Publications & Presentations

Worthen, Miranda E

Publications & Presentations

  • Miranda Worthen, Sujit D. Rathod, Gregory Cohen, Laura Sampson, Robert Ursano, Robert Gifford, Carol Fullerton, Sandro Galea, Jennifer Ahern. "Anger problems and posttraumatic stress disorder in male and female National Guard and Reserve Service members" Article. (April 2014).

    Abstract: Anger is a common problem among veterans and has been associated with posttraumatic stress disorder (PTSD). This study aimed to improve understanding of how anger and PTSD co-occur by examining gender differences and differences by whether the triggering traumatic event is deployment-related vs. civilian-related in current service members. A representative cohort of Reserve and National Guard service personnel (n = 1293) were interviewed to assess for deployment- or civilian-related traumas, PTSD, and anger. The prevalence of self-reported anger problems was estimated among male (n = 1036) and female (n = 257) service members. Log Poisson regression models with robust standard errors were used to estimate the associations of problems with anger with PTSD and PTSD symptom severity for men and women. Self-reported anger problems were common among male (53.0%) and female (51.3%) service members. Adjusted prevalence ratios (PR) showed associations between anger and PTSD connected to both civilian- and deployment-related traumas (PR were 1.77 (95% CI 1.52–2.05) and 1.85 (95% CI 1.62–2.12), respectively). PTSD symptom severity was also associated with anger. This study was cross-sectional and so a causal relationship between PTSD and anger cannot be established. Problems with anger are common among male and female current Guard and Reserve members. These findings suggest that anger treatment should be made available to current service members and that clinicians should assess anger problems irrespective of gender. Future research should examine the effectiveness of anger treatment protocols by gender.

  • Worthen, M., McClellan, C., Hartley, B., Lucero, E., Chiu, K., Moorehead, V., & Wright, S. . "“Understanding Suicide in the American Indian/Alaska Native Community in the San Francisco Bay Area.” " Conference Paper. (2013).
  • Worthen M. & Ahern J. . "The Causes, Course, and Consequences of Anger Problems in Veterans Returning to Civilian Life" Article. (2013).
  • Worthen, M., Onyango, G., Veale, A., Wessells, M., McKay, S. "Facilitating War-Affected Young Mothers’ Reintegration: Lessons from a Participatory Action Research Study in Liberia, Sierra Leone, and Uganda" Article. (January 2013).
  • Veale, A., McKay, S., Worthen, M, Wessells,M.. "Participation as principle and tool in social reintegration: Young mothers formerly associated with armed groups in Sierra Leone, Liberia, and Northern Uganda. " Article. (2013).
  • Worthen, M., Baldwin, L., Sapp, A., Perales, D., Pham, J., Roe, K. . "“‘Bringing Epidemiology to Life’: Reinvigorating an undergraduate epidemiology curriculum to meet today's student.” " Conference Paper. (2013).
  • Veale, A., McKay, S., Worthen, M. & Wessells, M.. "Children of young mothers formerly associated with armed forces or groups in Sierra Leone, Liberia and northern Uganda." Book Chapter. (2013).
  • Worthen, M. & Lucero, E. . "“An Epistemological Evolution: Innovation, Collaboration, Evaluation, and Indian Self-Determination.”" Conference Paper. (2013).
  • Worthen, M., Rathod, S., Cohen, G., Ursano, R., Gifford, R., Fullerton, C., Galea, S., Ahern, J. . "“The Importance of Anger in U.S. Military Service Members: A Mixed-Method Approach.”" Poster. (2013).
  • Worthen, M., Rathod, S., Cohen, G., Ursano, R., Gifford, R., Fullerton, C., Galea, S., Ahern, J. . "“Prevalence and Correlates of Violent Behavior by Military Service Members.”" Conference Paper. (2013).
  • Worthen, M., Rathod, S., Cohen, G., Ursano, R., Gifford, R., Fullerton, C., Galea, S., Ahern, J. . "“Violence and Posttraumatic Stress Disorder in Reserve and National Guard Service Members.” " Conference Paper. (2013).
  • Worthen, M., Moos, R., Ahern, J.. ""Iraq and Afghanistan veterans’ experiences living with their parents after separation from the military."" Article. Vol. 34. Issue 3. (September 2012). pp.362-375.

    Abstract: When military service members separate from the military, many return to their families of origin, living with their parents for a period of several weeks to years. While research with veterans and their spouses has documented the particular strain of this reintegration period on veterans and their partners, little research to date has examined veterans’ experiences living with their parents. The present study sought to fill this research gap by investigating veterans’ experiences living with their parents using qualitative, in-depth interviews with Iraq and Afghanistan veterans in California. Overall, veterans appreciated the instrumental and emotional support their parents provided when they separated. However, in some cases, living with parents also produced conflict and strain. In situations where adult veteran children had difficulty with the transition to civilian life or returned with mental health problems, parents were often the first to identify these problems and to support their children in accessing appropriate care. We analyze these findings in light of family systems theory, identifying ways in which adult veteran children continue a process of differentiation while living with their parents and maintaining emotional connectedness. We suggest ways that clinicians can better support veterans and their parents through the reintegration period and recommend that programming for military families explicitly include parents of service members in addition to conjugal families.

  • Worthen, M., McKay, S., Veale, A., Wessells, M.. ""Caring Relationships and Reintegration: lessons from a participatory action research study in Liberia, Sierra Leone, and northern Uganda"" Article. Vol. 40. (September 2012).
  • Worthen, M.. ""Anger problems in United States Military service members: A mixed methods approach"" Conference Paper. (2012).
  • Worthen, M.. ""Sex Trafficking or Sex Work: Conceptions of Trafficking Among Anti-Trafficking Organizations in Nepal."" Article. Vol. 30. Issue 3. (2011). pp.87-107.
  • Worthen, M.. ""The Relations Between Traumatic Exposures, Post-Traumatic Stress Disorder and Anger in Male and Female Veterans."" Article. Vol. 23. Issue 3-4. (2011). pp.188-201.
  • McKay, S., Veale, A., Worthen, M. and Wessells, M.. ""Building Meaningful Participation in (Re)Integration Among War-Affected Young Mothers in Liberia, Sierra Leone and Northern Uganda."" Article. Vol. 9. Issue 2. (2011). pp.108-124.
  • Worthen, M., Veale, A., McKay, S., and Wessells, M.. ""Participatory evaluation methods: An innovative approach to indicators in a participatory action research project with young war-affected mothers."" Conference Paper. (2011).
  • Worthen, M., McKay, S., Veale, A., and Wessells, M.. ""Gender-Based Insecurity and Opportunities for Peace: Supporting the Reintegration of Young War-Affected Mothers."" United Nations. Article. Vol. 3. United Nations, (2011).
  • Worthen, M., McKay, S., Veale, A., and Wessells, M.. ""‘I Had No Idea You Cared About Me’: Empowerment of Vulnerable Mothers in the Context of Reintegration."" Peter Lang. Book Chapter. New York: Peter Lang, (2010).
  • Worthen, M., Veale, A., McKay, S., and Wessells, M.. ""‘I Stand Like A Woman’: Empowerment and Human Rights in the Context of Community-Based Reintegration of Girl Mothers Formerly Associated With Fighting Forces and Armed Groups."" Article. Vol. 2. Issue 1. (2010). pp.49-70.
  • Onyango, G. and Worthen, M.. ""Handbook on Participatory Methods for Community-Based Projects: A Guide for Programmers and Implementers Based on the Participatory Action Research Project with Young Mothers and their Children in Liberia, Sierra Leone, and Northern Uganda"" Handbook. (2010).
  • McKay, S., Veale, A., Worthen, M. and Wessells, M.. ""Community-Based Reintegration of War-Affected Young Mothers: Participatory Action Research (PAR) in Liberia, Sierra Leone & Northern Uganda."" Report. (2010).
  • Worthen, M., McKay, S., Veale, A., and Wessells, M.. ""'I had no idea you cared about me’: Empowerment and human rights in the context of reintegration."" Conference Paper. (2009).
  • Worthen, M.. "“All prostitution is not the same: The difference between trafficking and sex work in Nepal.”" Conference Paper. (2008).
  • McKay, S., Robinson, M., Gonsalves, M. and Worthen, M.. ""Girls Formerly Associated with Fighting Forces and their Children: Returned and Neglected"" Article. (2006).
  • McKay, S., Burman, M., Gonsalves, M. and Worthen, M.. ""Known but Invisible: Girl Mothers Returning from Fighting Forces."" Article. (2004).
  • Worthen, M.. ""Trauma Resources for the Community: Tools for Adults, Children and Community Workers."" Derry City Council / The Junction: Towards Understanding and Healing. Report. Derry/Londonderry, Northern Ireland: Derry City Council / The Junction: Towards Understanding and Healing, (2002).
  • Weingarten, K and Worthen, M.. ""A Narrative Approach to Understanding the Illness Experiences of a Mother and Daughter."" (Reprinted in The Psychological and Social Impact of Disability ed. Marinelli, R.P. and Dell Orto, A.E. Fourth Edition. New York: Springer Publications, 1999.). Article. Vol. 15. Issue 1. (Reprinted in The Psychological and Social Impact of Disability ed. Marinelli, R.P. and Dell Orto, A.E. Fourth Edition. New York: Springer Publications, 1999.), (1997). pp.41-54.