Constantine Daskalakis

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A central issue in studies of risk factors for childhood psychopathology is utilization of the information obtained about the child's mental health status from multiple informants. In this paper, the authors propose a new approach to the analysis of risk factor data when the outcomes are binary ratings (presence/absence of symptoms). This new approach has(More)
OBJECTIVES We evaluated a previously reported association between residence in a damp and moldy dwelling and the risk of depression and investigated whether depression was mediated by perception of control over one's home or mold-related physical illness. METHODS We used survey data from 8 European cities. A dampness and mold score was created from(More)
PURPOSE To measure the extent of informed decision making (IDM) about prostate cancer screening in physician-patient encounters, describe the coding process, and assess the reliability of the IDM measure. METHODS Audiorecoded encounters of 146 older adult men and their primary care physicians were obtained in a randomized controlled trial of mediated(More)
Objective:Stair climbing is highlighted as a component of a regiment of daily physical activity by various health agencies. This study examined the association between daily stair climbing, as measured by floor of residence in buildings without elevators, and body mass index (BMI).Methods:We analyzed data from a cross-sectional survey of housing and health,(More)
OBJECTIVES:Administering a purgative close to the time of colonoscopy is optimal for cleansing. The aim of this study was to compare the efficacy and tolerability of morning-only (AM-only) polyethylene glycol electrolyte solution (PEG-ELS) to split-dose (PM/AM) PEG-ELS for afternoon colonoscopy.METHODS:This was a single-center, prospective, randomized,(More)
BACKGROUND This study was a randomized trial to test the impact of an informed decision-making intervention on prostate cancer screening use. METHODS The study population included 242 African-American men from three primary care practices who were 40-69 years of age and had no history of prostate cancer. Participants completed a baseline survey(More)
OBJECTIVES This study was designed to identify factors associated with service use for child psychopathology in three settings: mental health, general health, and school. METHODS Subjects were 2519 children, 6 to 11 years of age, assessed in two cross-sectional Connecticut surveys in the late 1980s. Three groups of variables (sociodemographics, child's(More)
High attrition often limits the efficacy of weight management programs, particularly those that serve primary care patients. We investigated stage of change and other predictors of retention in a behavioral intervention program that enrolled adult obese patients at three primary care sites. The program included practice improvements and provider training,(More)
OBJECTIVES Remodeling of small resistance arteries is an early sign of target organ damage in hypertension. Peripheral capillary morphology abnormalities in hypertension are not well studied. The study objective was to determine whether altered capillary morphology is associated with SBP, DBP, or both in individuals without and with mild blood pressure(More)
OBJECTIVE This randomized trial was conducted to assess the impact of a mediated decision support intervention on primary care patient prostate cancer screening knowledge, decisional conflict, informed decision making (IDM), and screening. METHODS Before a routine office visit, 313 male patients eligible for prostate cancer screening completed a baseline(More)