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Article ; Online: I may never see the ocean again: Loss and grief among older adults during the COVID-19 pandemic.

Ishikawa, Rachel Zack

Psychological trauma : theory, research, practice and policy

2020 Volume 12, Issue S1, Page(s) S85–S86

Abstract: The COVID-19 pandemic has disproportionately affected older adults, not only through greater risk of illness and death but also by exacerbating underlying distress related to aging and mortality. Older adults' struggles with loneliness, fear of dying, ... ...

Abstract	The COVID-19 pandemic has disproportionately affected older adults, not only through greater risk of illness and death but also by exacerbating underlying distress related to aging and mortality. Older adults' struggles with loneliness, fear of dying, and the sequelae of untreated medical conditions are viewed through the lens of anticipatory grief, and coping and treatment strategies are offered. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
MeSH term(s)	Aged ; Aged, 80 and over ; Aging/psychology ; Attitude to Death ; COVID-19 ; Coronavirus Infections/psychology ; Female ; Grief ; Humans ; Loneliness/psychology ; Male ; Mental Health Services ; Pandemics ; Pneumonia, Viral/psychology ; Social Isolation ; Telemedicine
Keywords	covid19
Language	English
Publishing date	2020-06-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	2497028-1
ISSN	1942-969X ; 1942-9681
ISSN (online)	1942-969X
ISSN	1942-9681
DOI	10.1037/tra0000695
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: I may never see the ocean again

Ishikawa, Rachel Zack

Psychological Trauma: Theory, Research, Practice, and Policy

Loss and grief among older adults during the COVID-19 pandemic.

2020 Volume 12, Issue S1, Page(s) S85–S86

Keywords	Clinical Psychology ; Social Psychology ; covid19
Language	English
Publisher	American Psychological Association (APA)
Publishing country	us
Document type	Article ; Online
ZDB-ID	2497028-1
ISSN	1942-969X ; 1942-9681
ISSN (online)	1942-969X
ISSN	1942-9681
DOI	10.1037/tra0000695
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: I may never see the ocean again: Loss and grief among older adults during the COVID-19 pandemic

Ishikawa, Rachel Zack

Psychological trauma

Abstract	The COVID-19 pandemic has disproportionately affected older adults, not only through greater risk of illness and death but also by exacerbating underlying distress related to aging and mortality. Older adults' struggles with loneliness, fear of dying, and the sequelae of untreated medical conditions are viewed through the lens of anticipatory grief, and coping and treatment strategies are offered. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #32551777
Database	COVID19

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Article ; Online: Child Maltreatment Among Older Adults: A Narrative Review of Psychotherapeutic Interventions and Clinical Considerations.

Ishikawa, Rachel Zack / Ander, Ilana / Popescu, Dominique L / Vyas, Chirag M / Okereke, Olivia I

Clinical gerontologist

2023 , Page(s) 1–15

Abstract: Objectives: The goals of this narrative review are to review the literature on psychotherapeutic interventions for older adults with histories of child maltreatment (CM) and to examine the unique considerations for assessing, diagnosing, and treating ... ...

Abstract	Objectives: The goals of this narrative review are to review the literature on psychotherapeutic interventions for older adults with histories of child maltreatment (CM) and to examine the unique considerations for assessing, diagnosing, and treating older adults with CM histories. Methods: Online database searches were conducted to identify the extant research into the efficacy of psychotherapeutic interventions for older adults with CM-related trauma. Results: Eight studies met inclusion criteria. The primary target diagnoses were post-traumatic stress disorder and depression. Psychotherapeutic interventions included Narrative Exposure Therapy, exposure-based treatments, Life Review Therapy, integrated treatments, and a spiritually-focused group therapy. Conclusions: While limited in number and generalizability due to study design and sample size and characteristics, the studies provide preliminary evidence of potentially effective psychotherapeutic treatments for older adults with CM histories. Further research is needed to determine the most effective psychotherapeutic interventions for this population. Clinical implications: Many older adults suffer for decades with the repercussions of CM. Due to knowledge gaps regarding best practices for treating older adults with CM histories, many clinicians are poorly equipped to treat this population. Therefore, awareness of CM-related pathology and familiarity with effective psychotherapeutic interventions are essential for clinicians to meet the needs of this population.
Language	English
Publishing date	2023-05-31
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	226146-7
ISSN	1545-2301 ; 0731-7115
ISSN (online)	1545-2301
ISSN	0731-7115
DOI	10.1080/07317115.2023.2219671
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Article ; Online: Treating PTSD and Alcohol Use Disorder: Concurrent Cognitive Processing Therapy and Psychopharmacology.

Zack Ishikawa, Rachel / Steere, Rachel / Conteh, Nkechi / Cramer, Margaret A / Rao, Vinod / Sprich, Susan / Cohen, Jonah N

The Journal of clinical psychiatry

2022 Volume 84, Issue 1

Abstract: Comorbidity is common with posttraumatic stress disorder, and alcohol use disorder (AUD) is among the most common co-occurring disorders. When viewed through the lens of avoidance behaviors, AUD can shape an individual's response to distressing trauma ... ...

Abstract	Comorbidity is common with posttraumatic stress disorder, and alcohol use disorder (AUD) is among the most common co-occurring disorders. When viewed through the lens of avoidance behaviors, AUD can shape an individual's response to distressing trauma reminders by dulling the emotional response and promoting disengagement from the traumatic memory. Over time, this response strengthens posttraumatic distress by reinforcing the belief that traumatic memories and their emotional responses are themselves dangerous and intolerable. In turn, this belief may impede treatment progress. Concurrent trauma-focused therapy and AUD treatment can serve to establish more adaptive coping strategies. Reducing reliance on alcohol for coping while engaging safely and effectively with trauma memories allows the individual to process the memories, build tolerance to emotional distress, and ultimately reframe maladaptive trauma-related beliefs and decrease the intensity of reactions. This case presents concurrent psychopharmacology and cognitive processing therapy for co-occurring posttraumatic stress disorder and AUD. We explore how alcohol use, and emotional avoidance more broadly, become targets for change.
MeSH term(s)	Humans ; Stress Disorders, Post-Traumatic/complications ; Stress Disorders, Post-Traumatic/therapy ; Stress Disorders, Post-Traumatic/epidemiology ; Alcoholism/epidemiology ; Psychopharmacology ; Comorbidity ; Cognitive Behavioral Therapy
Language	English
Publishing date	2022-11-09
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	716287-x
ISSN	1555-2101 ; 0160-6689
ISSN (online)	1555-2101
ISSN	0160-6689
DOI	10.4088/JCP.22ct14636
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Article: Help seeking and help receiving for emotional distress among Latino men and women.

Ishikawa, Rachel Zack / Cardemil, Esteban V / Falmagne, Rachel Joffe

Qualitative health research

2010 Volume 20, Issue 11, Page(s) 1558–1572

Abstract: In this study, we examined help-seeking pathways and help-receiving experiences among Latinos, a population that has been shown to under-utilize mental health services. We used the qualitative approach of dual mode of analysis to explore the experiences ... ...

Abstract	In this study, we examined help-seeking pathways and help-receiving experiences among Latinos, a population that has been shown to under-utilize mental health services. We used the qualitative approach of dual mode of analysis to explore the experiences of 13 Latino men and women who utilized formal as well as informal treatment and support resources. We explored three specific themes: (a) individual and family help-seeking perspectives intersecting with Latino cultural norms; (b) referral source and style, needs identification, and prior help-seeking experiences as key motivational factors for help seeking; and (c) client-therapist match and client-therapist relational style as integral to mental health treatment satisfaction. We discuss clinical implications for efforts to improve the cultural sensitivity and accessibility of mental health services.
MeSH term(s)	Cultural Competency ; Female ; Healthcare Disparities/ethnology ; Hispanic Americans/psychology ; Humans ; Male ; Mental Health Services ; Patient Acceptance of Health Care/ethnology ; Professional-Patient Relations ; Social Support ; Stress, Psychological/ethnology ; Stress, Psychological/psychology ; Stress, Psychological/therapy
Language	English
Publishing date	2010-11
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	1275716-0
ISSN	1552-7557 ; 1049-7323
ISSN (online)	1552-7557
ISSN	1049-7323
DOI	10.1177/1049732310369140
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Article ; Online: Removing Obstacles To Eliminating Racial And Ethnic Disparities In Behavioral Health Care.

Alegría, Margarita / Alvarez, Kiara / Ishikawa, Rachel Zack / DiMarzio, Karissa / McPeck, Samantha

Health affairs (Project Hope)

2016 Volume 35, Issue 6, Page(s) 991–999

Abstract: Despite decades of research, racial and ethnic disparities in behavioral health care persist. The Affordable Care Act expanded access to behavioral health care, but many reform initiatives fail to consider research about racial/ethnic minorities. ... ...

Abstract	Despite decades of research, racial and ethnic disparities in behavioral health care persist. The Affordable Care Act expanded access to behavioral health care, but many reform initiatives fail to consider research about racial/ethnic minorities. Mistaken assumptions that underlie the expansion of behavioral health care run the risk of replicating existing service disparities. Based on a review of relevant literature and numerous observational and field studies with minority populations, we identified the following three mistaken assumptions: Improvement in health care access alone will reduce disparities, current service planning addresses minority patients' preferences, and evidence-based interventions are readily available for diverse populations. We propose tailoring the provision of care to remove obstacles that minority patients face in accessing treatment, promoting innovative services that respond to patients' needs and preferences, and allowing flexibility in evidence-based practice and the expansion of the behavioral health workforce. These proposals should help meet the health care needs of a growing racial/ethnic minority population.
MeSH term(s)	Evidence-Based Practice ; Health Services Accessibility ; Healthcare Disparities/ethnology ; Humans ; Mental Health Services/statistics & numerical data ; Patient Protection and Affordable Care Act/legislation & jurisprudence ; Racial Groups ; Socioeconomic Factors ; United States
Language	English
Publishing date	2016-08-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	632712-6
ISSN	1544-5208 ; 0278-2715
ISSN (online)	1544-5208
ISSN	0278-2715
DOI	10.1377/hlthaff.2016.0029
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Article ; Online: The role of sociocultural information in mental health intake sessions.

Alegría, Margarita / Katz, Arlene / Ishikawa, Rachel Zack / Diaz-Linhart, Yaminette / Valentine, Anne / Lapatin, Sheri

The Israel journal of psychiatry and related sciences

2013 Volume 49, Issue 3, Page(s) 194–201

Abstract: Background: Clinicians are advised to provide culturally competent care but little is known about how this directive translates into clinical practice. we investigated how this directive was implemented by describing how clinicians utilize sociocultural ...

Abstract	Background: Clinicians are advised to provide culturally competent care but little is known about how this directive translates into clinical practice. we investigated how this directive was implemented by describing how clinicians utilize sociocultural (SC) information, and how it impacts the clinical encounter. Method: Data were collected in clinics in the Northeast of the U.S. Clients (N=129) and clinicians (N=47) participated in three components of the study: videotaping of the clinical intake, a qualitative interview, and reporting on sociodemographics. thematic analysis of interviews was conducted using NVivo7. Results: Clinicians used sociocultural information to understand clients' clinical presentation; inform diagnosis; differentiate psychopathology from contextual circumstances that influence behavior; create empathy; and individuate clients. Limitations: Since the study only included data from public clinics, the results may not generalize to other settings. Conclusions: Integrating SC information appears critical to client engagement and to bonding between client and clinician, particularly for diverse populations utilizing public clinics.
MeSH term(s)	Adult ; Culturally Competent Care/ethnology ; Culturally Competent Care/standards ; Female ; Humans ; Interview, Psychological/standards ; Male ; Mental Disorders/diagnosis ; Mental Disorders/ethnology ; Middle Aged ; New England/ethnology ; Professional-Patient Relations ; Qualitative Research
Language	English
Publishing date	2013-01-11
Publishing country	Israel
Document type	Journal Article
ZDB-ID	604431-1
ISSN	2617-2402 ; 0333-7308
ISSN (online)	2617-2402
ISSN	0333-7308
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Article ; Online: Uptake of depression treatment recommendations among Latino primary care patients.

Ishikawa, Rachel Zack / Cardemil, Esteban V / Alegría, Margarita / Schuman, Catherine C / Joseph, Robert C / Bauer, Amy M

Psychological services

2014 Volume 11, Issue 4, Page(s) 421–432

Abstract: Background: Primary care providers (PCP) are the entry point for public sector depression treatment for many Latino patients. However, many Latino patients do not initiate their PCPs' recommended treatment, which likely contributes to ethnic disparities ...

Abstract	Background: Primary care providers (PCP) are the entry point for public sector depression treatment for many Latino patients. However, many Latino patients do not initiate their PCPs' recommended treatment, which likely contributes to ethnic disparities in depression treatment. This study examined factors related to Latino patients' uptake of their PCPs' recommendations for depression treatment. Method: Ninety Latino primary care patients who received a depression treatment recommendation from their PCP participated in a telephone interview. Patients rated their working alliance with their PCP and their PCP's cultural competence. They also reported their treatment preference, the type of recommendation, and their intended and actual uptake of the recommendation. Patients were contacted at two time points (Time 1: M = 14 days after PCP appointment; Time 2: M = 84 days after PCP appointment) to report their uptake status. Results: At Time 1, 23% of patients had initiated uptake of the treatment recommendation, increasing to 53% at Time 2. Patients who received a medication recommendation were more likely to have followed though on the recommendation, compared with patients who received a psychotherapy recommendation. The working alliance was positively associated with intention to follow up on a treatment recommendation, and also mediated the relationship between cultural competence and intention of following up on the recommendation. Conclusion: PCP's treatment recommendation and the PCP-patient alliance play a role in Latino primary care patients intention to follow a treatment recommendation for depression. An improved understanding of this role could enhance efforts to improve depression treatment uptake.
MeSH term(s)	Adult ; Antidepressive Agents/therapeutic use ; Culturally Competent Care ; Depression/drug therapy ; Depression/psychology ; Depression/therapy ; Depressive Disorder/drug therapy ; Depressive Disorder/psychology ; Depressive Disorder/therapy ; Female ; Hispanic Americans/psychology ; Humans ; Male ; Middle Aged ; Patient Acceptance of Health Care ; Primary Health Care ; Psychotherapy
Chemical Substances	Antidepressive Agents
Language	English
Publishing date	2014-02-10
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2156662-8
ISSN	1939-148X ; 1541-1559
ISSN (online)	1939-148X
ISSN	1541-1559
DOI	10.1037/a0035716
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Effectiveness of a Disability Preventive Intervention for Minority and Immigrant Elders: The Positive Minds-Strong Bodies Randomized Clinical Trial.

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry

2019 Volume 27, Issue 12, Page(s) 1299–1313

Abstract: Objective: To test the acceptability and effectiveness of a disability prevention intervention, Positive Minds-Strong Bodies (PMSB), offered by paraprofessionals to mostly immigrant elders in four languages.: Design: Randomized trial of 307 ... ...

Abstract	Objective: To test the acceptability and effectiveness of a disability prevention intervention, Positive Minds-Strong Bodies (PMSB), offered by paraprofessionals to mostly immigrant elders in four languages. Design: Randomized trial of 307 participants, equally randomized into intervention or enhanced usual care. Setting: Community-based organizations in Massachusetts, New York, Florida, and Puerto Rico serving minority elders. Data collected at baseline, 2, 6, and 12 months, between May 2015 and March 2019. Participants: English-, Spanish-, Mandarin-, or Cantonese-speaking adults, age 60+, not seeking disability prevention services, but eligible per elevated mood symptoms and minor to moderate physical dysfunction. Interventions: Ten individual sessions of cognitive behavioral therapy (PM) concurrently offered with 36 group sessions of strengthening exercise training (SB) over 6 months compared to enhanced usual care. Measurements: Acceptability defined as satisfaction and attendance to >50% of sessions. Effectiveness determined by changes in mood symptoms (HSCL-25 and GAD-7), functional performance (SPPB), self-reported disability (LLFDI), and disability days (WHODAS 2.0). Results: Around 77.6% of intervention participants attended over half of PM Sessions; 53.4% attended over half of SB sessions. Intent-to-treat analyses at 6 months showed significant intervention effects: improved functioning per SPPB and LLFDI, and lowered mood symptoms per HSCL-25. Intent-to-treat analyses at 12 months showed that effects remained significant for LLFDI and HSCL-25, and disability days (per WHODAS 2.0) significantly decreased 6-month after the intervention. Conclusions: PMSB offered by paraprofessionals in community-based organizations demonstrates good acceptability and seems to improve functioning, with a compliance-benefit effect showing compliance as an important determinant of the intervention response.
MeSH term(s)	Activities of Daily Living ; African Americans ; Aged ; Asian Americans ; Cognitive Behavioral Therapy ; Community Health Workers ; Disability Evaluation ; Emigrants and Immigrants ; European Continental Ancestry Group ; Exercise ; Feasibility Studies ; Female ; Health Status ; Hispanic Americans ; Humans ; Male ; Mental Health ; Middle Aged ; Minority Groups ; Patient Acceptance of Health Care ; Patient Health Questionnaire ; Patient Satisfaction ; Physical Functional Performance ; Preventive Medicine
Language	English
Publishing date	2019-08-13
Publishing country	England
Document type	Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural
ZDB-ID	1278145-9
ISSN	1545-7214 ; 1064-7481
ISSN (online)	1545-7214
ISSN	1064-7481
DOI	10.1016/j.jagp.2019.08.008
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