This competitive renewal application proposes Jean C. Beckham, Ph.D., for a K24 Mid-Career Investigator Award in Patient Oriented Research. During the previous award period Dr. Beckham was promoted to professor and is currently one of six women professors in a faculty of 489 at Duke UMC Department of Psychiatry and Behavioral Sciences, and an accomplished PTSD and health researcher. Dr. Beckham demonstrates: (a) her strong clinical research interest in PTSD, and accomplishments in the field of co- morbid cigarette smoking and PTSD;(b) an outstanding research and clinical environment within Duke UMC in which to conduct patient-oriented research;(c) her unique position within the institution to continue to nurture the careers of junior investigators;and (d) the need for protected research time to continue and expand these efforts. Renewal of the K24 Mid-Career Investigator Award would permit Dr. Beckham to continue her program of patient-oriented research and training for clinical investigators developed during the previous application period, with a focus on smoking cessation and relapse prevention in PTSD andtrauma- exposed smokers. Cigarette smoking is the number one avoidable cause of death and disability. Psychiatric patients consume 44% of all cigarettes. It is estimated that PTSD affects 2.6 million Americans, and that 1.6 million of these patients are smokers. The comorbidity of PTSD and smoking is a significant public health problem because the risk for smoking dramatically increases among individuals with trauma history or PTSD. The work accomplished in the 3.5 years since the award has allowed Dr. Beckham to renew her R01, obtain an R21, renew her VA Merit review award, apply for a new VA Merit review award, complete an investigator- initiated trial of bupropion for PTSD symptoms and smoking cessation in PTSD smokers and undertake an externally funded public health initiative to reduce smoking in returning veterans with and without PTSD. The chief aim of this proposal is to use time liberated by the award to continue her mentorship of clinical researchers and her program of developing, evaluating and disseminating new information on the treatment of smoking and PTSD. The career development plan is to focus on: 1) evidence-based smoking interventions for psychiatricpopulations;2) increasing awareness of the health effects of PTSD by educating professionals and the public;and 3) continuing the candidate's mentoring of beginning investigatorswith the goal of attractingthem to a career in patient-oriented research. This application's research plan focuses on ongoing R01 and R21 studies of PTSD, other ongoing research, and a proposed R01 project of an efficacy/effectiveness trial to investigate optimal smoking cessation interventions for PTSD patients. This award would provide critical support for the candidate's career development, mentoring, and ongoing and new patient-oriented research on an understudied, relatively common, and severe co-morbid problem.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Midcareer Investigator Award in Patient-Oriented Research (K24)
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Application #
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Onken, Lisa
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Duke University
Schools of Medicine
United States
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Mitchell, John T; Schick, Robert S; Hallyburton, Matt et al. (2014) Combined ecological momentary assessment and global positioning system tracking to assess smoking behavior: a proof of concept study. J Dual Diagn 10:19-29
Van Voorhees, Elizabeth E; Dennis, Michelle F; Calhoun, Patrick S et al. (2014) Association of DHEA, DHEAS, and cortisol with childhood trauma exposure and post-traumatic stress disorder. Int Clin Psychopharmacol 29:56-62
Green, Kimberly T; Beckham, Jean C; Youssef, Nagy et al. (2014) Alcohol misuse and psychological resilience among U.S. Iraq and Afghanistan era veterans. Addict Behav 39:406-13
Farris, Samantha G; Zvolensky, Michael J; Beckham, Jean C et al. (2014) Trauma exposure and cigarette smoking: the impact of negative affect and affect-regulatory smoking motives. J Addict Dis 33:354-65
Wilson, Sarah M; Dedert, Eric A; Dennis, Paul A et al. (2014) Do ethnicity and gender moderate the influence of posttraumatic stress disorder on time to smoking lapse? Addict Behav 39:1163-7
Volz, Angela R; Dennis, Paul A; Dennis, Michelle F et al. (2014) The role of daily hassles and distress tolerance in predicting cigarette craving during a quit attempt. Nicotine Tob Res 16:872-5
Dedert, Eric A; Dennis, Paul A; Swinkels, Cindy M et al. (2014) Ecological momentary assessment of posttraumatic stress disorder symptoms during a smoking quit attempt. Nicotine Tob Res 16:430-6
Mitchell, John T; Dennis, Michelle F; English, Joseph S et al. (2014) Ecological momentary assessment of antecedents and consequences of smoking in adults with attention-deficit/hyperactivity disorder. Subst Use Misuse 49:1446-56
Vrana, Scott R; Calhoun, Patrick S; McClernon, F Joseph et al. (2013) Effects of smoking on the acoustic startle response and prepulse inhibition in smokers with and without posttraumatic stress disorder. Psychopharmacology (Berl) 230:477-85
Dedert, Eric A; Harper, Leia A; Calhoun, Patrick S et al. (2013) The impact of race on metabolic disease risk factors in women with and without posttraumatic stress disorder. J Clin Psychol Med Settings 20:46-55

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