Publications by authors named "Myah Pazdera"

Objective: By developing a more nuanced understanding of youth using crisis line services, greater strides can be made in addressing their mental health needs. SafeUT is an app-based mental health crisis service that is offered to nearly all youth living in Utah and provides 24/7 access to licensed clinicians by phone or text. This study characterized youth using a statewide mental health crisis service and identified barriers to care.

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Background: Childhood maltreatment (CM) is associated with negative mental health outcomes. Many studies conceptualize resilience as experiencing CM without developing psychopathology (primary resilience). However, some people may develop subsequent psychopathology but recover and demonstrate higher global functioning (secondary resilience).

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Background: Rumination is implicated in the onset and maintenance of major depressive disorder (MDD). Rumination-Focused Cognitive Behavioral Therapy (RF-CBT) effectively targets rumination and may change resting-state brain connectivity and change in activation during a rumination induction task (RIT) post-intervention predicts depressive symptoms two years later. We examined brain activation changes during an RIT in adolescents with remitted MDD following RF-CBT and evaluated RIT reliability (or stability) during treatment as usual (TAU).

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Peer mentorship shows promise as a strategy to support veteran mental health. A community-academic partnership involving a veteran-led nonprofit organization and institutions of higher education evaluated a collaboratively developed peer mentor intervention. We assessed posttraumatic stress disorder (PTSD), postdeployment experiences, social functioning, and psychological strengths at baseline, midpoint, and 12-week discharge using the PTSD Checklist for DSM-5 (PCL-5), Deployment Risk and Resilience Inventory-2, Social Adaptation Self-evaluation Scale, and Values in Action Survey.

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Article Synopsis
  • RF-CBT is a therapeutic approach aimed at reducing depressive rumination in youths by utilizing functional analysis and experiential exercises to change ruminative habits.
  • A clinical trial with 76 youths showed that those receiving RF-CBT had significant reductions in both self-reported rumination and brain connectivity related to rumination compared to those receiving standard treatment.
  • The findings support that RF-CBT can modify brain mechanisms associated with rumination, and further phases of the study will compare its effectiveness against relaxation therapy.
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First responders are at high risk for disorders that arise from repeat exposure to stress and trauma (Post Traumatic Stress Disorder, depression, and problematic alcohol use). Although mental health treatments are available, first responders often do not access them, anchored by barriers that include: lack of knowledge, stigma, negative experience with mental health providers, and time-based burdens. In this study, we designed an intervention to address these barriers, extending a Planned-Action framework.

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Strategies to link impulsivity and self-injurious behaviors (SIBs) show highly variable results, and may differ depending on the impulsivity measure used. To better understand this lack of consistency, we investigated correlations between self-report and behavioral impulsivity, inhibitory control, SIBs, and rumination. We included participants aged 13-17 years with either current or remitted psychopathology who have ( = 31) and who do not have ( = 14) a history of SIBs.

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