Rhonda Boyd
University of Pennsylvania, Psychiatry, Faculty Member
Research Interests:
Research Interests:
Research Interests: Medicine, Community Based Participatory Research, Mood, Attendance, Pregnancy, and 15 moreHumans, Behavior Therapy, Female, Psychological Intervention, Depressive Disorder, Universities, Mental Disorders, Ethnic Groups, Adult, Pilot Projects, Perinatal Care, Socioeconomic Factors, Pregnancy complications, Referral and consultation, and Referral
To describe the rates of mood disorders, the social and demographic correlates of mood disorders, and mental health services utilization among African American, Caribbean black, and non-Hispanic white mothers. Study data were collected... more
To describe the rates of mood disorders, the social and demographic correlates of mood disorders, and mental health services utilization among African American, Caribbean black, and non-Hispanic white mothers. Study data were collected between February 2001 and June 2003 as part of the National Survey of American Life: Coping With Stress in the 21st Century. National household probability samples of African Americans and Caribbean blacks were surveyed using a slightly modified World Mental Health version of the World Health Organization Composite International Diagnostic Interview. Participants included 2,019 African American, 799 Caribbean black, and 400 non-Hispanic white mothers 18 years and older (N = 3,218). The main outcomes measured were lifetime and 12-month diagnoses of DSM-IV mood disorders (major depressive episode, dysthymic disorder, bipolar I and II disorders) and mental health services utilization. The lifetime prevalence estimate of mood disorders is higher for white mothers (21.67%) than for African American mothers (16.77%) and Caribbean black mothers (16.42%); however, 12-month mood disorder estimates are similar across groups. African American mothers have higher 12-month prevalence estimates of bipolar disorder (2.48%) than white mothers (0.59%) and Caribbean black mothers (1.16%). African American mothers with higher education levels and white mothers who became parents as teenagers are more likely to have a lifetime mood disorder. Less than half (45.8%) of black mothers with a past 12-month mood disorder diagnosis utilized mental health services. Among black mothers with a 12-month diagnosis of bipolar disorder, Caribbean blacks utilized mental health services at higher rates than African Americans. Demographic correlates for mood disorders varied by race and ethnicity. The findings illustrated underutilization of treatment by black mothers, especially African American mothers with bipolar disorder.
Research Interests: Demography, Mental Health, Bipolar Disorder, Adolescent, Medicine, and 15 moreMood, Humans, Female, Mothers, Mental health services, Mood Disorders, Aged, Middle Aged, Adult, Ethnic Group, Clinical Psychiatry, Health surveys, European Continental Ancestry Group, dysthymic disorder, and Medical and Health Sciences
OBJECTIVE The American Academy of Pediatrics recommends postpartum depression (PPD) screening. It is unknown whether pediatricians are effective in linking mothers to mental health services. The objectives of the current study are to... more
OBJECTIVE The American Academy of Pediatrics recommends postpartum depression (PPD) screening. It is unknown whether pediatricians are effective in linking mothers to mental health services. The objectives of the current study are to determine 1) mental health care use among women with Medicaid insurance after a positive PPD screen and 2) maternal and infant factors that predict the likelihood of mental health care use. METHODS Retrospective cohort design of mothers attending their infants' 2-month well child visit at 1 of 5 urban primary care practices between 2011 and 2014. A linked dataset of the child's electronic health records, maternal Medicaid claims, and birth certificates was used. The primary outcome was mental health care use within 6 months of a positive PPD screen. Multivariate logistic regression was used to estimate maternal and infant clinical and sociodemographic factors that predict service use. RESULTS In total, 3052 mothers met study criteria, 1986 (65.1%) completed the PPD screen, and 263 (13.2%) screened positive for PPD, of whom 195 (74.1%%) were referred for services. Twenty-three women (11.8%) had at least 1 Medicaid claim for depression within 6 months of screening. In multivariate modeling, mothers with a history of depression in the previous year (odds ratio = 3.80, 1.20-12.11) were more likely to receive mental health services after a positive screen. CONCLUSIONS Few mothers who screened positive for PPD received mental health services. Mothers without a recent history of depression treatment may be especially at risk for inadequate care. Additional mechanisms to improve access to mental health services after PPD screening are needed.
Research Interests:
Research Interests: Health Psychology, Cognition, Asthma, Bisexuality, Anxiety, and 15 moreAttendance, Cognitive training, Humans, Burnout, Feasibility Studies, Male, Attrition, Clinical Sciences, Adult, ANXIETY, Guidance and Counseling Intervention Programs, Internet, Boston College, Medical and Health Sciences, and HIV infections
Research Interests: Immunology, Quality of life, Asthma, Medicine, Emergency Medical Services, and 15 moreHumans, Hospitalization, Female, Male, Exposure, African Americans, Association, Middle Aged, Questionnaires, Longitudinal Studies, Adult, Epidemiologic Studies, Emergency Department, Clinical Allergy and Immunology, and Severity of Illness Index
Research Interests:
Research Interests:
Research Interests:
Research Interests:
BackgroundSuicidal behavior is highly familial. Neurocognitive deficits have been proposed as an endophenotype for suicide risk that may contribute to the familial transmission of suicide. Yet, there is a lack of research on the... more
BackgroundSuicidal behavior is highly familial. Neurocognitive deficits have been proposed as an endophenotype for suicide risk that may contribute to the familial transmission of suicide. Yet, there is a lack of research on the neurocognitive functioning of first‐degree biological relatives of suicide attempters. The aim of the present study is to conduct the largest investigation to date of neurocognitive functioning in community youth with a family history of a fatal or nonfatal suicide attempt (FH).MethodsParticipants aged 8–21 years from the Philadelphia Neurodevelopmental Cohort completed detailed clinical and neurocognitive evaluations. A subsample of 501 participants with a FH was matched to a comparison group of 3,006 participants without a family history of suicide attempt (no‐FH) on age, sex, race, and lifetime depression.ResultsAfter adjusting for multiple comparisons and including relevant clinical and demographic covariates, youth with a FH had significantly lower exec...
Research Interests:
Research Interests:
Research Interests:
Youth exposure to ‘web of violence’ is associated with impairments in mental and physical health. The current study aimed to identify subgroups of violent events, such as maltreatment, bullying perpetration and peer victimization and... more
Youth exposure to ‘web of violence’ is associated with impairments in mental and physical health. The current study aimed to identify subgroups of violent events, such as maltreatment, bullying perpetration and peer victimization and explore how these relate to depressive symptoms, hopelessness, and impairment among a sample of clinically-referred youth. A sample of 151 adolescents between the ages of 12 and 18 years was evaluated at a mood disorders program in an outpatient hospital-based clinic. Cluster analysis was used to identify subgroups based on ‘web of violence’ experiences. Group differences were then analyzed by demographics and clinical variables. Overall, rates of exposure to maltreatment, peer victimization and bullying perpetration were high. Cluster analysis identified two subgroups of adolescents which can be characterized as low versus high exposure groups. The high exposure group reported more severe depressive symptoms, greater hopelessness, and more impairment than the low exposure group. Among this clinical sample, distinct subgroups of youth were identified that differed based exposure to maltreatment and peer fighting and victimization. Adolescents in the high exposure group showed significantly worse clinical outcomes compared to the low exposure group. These findings further highlight the importance of a comprehensive assessment for involvement in violence when evaluating adolescents with depression.
Research Interests:
Research Interests:
Research Interests:
Research Interests: Medicine, Community Based Participatory Research, Mood, Attendance, Pregnancy, and 15 moreHumans, Behavior Therapy, Female, Psychological Intervention, Depressive Disorder, Universities, Mental Disorders, Ethnic Groups, Adult, Pilot Projects, Perinatal Care, Socioeconomic Factors, Pregnancy complications, Referral and consultation, and Referral
Research Interests:
OBJECTIVESTo test effects of a social media-based parenting program for mothers with postpartum depressive symptoms.METHODSWe conducted a randomized controlled trial from December 2019 to August 2021 of a parenting program using Facebook.... more
OBJECTIVESTo test effects of a social media-based parenting program for mothers with postpartum depressive symptoms.METHODSWe conducted a randomized controlled trial from December 2019 to August 2021 of a parenting program using Facebook. Women with mild-to-moderate depressive symptoms (Edinburgh Postnatal Depression Scale [EPDS] 10–19) were randomized to the program, plus online depression treatment or depression treatment alone for 3 months. Women completed the EPDS monthly and the Parent–Child Early Relational Assessment, Parenting Stress Index-Short Form, and Parenting Sense of Competence pre- and postintervention. Differences among groups were assessed using intention-to-treat analysis.RESULTSSeventy-five women enrolled and 66 (88%) completed the study. Participants were predominantly Black (69%), single (57%), with incomes <$55 000 (68%). The parenting group reported a more rapid decline in depressive symptoms than the comparison group (adjusted EPDS difference, −2.9; 95% c...
Research Interests:
Research Interests:
Research Interests:
BackgroundAlthough there are extensive data on clinical psychopathology in youth with suicidal ideation, data are lacking regarding their neurocognitive function.AimsTo characterise the cognitive profile of youth with suicidal ideation in... more
BackgroundAlthough there are extensive data on clinical psychopathology in youth with suicidal ideation, data are lacking regarding their neurocognitive function.AimsTo characterise the cognitive profile of youth with suicidal ideation in a community sample and evaluate gender differences and pubertal status effects.MethodParticipants (N = 6151, age 11–21 years, 54.9% females) from the Philadelphia Neurodevelopmental Cohort, a non-help-seeking community sample, underwent detailed clinical evaluation. Cognitive phenotyping included executive functioning, episodic memory, complex reasoning and social cognitive functioning. We compared participants with suicidal ideation (N = 672) and without suicidal ideation (N = 5479). Regression models were employed to evaluate differences in cognitive performance and functional level, with gender and pubertal status as independent variables. Models controlled for lifetime depression or general psychopathology, and for covariates including age and ...
Research Interests:
Caregiver depression impacts parenting behaviors and has deleterious effects on child behavior. Evidence-based interventions to address parenting have not been adapted for use with depressed caregivers in pediatric primary care settings.... more
Caregiver depression impacts parenting behaviors and has deleterious effects on child behavior. Evidence-based interventions to address parenting have not been adapted for use with depressed caregivers in pediatric primary care settings. Our study examined the feasibility and explored outcomes of an evidence-based parenting program implemented in primary care and adapted for caregivers with depressive symptoms caring for toddlers. We conducted a randomized controlled trial with a wait-list control. Participants were caregivers who screened positive for depressive symptoms in pediatric settings with a toddler. Our study was implemented from July 2011 to June 2012. We adapted the Incredible Years Parents, Babies and Toddlers program with the addition of depression psychoeducation (12 weekly sessions), and assessed caregivers at baseline and immediately post-intervention. We assessed participation rates, depressive symptoms, parenting discipline practices, social support, and parenting...
Research Interests:
Research Interests:
Depression is comorbid with anxiety, substance use, and medical conditions in majority and ethnic minority populations. Despite recognition of the growing diversity of racial and ethnic minority groups in the United States, there are... more
Depression is comorbid with anxiety, substance use, and medical conditions in majority and ethnic minority populations. Despite recognition of the growing diversity of racial and ethnic minority groups in the United States, there are significant mental health disparities among them. This chapter reviews literature on interventions of depressive disorders and other mental and medical health conditions in ethnic minority groups. It focuses on (1) the adult population, (1) treatment interventions, and (3) ethnic minority groups in the United States. This review illustrates that research on treatment of depression comorbidity is quite limited for ethnic minorities. Therefore this chapter also discusses how cultural adaptations of evidence-based interventions for major depression can further inform the extent to which interventions for depression comorbidity can be adapted for ethnic minority populations. Research gaps, recommendations, future directions, and treatment guidelines for practitioners related to depression comorbidity and ethnic minority groups are discussed.
Research Interests:
Although pediatric hospitals specialize in providing care to children and adolescents, at The Children's Hospital of Philadelphia (CHOP), our team has been providing behavioral health services for two unique parent populations-parents... more
Although pediatric hospitals specialize in providing care to children and adolescents, at The Children's Hospital of Philadelphia (CHOP), our team has been providing behavioral health services for two unique parent populations-parents with a child in the Newborn Infant Intensive Care Unit and pregnant women carrying fetuses with specific birth defects and receiving prenatal care in the Center for Fetal Diagnosis and Treatment. A new training program was developed to expand the scope of pediatric psychologists' practice to include perinatal behavioral health services, specifically for these two unique parent populations served at CHOP. The program includes direct service provision for adult mental health concerns, as well as education and support to help families cope with the existing medical conditions. This article describes the training program and its implementation as a model of training for other pediatric hospitals. The roles of psychologists embedded in these units a...
Research Interests:
Research Interests:
Close Window. Close Window. Thank you for choosing to subscribe to the eTOC for Clinical Obstetrics and Gynecology. Enter your Email address: Wolters Kluwer Health may email you for journal alerts and information, but is ...
Research Interests:
Research Interests:
To examine the psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED) for a community sample of African-American high school students. The 41-item SCARED was administered to 111 adolescents (57 girls;... more
To examine the psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED) for a community sample of African-American high school students. The 41-item SCARED was administered to 111 adolescents (57 girls; mean age 15.75) in an urban parochial school. Item frequency, internal consistency, test-retest reliability, and construct validity were assessed. Approximately 30% of the sample had scores high enough to warrant further assessment for anxiety disorders, and girls reported significantly higher anxiety symptoms than boys. Internal consistency (alpha =.89) and test-retest reliability (r = 0.47) over 6 months for the SCARED&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s total score were good. The SCARED&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s total score was positively correlated with other measures of anxiety symptoms and inattention and was negatively correlated with perceived self-worth. Unlike the five-factor structure reported for primarily white samples, only three factors emerged for this African-American sample. The SCARED shows utility as a self-report anxiety screening instrument in a community sample of African-American youths.
Research Interests: Anxiety Disorders, Psychometrics, Adolescent, Humans, Child, and 15 moreAfrican American, High School, Measurement, Female, Male, Psychometric Properties, African Americans, Adult, Reproducibility of Results, Sensitivity and Specificity, The American, Psychiatric Status Rating Scales, Affective symptoms, Psychology and Cognitive Sciences, and Medical and Health Sciences
Research Interests:
Research Interests:
Research Interests:
Research Interests:
... concurred that this appears to be a reasonable approach to diagnosis, bipolar disorder andpsychosis were noted as ... the course and effects of maternal depression, which in turn can inform approaches to preventive interventions with... more
... concurred that this appears to be a reasonable approach to diagnosis, bipolar disorder andpsychosis were noted as ... the course and effects of maternal depression, which in turn can inform approaches to preventive interventions with pregnant and postpartum women. ...
Research Interests:
Depressed mothers, especially those who are African American, are likely to underutilize mental health services. Children of depressed mothers are an at-risk population with mental health needs that are often unmet. This prospective pilot... more
Depressed mothers, especially those who are African American, are likely to underutilize mental health services. Children of depressed mothers are an at-risk population with mental health needs that are often unmet. This prospective pilot study examined 3-month frequency rates and predictors of mental health utilization for a sample of African American depressed mothers and their children. Mothers and 1 of their children completed assessment interviews. Three months later, mothers completed a telephone interview of maternal and child mental health utilization. Overall, 65.3% of depressed mothers and 36.7% of their children had utilized mental health services. Logistic regression analyses indicated that initial mental health treatment significantly predicted maternal mental health utilization. Maternal reports of child behavioral problems significantly predicted child mental health utilization. The findings were consistent with other research and showed evidence of mental health use ...