Dana Rofey's research while affiliated with University of Pittsburgh and other places

Publications (68)

Article
Objective Children and adolescents have greater resting cerebral blood flow (rCBF) during periods of rapid brain growth. Overweight and obesity have a global impact on brain cerebrovascular health in adults, but whether these effects are discernable in adolescents with overweight and obesity remains unknown. This study examined differences in rCBF...
Article
Purpose Parent and caregiver support can reduce health disparities experienced by gender diverse youth (GDY). Parent and caregiver empowerment improves health outcomes for children with medical and mental health diagnoses, but no existing scale measures this construct in families of GDY. We aimed to develop a scale measuring empowerment in parents...
Article
Depression is a disorder of dysregulated affective and social functioning, with attenuated responding to reward, heightened responding to threat (perhaps especially social threat), excessive focus on negative aspects of the self, ineffective engagement with other people, and difficulty modulating all of these responses. Known risk factors provide a...
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Weight-related quality of life (WRQOL) and generic health-related quality of life (HRQOL) have been identified as important patient-reported outcomes for obesity treatment and outcome research. This study evaluated patterns of WRQOL and HRQOL outcomes for adolescents at 24-months post-bariatric surgery relative to a nonsurgical comparator sample of...
Article
Objectives. To assess differences by gender of sexual partner in the association between sexual assault and alcohol use among women seeking care in college health centers. Methods. This longitudinal study comprised 1578 women aged 18 to 24 years visiting 28 college health centers in Pennsylvania and West Virginia from 2015 to 2018. We used multilev...
Article
Introduction Sexual violence, particularly in the context of drinking, is prevalent on college campuses. This study tested a brief intervention to prevent sexual violence among students receiving care from college health centers. Study design This study was a two-arm, unblinded cluster RCT. Setting/participants On 28 campuses with health/counseli...
Article
Background: Extant literature warns of elevated suicide risks in adults postbariatric surgery, making understanding risks for adolescent patients imperative. Objectives: To examine prevalence and predictors/correlates of suicidal thoughts and behaviors (STBs) in adolescents with severe obesity who did/did not undergo bariatric surgery from presu...
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Body mass index (BMI) is defined as weight (kg)/height2 (m2). Differences in BMI percentiles between sexes confound the diagnosis of weight-related disorders in transgender youth because choosing the appropriate chart is challenging. Data on BMI measures are needed for transgender youth, but there are no guidelines on how to collect or report this...
Article
Purpose: Increasing numbers of transgender youth are receiving hormone therapy in accordance with national and international guidelines. This study sought to determine the effect of testosterone on body mass index (BMI) z-score in transmasculine adolescents at 6 and 12 months after initiation. Methods: A retrospective chart review collected anth...
Article
Turban and van Schalkwyk assert in their Translations article, “‘Gender Dysphoria’ and Autism Spectrum Disorder: Is the Link Real?,”¹ that an over-representation of autism spectrum disorder (ASD) in gender dysphoria is unsupported based on current evidence. They suggest that increases on ASD-related measures in transgender and gender-diverse groups...
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Objectives: Insufficient sleep can increase risk for adverse psychological and physical outcomes. Parental monitoring of daily activities is associated with youth health behaviors. We examined parental monitoring of waking and bedtime behaviors and sleep in a community sample of high-risk youth. Methods: One-hundred sixty-five 10- to 14-year-old...
Article
Purpose: We aimed to characterize prevalence, change, predictors, and correlates of psychopathology and associations with weight loss in adolescents with severe obesity 24 months after weight loss surgery (WLS) utilizing a controlled multisite sample design. Methods: Adolescents undergoing WLS (n = 139) and nonsurgical comparisons with severe ob...
Article
Study objective: To examine the impact of childhood trauma and family history of psychiatric illness on weight loss trajectories of obese, adolescent females with PCOS. Design: Prospective Study SETTING: PCOS and Adolescent Medicine Outpatient Clinics PATIENTS: Participants were, on average, 15.8 years, 80% Caucasian, and had a BMI of 36.8 ± 8.8...
Article
Introduction: Sexual violence (SV) on college campuses is common, especially alcohol-related SV. This is a 2-arm cluster randomized controlled trial to test a brief intervention to reduce risk for alcohol-related sexual violence (SV) among students receiving care from college health centers (CHCs). Intervention CHC staff are trained to deliver uni...
Article
Adolescence is a dynamic period of learning and adaptation. It provides unique opportunities in which adolescents strive to become independent, generative young adults. However, with these strides come increased prevalence in psychiatric symptomatology. Among adolescent girls, anxiety disorders are the most common condition followed by mood disorde...
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OBJECTIVE: Parents of overweight and obese children often underestimate the severity of their child’s weight problem, which may influence the parent’s anticipated need for weight loss treatment and parent’s concern for future weight problems in their child. The purpose of this study is to examine the influence of individuals who have expressed conc...
Article
Objective: To comprehensively assess family characteristics of adolescents with severe obesity and whether family factors impact weight loss outcomes following weight loss surgery (WLS). Methods: Multisite prospective data from 138 adolescents undergoing WLS and primary caregivers (adolescent: Mage = 16.9; MBMI = 51.5 kg/m(2) ; caregiver: Mage =...
Article
Objective To examine the associations of peer victimization with internalizing symptoms, externalizing symptoms, social competence, and academic performance in a clinical sample of adolescents with severe obesity, and whether self-worth and social support affect these associations. Methods Multisite cross-sectional data from 139 adolescents befo...
Article
Objective: This study assessed loss of control (LOC) eating and eating disorders (EDs) in adolescents undergoing bariatric surgery for severe obesity. Method: Preoperative baseline data from the Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) multisite observational study (n = 242; median BMI = 51 kg/m(2) ; mean age= 17; 76% female...
Article
Background: Motivational interviewing (MI) is a collaborative, evidence-based, person-centred counselling style for addressing ambivalence about behaviour change. Despite its proven effectiveness, there is little formal instruction of MI in paediatric training programmes. Methods: Second-year paediatric residents participated in a 4-hour MI work...
Article
Type 2 Diabetes Mellitus (T2DM) and obesity are linked to specific patterns of subcortical brain atrophy and decreased microstructural integrity of white matter. Fifteen adolescents (12-21-years-old, 80% Caucasian, 15% African American, mean BMI=32)-five with T2DM confirmed by oral glucose tolerance test, five matched obese adolescent controls with...
Article
The psychosocial health of adolescents with severe obesity (BMI ≥ 120% for age and gender) has only recently been the focus of empirical work. This multisite study-an ancillary to a prospective longitudinal observational study documenting health in adolescents having weight loss surgery (WLS)-presents preoperative/baseline data from 141 WLS adolesc...
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Objective To characterize prevalence and correlates of child maltreatment (CM) in a clinical sample of adolescents with severe obesity. Method Multicenter baseline data from 139 adolescents undergoing weight loss surgery (Mage = 16.9; 79.9% female, 66.2% White; Mbody mass index [BMI] = 51.5 kg/m2) and 83 nonsurgical comparisons (Mage = 16.1; 81.9%...
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To assess links between comorbid health status, severe excess weight, and weight-related quality of life (WRQOL) in adolescents with severe obesity and undergoing weight-loss surgery (WLS) to inform clinical care. Baseline (preoperative) data from Teen Longitudinal Assessment of Bariatric Surgery, a prospective multicenter observational study of 24...
Article
To provide initial insight into physical activity patterns and predictors of moderate to vigorous physical activity (MVPA) in youth with polycystic ovary syndrome (PCOS) by using a multisensor activity monitor. Cross-sectional study analyzing baseline MVPA data using real-time continuous monitoring of physical activity. Body mass index (BMI) and de...
Article
Preclinical studies have established that anesthesia is toxic to the brain in neonatal animals, but scant research investigates the neurodevelopmental effects of exposure to anesthesia. In this article, we discuss the issue of outcome measurement of children after anesthesia administered between infancy and approximately 4 years of age. Recent stud...
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Objective: Parents of overweight and obese children often underestimate the severity of their child’s weight problem, which may influence the parent’s anticipated need for weight loss treatment and parent’s concern for future weight problems in their child. The purpose of this study is to examine the influence of individuals who have expressed conc...
Conference Paper
Purpose: To adapt a hospital-based pediatric weight management program for use in primary care (PC) and train and support PC providers to deliver the program. Methods: Using the Chronic Care Model as a framework, a children's hospital-based multidisciplinary team of obesity specialists partnered with a large network of pediatric PC practices to (1)...
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Self-regulation-the ability to manage motivations, emotions, physiological sensations, and behavior to meet internal and external demands of the environment-is critical to health and development. Adolescence represents a dynamic period of change in both the demand and capacity for self-regulation. As teens mature and become more autonomous, they ar...
Conference Paper
Even though several evidence-based interventions have been developed to address problem behavior of at-risk youth, identifying real-world delivery contexts for offering and engaging at-risk youth in such interventions presents a challenge. The current paper discusses the use of a pediatric platform to engage at-risk emerging adolescents in a preven...
Article
Although higher rates of depression are found among individuals with type 2 diabetes, it remains unknown if the presence of depressive symptoms is associated with heightened metabolic risk for the development of type 2 diabetes among youth. The objective of this study was to evaluate whether depressive symptoms in obese adolescents are associated w...
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Evidence supports the importance of parental involvement for youth’s ability to manage weight. This study utilized the stages of change (SOC) model to assess readiness to change weight control behaviors as well as the predictive value of SOC in determining BMI outcomes in forty adolescent-parent dyads (mean adolescent age = 15 ± 1.84 (13–20), BMI =...
Article
Objective: Obesity and decreased physical health are linked to deficits in several cognitive domains. The broad range of cognitive problems linked to obesity suggests a global mechanism that may interfere with multiple neural systems. We examined how variation in body mass index (BMI) is associated with the microstructural integrity of fiber conne...
Article
To explore associations between measures of obstructive sleep apnea (OSA) and sleep quality, anthropometrics, and neurocognitive functioning in severely obese adolescents. This was a cross-sectional pilot study performed at an academic medical center in 37 severely obese (body mass index [BMI] >97th percentile) adolescents. Study evaluations includ...
Chapter
In the resource model of attention, the human mind is conceptualized as a limited-capacity information processing system. When “reserves” of mental energy are depleted, cognitive functioning and reactions to stimuli may be altered. Individuals with disordered eating may show delayed processing and increased mental workload pertaining to food-relate...
Article
The implementation of behavioral, cognitive, and motivational strategies, alongside dietary and physical activity modifications, has proven to be effective in managing the weight status of overweight youth. Underscoring the importance of early intervention for obesity is the finding that long-term weight loss has been shown to be more successful wi...
Article
Physical activity (PA) tends to decrease from adolescence to young adulthood, and factors that have been proposed to contribute to this decrease are life transitions. The focus of this study is to examine life transitions, such as marriage and parenthood, and the impact they may have on the physical activity levels of young adults. This 2-year pros...
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This study examined the feasibility of using Ecological Momentary Assessment (EMA) to examine important domains relevant to interregulatory health processes in overweight adolescent females in their natural environments. Participants were 20 overweight adolescent females engaged in a cognitive-behavioral and motivational interviewing intervention a...
Article
The present study introduces a novel paradigm that combines the clinical aspects of disordered eating and problematic drinking utilizing mental demand to measure the information-processing load imposed by a task. A total of 175 female undergraduates (median age = 19) rated the mental demand of receiving alcohol- and food-related olfactory cues and...
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Adult mood disturbances are highly correlated with obesity, although little is known about the developmental relationship between mood disorders and weight. This study investigated the relationship between childhood psychopathology and weight over the course of 3 years. Body Mass Index (BMI) percentiles and demographic data of children (ages 8-18)...
Article
Short sleep duration is associated with obesity, but few studies have examined the relationship between obesity and specific physiological stages of sleep. To examine specific sleep stages, including rapid eye movement (REM) sleep and stages 1 through 4 of non-REM sleep, in relation to overweight in children and adolescents. A total of 335 children...
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To evaluate the feasibility and effectiveness of an enhanced cognitive-behavioral therapy (CBT), Primary and Secondary Control Enhancement Training (PASCET-PI-2), for physical (obesity) and emotional (depression) disturbances in adolescents with polycystic ovary syndrome (PCOS). In an open trial, 12 adolescents with PCOS, obesity, and depression un...
Article
There have been few comprehensive studies of nutrition and exercise behaviors among patients with bipolar disorder (BPD). Based on a national sample of patients receiving care in the Veterans Affairs (VA) health care system, we compared nutrition and exercise behaviors among individuals diagnosed with BPD, others diagnosed with schizophrenia, and o...
Article
This study compared perceptions and metaperceptions after a social interaction between a woman with disordered eating (subclinical bulimia nervosa) and a female interaction partner. Hypotheses were: women with disordered eating would have more negative metaperceptions of social interactions than women without disordered eating, and women with disor...
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The present study was designed to document psychiatric disorders among candidates for weight loss surgery and to examine the relationship of psychopathology to degree of obesity and functional health status. The authors collected demographic and clinical information from 288 individuals seeking surgery. Assessments were administered independently o...
Article
Objectives: The present study introduced a novel paradigm that combined sex differences and alcohol expectancy within an information-processing framework. Methods: Forty-seven men and 77 women undergraduates who consumed alcohol performed a disorder-salient Stroop task consisting of alcohol words. Results: Results showed that men consumed alcohol 5...
Article
Prevalence data and theoretical models suggest that socially anxious individuals comprise a significant subset of college hazardous drinkers and may benefit from brief interventions for both alcohol and social anxiety problems. The present study compared hazardous drinkers who have high social anxiety (HD-HSA) with hazardous drinkers who have low s...
Article
Cognitive processing differences based on attentional biases of words pertaining to eating disorders were investigated to assess people's pathological thoughts. Participants were 165 undergraduate women (mean age=19.2) at a large Midwestern university. This Stroop task that included color identification of three word groups (food-related words, neu...

Citations

... Fifth, the current study only investigated the general network structure of depression in common samples of Chinese adolescents. However, the structures of depression can be different for adolescents faced with specific risk factors (e.g., sexual minority) (Forbes et al., 2021;Lucassen et al., 2017). Future research examining the network structures of depression in relation to different predisposing factors would broaden our understanding of the relationships within symptoms of depression as well as with other correlates (e.g., Choi et al., 2017). ...
... The data analyzed to explore this research question was gathered through a parent study evaluating the efficacy of a brief universal intervention to reduce alcohol related sexual violence on 28 campuses in Western Pennsylvania and West Virginia (Abebe et al., 2018;Miller et al., 2020). All participants in the parent study were recruited through their campus health or counseling centers. ...
... Among the salient factors are (1) alcohol use by the victim and perpetrator, (2) relationship to the person who perpetrated the violence, and (3) location of the victimization. First, the relationship between campus SV victimization and alcohol is well established (Abbey, 2017;Abbey et al., 2004;Bonar et al., 2020;Cantor et al., 2020;McCauley et al., 2020), including among sorority women (Kingtree & Thompson, 2020;Mohler-Kuo et al., 2004). A recent compilation of campus climate studies on SV showed most women reporting victimization, regardless of whether it was completed or attempted, indicated that they and the person who perpetrated against them had been drinking alcohol (Cantor et al., 2020). ...
... Several studies have identified excessive alcohol use as an important correlate risk factor of DV (Hill et al., 2020;Shorey et al., 2011Shorey et al., , 2014. For example, research indicates that binge drinking is associated with all forms of DV whereby as instances of binge drinking and heavy drinking increased, so too did the perpetration of physical and psychological DV (Hill et al., 2020;Shorey et al., 2014). ...
... To our knowledge, few studies have examined young people. Our results are consistent with a study published in 2020 comparing adolescents aged 13e18 years with obesity who underwent bariatric surgery (mean age 17 years ± 1.4) or not (mean age 16 years ± 1.4), which did not find an association between bariatric surgery and suicidal behavior [46]. In our study, there was a low incidence rate of self-harm in the six-month period after surgery. ...
... During well visits and medication checks, monitor all aspects of growth -height, weight, and BMI. Be mindful that sex assigned at birth generally drives other genderrelated fields in the electronic medical record (EMR), including growth curves, unless the patient changes it, or the office EMR software specifically includes a field for gender identity [81,82]. Data on how to track growth patterns in TGD youth, including those with overweight/obesity, are lacking [82]. ...
... [6][7][8] Current clinical practice guidelines recommend counseling transgender youth and families about potential cardiometabolic effects of testosterone. 5 However, recent studies demonstrate conflicting results on BMI changes and lipids after starting testosterone, [9][10][11][12][13] and it remains unknown whether these changes are solely influenced by testosterone exposure or whether differences in diet and physical activity in a population with a higher incidence of mental health disorders 14 also play a role. Furthermore, many studies have lacked a comparison group. ...
... All physical parameters in our study, including snoring, pain related to weight, physical activity, and energy level, improved postoperatively following MBS, by previous literature's physical subscales (19,(21)(22)(23). A study that evaluated the quality of life using SF-36 on adolescents showed that reflux, nausea, and diarrhea after surgery worsened physical status over time, but remained higher than baseline and showed that the highest improvement after surgery was related to physical functioning, physical role functioning and general health (19). ...
... In recent years, there has been an increasing number of studies focusing on the intersection of autism and gender diverse identities (de Vries et al., 2010;Strang et al., 2018aStrang et al., , 2018b. One study of 204 adolescents within a gender identity clinic in the Netherlands reported that 7.8% (n = 16) of their cohort of 204 children and adolescents were diagnosed with ASD (de Vries et al., 2010). ...
... In support of general parenting effects on adolescent sleep, prior research has found that adolescents who perceive their parents as being positively involved and knowledgeable of their whereabouts reported greater sleep duration, better sleep quality, and less daytime sleepiness (Meijer et al., 2016). This could be because involved parents can foster a sense of emotional security and predictability that is conducive to sleep (Gunn et al., 2019), and encourage healthy sleep habits through rule setting (Roblyer & Grzywacz, 2015). Parents can also impact adolescent sleep by regulating their media use, which we refer to as media-specific parenting behaviors. ...