prioritize the development of specialized diagnostic and intervention methods from a biomedical perspective. The potential use of selectively prescribed and carefully monitored medications to help e...

Individuals with schizophrenia use cigarettes at a rate significantly above that of the general population. A variety of explanations for this phenomenon are available, with none taking precedence. In this study the authors examined 80 schizophrenic individuals in an intensive community support program. Eighty-eight percent are current smokers and...

Individuals with schizophrenia use cigarettes at a rate significantly above that of the general population. A variety of explanations for this phenomenon are available, with none taking precedence. In this study the authors examined 80 schizophrenic individuals in an intensive community support program. Eighty‐eight percent are current smokers and...

This study used the following model of distress: Distress = [Exposure to Stress + Vulnerability]/[Psychological and Social Resources]. The constructs in the model were operationalized as (a) distress in response to caregiver experiences (burden); (b) exposure to stress (care recipient functional impairment in activities of daily living [ADLs]); (c)...

This study used the following model of distress: Distress = [Exposure to Stress + Vulnerability]/[Psychological and Social Resources]. The constructs in the model were operationalized as (a) distress in response to caregiver experiences (burden); (b) exposure to stress (care recipient functional impairment in activities of daily living [ADLs]); (c)...

The Screen for Caregiver Burden (SCB) is a measure designed to identify distressing caregiver experiences rapidly. The 25-item SCB, created specifically for spouse caregivers of Alzheimer's care recipients, provides scores for objective burden (OB; number of potentially negative experiences) and subjective burden (SB; appraised distress in response...

The goodness of fit among the appraised changeability of a stressor, coping, and depression in people with psychiatric, physical health, work, and family problems was examined (N = 746). It was expected that problem-focused coping (as opposed to emotion-focused coping) would be used more and be more adaptive in situations appraised as changeable as...

Compares the coping profiles of 11 samples (total N = 1,298) of individuals experiencing psychiatric, physical health, work, or family problems. Comparisons are made in individuals with and without anxiety and depression to control for the effects of distress. Coping was similar for samples in similar problem categories but different for samples in...

Compares the coping profiles of 11 samples (total N = 1,298) of individuals experiencing psychiatric, physical health, work, or family problems. Comparisons are made in individuals with and without anxiety and depression to control for the effects of distress. Coping was similar for samples in similar problem categories but different for samples in...

Hostility and depression were examined in male psychiatric patients who exhibited either assaultive (n = 40) or suicide-attempting behavior (n = 20). Both groups were compared to a sample of nonviolent males (n = 22) to provide a basis for interpreting the absolute as well as relative magnitude of these variables in relation to their violent behavi...

We first examined relations between psychiatric disorder and coronary heart disease (CHD) in 77 patients presenting with chest pain. The coping profiles of chest pain patients with and without psychiatric disorder and CHD were then compared. Psychiatric patients with no medical illness (n = 129) were also studied. On the basis of previous research...

Hostility and depression were examined in male psychiatric patients who exhibited either assaultive (n = 40) or suicide-attempting behavior (n = 20). Both groups were compared to a sample of nonviolent males (n = 22) to provide a basis for interpreting the absolute as well as relative magnitude of these variables in relation to their violent behavi...

We first examined relations between psychiatric disorder and coronary heart disease (CHD) in 77 patients presenting with chest pain. The coping profiles of chest pain patients with and without psychiatric disorder and CHD were then compared. Psychiatric patients with no medical illness (n = 129) were also studied. On the basis of previous research...

This longitudinal study investigated the relative importance of correlates of psychological distress in first year medical students (N = 312) in September and May. Anxiety levels were one SD above the mean when compared with nonpatient levels in both September and May, and the percentage of students reporting depression doubled over the study perio...

The prevalence of cigarette smoking in a CMHC population was surveyed and patient attitudes and affective reactions regarding the implementation of a no smoking policy were assessed. The prevalence of smoking (80-84%) was in line with previous reports which have suggested that an extraordinarily high percentage of psychiatric patients engage in cig...

A longitudinal study of perceived medical student stress (PMSS) was conducted on 305 first year medical students. Data were collected at orientation in September and again in May, 2 weeks before exams. Four types of students were identified using a standardized and reliable measure of PMSS. These included students whose PMSS scores began and ended...

During the first week of July 1988, the International Society of Research on Aggression (ISRA) conducted its Eighth World Conference at the University College of Swansea in Wales, United Kingdom. The present paper reviews some of the highlights of the recent conference, with particular attention given to those topics that might be of interest to re...

Medical student distress was examined in two consecutive first-year classes (N = 312) in September, before they interacted with the school regimen, and again in May before exams. Anxiety means were one SD above the normative mean for nonpatients at both times. The number of students reporting a significant level of depression doubled from September...

Anger, hostility, and depression were examined across four groups: a clinical sample of domestically violent men, two samples of more generally assaultive men, and a nonviolent control group. All subjects (N = 129) were assessed using the Buss-Durkee Hostility Inventory, the Hostility and Direction of Hostility Questionnaire, and the Beck Depressio...

Measures of appraisal, situational stressor, and locus of control were administered to first- and second-year medical students (n = 433). Based on a cognitive-phenomenological model of stress, it was hypothesized that appraisals of threat/challenge and change/accept would be related to locus of control differentially depending on the type of stress...

A brief, six-item measure was developed for the rapid screening and identification of anger and aggression levels in violence-prone men. Four studies were conducted to examine the reliability and validity of the measure using a clinical data base of 401 men. Analyses indicated a satisfactory degree of internal consistency, test-retest reliability,...

Several researchers have called for an interdisciplinary approach to the study of disaster. In this article, the authors discuss conceptual issues related to stress, distress, and disaster; survey pertinent contributions by reseachers; and provide a rationale for the use of a comprehensive, psychoepidemiologic model of distress as a possible means...

Several researchers have called for an interdisciplinary approach to the study of disaster. In this article, the authors discuss conceptual issues related to stress, distress, and disaster; survey pertinent contributions by reseachers; and provide a rationale for the use of a comprehensive, psychoepidemiologic model of distress as a possible means...

Illness behavior in panic disorder was examined by comparing the coping strategies of female primary care patients (34 with panic disorder, 30 with simple panic, and 78 without panic.) Relationships of coping and distress were also examined within each group. The groups differed significantly on the Ways of Coping Checklist, anxiety (SCL-90 and Zun...

Raw scores (frequency of efforts) versus relative scores (percentage of efforts) were compared on the five scales of the revised Ways of Coping Checklist. It was hypothesized that, conditional on the source of and appraisal of a stressor, problem-focused coping should be inversely related and Wishful Thinking should be positively related to depress...

Offense data and Minnesota Multiphasic Personality Inventory (MMPI) profiles were compiled for 406 hospitalized men who had sexually assaulted children. MMPI Scale 4 (Psychopathic Deviate) and Scale 8 (Schizophrenia) were both significantly elevated in the mean profile of this sample. However, contrary to some previous studies, no single 2-point MM...

Two types of assertiveness, the ability to refuse a demand or request and the ability to initiate a request or affirmatively express a need, were examined in a clinical sample of domestically violent men (N = 78) in contrast to a nonviolent comparison group (N = 29). No significant difference was found between the groups on refusal behavior. Howeve...

This study examined the psychometric properties of the "original" seven factored scales derived by Aldwin et al. from Folkman and Lazarus' Ways of Coping Checklist (WCCL) versus a revised set of scales. Four psychometric properties were examined including the reproducibility of the factor structure of the original scales, the internal consistency r...

The current data suggest that psychoeducational course offerings can significantly broaden a community mental health center's clientele and service impact. The phenomenon would appear to be partially attributable to the different demand characteristics inhenent in the student as opposed to patient role. In this sense, psychoeducational courses are...

In a study of 179 prostitutes and other female juvenile delinquents, most subjects were found to be androgynous or undifferentiated in terms of their sex-role orientation. Female subjects with a masculine sex-role orientation were found to have a relatively higher incidence of prostitution. Results raise question about the assumption of a simple an...

domestic violence: definitional issues guiding principles for treatment of abusers applications and interventions / Harborview Anger Management Program rationale / treatment techniques and components reassessment / men's workshop program rationale / men's workshop: treatment techniques and components program evaluation (PsycINFO Database Re...

Thesis--Washington University, 1978. Dept. of Psychology. Bibliography: leaves 89-100.