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 populationsLongitudinal pathways between maternal depression, parenting behaviors, and early childhood development: A mediation analysis
Frost A, Scherer E, Chung E, Gallis J, Sanborn K, Zhou Y, Hagaman A, LeMasters K, Sikander S, Turner E, Maselko J. Longitudinal pathways between maternal depression, parenting behaviors, and early childhood development: A mediation analysis. International Journal Of Behavioral Development 2025, 49: 263-276. PMID: 41001088, PMCID: PMC12459655, DOI: 10.1177/01650254251327372.Peer-Reviewed Original ResearchMaternal depressionChild outcomesChild mental health difficultiesParenting behaviorsMental health difficultiesSex-stratified resultsMother-child dyadsGlobal public health concernPublic health concernHealth difficultiesMonths postpartumEarly childhood developmentHarsh parentingSocioemotional concernsMediation analysisDepressionLongitudinal pathwaysHealth concernChild developmentChildhood developmentChildrenOutcomesParentsPostpartumMonthsAssociation between prenatal depressive symptoms and receipt of recommended maternal and infant care postpartum
Masters C, Carandang R, Rojina J, Lewis J, Ickovics J, Cunningham S, Hagaman A. Association between prenatal depressive symptoms and receipt of recommended maternal and infant care postpartum. Journal Of Affective Disorders 2025, 375: 174-179. PMID: 39862978, DOI: 10.1016/j.jad.2025.01.111.Peer-Reviewed Original ResearchConceptsPrenatal depressive symptomsPostpartum check-upPrenatal depressionDepressive symptomsImpact health care accessImpact of maternal depressionCheck-UpGroup prenatal careMaternal mental healthInfant receiptHealth care accessMental health interventionsReceipt of recommended vaccinationsReceipt of vaccinationPostpartum healthcareCare accessNo significant associationHealth interventionsPostpartum individualsMaternal depressionPrenatal careYear postpartumMental healthMonths postpartumPotential confoundersFemale agency and probable depression in the perinatal period and beyond: Longitudinal findings from rural Pakistan
Haight S, Shartle K, Kachoria A, Hagaman A, Gupta S, Escobar Carias M, Bibi A, Bates L, Maselko J. Female agency and probable depression in the perinatal period and beyond: Longitudinal findings from rural Pakistan. Social Science & Medicine 2025, 367: 117704. PMID: 39864324, PMCID: PMC11912496, DOI: 10.1016/j.socscimed.2025.117704.Peer-Reviewed Original ResearchPrevalence ratiosMental healthLikelihood of postpartum depressionPerinatal periodCohort of mother-infant dyadsRisk of depressionWomen's mental healthLikelihood of depressionModified Poisson modelsPostpartum depressionProbable depressionPHQ-9Mother-infant dyadsDecision-makingRural PakistanHousehold decision-makingDepressionPoisson modelHealthLongitudinal findingsFemale agencyParticipantsPregnancyLower freedomLifeEvaluating implementation preparedness for suicide screening and referral in a Nepali emergency department: A mixed-methods study
Shrestha A, Shrestha R, Risal A, Shakya R, Sigdel K, Bajracharya R, Paudel P, Gumudavelly D, Egger E, Zhuang S, Vijayakumar L, Hagaman A. Evaluating implementation preparedness for suicide screening and referral in a Nepali emergency department: A mixed-methods study. Implementation Research And Practice 2025, 6: 26334895251343644. PMID: 40630920, PMCID: PMC12235230, DOI: 10.1177/26334895251343644.Peer-Reviewed Original ResearchSuicide screeningEmergency departmentScreening interventionsClinical staffPatient's lifeLow-income settingsSuicide prevention workMixed-methods studyFocus group discussionsImplementation strategy selectionReferral interventionSuicide preventionConsolidation frameworkImplementation readinessEffective suicide screeningImplementation strategiesInformant interviewsStructured questionnaireED programImplementation preparednessQuantitative findingsSocial barriersSuicide mythsCFIRDepartmental leadershipHow Are Qualitative Methods Used in Implementation Science Research? Results From a Systematic Scoping Review
Hagaman A, Rhodes E, Aloe C, Hennein R, Peng M, Deyling M, Georgescu M, Nyhan K, Schwartz A, Zhou K, Katague M, Egger E, Spiegelman D. How Are Qualitative Methods Used in Implementation Science Research? Results From a Systematic Scoping Review. Implementation Research And Practice 2025, 6: 26334895251367470. PMID: 40894413, PMCID: PMC12394868, DOI: 10.1177/26334895251367470.Peer-Reviewed Original ResearchSystematic scoping reviewFocus group discussionsArea of implementation scienceStudy designQualitative study designImplementation science researchEvidence-based interventionsData collectionQualitative methodsQualitative data collectionIn-depth interviewsImplementation outcomesImplementation researchImplementation scienceScoping ReviewHealth researchReview of articlesThematic analysisGroup discussionsContent analysisData collection methodsApplication of qualitative methodsSample sizeInterviewsSystematic synthesis
2024
Engaging husbands in a digital mental health intervention to provide tailored counseling for women experiencing postpartum depression: A mixed methods study in Nepal
Bhardwaj A, Maharjan S, Magar A, Shrestha R, Dongol A, Hagaman A, Van Heerden A, Caracoglia J, Gallo J, Murray S, Kohrt B. Engaging husbands in a digital mental health intervention to provide tailored counseling for women experiencing postpartum depression: A mixed methods study in Nepal. SSM - Mental Health 2024, 6: 100340. DOI: 10.1016/j.ssmmh.2024.100340.Peer-Reviewed Original ResearchPatient Health Questionnaire-9Postpartum depressionEmotional supportDigital mental health interventionsPPD interventionsTreatment of postpartum depressionPostpartum depressive symptomsThematic analysis of semi-structured interviewsMental health interventionsPostpartum depression treatmentMixed methods studyHusbands of womenAnalysis of semi-structured interviewsImpact of gender normsSemi-structured interviewsGender equitable normsPost-interventionDigital interventionsHealth interventionsSemi-urban regionsHealth componentCounseling interventionThematic analysisDepressive symptomsPrimary themesMaternal suicidality in Pakistan: Developing a critical feminist grounded theory to inform suicide prevention programs
Saeed G, Mumtaz S, Tanveer J, Hamid E, Jehan S, Atiq M, Kanwal M, Sikander S, Atif N, Rahman A, Hagaman A. Maternal suicidality in Pakistan: Developing a critical feminist grounded theory to inform suicide prevention programs. SSM - Mental Health 2024, 6: 100356. DOI: 10.1016/j.ssmmh.2024.100356.Peer-Reviewed Original ResearchMaternal self‐efficacy during infancy: Investigating the roles of depression and social support among mothers in rural Pakistan
Frost A, Hagaman A, Haight S, Ikram N, Turner L, Bhalotra S, Sikander S, Maselko J. Maternal self‐efficacy during infancy: Investigating the roles of depression and social support among mothers in rural Pakistan. Infant Mental Health Journal Infancy And Early Childhood 2024, 46: 85-94. PMID: 39614836, DOI: 10.1002/imhj.22146.Peer-Reviewed Original ResearchMaternal self-efficacyAssociated with increased self-efficacySocial supportSelf-EfficacyMonths postpartumEmotional supportRural PakistanMaternal mental healthChildcare supportInterview measures of depressionEmotional social supportMother's self-efficacyGeneralized Estimating EquationsMeasures of depressionMothers of infantsMental healthInterview measuresPostpartumDepressionWeak evidenceMothersChildcare tasksChildcareParticipantsSupportPiloting 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 skillsDisability severity and risk of new or recurrent intimate partner violence – Evidence from a cohort study in rural Pakistan
Collins A, Maselko J, Hagaman A, Bates L, Haight S, Kachoria A, Gupta S, Bhalotra S, Sikander S, Bibi A. Disability severity and risk of new or recurrent intimate partner violence – Evidence from a cohort study in rural Pakistan. Disability And Health Journal 2024, 18: 101673. PMID: 39095292, PMCID: PMC11625620, DOI: 10.1016/j.dhjo.2024.101673.Peer-Reviewed Original ResearchSexual intimate partner violenceRisk ratioIntimate partner violenceDisability severityModified Poisson regression modelsRural PakistanPoisson regression modelsCohort of mothersSouth Asian contextDisability levelLow-incomeCohort studyPhysical intimate partner violencePsychological intimate partner violenceDisabilityAsian contextConsecutive wavesRegression modelsPartner violenceMothersRiskCohortCultural normsCross-sectionLow severityGuided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China
Yi M, Li X, Chiaramonte D, Sun S, Pan S, Soulliard Z, Eisenstadt B, Ljótsson B, Hagaman A, Pachankis J. Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China. Behaviour Research And Therapy 2024, 181: 104605. PMID: 39029333, PMCID: PMC11371497, DOI: 10.1016/j.brat.2024.104605.Peer-Reviewed Original ResearchInternet-based CBTCognitive-behavioral therapySexual minority menSocial-cognitive mechanismsYoung sexual minority menMinority stressMinority menSession completionBehavioral healthSexual minority individualsModeration analysisAlcohol useMinority individualsMental healthInternalized stigmaFollow-upStigma experiencesRandomized Controlled TrialsSessionsTreatment efficacySecondary outcomesControlled TrialsPrimary outcomeAffirmative supportHealthIntegration of passive sensing technology to enhance delivery of psychological interventions for mothers with depression: the StandStrong study
van Heerden A, Poudyal A, Hagaman A, Maharjan S, Byanjankar P, Bemme D, Thapa A, Kohrt B. Integration of passive sensing technology to enhance delivery of psychological interventions for mothers with depression: the StandStrong study. Scientific Reports 2024, 14: 13535. PMID: 38866839, PMCID: PMC11169515, DOI: 10.1038/s41598-024-63232-3.Peer-Reviewed Original ResearchConceptsPsychological interventionsDepressive symptomsDelivery of psychological interventionsNon-specialist providersTreat maternal depressionLow-resource settingsBeck Depression InventoryPersonalized psychological interventionsDepression interventionsMaternal depressionMHealth solutionsRural NepalDepression InventoryYoung mothersInterventionDepressionData collectionMothersPassive sensingIncreased movementNon-specialistsPassive sensing technologyMHealthSymptomsCare“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 depressionDiscrimination and perinatal depressive symptoms: The protective role of social support and resilience
Masters C, Lewis J, Hagaman A, Thomas J, Carandang R, Ickovics J, Cunningham S. Discrimination and perinatal depressive symptoms: The protective role of social support and resilience. Journal Of Affective Disorders 2024, 354: 656-661. PMID: 38484882, DOI: 10.1016/j.jad.2024.03.039.Peer-Reviewed Original ResearchPerinatal depressive symptomsGroup prenatal careAdverse effects of discriminationSocial supportDepressive symptomsPrenatal careEffects of discriminationPregnant peopleAssociated with less depressive symptomsAssociated with depressive symptomsEffect of social supportModerating effect of social supportHigh social supportLess depressive symptomsPerinatal depressionSocial determinantsMonths postpartumLinear regression modelsSelf-report measuresPostpartum periodTrimester of pregnancyPostpartumPsychological factorsRegression modelsCareGroup prenatal care successes, challenges, and frameworks for scaling up: a case study in adopting health care innovations
Masters C, Carandang R, Lewis J, Hagaman A, Metrick R, Ickovics J, Cunningham S. Group prenatal care successes, challenges, and frameworks for scaling up: a case study in adopting health care innovations. Implementation Science Communications 2024, 5: 20. PMID: 38439113, PMCID: PMC10913654, DOI: 10.1186/s43058-024-00556-1.Peer-Reviewed Original ResearchGroup prenatal carePrenatal careGroup prenatal care sessionsLeadership buy-inQuality of careHealth care innovationsNon-adoptersFocus group discussionsOrganization-wide goalsCare implementationCare innovationsIntervention designCare sessionsCase study approachImprovement initiativesTransformative changeAdministrative dataHealthcare innovationOrganizational goalsCareOrganization leadershipClinical sitesGroup careTrial registrationTheBuy-inPatient-Defined Cultural Safety in Perinatal Interventions: A Qualitative Scoping Review
Egger E, Ibrahim B, Nyhan K, Desibhatla M, Gleeson D, Hagaman A. Patient-Defined Cultural Safety in Perinatal Interventions: A Qualitative Scoping Review. Health Equity 2024, 8: 164-176. PMID: 38559847, PMCID: PMC10979693, DOI: 10.1089/heq.2023.0152.Peer-Reviewed Original ResearchCultural safetyCumulated Index to Nursing and Allied Health LiteratureNursing and Allied Health LiteratureCulturally safe carePerinatal interventionsAllied Health LiteratureCultural safety frameworkQualitative scoping reviewFull-text screeningPerinatal periodPatients' cultural needsSafe careCare providersPatient experiencePatient perspectiveScoping ReviewHealth LiteratureQualitative literaturePatient careEquity-based frameworkCulturally specific knowledgePhysical needsQualitative studyTitle-abstractCare
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