Steven Safren

Summary

Affiliation: Massachusetts General Hospital
Country: USA

Publications

  1. doi request reprint A Randomized Controlled Trial of Cognitive Behavioral Therapy for Adherence and Depression (CBT-AD) in Patients With Uncontrolled Type 2 Diabetes
    Steven A Safren
    Corresponding author Steven A Safren
    Diabetes Care 37:625-33. 2014
  2. pmc Project enhance: a randomized controlled trial of an individualized HIV prevention intervention for HIV-infected men who have sex with men conducted in a primary care setting
    Steven A Safren
    Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
    Health Psychol 32:171-9. 2013
  3. pmc Cognitive behavioral therapy for adherence and depression (CBT-AD) in HIV-infected injection drug users: a randomized controlled trial
    Steven A Safren
    Massachusetts General Hospital
    J Consult Clin Psychol 80:404-15. 2012
  4. pmc Quality of life among individuals with HIV starting antiretroviral therapy in diverse resource-limited areas of the world
    Steven A Safren
    Massachusetts General Hospital Harvard Medical School, Boston, 02445, USA
    AIDS Behav 16:266-77. 2012
  5. ncbi request reprint Cognitive-behavioral therapy with gay, lesbian, and bisexual clients
    S A Safren
    Massachusetts General Hospital Harvard Medical School and Fenway Community Health, Boston, MA, USA
    J Clin Psychol 57:629-43. 2001
  6. pmc Depressive symptoms and human immunodeficiency virus risk behavior among men who have sex with men in Chennai, India
    Steven A Safren
    Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
    Psychol Health Med 14:705-15. 2009
  7. pmc Life impairments in adults with medication-treated ADHD
    Steven A Safren
    Massachusetts General Hospital, Boston, USA
    J Atten Disord 13:524-31. 2010
  8. pmc A randomized controlled trial of cognitive behavioral therapy for adherence and depression (CBT-AD) in HIV-infected individuals
    Steven A Safren
    Fenway Community Health, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
    Health Psychol 28:1-10. 2009
  9. ncbi request reprint Cognitive-behavioral approaches to ADHD treatment in adulthood
    Steven A Safren
    Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Mass 02114, USA
    J Clin Psychiatry 67:46-50. 2006
  10. ncbi request reprint Medication adherence in psychopharmacologically treated adults with ADHD
    Steven A Safren
    Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, 15 Parkman Street, Boston, MA 02114, USA
    J Atten Disord 10:257-60. 2007

Research Grants

Collaborators

Detail Information

Publications80

  1. doi request reprint A Randomized Controlled Trial of Cognitive Behavioral Therapy for Adherence and Depression (CBT-AD) in Patients With Uncontrolled Type 2 Diabetes
    Steven A Safren
    Corresponding author Steven A Safren
    Diabetes Care 37:625-33. 2014
    ....
  2. pmc Project enhance: a randomized controlled trial of an individualized HIV prevention intervention for HIV-infected men who have sex with men conducted in a primary care setting
    Steven A Safren
    Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
    Health Psychol 32:171-9. 2013
    ..S. living with HIV and have the greatest number of new infections. This study was designed to test a brief, culturally relevant prevention intervention for HIV-infected MSM, which could be integrated into HIV care...
  3. pmc Cognitive behavioral therapy for adherence and depression (CBT-AD) in HIV-infected injection drug users: a randomized controlled trial
    Steven A Safren
    Massachusetts General Hospital
    J Consult Clin Psychol 80:404-15. 2012
    ..The present study tested cognitive behavioral therapy for adherence and depression (CBT-AD) in patients with HIV and depression in active substance abuse treatment for injection drug use...
  4. pmc Quality of life among individuals with HIV starting antiretroviral therapy in diverse resource-limited areas of the world
    Steven A Safren
    Massachusetts General Hospital Harvard Medical School, Boston, 02445, USA
    AIDS Behav 16:266-77. 2012
    ..The relationship of these measures to treatment outcomes can and should be examined in clinical trials of ART in resource-limited settings using similar methodologies...
  5. ncbi request reprint Cognitive-behavioral therapy with gay, lesbian, and bisexual clients
    S A Safren
    Massachusetts General Hospital Harvard Medical School and Fenway Community Health, Boston, MA, USA
    J Clin Psychol 57:629-43. 2001
    ..This case provides an example of how to add specific cognitive-behavioral techniques to coming-out issues within the context of a more eclectic, longer-term therapy...
  6. pmc Depressive symptoms and human immunodeficiency virus risk behavior among men who have sex with men in Chennai, India
    Steven A Safren
    Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
    Psychol Health Med 14:705-15. 2009
    ..MSM who are not married, sex workers, and those who perceive they are at risk for acquiring HIV may be of higher risk for symptoms of depression...
  7. pmc Life impairments in adults with medication-treated ADHD
    Steven A Safren
    Massachusetts General Hospital, Boston, USA
    J Atten Disord 13:524-31. 2010
    ..This may assist in delineating targets for interventions, as well as assessments of functional outcomes that are sensitive to change in this population...
  8. pmc A randomized controlled trial of cognitive behavioral therapy for adherence and depression (CBT-AD) in HIV-infected individuals
    Steven A Safren
    Fenway Community Health, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
    Health Psychol 28:1-10. 2009
    ..To evaluate cognitive-behavioral therapy to enhance medication adherence and reduce depression (CBT-AD) in individuals with HIV...
  9. ncbi request reprint Cognitive-behavioral approaches to ADHD treatment in adulthood
    Steven A Safren
    Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Mass 02114, USA
    J Clin Psychiatry 67:46-50. 2006
    ....
  10. ncbi request reprint Medication adherence in psychopharmacologically treated adults with ADHD
    Steven A Safren
    Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, 15 Parkman Street, Boston, MA 02114, USA
    J Atten Disord 10:257-60. 2007
    ..One of the potential causes of residual symptoms of ADHD in adults can be difficulties with consistent adherence to medications...
  11. pmc Optimizing the effects of stress management interventions in HIV
    CONALL O'CLEIRIGH
    Massachusetts General Hospital Harvard Medical School, Boston, MA 02114, USA
    Health Psychol 27:297-301. 2008
    ....
  12. pmc Cognitive behavioral therapy vs relaxation with educational support for medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial
    Steven A Safren
    Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA
    JAMA 304:875-80. 2010
    ..Attention-deficit/hyperactivity disorder (ADHD) in adulthood is a prevalent, distressing, and impairing condition that is not fully treated by pharmacotherapy alone and lacks evidence-based psychosocial treatments...
  13. ncbi request reprint Cognitive-behavioral therapy for ADHD in medication-treated adults with continued symptoms
    Steven A Safren
    Massachusetts General Hospital, MGH Psychiatry, Harvard Medical School, WACC 815, 15 Parkman Street, Boston, MA 02114, USA
    Behav Res Ther 43:831-42. 2005
    ..02). These data support the hypothesis that CBT for adults with ADHD with residual symptoms is a feasible, acceptable, and potentially efficacious next-step treatment approach, worthy of further testing...
  14. doi request reprint Strategies for primary HIV prevention that target behavioral change
    Steven A Safren
    Fenway Community Health and Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA
    Clin Infect Dis 45:S300-307. 2007
    ..Objective evidence of reductions in high-risk behavior in these 3 groups, which account for the majority of HIV transmissions in the United States, has critical implications for reducing the overall rate of new HIV infections...
  15. ncbi request reprint Use of an on-line pager system to increase adherence to antiretroviral medications
    S A Safren
    Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston 02114, USA
    AIDS Care 15:787-93. 2003
    ..While the provision of a reminder system helped improve adherence, it is likely that more intensive interventions are required for patients with pre-existing problems...
  16. ncbi request reprint Psychosocial treatments for adults with attention-deficit/hyperactivity disorder
    Steven A Safren
    Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02115, USA
    Psychiatr Clin North Am 27:349-60. 2004
    ..Further research on these strategies in the context of well-controlled trials is an essential step for helping reduce disability and distress among this cohort of patients...
  17. pmc Mental health and HIV risk in men who have sex with men
    Steven A Safren
    Massachusetts General Hospital Harvard Medical School, Boston, MA 02114, USA
    J Acquir Immune Defic Syndr 55:S74-7. 2010
    ..Addressing co-occurring psychosocial risk factors is apt to improve effect sizes of current HIV prevention interventions and allow for more effective uptake by MSM...
  18. ncbi request reprint Predictors of psychological well-being in a diverse sample of HIV-positive patients receiving highly active antiretroviral therapy
    Steven A Safren
    Fenway Community Health, Boston, MA, USA
    Psychosomatics 43:478-85. 2002
    ..These results provide support for continued psychosocial interventions that target these variables among patients with HIV...
  19. pmc Promoting the sexual health of MSM in the context of comorbid mental health problems
    Steven A Safren
    Massachusetts General Hospital and Harvard Medical School, 1 Bowdoin Sq, 7th Floor, Boston, MA 02114, USA
    AIDS Behav 15:S30-4. 2011
    ....
  20. doi request reprint Demonstration and evaluation of a peer-delivered, individually-tailored, HIV prevention intervention for HIV-infected MSM in their primary care setting
    Steven A Safren
    The Fenway Institute at Fenway Health, 1340 Boylston Street, Boston, MA 02215, USA
    AIDS Behav 15:949-58. 2011
    ..This demonstration project provides initial evidence for the ability to recruit HIV-infected MSM in care into a peer-based intervention study, and shows how a peer-based intervention can be delivered in the context of HIV care...
  21. ncbi request reprint Symptoms of posttraumatic stress and death anxiety in persons with HIV and medication adherence difficulties
    Steven A Safren
    Fenway Community Health, Boston, Massachusetts, USA
    AIDS Patient Care STDS 17:657-64. 2003
    ..Anxiety, as manifested by PTSD symptoms should be routinely assessed among patients with HIV, and variables such as death anxiety, social support, and depression are appropriate targets for mental health interventions...
  22. doi request reprint Adaptation of dialectical behavior therapy skills training group for treatment-resistant depression
    Rebecca Harley
    Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    J Nerv Ment Dis 196:136-43. 2008
    ..Effect sizes were large for both measures of depression (Cohen's d = 1.45 for Hamilton rating scale for depression and 1.31 for Beck depression inventory), suggesting that larger scale trials are warranted...
  23. doi request reprint The relationship of post-traumatic stress disorder and depression to antiretroviral medication adherence in persons with HIV
    Ana Maria Vranceanu
    Department of Psychology, Massachusetts General Hospital, Harvard Medical School, and the Fenway Community Health Center, Boston, Massachusetts, USA
    AIDS Patient Care STDS 22:313-21. 2008
    ....
  24. doi request reprint Differential HIV risk behavior among men who have sex with men seeking health-related mobile van services at diverse gay-specific venues
    Sari L Reisner
    The Fenway Institute, Fenway Community Health, 7 Haviland Street, Boston, MA 02115 2683, USA
    AIDS Behav 13:822-31. 2009
    ..Differentiating risk behavior by venue type provides valuable information with which to effectively target interventions to reach MSM at greatest risk...
  25. pmc Street workers and internet escorts: contextual and psychosocial factors surrounding HIV risk behavior among men who engage in sex work with other men
    Matthew J Mimiaga
    The Fenway Institute, Fenway Community Health, Prudential Tower, 4th Floor, 800 Boylston Street, Boston, MA 02119, USA
    J Urban Health 86:54-66. 2009
    ..Study findings can be used to generate hypotheses for designing and providing tailored primary and secondary prevention interventions for this at-risk subgroup of MSM...
  26. pmc Understanding locally, culturally, and contextually relevant mental health problems among Rwandan children and adolescents affected by HIV/AIDS
    Theresa S Betancourt
    Department of Global Health and Population, Francois Xavier Bagnoud Center for Health and Human Rights, Harvard School of Public Health, Boston, MA, USA
    AIDS Care 23:401-12. 2011
    ....
  27. ncbi request reprint Mental health concerns of HIV-infected gay and bisexual men seeking mental health services: an observational study
    Michael B Berg
    Wheaton College, Norton, Massachusetts, USA
    AIDS Patient Care STDS 18:635-43. 2004
    ..Because mental health is a key component of overall quality of life, HIV providers who work with MSM can use these data to increase awareness of the types of mental concerns that are most distressing to this population...
  28. pmc The impact of neuropsychological functioning on adherence to HAART in HIV-infected substance abuse patients
    Allison J Applebaum
    Behavioral Medicine Services, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    AIDS Patient Care STDS 23:455-62. 2009
    ....
  29. doi request reprint Stressful or traumatic life events, post-traumatic stress disorder (PTSD) symptoms, and HIV sexual risk taking among men who have sex with men
    Sari L Reisner
    The Fenway Institute, Fenway Community Health, Boston, MA, USA
    AIDS Care 21:1481-9. 2009
    ....
  30. pmc Testing a social-cognitive model of HIV transmission risk behaviors in HIV-infected MSM with and without depression
    Steven A Safren
    The Fenway Institute, Fenway Health, and Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
    Health Psychol 29:215-21. 2010
    ..However, these models generally do not account for the influence of clinically significant psychological problems such as major depression...
  31. ncbi request reprint Domains of life satisfaction among patients living with HIV: A factor analytic study of the quality of life inventory
    CONALL O'CLEIRIGH
    Department of Psychiatry Psychology, Massachusetts General Hospital Harvard Medical School, Boston, Massachusetts, USA
    AIDS Behav 10:53-8. 2006
    ..Multidimensional assessments of quality of life in HIV may help specify targets sensitive to psychosocial interventions...
  32. pmc What's love got to do with it? Explaining adherence to oral antiretroviral pre-exposure prophylaxis for HIV-serodiscordant couples
    Norma C Ware
    Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA 02115, USA
    J Acquir Immune Defic Syndr 59:463-8. 2012
    ..This article presents an explanation of PrEP adherence for African serodiscordant couples derived from qualitative data...
  33. pmc Participants' perspectives on cognitive-behavioral therapy for adherence and depression in HIV
    Carla Berg
    Department of Psychiatry, Harvard Medical School and Massachusetts General Hospital, Boston, MA 02115, USA
    Psychother Res 18:271-80. 2008
    ..These results provide insights about strengths and limitations of this psychotherapy with medically ill patients and may help to maximize intervention effectiveness and client acceptability...
  34. pmc Depressive symptoms, utilization of mental health care, substance use and sexual risk among young men who have sex with men in EXPLORE: implications for age-specific interventions
    Elizabeth A Salomon
    The Fenway Institute, Fenway Community Health, Boston, MA, USA
    AIDS Behav 13:811-21. 2009
    ..Additionally, HIV prevention work with this population should provide comprehensive education about HIV testing and risk reduction counseling that focuses on communication about serostatus and safety in sexual situations...
  35. pmc Depression and diabetes treatment nonadherence: a meta-analysis
    Jeffrey S Gonzalez
    Behavioral Medicine, Department of Psychiatry, Massachusetts General Hospital Boston, Boston, Massachusetts, USA
    Diabetes Care 31:2398-403. 2008
    ..Its relationship to treatment adherence, however, has not been systematically reviewed. We used meta-analysis to examine the relationship between depression and treatment nonadherence in patients with type 1 and type 2 diabetes...
  36. pmc Predictors of identifying as a barebacker among high-risk New England HIV seronegative men who have sex with men
    Sari L Reisner
    The Fenway Institute, Fenway Community Health, Boston, MA, USA
    J Urban Health 86:250-62. 2009
    ..Additional research is warranted to understand the social identity of barebacking among MSM in order to develop more nuanced prevention strategies...
  37. ncbi request reprint MSM in HIV-prevention trials are sexual partners with each other: An ancillary study to the EXPLORE intervention
    Matthew J Mimiaga
    Department of Research and Evaluation, Fenway Community Health, Boston, Massachusetts 02115, USA
    AIDS Behav 10:27-34. 2006
    ..Future HIV-prevention studies recruiting MSM at increased sexual risk of HIV infection should address participants potentially becoming sexual partners with each other...
  38. pmc Childhood sexual abuse is highly associated with HIV risk-taking behavior and infection among MSM in the EXPLORE Study
    Matthew J Mimiaga
    Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
    J Acquir Immune Defic Syndr 51:340-8. 2009
    ....
  39. pmc "We fear the police, and the police fear us": structural and individual barriers and facilitators to HIV medication adherence among injection drug users in Kiev, Ukraine
    Matthew J Mimiaga
    Harvard Medical School Massachusetts General Hospital, Boston, MA, USA
    AIDS Care 22:1305-13. 2010
    ....
  40. pmc Functional impairment and health care utilization among HIV-infected men who have sex with men: the relationship with depression and post-traumatic stress
    CONALL O'CLEIRIGH
    Fenway Health, Boston, MA, USA
    J Behav Med 32:466-77. 2009
    ....
  41. pmc Current status of cognitive behavioral therapy for adult attention-deficit hyperactivity disorder
    Laura E Knouse
    Behavioral Medicine Service, MGH Department of Psychiatry, One Bowdoin Square, 7th Floor, Boston, MA 02114, USA
    Psychiatr Clin North Am 33:497-509. 2010
    ..The article concludes with a discussion of future directions and critical questions that must be addressed in this area of clinical research...
  42. doi request reprint Health concerns and somatic symptoms explain perceived disability and idiopathic hand and arm pain in an orthopedics surgical practice: a path-analysis model
    Ana Maria Vranceanu
    Department of Behavioral Medicine, One Bowdoin Square, 7th Floor, Massachusetts General Hospital, Boston, MA 02114, USA
    Psychosomatics 51:330-7. 2010
    ..Upper-limb pain disorders are relatively common, and often result in disability, lost time from work, and significant use of healthcare services...
  43. ncbi request reprint A randomized controlled trial of cognitive-behavior therapy for Cambodian refugees with treatment-resistant PTSD and panic attacks: a cross-over design
    Devon E Hinton
    Southeast Asian Clinic, Arbour Counseling Services, Lowell, Massachusetts, USA
    J Trauma Stress 18:617-29. 2005
    ..17), and Symptom Checklist 90-R subscales (d = 2.77). Likewise, the severity of (culturally related) neck-focused and orthostasis-cued panic attacks, including flashbacks associated with these subtypes, improved across treatment...
  44. ncbi request reprint Screening for infectious diseases among patients in a state psychiatric hospital
    William F Pirl
    Department of Psychiatry, Massachusetts General Hospital, Wang Ambulatory Care Center 812, 15 Parkman Street, and Department of Psychology, Boston University, Massachusetts 02114, USA
    Psychiatr Serv 56:1614-6. 2005
    ..These results confirm the importance of screening for infectious diseases among individuals with severe and persistent mental illness...
  45. doi request reprint Psychiatric treatment of persons with HIV/AIDS: an HIV-psychiatry consensus survey of current practices
    Oliver Freudenreich
    Freedom Trail Clinic, 25 Staniford, St, Boston, MA 02114, USA
    Psychosomatics 51:480-8. 2010
    ..Only sparse evidence from controlled clinical trials is available to guide the psychiatric treatment of persons with HIV/AIDS...
  46. pmc CBT for Vietnamese refugees with treatment-resistant PTSD and panic attacks: a pilot study
    Devon E Hinton
    Southeast Asian Clinic, Arbour Counseling Services, Lowell, Massachusetts, USA
    J Trauma Stress 17:429-33. 2004
    ..2); and Hopkins Symptom Checklist-25, depression subscale (d = 2.0) scores. Likewise, the severity of (culturally related) headache-and orthostasis-cued panic attacks improved significantly across treatment..
  47. ncbi request reprint Longitudinal outcome with pharmacotherapy in a naturalistic study of panic disorder
    Naomi M Simon
    Anxiety Disorders Program, Massachusetts General Hospital and Harvard Medical School, 15 Parkman Street, WAC 815, Boston, MA 02114, USA
    J Affect Disord 69:201-8. 2002
    ..It is critically important to obtain more information on the effectiveness of medications over time for patients who initially responded to pharmacotherapy for panic disorder...
  48. ncbi request reprint Optimal recall period and response task for self-reported HIV medication adherence
    Minyi Lu
    Institute for Clinical Research and Health Policy Studies, Department of Medicine, Tufts New England Medical Center, 345, 750 Washington St, Boston, MA 02111, USA
    AIDS Behav 12:86-94. 2008
    ..We conclude that 1-month recall periods may be more accurate than 3- or 7-day periods, and that items that ask respondents to rate their adherence may be more accurate than those that ask about frequencies or percents...
  49. doi request reprint Experiences and sexual behaviors of HIV-infected MSM who acquired HIV in the context of crystal methamphetamine use
    Matthew J Mimiaga
    Fenway Institute, Fenway Community Health, Boston, MA 02119, USA
    AIDS Educ Prev 20:30-41. 2008
    ..The study also draws attention to the need for associated mental health, functional and quality-of life impairments that seem to accompany continued use in individuals with HIV...
  50. ncbi request reprint Depression, self-care, and medication adherence in type 2 diabetes: relationships across the full range of symptom severity
    Jeffrey S Gonzalez
    Behavioral Medicine, Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA
    Diabetes Care 30:2222-7. 2007
    ..We examined the association between depression, measured as either a continuous symptom severity score or a clinical disorder variable, with self-care behaviors in type 2 diabetes...
  51. pmc Latinos and HIV/AIDS: examining factors related to disparity and identifying opportunities for psychosocial intervention research
    Jeffrey S Gonzalez
    Department of Psychiatry, Massachusetts General Hospital, 15 Parkman Street, ACC 812, Boston, MA 02114, USA
    AIDS Behav 13:582-602. 2009
    ..Though limited, the current literature suggests that psychosocial interventions that target these factors could help reduce HIV/AIDS disparities between Latinos and whites and could have important public health value...
  52. ncbi request reprint Behavioral aspects of HIV care: adherence, depression, substance use, and HIV-transmission behaviors
    Carla J Berg
    Massachusetts General Hospital Harvard Medical School, Boston, MA 02114, USA
    Infect Dis Clin North Am 21:181-200, x. 2007
    ..Efforts by health care providers to address these factors may result in better treatment outcomes, enhanced quality of life among HIV patients, and decreased HIV transmission...
  53. ncbi request reprint Internal cue exposure and the treatment of substance use disorders: lessons from the treatment of panic disorder
    Michael W Otto
    Massachusetts General Hospital and Harvard Medical School, WACC 812, 15 Parkman St, Boston, MA 02114, USA
    J Anxiety Disord 18:69-87. 2004
    ....
  54. doi request reprint Polysubstance use and HIV/STD risk behavior among Massachusetts men who have sex with men accessing Department of Public Health mobile van services: implications for intervention development
    Matthew J Mimiaga
    Fenway Institute, Fenway Community Health, Boston, MA 02115 2683, USA
    AIDS Patient Care STDS 22:745-51. 2008
    ..Accessible outreach services for MSM such as mobile van services need to include drug screening and interventions that triage men into treatment programs; year-round availability of van services is warranted...
  55. ncbi request reprint Perceptions about the acceptability of assessments of HIV medication adherence in Lilongwe, Malawi and Chennai, India
    Steven A Safren
    Fenway Community Health, Research and Evaluation Department, Boston, Massachusetts 02215, USA
    AIDS Behav 10:443-50. 2006
    ..Innovative ways of monitoring adherence while maintaining standardization across sites are required in multisite trials...
  56. pmc Does modality of survey administration impact data quality: audio computer assisted self interview (ACASI) versus self-administered pen and paper?
    William M Reichmann
    Department of Orthopedic Surgery, Brigham and Women s Hospital, Boston, Massachusetts, United States of America
    PLoS ONE 5:e8728. 2010
    ..In the context of a randomized controlled trial (RCT) on HIV testing in the emergency department (ED) setting, we evaluated preferences for survey modality and data quality arising from each modality...
  57. ncbi request reprint A survey of MSM HIV prevention outreach workers in Chennai, India
    Steven A Safren
    Fenway Community Health, Research and Evaluation Department, Boston, USA
    AIDS Educ Prev 18:323-32. 2006
    ..These data point to several important barriers to HIV prevention among MSM in South India and lay the groundwork for enhancing the use of outreach workers to play a role in HIV prevention in this population...
  58. pmc Provider-focused intervention increases adherence-related dialogue but does not improve antiretroviral therapy adherence in persons with HIV
    Ira B Wilson
    Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA 02111, USA
    J Acquir Immune Defic Syndr 53:338-47. 2010
    ..Physicians' limited knowledge of patients' antiretroviral adherence may reduce their ability to perform effective adherence counseling...
  59. ncbi request reprint History of childhood abuse in panic disorder, social phobia, and generalized anxiety disorder
    Steven A Safren
    Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, MGH Psychiatry, WACC 815, 15 Parkman Street, Boston, Massachusetts 02114, USA
    J Nerv Ment Dis 190:453-6. 2002
    ..These findings are discussed in terms of biological and behavioral factors that may influence the development of anxiety disorders after the experience of a traumatic event...
  60. pmc Preexposure antiretroviral prophylaxis attitudes in high-risk Boston area men who report having sex with men: limited knowledge and experience but potential for increased utilization after education
    Matthew J Mimiaga
    The Fenway Institute, Fenway Community Health, Boston, MA 02119, USA
    J Acquir Immune Defic Syndr 50:77-83. 2009
    ..Understanding the demographic and behavioral predictors of intent-to-use PrEP may prove useful to identify clinical trial participants...
  61. ncbi request reprint Tricks of the trade: sexual health behaviors, the context of HIV risk, and potential prevention intervention strategies for male sex workers
    Sari L Reisner
    The Fenway Institute, Fenway Health, Boston, MA 02215, USA
    J LGBT Health Res 4:195-209. 2008
    ..Multipronged interventions to decrease sexual risk taking among male sex workers would also benefit from addressing the unique socioeconomic and legal needs of this population...
  62. pmc Disability and psychologic distress in patients with nonspecific and specific arm pain
    Ana Maria Vranceanu
    Department of Psychiatry, Behavioral Medicine Services, Massachusetts General Hospital and Harvard Medical School, Boston, MA02114, USA
    Clin Orthop Relat Res 466:2820-6. 2008
    ..Based on a screening questionnaire, a comorbid psychiatric illness, a somatoform disorder in particular, is associated with nonspecific arm pain and arm-specific disability...
  63. doi request reprint Methodological challenges in psychiatric treatment adherence research
    Dawn Velligan
    Department of Psychiatry, Mail Stop 7797, The University of Texas Health Science Center, 7704 Floyd Curl Drive, San Antonio, TX 78229 3900, USA
    Clin Schizophr Relat Psychoses 4:74-91. 2010
    ..Finally, the panel identified a broad range of intervention approaches, and conditions under which these interventions are likely to be most effective at reducing barriers to adherence and reinforcing adherence behavior...
  64. pmc Recent developments in the psychosocial treatment of adult ADHD
    Laura E Knouse
    Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA
    Expert Rev Neurother 8:1537-48. 2008
    ..These treatments, however, require further study for replication, extension and refinement. Finally, we suggest future directions for the application of psychosocial treatments to the problems of adults with ADHD...
  65. ncbi request reprint New developments in the treatment of ADHD
    Joseph Biederman
    Dept of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
    J Clin Psychiatry 67:148-59. 2006
  66. ncbi request reprint Anxiety sensitivity among Cambodian refugees with panic disorder: A factor analytic investigation
    Devon E Hinton
    Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, 15 Parkman Street, WACC 812, Boston, MA 02114, USA
    J Anxiety Disord 20:281-95. 2006
    ..The item clustering within the factor solution of both the ASI and Augmented ASI illustrates the role of cultural syndromes in generating fear of mental and bodily events...
  67. pmc Designing interventions to overcome poor numeracy and improve medication adherence in chronic illness, including HIV/AIDS
    John O Moore
    Media Lab, MIT, Cambridge, MA, USA
    J Med Toxicol 7:133-8. 2011
    ..These methods incorporate efficient, precise, and clear graphical data; cartographical techniques focused on judicious use of color intensities; and animation that increases engagement and accentuates information transfer...
  68. ncbi request reprint Developing an HIV-prevention intervention for HIV-infected men who have sex with men in HIV care: project enhance
    Robert O Knauz
    Fenway Community Health, 7 Haviland Street, Boston, MA 02115, USA
    AIDS Behav 11:S117-26. 2007
    ..The result of this process is an example of an intervention developed with strong input from the community and other stakeholders, which is ready for further testing in a randomized controlled trial...
  69. pmc HIV risk and social networks among male-to-female transgender sex workers in Boston, Massachusetts
    Sari L Reisner
    The Fenway Institute, Fenway Health, Boston, Massachusetts, USA
    J Assoc Nurses AIDS Care 20:373-86. 2009
    ..Results suggest that interventions with transgender male-to-female sex workers must be at multiple levels and address the psychosocial and environmental contexts in which sexual risk behavior occurs...
  70. pmc A review of HIV antiretroviral adherence and intervention studies among HIV-infected youth
    Sari L Reisner
    Fenway Institute, Fenway Community Health, Boston, MA 02119, USA
    Top HIV Med 17:14-25. 2009
    ..Secondary HIV prevention interventions for youth represent a possible mode through which to deliver individually tailored adherence skill building and counseling to improve medication adherence...
  71. ncbi request reprint Anxiety sensitivity in traumatized Cambodian refugees: a discriminant function and factor analytic investigation
    Devon E Hinton
    Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
    Behav Res Ther 43:1631-43. 2005
    ..The item clustering within the factor solution of both the ASI and Augmented ASI illustrates the role of cultural syndromes in generating fear of mental and bodily events...
  72. pmc Contributors to neuropsychological impairment in HIV-infected and HIV-uninfected opiate-dependent patients
    Allison J Applebaum
    Boston University, Boston, MA, USA
    J Clin Exp Neuropsychol 32:579-89. 2010
    ..These findings confirm NP impairment in HIV-infected substance abusing patients independent of comorbid depression and severity of substance use...
  73. pmc What makes a respondent-driven sampling "seed" productive? Example of finding at-risk Massachusetts men who have sex with men
    Sari L Reisner
    The Fenway Institute, Fenway Health, Boston, MA, USA
    J Urban Health 87:467-79. 2010
    ..Finding ways to identify RDS seeds that are consistently generative may facilitate collecting a sample that is closer to reflecting the MSM who live in all of the communities in a given location or study sample...
  74. ncbi request reprint Barriers and facilitators to antiretroviral medication adherence among patients with HIV in Chennai, India: a qualitative study
    N Kumarasamy
    YRG CARE, Chennai, India
    AIDS Patient Care STDS 19:526-37. 2005
    ..These data highlight the importance of reducing the cost of antiretroviral medications, involving family members in HIV care, and addressing privacy issues and stigma in counseling interventions in this setting...
  75. doi request reprint Research forum on psychological treatment of adults with ADHD
    Margaret Weiss
    University of British Columbia and Children s and Women s Health Centre, Vancouver, BC, Canada
    J Atten Disord 11:642-51. 2008
    ..Practice guidelines to date all recommend multimodal intervention, given that a significant number of patients cannot tolerate, do not respond to, or fail to reach optimal outcomes with medication alone...
  76. ncbi request reprint Review of treatment studies of depression in HIV
    Bunmi O Olatunji
    Vanderbilt University, Nashville, TN, USA
    Top HIV Med 14:112-24. 2006
    ....
  77. ncbi request reprint Sexual behaviors of individuals with HIV living in South India: a qualitative study
    A K Sri Krishnan
    YRG CARE, Chennai, India
    AIDS Educ Prev 19:334-45. 2007
    ....
  78. ncbi request reprint Domains of life satisfaction in social anxiety disorder: relation to symptoms and response to cognitive-behavioral therapy
    Winnie Eng
    College of Staten Island, City University of New York, USA
    J Anxiety Disord 19:143-56. 2005
    ..These findings provide further support for the assertion that social anxiety disorder has important implications for clients' quality of life and that CBGT can successfully impact several domains of satisfaction...
  79. ncbi request reprint HIV care providers and prevention: opportunities and challenges
    Kenneth H Mayer
    Infectious Disease Division, Department of Medicine, Brown University The Miriam Hospital, Providence, RI 02906, USA
    J Acquir Immune Defic Syndr 37:S130-2. 2004
  80. doi request reprint Mental health concerns of gay and bisexual men seeking mental health services
    Michael B Berg
    Wheaton College, USA
    J Homosex 54:293-306. 2008
    ....

Research Grants25

  1. CBT for Residual ADHD Symptoms in Adults
    Steven Safren; Fiscal Year: 2002
    ....
  2. Efficacy of CBT for Residual ADHD in Adults
    Steven Safren; Fiscal Year: 2007
    ..Endpoints were ratings by a blinded independent assessor and patient self-report data. We propose to build on this work by conducting an adequately-powered efficacy study comparing CBT to a credible, placebo-control psychotherapy. ..
  3. Efficacy of CBT for Adherence and Depression in HIV Care Settings
    Steven Safren; Fiscal Year: 2009
    ..Following successful formative work through our NIMH R21, we propose a full-scale randomized controlled efficacy trial of cognitive behavioral therapy for adherence and depression in HIV. ..
  4. CBT for depression & adherence in HIV methadone patients
    Steven Safren; Fiscal Year: 2007
    ..2001) in conjunction with physician feedback regarding baseline study assessments. Participants will be followed for one-year post-randomization. ..
  5. CBT for Adherence and Depression in Diabetes
    Steven Safren; Fiscal Year: 2009
    ..Both groups-will receive diabetes education from a dietitian and a diabetes nurse educator. ..
  6. CBT for Adherence and Depression in Diabetes
    Steven A Safren; Fiscal Year: 2010
    ..Both groups-will receive diabetes education from a dietitian and a diabetes nurse educator. ..
  7. CBT for Adherence and Depression in Diabetes
    Steven Safren; Fiscal Year: 2007
    ..Both groups-will receive diabetes education from a dietitian and a diabetes nurse educator. ..
  8. CBT for depression & adherence in HIV methadone patients
    Steven Safren; Fiscal Year: 2007
    ..Participants will be followed for one-year post-randomization. ..
  9. CBT for Adherence and Depression in Diabetes
    Steven Safren; Fiscal Year: 2006
    ..Both groups-will receive diabetes education from a dietitian and a diabetes nurse educator. ..
  10. Efficacy of CBT for Adherence and Depression in HIV Care Settings
    Steven A Safren; Fiscal Year: 2010
    ..Following successful formative work through our NIMH R21, we propose a full-scale randomized controlled efficacy trial of cognitive behavioral therapy for adherence and depression in HIV. ..