2025
Impacts of chronic suicidal ideation on parenting and child development: A longitudinal mother-child cohort study in Pakistan
Hagaman A, Frost A, Sanborn K, Zhou Y, Gallis J, Turner E, Sikander S, Rahman A, Bates L, Saeed G, Mumtaz S, Bibi A, Malik A, Maselko J. Impacts of chronic suicidal ideation on parenting and child development: A longitudinal mother-child cohort study in Pakistan. Social Science & Medicine 2025, 383: 118463. PMID: 40763404, PMCID: PMC12392297, DOI: 10.1016/j.socscimed.2025.118463.Peer-Reviewed Original ResearchConceptsIntergenerational transmissionIntimate partner violenceMaternal educational attainmentPartner violenceSuicidal ideationSI trajectoryYears of child ageEducational attainmentFine motor developmentSocioemotional scoresMiddle-income countriesMother-childChild developmentMother-child cohort studySocioemotional outcomesMotor developmentSuicide prevention programsLongitudinal trajectoriesMother-child dyadsChronic suicidal ideationSuicidal ideation groupChild ageMaternal depressionYear postpartumLinear mixed effects modelsImplementing LGBTQ-affirmative CBT: study protocol for an effectiveness-implementation trial at 90 LGBTQ community centers
Pachankis J, Chiaramonte D, Baldwin H, Prachniak C, Levine D, Van S, Hobbs R, Ankrum H, Wilkins L, Harvey T, Harkness A, Jackson S, Matsuno E, Soulliard Z, Last B, Burger J, Delehant M, Zhou X, Hagaman A, Li D, Mustanski B. Implementing LGBTQ-affirmative CBT: study protocol for an effectiveness-implementation trial at 90 LGBTQ community centers. BMC Health Services Research 2025, 25: 962. PMID: 40691571, PMCID: PMC12278521, DOI: 10.1186/s12913-025-13136-3.Peer-Reviewed Original ResearchConceptsCognitive-behavioral therapyEvidence-based practiceLGBTQ community centersEffectiveness-implementation trialCommunity centersMental healthTraining of mental health providersTrain-the-trainer formatEvidence-based practice implementationLack of evidence-based practiceHealth disparity populationsMental health providersMental health disparitiesClients' mental healthMixed-methods designLow-resource settingsYear of supervisionProvider fidelityClinical effectiveness outcomesHealth disparitiesImplementation determinantsHealth providersCBT skillsWebinar trainingDisparate populations
2024
Piloting Implementation Design and Preliminary Readiness for Universal Suicide Risk Screening Program in Emergency Department of a Tertiary Care Centre, Nepal: A Mixed Method Study
Shrestha A, Shrestha R, Shakya R, Paudel P, Sorenson M, Gurung A, Bajracharya R, Risal A, Vijayakumar L, Hagaman A. Piloting Implementation Design and Preliminary Readiness for Universal Suicide Risk Screening Program in Emergency Department of a Tertiary Care Centre, Nepal: A Mixed Method Study. Journal Of Nepal Medical Association 2024, 62: 803-813. PMID: 40654395, PMCID: PMC11930060, DOI: 10.31729/jnma.8832.Peer-Reviewed Original ResearchConceptsSuicide risk screening programSystem prioritiesEmergency departmentScreening programImplementation packageNepal Health Research CouncilCo-design focus groupsHealth system strategiesStaff focus groupsMixed methods studyHealth Research CouncilSuicide screening toolKnowledge of staffPilot studyImplementation assessmentScreening uptakeEthical Review BoardScreening acceptanceAnticipated stigmaImplementation trialReferral processScreening packageInstitutional ethics review boardFocus groupsTertiary care centreTrauma exposure among young children in rural Pakistan: Associations with gender, mental health, and cognitive skills
Frost A, Collins A, Chung E, Escobar Carias M, Hagaman A, Gupta S, Bibi A, Sikander S, Maselko J. Trauma exposure among young children in rural Pakistan: Associations with gender, mental health, and cognitive skills. BMC Psychology 2024, 12: 454. PMID: 39183356, PMCID: PMC11346172, DOI: 10.1186/s40359-024-01944-x.Peer-Reviewed Original ResearchConceptsChild mental healthMental healthLow-resource settingsAssociated with increased mental health difficultiesRural PakistanMental health difficultiesTrauma exposureMental health problemsStrength of associationSample of mother-child dyadsIncreased anxiety scoresChildren's lifetime exposureTrauma-informed interventionsMother-child dyadsCognitive healthAssociated with genderHealth difficultiesBackgroundThe burdenAnxiety scoresHealth problemsHealthLifetime exposureExperience traumaChildren's cognitive skillsCognitive skills“WOOP is my safe haven”: A qualitative feasibility and acceptability study of the Wish Outcome Obstacle Plan (WOOP) intervention for spouses of people living with early‐stage dementia
Mroz E, Schwartz A, Valeika S, Oettingen G, Marottoli R, David D, Hagaman A, Fedus D, Monin J. “WOOP is my safe haven”: A qualitative feasibility and acceptability study of the Wish Outcome Obstacle Plan (WOOP) intervention for spouses of people living with early‐stage dementia. International Journal Of Geriatric Psychiatry 2024, 39: e6092. PMID: 38687142, PMCID: PMC11448666, DOI: 10.1002/gps.6092.Peer-Reviewed Original ResearchConceptsSpouses of peopleLongitudinal semi-structured interviewsEarly-stage dementiaCodebook thematic analysisSemi-structured interviewsCare partnersIntervention deliveryBaseline strengthThematic analysisMeta-themesQualitative studyBehavioral interventionsAreas of improvementDementiaQualitative feasibilityMental exerciseInterventionSpousesWell-beingEmotional stressorsIntervention mechanismsParticipantsAcceptability studyWishesPeopleChildhood parental bonding and depression in adulthood: A study of mothers in rural Pakistan
Frost A, Hagaman A, Bibi A, Bhalotra S, Chung E, Haight S, Sikander S, Maselko J. Childhood parental bonding and depression in adulthood: A study of mothers in rural Pakistan. Journal Of Affective Disorders 2024, 356: 715-721. PMID: 38663557, PMCID: PMC11103589, DOI: 10.1016/j.jad.2024.04.090.Peer-Reviewed Original ResearchConceptsParental Bonding InstrumentStructured Clinical Interview for DSM DisordersRisk of depressionPsychological controlParenting behaviorsMental healthAssociated with decreased risk of depressionParent-child relationship qualityMeasures of parental controlAssociated with increased risk of depressionDepression in adulthoodRural PakistanMental health of childrenBehavioral controlRetrospective self-reportsMothers' parenting behaviorImpact of parenting behaviorsChild mental healthChildhood parental bondingAssociated with decreased riskHealth of childrenCross-sectional studyAssociated with increased riskDSM disordersAdulthood depression
2022
Non-linear associations between HPA axis activity during infancy and mental health difficulties during early childhood among children in rural Pakistan.
Frost A, Hagaman A, Baranov V, Chung EO, Bhalotra S, Sikander S, Maselko J. Non-linear associations between HPA axis activity during infancy and mental health difficulties during early childhood among children in rural Pakistan. Development And Psychopathology 2022, 35: 2086-2095. PMID: 35959681, PMCID: PMC9922341, DOI: 10.1017/s0954579422000773.Peer-Reviewed Original ResearchConceptsHPA axis activityMental health difficultiesAxis activityHealth difficultiesEarly childhoodHypothalamic pituitary adrenal axis activityPituitary-adrenal axis activitySDQ scoresAdrenal axis activityNon-linear associationLongitudinal cohortDepression trialsQuadratic associationHair cortisolDehydroepiandosteroneRural PakistanMental healthCortisolEarly adversitySignificant quadratic associationDifficulties QuestionnaireLow-resource contextsChildhoodChildrenAssociationAdverse childhood experiences and implications of perceived stress, anxiety and cortisol among women in Pakistan: a cross-sectional study
Ikram N, Frost A, LeMasters K, Hagaman A, Baranov V, Gallis J, Sikander S, Scherer E, Maselko J. Adverse childhood experiences and implications of perceived stress, anxiety and cortisol among women in Pakistan: a cross-sectional study. BMJ Open 2022, 12: e052280. PMID: 35428618, PMCID: PMC9014037, DOI: 10.1136/bmjopen-2021-052280.Peer-Reviewed Original Research
2019
Father involvement in the first year of life: Associations with maternal mental health and child development outcomes in rural Pakistan
Maselko J, Hagaman AK, Bates LM, Bhalotra S, Biroli P, Gallis JA, O'Donnell K, Sikander S, Turner EL, Rahman A. Father involvement in the first year of life: Associations with maternal mental health and child development outcomes in rural Pakistan. Social Science & Medicine 2019, 237: 112421. PMID: 31398510, PMCID: PMC6708722, DOI: 10.1016/j.socscimed.2019.112421.Peer-Reviewed Original ResearchConceptsMaternal mental healthMonths postpartumMaternal depressionMental healthPerinatal depression interventionChild growthFirst yearDepression interventionsFather involvementProtective associationHigh-income countriesMost mothersBirth cohortChild development outcomesChild developmentPostpartumEffect estimatesProtective patternTime pointsDevelopmental milestonesConfidence intervalsRural settingsLongitudinal dataDepressionIncome countriesCohort Profile: Perinatal depression and child socioemotional development ; the Bachpan cohort study from rural Pakistan
Sikander S, Ahmad I, Bates LM, Gallis J, Hagaman A, O’Donnell K, Turner EL, Zaidi A, Rahman A, Maselko J. Cohort Profile: Perinatal depression and child socioemotional development ; the Bachpan cohort study from rural Pakistan. BMJ Open 2019, 9: e025644. PMID: 31061029, PMCID: PMC6502044, DOI: 10.1136/bmjopen-2018-025644.Peer-Reviewed Original ResearchConceptsSocioemotional developmentDetrimental developmental outcomesChildren's socioemotional developmentMother-child dyadsPerinatal depressionEffect of depressionSocioemotional measuresChild developmentDevelopmental outcomesPsychosocial measuresPoor child developmentPregnancy birth cohortChild's ageSchool environmentCohort studyInflammatory biomarkersChronic courseEligible dyadsPregnant womenRisk factorsBaseline assessmentRepeated measuresDyadsDepressionChildrenThe relationship between responsive caregiving and child outcomes: evidence from direct observations of mother-child dyads in Pakistan
Scherer E, Hagaman A, Chung E, Rahman A, O’Donnell K, Maselko J. The relationship between responsive caregiving and child outcomes: evidence from direct observations of mother-child dyads in Pakistan. BMC Public Health 2019, 19: 252. PMID: 30819173, PMCID: PMC6396475, DOI: 10.1186/s12889-019-6571-1.Peer-Reviewed Original ResearchConceptsChildren's socioemotional developmentResponsive caregivingSocioemotional developmentChild developmentCaregiving behaviorChild outcomesMother-child interaction measuresMaternal depressionChildren's socioemotional outcomesMother-child dyadsChild development outcomesHierarchical linear regressionSocioemotional outcomesChild's signalsChild behaviorHome ObservationHOME scoresPhysical outcomesCaregivingLongitudinal studyLower scoresChild's lifeBook activitiesCross-sectional associationsBaseline sociodemographic factors
2018
Suicide in Nepal: Qualitative Findings from a Modified Case-Series Psychological Autopsy Investigation of Suicide Deaths
Hagaman AK, Khadka S, Wutich A, Lohani S, Kohrt BA. Suicide in Nepal: Qualitative Findings from a Modified Case-Series Psychological Autopsy Investigation of Suicide Deaths. Culture, Medicine, And Psychiatry 2018, 42: 704-734. PMID: 29881930, PMCID: PMC6286252, DOI: 10.1007/s11013-018-9585-8.Peer-Reviewed Original ResearchConceptsPublic health gapsAnthropological scholarshipMigrant labourFamily membersCross-cultural researchAnthropological approachPower dynamicsSpousal abuseCircumstances of suicidePsychological autopsy approachLack of educationCultural narrativesFamily disputesSouth AsiaQualitative findingsSocial stigmaSuicide narrativesImmediate family membersResearch approachSuicide deathsRural NepalSurvivors of suicideNarrative reconstructionHealth gapAutopsy approach
2017
Suicide in Nepal: a modified psychological autopsy investigation from randomly selected police cases between 2013 and 2015
Hagaman AK, Khadka S, Lohani S, Kohrt B. Suicide in Nepal: a modified psychological autopsy investigation from randomly selected police cases between 2013 and 2015. Social Psychiatry And Psychiatric Epidemiology 2017, 52: 1483-1494. PMID: 28856382, PMCID: PMC5705471, DOI: 10.1007/s00127-017-1433-6.Peer-Reviewed Original Research
2016
Promotion of couples’ voluntary HIV counseling and testing: a comparison of influence networks in Rwanda and Zambia
Kelley AL, Hagaman AK, Wall KM, Karita E, Kilembe W, Bayingana R, Tichacek A, Kautzman M, Allen SA. Promotion of couples’ voluntary HIV counseling and testing: a comparison of influence networks in Rwanda and Zambia. BMC Public Health 2016, 16: 744. PMID: 27502690, PMCID: PMC4977827, DOI: 10.1186/s12889-016-3424-z.Peer-Reviewed Original ResearchConceptsHIV testingHIV preventionEvidence-based HIV preventionJoint HIV testingHIV test resultsVoluntary HIV counselingRwandan couplesHIV counselingVoluntary counselingAfrican adultsCVCTPast monthDemographic characteristicsFrequent sourceCounselingSub-Saharan African countriesHealth sectorPreventionTestingGroup forumCommunity leadersMonthsZambiaAn Investigation into Suicides Among Bhutanese Refugees Resettled in the United States Between 2008 and 2011
Hagaman AK, Sivilli TI, Ao T, Blanton C, Ellis H, Lopes Cardozo B, Shetty S. An Investigation into Suicides Among Bhutanese Refugees Resettled in the United States Between 2008 and 2011. Journal Of Immigrant And Minority Health 2016, 18: 819-827. PMID: 26758579, PMCID: PMC4905799, DOI: 10.1007/s10903-015-0326-6.Peer-Reviewed Original ResearchConceptsResettlement servicesRefugee communitiesRefugee servicesBhutanese refugeesRefugee populationsLack of careSelf-inflicted deathUnited StatesSocial supportFamily withdrawalPotential future avenuesPsychological autopsyFuture avenuesMigrantsRefugeesServicesMental healthSuicidal actsIntegration difficultiesSuicideMore researchCommunityDisappointmentActsExperience
2015
Depressive Trajectories and Risk of Disability and Mortality in Older Adults: Longitudinal Findings From the Health, Aging, and Body Composition Study
Murphy RA, Hagaman AK, Reinders I, Steeves JA, Newman AB, Rubin SM, Satterfield S, Kritchevsky SB, Yaffe K, Ayonayon HN, Nagin DS, Simonsick EM, Penninx BW, Harris TB, Study F. Depressive Trajectories and Risk of Disability and Mortality in Older Adults: Longitudinal Findings From the Health, Aging, and Body Composition Study. The Journals Of Gerontology Series A 2015, 71: 228-235. PMID: 26273025, PMCID: PMC4723662, DOI: 10.1093/gerona/glv139.Peer-Reviewed Original ResearchConceptsRisk of disabilityDepressive symptomsHazard ratioMortality riskEpidemiologic Studies Short Depression ScaleBody Composition StudyCox proportional hazardsDepressive symptom trajectoriesHealthy older populationSubclinical depressive symptomsPerson yearsDepressive trajectoriesDepression ScaleMortality rateGeriatric careProportional hazardsSymptom trajectoriesOlder populationMortalityOlder adultsSymptomsWomenDisabilityLongitudinal findingsMen
2013
Determinants of Care Seeking for Mental Health Problems in Rural Haiti: Culture, Cost, or Competency
Wagenaar BH, Kohrt BA, Hagaman AK, McLean KE, Kaiser BN. Determinants of Care Seeking for Mental Health Problems in Rural Haiti: Culture, Cost, or Competency. Psychiatric Services 2013, 64: 366-372. PMID: 23319081, DOI: 10.1176/appi.ps.201200272.Peer-Reviewed Original ResearchConceptsMental health careMental health problemsPercent of respondentsHealth problemsMultivariable logistic regression modelRural HaitiFirst choiceMental distressHealth service useDeterminants of careHealth careHaiti's Central PlateauCommunity-based providersLogistic regression modelsLess frequent useCommunity resourcesProvider typeClinical careDepression severityService useAnticipated efficacyPsychiatric distressHospitalClinicClinical interventionsSuicide in rural Haiti: Clinical and community perceptions of prevalence, etiology, and prevention
Hagaman AK, Wagenaar BH, McLean KE, Kaiser BN, Winskell K, Kohrt BA. Suicide in rural Haiti: Clinical and community perceptions of prevalence, etiology, and prevention. Social Science & Medicine 2013, 83: 61-69. PMID: 23465205, DOI: 10.1016/j.socscimed.2013.01.032.Peer-Reviewed Original ResearchConceptsCommunity membersLay community membersFormal health systemQualitative data analysisInterpretive phenomenological analysisRural HaitiDepth interviewsCommunity perceptionsHealthcare workersCommunity supportReligious practicesChristian concernContextual factorsReligious perspectivePhenomenological analysisDual perspectiveSuch researchGlobal public health problemHaitiMiddle-income countriesWorkersExplanatory modelsPublic health problemTrue intentHealth system
2012
Depression, suicidal ideation, and associated factors: a cross-sectional study in rural Haiti
Wagenaar BH, Hagaman AK, Kaiser BN, McLean KE, Kohrt BA. Depression, suicidal ideation, and associated factors: a cross-sectional study in rural Haiti. BMC Psychiatry 2012, 12: 149. PMID: 22992379, PMCID: PMC3515455, DOI: 10.1186/1471-244x-12-149.Peer-Reviewed Original ResearchConceptsHaiti's Central PlateauBDI scoresBeck Depression InventorySuicidal ideationCurrent suicidal ideationDepression symptomatologyRisk factorsPrior life-threatening illnessContinuous BDI scoresFirst epidemiologic studyGeneral psychiatric servicesCross-sectional studyLife-threatening illnessMental health needsLogistic regression modelsSubstance abuse interventionsFemale genderEpidemiologic studiesPsychiatric servicesParadoxical associationPsychosocial servicesDepression InventoryHealth needsHealthcare accessRural Haiti
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