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Natasia Courchesne-krak

Photo of Natasia Courchesne-krak
Title(s)Assistant Adjunct Professor, Psychiatry
SchoolVc-health Sciences-schools
Address9500 Gilman Drive #
La Jolla CA 92093
ORCID ORCID Icon0000-0002-9231-647X Additional info
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    Collapse Biography 
    Collapse education and training
    University of Hawai’i at Manoa BA06/2011Anthropology
    San Diego State UniversityMPH6/2015Health Promotion/Epidemiology
    University of California San DiegoPhD07/2020Interdisciplinary Research on Substance Use
    San Diego State UniversityPostdoctoral06/2022Clinical Psychology
    University of California San DiegoPostdoctoral11/2023Psychiatric Genetics
    University of California San DiegoPostdoctoral06/2023NeuroAIDS

    Collapse Overview 
    Collapse overview
    Natasia Courchesne-Krak, PhD, MPH, is an Assistant Professor in the Department of Psychiatry at the University of California, San Diego, specializing in psychiatric genetics and the health impacts of substance use disorders, with a particular focus on pregnant women, children, and adolescents. Her research integrates psychiatry, epidemiology, clinical psychology, pediatrics, and genetics to examine how biological and environmental factors shape substance use disorders and related health outcomes. She leverages electronic health records and large-scale datasets to study the intersections of substance use, healthcare utilization, and maternal and child health.

    As part of the Collaborative Initiative on Fetal Alcohol Spectrum Disorders (CIFASD), she investigated the neurodevelopmental consequences of prenatal exposure to alcohol, stimulants, cannabis, opioids, and nicotine. Building on this work, her research now focuses on the sex-specific genetic architecture of nicotine, alcohol, and opioid use, as well as externalizing behaviors across diverse populations. She also investigates genetic and biological mechanisms underlying maternal substance use and its impact on maternal and child morbidity in multi-ancestry cohorts. In addition, she serves as a Co-Investigator for the Healthy Brain and Child Development (HBCD) Study, a national longitudinal study of early brain development and the effects of prenatal and postnatal exposures.

    Over the next decade, she aims to identify genetic, biological, and environmental mechanisms underlying substance use and its impact on morbidity and mortality across the lifespan. The ultimate goal of her work is to inform prevention and intervention strategies that improve outcomes for vulnerable populations.

    Collapse Research 
    Collapse research activities and funding
    Genetic, clinical, behavioral, and environmental determinants of maternal smoking and morbidity
    Tobacco-Related Disease Research Program T35MS9695Jul 1, 2025 - Jun 30, 2027
    Role: Principal Investigator
    Description: This study investigates how genetic, behavioral, clinical, and environmental factors contribute to maternal smoking during the perinatal period, leveraging large, diverse datasets to identify risk and protective factors and inform precision-based interventions aimed at improving maternal and child health outcomes.
    Characterizing genetic pathways for tobacco use by sex and across the lifespan
    Tobacco-Related Disease Research Program T33KT6694Dec 1, 2023 - Nov 30, 2026
    Role: Principal Investigator
    Description: This study aims to characterize the risk associated with variants in diverse sex-stratified longitudinal samples to understand the spectrum of phenotypes associated with identified variants by sex and across development.
    The Healthy Brain & Child Development National Consortium
    National Institute of Health U01DA055369Aug 30, 2021 - Jun 30, 2026
    Role: Co-Investigator
    Description: The Healthy Brain & Child Development (HBCD) National Consortium is a longitudinal study examining early brain development and the impact of prenatal and postnatal exposures on health, neurodevelopment, and behavioral outcomes in children across diverse populations.

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
    Newest   |   Oldest   |   Most Cited   |   Most Discussed   |   Timeline   |   Field Summary   |   Plain Text
    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. How it begins: Initial response to opioids strongly predicts self-reported opioid use disorder. medRxiv. 2025 Aug 05. Gonzalez J, Tran V, Meredith J, Xu I, Penchala R, Vilar Ribo L, Courchesne-Krak NS, Zoleikhaeian D, 23andMe Research Team, McIntyre M, Fontanillas P, Kukar Bond K, Johnson EO, Jeffery A, MacKillop J, Marienfeld C, de Wit H, Palmer AA, Sanchez-Roige S. PMID: 40166554; PMCID: PMC11957173.
      View in: PubMed   Mentions:
    2. Prescription Opioid Medication Survey: A Tool to Collect Deep Phenotypic Data on the Multifactorial Pathways to Opioid Use Disorder in Clinical and Population-Based Cohorts. Complex Psychiatry. 2025 Jan-Dec; 11(1):72-93. Courchesne-Krak NS, Chandrasekaran AR, Gonzalez J, Bianchi SB, Tran V, Johnson EO, Troiani V, Hettema JM, Stein MB, Coon H, Docherty AR, Berretini WH, MacKillop J, de Wit H, Marienfeld C, Palmer AA, Sanchez-Roige S. PMID: 40621581; PMCID: PMC12226013.
      View in: PubMed   Mentions:
    3. Emergency care utilization in persons with substance related diagnoses. Addict Behav Rep. 2024 Dec; 20:100573. Kepner W, Courchesne-Krak NS, Satybaldiyeva N, Narasimhan R, Marienfeld CB. PMID: 39687706; PMCID: PMC11647655.
      View in: PubMed   Mentions: 3  
    4. Do polygenic indices capture "direct" effects on child externalizing behavior problems? Within-family analyses in two longitudinal birth cohorts. Clin Psychol Sci. 2025 Mar; 13(2):316-331. Tanksley PT, Brislin SJ, Wertz J, de Vlaming R, Courchesne-Krak NS, Mallard TT, Raffington LL, Karlsson Linnér R, Koellinger P, Palmer AA, Sanchez-Roige S, Waldman ID, Dick D, Moffitt TE, Caspi A, Harden KP. PMID: 40110515; PMCID: PMC11922333.
      View in: PubMed   Mentions: 5  
    5. Genome-wide association studies of coffee intake in UK/US participants of European ancestry uncover cohort-specific genetic associations. Neuropsychopharmacology. 2024 Sep; 49(10):1609-1618. Thorpe HHA, Fontanillas P, Pham BK, Meredith JJ, Jennings MV, Courchesne-Krak NS, Vilar-Ribó L, Bianchi SB, Mutz J, 23andMe Research Team, Elson SL, Khokhar JY, Abdellaoui A, Davis LK, Palmer AA, Sanchez-Roige S. PMID: 38858598; PMCID: PMC11319477.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    6. Adaptive, Externalizing, and Internalizing Behavior of Children with Prenatal Alcohol Exposure: A Comparison of Three Parent-Report Questionnaires. Dev Neuropsychol. 2024 Jul; 49(4):167-177. Sobolewski CM, Courchesne-Krak NS, Hyland MT, Bernes GA, Veziris CR, Wozniak JR, Mattson SN, CIFASD. PMID: 38742629; PMCID: PMC11166041.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    7. A phenome-wide association and Mendelian randomisation study of alcohol use variants in a diverse cohort comprising over 3 million individuals. EBioMedicine. 2024 05; 103:105086. Jennings MV, Martínez-Magaña JJ, Courchesne-Krak NS, Cupertino RB, Vilar-Ribó L, Bianchi SB, Hatoum AS, Atkinson EG, Giusti-Rodriguez P, Montalvo-Ortiz JL, Gelernter J, Artigas MS, 23andMe, Inc. Research Team, Elson SL, Edenberg HJ, Fontanillas P, Palmer AA, Sanchez-Roige S. PMID: 38580523; PMCID: PMC11121167.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    8. Craving among patients seeking treatment for substance use disorder. Discov Ment Health. 2023 Nov 08; 3(1):23. Cless MM, Courchesne-Krak NS, Bhatt KV, Mittal ML, Marienfeld CB. PMID: 37935934; PMCID: PMC10630178.
      View in: PubMed   Mentions: 2  
    9. What Brings You in Today? Sex, Race, Substance Type, and Other Sociodemographic and Health-Related Characteristics Predict if Substance Use is the Main Reason for a Clinical Encounter. Yale J Biol Med. 2023 09; 96(3):277-291. Courchesne-Krak NS, Marienfeld CB, Kepner W. PMID: 37780998; PMCID: PMC10524817.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    10. Guidelines for Evaluating the Comparability of Down-Sampled GWAS Summary Statistics. Behav Genet. 2023 11; 53(5-6):404-415. Williams CM, Poore H, Tanksley PT, Kweon H, Courchesne-Krak NS, Londono-Correa D, Mallard TT, Barr P, Koellinger PD, Waldman ID, Sanchez-Roige S, Harden KP, Palmer AA, Dick DM, Karlsson Linnér R. PMID: 37713023; PMCID: PMC10584908.
      View in: PubMed   Mentions: 8     Fields:    
    11. Genome-Wide Association Studies of Coffee Intake in UK/US Participants of European Ancestry Uncover Gene-Cohort Influences. medRxiv. 2023 Sep 11. Thorpe HHA, Fontanillas P, Pham BK, Meredith JJ, Jennings MV, Courchesne-Krak NS, Vilar-Ribó L, Bianchi SB, Mutz J, 23andMe Research Team, Elson SL, Khokhar JY, Abdellaoui A, Davis LK, Palmer AA, Sanchez-Roige S. PMID: 37745582; PMCID: PMC10516045.
      View in: PubMed   Mentions:
    12. Results of a screening tool for fetal alcohol spectrum disorders are associated with neuropsychological and behavioral measures. Alcohol Clin Exp Res (Hoboken). 2023 Aug; 47(8):1560-1569. Hyland MT, Courchesne-Krak NS, Bernes GA, Wozniak JR, Jones KL, Del Campo M, Riley EP, Mattson SN, CIFASD. PMID: 37328959; PMCID: PMC10724376.
      View in: PubMed   Mentions: 4     Fields:    
    13. Do polygenic indices capture "direct" effects on child externalizing behavior? Within-family analyses in two longitudinal birth cohorts. medRxiv. 2023 Jun 04. Tanksley PT, Brislin SJ, Wertz J, de Vlaming R, Courchesne-Krak NS, Mallard TT, Raffington LL, Linnér RK, Koellinger P, Palmer A, Sanchez-Roige A, Waldman I, Dick D, Moffitt TE, Caspi A, Harden KP. PMID: 37398155; PMCID: PMC10312898.
      View in: PubMed   Mentions: 1  
    14. Guidelines for Evaluating the Comparability of Down-Sampled GWAS Summary Statistics. bioRxiv. 2023 Mar 24. Williams CM, Poore H, Tanksley PT, Kweon H, Courchesne-Krak NS, Londono-Correa D, Mallard TT, Barr P, Koellinger PD, Waldman ID, Sanchez-Roige S, Harden KP, Palmer AA, Dick DM, Linnér RK. PMID: 36993611; PMCID: PMC10055200.
      View in: PubMed   Mentions:
    15. Validation of the FASD-Tree as a screening tool for fetal alcohol spectrum disorders. Alcohol Clin Exp Res (Hoboken). 2023 02; 47(2):263-272. Mattson SN, Jones KL, Jones KL, Chockalingam G, Wozniak JR, Hyland MT, Courchesne-Krak NS, Del Campo M, Riley EP, CIFASD. PMID: 36807293; PMCID: PMC9992228.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    16. Adverse Childhood Experiences Are Associated With History of Overdose Among Patients Presenting for Outpatient Addiction Care. J Addict Med. 2023 May-Jun 01; 17(3):333-338. Asheh AM, Courchesne-Krak N, Kepner W, Marienfeld C. PMID: 37267182; PMCID: PMC10241414.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    17. Substance-related diagnosis type predicts the likelihood and co-occurrence of preterm and cesarean delivery. J Addict Dis. 2023 Apr-Jun; 41(2):137-148. Courchesne-Krak NS, Zúñiga ML, Chambers C, Reed MB, Smith LR, Ballas J, Marienfeld C. PMID: 35762875; PMCID: PMC9794633.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    18. Differences in outpatient, emergency, and inpatient use among pregnant women with a substance-related diagnosis. Am J Obstet Gynecol MFM. 2022 03; 4(2):100559. Courchesne-Krak NS, Kepner W, Rubano A, Marienfeld C. PMID: 34990875; PMCID: PMC8891059.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    19. Development and validation of a postnatal risk score that identifies children with prenatal alcohol exposure. Alcohol Clin Exp Res. 2022 01; 46(1):52-65. Bernes GA, Courchesne-Krak NS, Hyland MT, Villodas MT, Coles CD, Kable JA, May PA, Kalberg WO, Sowell ER, Wozniak JR, Jones KL, Riley EP, Mattson SN, CIFASD. PMID: 34806190; PMCID: PMC8799504.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    20. Association of alcohol and other substance-related diagnoses with severe maternal morbidity. Alcohol Clin Exp Res. 2021 09; 45(9):1829-1839. Courchesne NS, Smith LR, Zúñiga ML, Chambers CD, Reed MB, Ballas J, Marienfeld CB. PMID: 34341999; PMCID: PMC8831116.
      View in: PubMed   Mentions: 4     Fields:    Translation:HumansAnimals
    21. Anxiety and Depression Associated With Burden in Caregivers of Patients With Brain Metastases. Oncol Nurs Forum. 2017 05 01; 44(3):306-315. Saria MG, Courchesne NS, Evangelista L, Carter JL, MacManus DA, Gorman MK, Nyamathi AM, Phillips LR, Piccioni DE, Kesari S, Maliski SL. PMID: 28635984; PMCID: PMC10188286.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    22. Cognitive dysfunction in patients with brain metastases: influences on caregiver resilience and coping. Support Care Cancer. 2017 04; 25(4):1247-1256. Saria MG, Courchesne N, Evangelista L, Carter J, MacManus DA, Gorman MK, Nyamathi AM, Phillips LR, Piccioni D, Kesari S, Maliski S. PMID: 27921222; PMCID: PMC10187463.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
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