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Article ; Online: An exploration of potential pressures to engage in parenting accommodation of PTSD symptoms for military couples.

Allen, Elizabeth S / Renshaw, Keith D / Fredman, Steffany J

2023 Volume 63, Issue 1, Page(s) 315–330

Abstract: In the context of service member posttraumatic stress disorder (PTSD) symptoms, intimate partners may experience pressure to take over parenting roles and run interference between the service member and the children; that is, to engage in partner ... ...

Abstract	In the context of service member posttraumatic stress disorder (PTSD) symptoms, intimate partners may experience pressure to take over parenting roles and run interference between the service member and the children; that is, to engage in partner accommodation focal to parenting. The current study quantitatively assessed potential pressures to engage in parenting accommodation (PPEPA) in a sample of 207 female partners married to male service members with at least one child in the home and the convergence of PPEPA with service member PTSD symptoms, general partner accommodation, couple functioning, parenting, and child functioning. Partners' reports of PPEPA were associated with higher levels of service member PTSD symptoms and partners' general accommodation of PTSD symptoms. When controlling for service member PTSD symptoms and general partner accommodation, partner reports of PPEPA still accounted for unique variance in lower parenting alliance (as reported by both service member and partner), lower levels of service members' reports of closeness with children in the home, higher levels of harsh parenting by both the service member and partner, and greater child behavioral difficulties. Findings support PPEPA as related to partners' accommodative responses to PTSD but demonstrating unique associations with parenting alliance, parenting, and child outcomes. Parenting interventions in the context of PTSD may benefit from conjoint or family approaches that attend to the intersection of PTSD and broader family functioning, including pressures to engage in accommodation focal to the parenting domain.
MeSH term(s)	Child ; Humans ; Male ; Female ; Military Personnel ; Stress Disorders, Post-Traumatic/diagnosis ; Parenting ; Interpersonal Relations ; Spouses
Language	English
Publishing date	2023-01-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	212740-4
ISSN	1545-5300 ; 0014-7370
ISSN (online)	1545-5300
ISSN	0014-7370
DOI	10.1111/famp.12858
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Genetic and subjective sensitivity, relationship dynamics, and psychological distress in couples.

Brown, Samantha M / Rhoades, Galena K / Pluess, Michael / Allen, Elizabeth S / Stanley, Scott M

Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)

2024

Abstract: Positive and negative aspects of intimate relationships influence mental health and well-being in couples. According to the environmental sensitivity framework, individuals differ in how strongly they are affected by their environment, with some ... ...

Abstract	Positive and negative aspects of intimate relationships influence mental health and well-being in couples. According to the environmental sensitivity framework, individuals differ in how strongly they are affected by their environment, with some individuals being more or less sensitive to both negative and positive experiences. The present study examined the longitudinal associations between positive and negative relationship dynamics, including marital satisfaction, positive bonding, and negative communication, and psychological distress as well as the extent to which individual differences in genetic and subjective measures of environmental sensitivity moderated the association between relationship dynamics and psychological distress in a sample of couples in the U.S. Army (
Language	English
Publishing date	2024-04-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	619328-6
ISSN	1939-1293 ; 0893-3200
ISSN (online)	1939-1293
ISSN	0893-3200
DOI	10.1037/fam0001229
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Zs.A 6233: Show issues

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Article ; Online: Commentary: Case report: Daratumumab treatment in pre-transplant alloimmunization and severe hemolytic anemia.

Jacobs, Jeremy W / Booth, Garrett S / Allen, Elizabeth S / Adkins, Brian D

Frontiers in immunology

2023 Volume 14, Page(s) 1133382

MeSH term(s)	Humans ; Erythrocytes/immunology ; Anemia, Sickle Cell/immunology ; Antibodies, Monoclonal/adverse effects
Chemical Substances	daratumumab (4Z63YK6E0E) ; Antibodies, Monoclonal
Language	English
Publishing date	2023-01-27
Publishing country	Switzerland
Document type	Journal Article ; Comment
ZDB-ID	2606827-8
ISSN	1664-3224 ; 1664-3224
ISSN (online)	1664-3224
ISSN	1664-3224
DOI	10.3389/fimmu.2023.1133382
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Article ; Online: Military-related relocation stress and psychological distress in military partners.

Ribeiro, Sissi / Renshaw, Keith D / Allen, Elizabeth S

Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)

2022 Volume 37, Issue 1, Page(s) 45–53

Abstract: Spouses/partners play a crucial role in providing support to military service members (SMs), maintaining a sense of stability for the family, and supporting the overall mission of the armed forces. However, several aspects of the military lifestyle may ... ...

Abstract	Spouses/partners play a crucial role in providing support to military service members (SMs), maintaining a sense of stability for the family, and supporting the overall mission of the armed forces. However, several aspects of the military lifestyle may impact their own psychological health. Much research has focused on the role of SMs' deployments and posttraumatic stress disorder (PTSD) symptoms in partners' distress, but no study has yet quantitatively investigated these factors in tandem with the common military life stressor of frequent relocations. The present study investigated the degree to which problems from service-related moves, couple deployment separation, and SMs' PTSD symptoms uniquely predict partner psychological distress. Data were collected from female partners of Army soldiers who completed online surveys across four timepoints (over 1.5 years) following a deployment. Surveys assessed psychological distress, perceptions of SMs' PTSD symptoms, problems from service-related moves, and deployment separation. Multilevel modeling was used, with longitudinal data treated as repeated measures (i.e., not modeling change over time). Results indicated that problems from service-related moves were associated with greater psychological stress, even when accounting for SMs' PTSD symptoms and deployment separation. Deployment separation itself was not a significant predictor of psychological distress. Findings indicate that problems associated with frequent moves may be a significant contributor to increased psychological distress for partners above and beyond challenges associated with SMs' PTSD symptoms. Recommendations for future research and limitations are also provided. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
MeSH term(s)	Humans ; Female ; Military Personnel/psychology ; Spouses/psychology ; Stress Disorders, Post-Traumatic/psychology ; Stress, Psychological/psychology ; Psychological Distress
Language	English
Publishing date	2022-09-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	619328-6
ISSN	1939-1293 ; 0893-3200
ISSN (online)	1939-1293
ISSN	0893-3200
DOI	10.1037/fam0001030
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Article ; Online: Longitudinal Associations Among Service Members' PTSD Symptoms, Partner Accommodation, and Partner Distress.

Fredman, Steffany J / Le, Yunying / Renshaw, Keith D / Allen, Elizabeth S

Behavior therapy

2022 Volume 53, Issue 6, Page(s) 1161–1174

Abstract: Romantic partners' accommodation of trauma survivors' posttraumatic stress disorder (PTSD) symptoms (e.g., participating in avoidance and safety behaviors, not expressing one's thoughts and feelings) is a putative mechanism linking PTSD symptoms and ... ...

Abstract	Romantic partners' accommodation of trauma survivors' posttraumatic stress disorder (PTSD) symptoms (e.g., participating in avoidance and safety behaviors, not expressing one's thoughts and feelings) is a putative mechanism linking PTSD symptoms and partner distress, but this hypothesis has never been empirically tested. The current study investigated this proposed within-couple mediation process from service members' PTSD symptoms to partners' depressive symptoms and relationship satisfaction through partner accommodation, as well as between-couple associations among these constructs and the possible moderating role of partners' conflict avoidance and helplessness (CAH) motivations for accommodating service members' PTSD symptoms. We examined these questions in 272 male service member/female civilian couples assessed four times over an 18-month period using the multiple-group version of the random intercept cross-lagged panel model. Within couples, service members' higher levels of PTSD symptoms at one time point significantly predicted partners being more accommodating at the next time point (βs = .14-.19), which, in turn, significantly predicted higher levels of partner depressive symptoms at the subsequent time point (βs = .09-.19) but did not predict partners' subsequent relationship satisfaction. At the between-couple level, partner accommodation was significantly positively associated with partners' depressive symptoms only among those endorsing high CAH motivations for accommodation (r = .50). In addition, accommodation was significantly negatively associated with partners' relationship satisfaction regardless of CAH motivation level (rs = -.43 to -.49). These findings are discussed in light of the potential for couple-based treatments for PTSD to enhance partner individual and relational well-being.
MeSH term(s)	Emotions ; Female ; Humans ; Interpersonal Relations ; Male ; Motivation ; Personal Satisfaction ; Sexual Partners ; Stress Disorders, Post-Traumatic/therapy ; Survivors
Language	English
Publishing date	2022-06-03
Publishing country	England
Document type	Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	211996-1
ISSN	1878-1888 ; 0005-7894
ISSN (online)	1878-1888
ISSN	0005-7894
DOI	10.1016/j.beth.2022.05.005
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Article ; Online: How do we design a laboratory space for a hospital transfusion medicine service?

Allen, Elizabeth S / Perez-Alvarez, Ingrid / Woo, Jennifer S / Stephens, Laura D

Transfusion

2023 Volume 64, Issue 1, Page(s) 6–15

Abstract: Background: Transfusion service laboratories (TSL) often need to renovate or design new laboratory space, and their leaders must be involved in the complex and multifaceted design process.: Study design and methods: This manuscript outlines the ... ...

Abstract	Background: Transfusion service laboratories (TSL) often need to renovate or design new laboratory space, and their leaders must be involved in the complex and multifaceted design process. Study design and methods: This manuscript outlines the design process and considerations for a dedicated TSL space. Results: Proactive engagement with key collaborators throughout the design process is essential. Major design considerations include physical features such as location, size, service/equipment needs, and zones within the laboratory; intangible issues such as efficiency, well-being, and disaster planning; and adaptations for suboptimal space and changes over time. Conclusion: Investing in the design of the laboratory space facilitates high-quality TSL operations, productivity, customer satisfaction, regulatory compliance, staff well-being, and most importantly, patient safety.
MeSH term(s)	Humans ; Laboratories ; Transfusion Medicine ; Hospitals
Language	English
Publishing date	2023-10-25
Publishing country	United States
Document type	Case Reports
ZDB-ID	208417-x
ISSN	1537-2995 ; 0041-1132
ISSN (online)	1537-2995
ISSN	0041-1132
DOI	10.1111/trf.17577
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Article ; Online: Firearms and blood transfusion: an inescapable disentanglement.

Jacobs, Jeremy W / Stephens, Laura D / Woo, Jennifer S / Allen, Elizabeth S / Booth, Garrett S

Lancet (London, England)

2023 Volume 401, Issue 10380, Page(s) 914–915

MeSH term(s)	Humans ; Firearms ; Blood Transfusion
Language	English
Publishing date	2023-03-17
Publishing country	England
Document type	Letter
ZDB-ID	3306-6
ISSN	1474-547X ; 0023-7507 ; 0140-6736
ISSN (online)	1474-547X
ISSN	0023-7507 ; 0140-6736
DOI	10.1016/S0140-6736(23)00110-1
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Article ; Online: Risk and protective factors predictive of marital instability in U.S. military couples.

Pflieger, Jacqueline C / Richardson, Sabrina M / Stander, Valerie A / Allen, Elizabeth S

Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)

2021 Volume 36, Issue 5, Page(s) 791–802

Abstract: The objective of this study was to predict marital instability from a range of risk and protective factors in a large, representative cohort of military couples participating in the Millennium Cohort Family Study. Online and paper surveys were ... ...

Abstract	The objective of this study was to predict marital instability from a range of risk and protective factors in a large, representative cohort of military couples participating in the Millennium Cohort Family Study. Online and paper surveys were administered to service members and their spouses in 2011-2013, which captured couples' demographic and background characteristics, family stressors, military experiences, and mental health risk factors as well as protective factors including family communication, and military support and satisfaction. Approximately 3 years later, change in marital status was examined among participants who completed a follow-up survey (
MeSH term(s)	Female ; Humans ; Male ; Marriage/psychology ; Military Personnel/psychology ; Personal Satisfaction ; Protective Factors ; Spouses/psychology
Language	English
Publishing date	2021-12-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	619328-6
ISSN	1939-1293 ; 0893-3200
ISSN (online)	1939-1293
ISSN	0893-3200
DOI	10.1037/fam0000949
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Article ; Online: Optimizing transfusion management of multiple myeloma patients receiving daratumumab-based regimens.

Phou, Samantha / Costello, Caitlin / Kopko, Patricia M / Allen, Elizabeth S

Transfusion

2021 Volume 61, Issue 7, Page(s) 2054–2063

Abstract: Background: Daratumumab, a human anti-CD38 monoclonal antibody used to treat multiple myeloma, interferes with pretransfusion testing and can mask alloantibodies. Incidence of alloimmunization in patients on daratumumab has not been well characterized, ... ...

Abstract	Background: Daratumumab, a human anti-CD38 monoclonal antibody used to treat multiple myeloma, interferes with pretransfusion testing and can mask alloantibodies. Incidence of alloimmunization in patients on daratumumab has not been well characterized, and optimal transfusion guidelines regarding prophylactic antigen matching, accounting for both patient safety and efficiency, have not been well established for these patients. Methods: Records of patients who received daratumumab between January 1, 2014 and July 2, 2019 were reviewed. Daratumumab interference with pretransfusion testing was managed by testing with reagent red blood cells (RBCs) treated with 0.2 M dithiothreitol. When daratumumab was present during antibody testing, patients were transfused with RBC units prophylactically matched for D, C, c, E, e, and K antigens per hospital policy. Results: Out of 90 patients identified, 52 received a total of 638 RBC transfusions (average of 12.3 units per patient, SD 17.2, range 1-105, median 5 among those transfused). Alloantibodies existing before daratumumab initiation were identified in seven patients. No new alloantibodies were detected in any patients after starting daratumumab treatment. Conclusions: The incidence of alloimmunization in patients receiving daratumumab is low. Whether this is due to the effect of daratumumab, underlying pathophysiology, or other factors, is unknown. Because these patients require a large number of RBC transfusions overall and have little observed alloimmunization, phenotype matching (beyond RhD) may be unnecessary. Since the use of dithiothreitol cannot rule out the presence of anti-K, we recommend transfusion of ABO-compatible units, prophylactically matched for the D and K antigens only.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Allografts ; Antibodies, Monoclonal/administration & dosage ; Antibodies, Monoclonal/immunology ; Antibodies, Monoclonal/therapeutic use ; Antineoplastic Agents, Immunological/administration & dosage ; Antineoplastic Agents, Immunological/immunology ; Antineoplastic Agents, Immunological/therapeutic use ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Artifacts ; Blood Group Antigens/immunology ; Blood Group Incompatibility/blood ; Blood Group Incompatibility/diagnosis ; Blood Group Incompatibility/epidemiology ; Blood Grouping and Crossmatching/methods ; Blood Transfusion ; Combined Modality Therapy ; Dithiothreitol/pharmacology ; Erythrocytes/drug effects ; Erythrocytes/immunology ; Female ; Hematopoietic Stem Cell Transplantation ; Humans ; Incidence ; Isoantibodies/biosynthesis ; Isoantibodies/blood ; Isoantibodies/immunology ; Male ; Middle Aged ; Multiple Myeloma/drug therapy ; Multiple Myeloma/therapy ; Transplantation, Autologous
Chemical Substances	Antibodies, Monoclonal ; Antineoplastic Agents, Immunological ; Blood Group Antigens ; Isoantibodies ; daratumumab (4Z63YK6E0E) ; Dithiothreitol (T8ID5YZU6Y)
Language	English
Publishing date	2021-05-07
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	208417-x
ISSN	1537-2995 ; 0041-1132
ISSN (online)	1537-2995
ISSN	0041-1132
DOI	10.1111/trf.16425
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Article ; Online: How do we ensure a safe ABO recheck process?

Stephens, Laura D / Allen, Elizabeth S / Bloch, Evan M / Crowe, Elizabeth P / Campbell-Lee, Sally A / Booth, Garrett S / Kopko, Patricia

Transfusion

2023 Volume 63, Issue 10, Page(s) 1789–1796

Abstract: Background: Collecting a patient's blood in a correctly labeled pretransfusion specimen tube is essential for accurate ABO typing and safe transfusion. Noncompliance with specimen collection procedures can lead to wrong blood in tube (WBIT) incidents ... ...

Abstract	Background: Collecting a patient's blood in a correctly labeled pretransfusion specimen tube is essential for accurate ABO typing and safe transfusion. Noncompliance with specimen collection procedures can lead to wrong blood in tube (WBIT) incidents with potentially fatal consequences. Recent WBIT events inspired the investigation of how various institutions currently reduce the risk of these errors and ensure accurate ABO typing of patient samples. Materials and methods: This article describes the techniques employed at various institutions across the United States to mitigate the risk of misidentified pretransfusion patient specimens. Details and considerations for each of these measures are provided. Results: Several institutions require the order for an ABO confirmation specimen, if indicated, to be generated from the transfusion medicine (TM) laboratory. Others issue a dedicated collection tube that is available exclusively from the TM service. Many institutions employ barcoding for electronic positive patient identification. Some use a combination of these strategies, depending on the locations or service lines from which the specimens are collected. Conclusion: The description of various WBIT mitigation strategies will inform TM services on practices that may be effective at their respective institutions. Irrespective of the method(s) utilized, institutions should continue to monitor and mitigate specimen misidentification errors to promote sustained safe transfusion practices.
MeSH term(s)	Humans ; United States ; Medical Errors/prevention & control ; Blood Transfusion ; Blood Banks ; Blood Grouping and Crossmatching ; Blood Specimen Collection/methods ; ABO Blood-Group System
Chemical Substances	ABO Blood-Group System
Language	English
Publishing date	2023-09-03
Publishing country	United States
Document type	Case Reports
ZDB-ID	208417-x
ISSN	1537-2995 ; 0041-1132
ISSN (online)	1537-2995
ISSN	0041-1132
DOI	10.1111/trf.17530
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