This application is the last resubmission to request a Mentored Patient-Oriented Research Career Development Award (K-23) that will provide me with necessary training to become an independent research scientist with expertise in developing and evaluating culturally competent cognitive behavioral treatment for Latino patients with posttraumatic stress disorder (PTSD) and co-occurring Medical Unexplained Physical Symptoms (MUPS). Both PTSD and MUPS are common, debilitating, and chronic psychological disorders that are associated with impaired social and occupational functioning. No treatment, to date, has been developed or tested to treat both groups of symptoms despite research and clinical evidence suggesting that these two groups of symptoms often co-occur as a result of trauma and that patients who suffer from trauma and develop PTSD are more likely to experience MUPS than those who do not have PTSD diagnoses. Latina/os report higher levels of trauma exposure, PTSD, and MUPS relative to the general population. They have been systematically neglected from treatment studies, especially treatment for PTSD, are less likely to access or engage in mental health care. My initial goal is to adapt and integrate existing cognitive behavioral treatments for PTSD and for MUPS and to collect preliminary data on the feasibility, acceptability, and efficacy of the adapted treatment. My training goals are 1) to advance my skills in designing and implementing randomized clinical trials in order to adapt treatment modalities, develop new treatment, and test established treatment for PTSD with comorbid MUPS;2) continue enhancing my knowledge in phenomenology and developing skills in assessment of PTSD and somatization disorder;3) extend competence in conducting treatment research with Latino populations in primary care;4) become a certified cognitive behavioral therapist that will allow me to supervise therapists for large clinical trials;5) receive training in research ethics, including ethical issues conducting research with participants who come from disadvantaged backgrounds;and 6) improve my grant-writing and manuscript preparation skills.

Public Health Relevance

Despite the increasing numbers of Latinos in the United States, there is a dearth of substantial clinical knowledge about culturally competent treatments for Latino patients with mental disorders. They report higher levels of PTSD, and Medical Unexplained Physical Symptoms relative to the general population. This project will provide a novel treatment to reduce debilitating disorders and holds promise for providing insight into the socio-cultural factors associated with treatment outcomes among underserved minorities.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23MH080942-04
Application #
7998162
Study Section
Interventions Committee for Adult Mood and Anxiety Disorders (ITMA)
Program Officer
Wynne, Debra K
Project Start
2009-01-12
Project End
2013-12-31
Budget Start
2011-01-01
Budget End
2011-12-31
Support Year
4
Fiscal Year
2011
Total Cost
$174,079
Indirect Cost
Name
University of Miami Coral Gables
Department
Psychology
Type
Schools of Education
DUNS #
625174149
City
Coral Gables
State
FL
Country
United States
Zip Code
33146
Pérez Benítez, Carlos I; Sibrava, Nicholas J; Kohn-Wood, Laura et al. (2014) Posttraumatic stress disorder in African Americans: a two year follow-up study. Psychiatry Res 220:376-83
Pérez Benítez, Carlos I; Zlotnick, Caron; Dyck, Ingrid et al. (2013) Predictors of the long-term course of comorbid PTSD: a naturalistic prospective study. Int J Psychiatry Clin Pract 17:232-7
Pérez Benítez, Carlos I; Yen, Shirley; Shea, M Tracie et al. (2010) Ethnicity in trauma and psychiatric disorders: findings from the collaborative longitudinal study of personality disorders. J Clin Psychol 66:583-98
Pérez Benítez, Carlos I; Vicente, Benjamin; Zlotnick, Caron et al. (2009) Salud Ment (Mex) 32:145-153
Benítez, Carlos Israel Pérez; Shea, M Tracie; Raffa, Susan et al. (2009) Anxiety sensitivity as a predictor of the clinical course of panic disorder: a 1-year follow-up study. Depress Anxiety 26:335-42