Niloofar Afari

Title(s)Professor In Residence, Psychiatry
SchoolVc-health Sciences-schools
Address9500 Gilman Drive #
La Jolla CA 92093
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    Collapse Biography 
    Collapse Education and Training
    University of CA, San DiegoPsychology1986Psychology
    University of Nevada, RenoClinical Psychology1996Psychology

    Collapse Overview 
    Collapse Overview
    Dr. Afari is Associate Chief of Staff for Mental Health at VA San Diego Healthcare System and Vice Chair of Veterans Affairs at the Department of Psychiatry, UCSD School of Medicine. Her overarching research program focuses on the biopsychosocial understanding and treatment of chronic health conditions. She has expertise in examining the relationship between psychological trauma and health; using Acceptance and Commitment Therapy for treatment of various conditions, such as chronic pain, obesity, and binge eating; and implementing eHealth technology for evidence-based screening and outcomes monitoring of mental health symptoms. Her research on the development and implementation of technology to improve evidence-based mental health care has led to the development of the VA eScreening program for veterans to directly report their health symptoms through a veteran-facing portal that communicates with the electronic medical records system. The VA eScreening program was selected as a 2016 Gold Status practice by the VA Undersecretary for Health for diffusion across the VHA. She has received grant funding from multiple NIH Institutes as well as the Veterans Affairs. In addition to numerous peer-reviewed articles, Dr. Afari has co-authored the highly popular "The Big Book of ACT Metaphors". She received her Ph.D. in Clinical Psychology from the University of Nevada, Reno and completed her predoctoral internship and postdoctoral training at the University of Washington School of Medicine where she also was a faculty member.

    Collapse Research 
    Collapse Research Activities and Funding
    An ACT-enhanced Weight Management and Fitness Program for Navy Personnel
    NIH R01DK106415Jun 1, 2016 - May 31, 2021
    Role: Principal Investigator
    Acceptance-based Group Intervention for Binge Eating
    NIH I01RX000381Oct 1, 2012 - Jun 30, 2016
    Role: Principal Investigator
    Twin Study of Chronic Widespread Pain
    NIH R01AR051524Sep 25, 2005 - Jul 31, 2011
    Role: Principal Investigator
    Twin Study of Chronic Widespread Pain
    NIH R55AR051524Sep 1, 2004 - Jul 31, 2006
    Role: Principal Investigator

    Collapse ORNG Applications 
    Collapse Clinical Trials
    Collapse Featured Publications

    Collapse Bibliographic 
    Collapse 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.
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    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. The Impact of COVID-19 on Health Behavior Engagement and Psychological and Physical Health Among Active Duty Military Enrolled in a Weight Management Intervention: An Exploratory Study. Mil Med. 2024 Aug 30; 189(9-10):e1840-e1845. Morse JL, Wooldridge JS, Herbert MS, Afari N. PMID: 38518071; PMCID: PMC11363159.
      View in: PubMed   Mentions:    Fields:    Translation:HumansCellsPHPublic Health
    2. Psychometric Properties of the Weight Loss Readiness Test in Active Duty Military Personnel Enrolled in a Weight Management Trial. Mil Med. 2024 Aug 30; 189(9-10):e2085-e2093. Tynan M, Afari N, Roesch S, Herbert MS. PMID: 38771108; PMCID: PMC11363388.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    3. Cognitive symptoms in veterans with migraine or traumatic brain injury: A Million Veteran Program study. Headache. 2024 Aug 28. Herbert MS, Merritt VC, Afari N, Million Veteran Program, Gasperi M. PMID: 39193854.
      View in: PubMed   Mentions:    Fields:    
    4. Migraine Prevalence, Environmental Risk, and Comorbidities in Men and Women Veterans. JAMA Netw Open. 2024 Mar 04; 7(3):e242299. Gasperi M, Schuster NM, Franklin B, Nievergelt CM, Stein MB, Afari N. PMID: 38483390; PMCID: PMC10940970.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    5. Validation of a simple body map to measure widespread pain in urologic chronic pelvic pain syndrome: A MAPP Research Network study. Neurourol Urodyn. 2024 Mar; 43(3):727-737. Clemens JQ, Locke K, Landis JR, Kreder K, Rodriguez LV, Yang CC, Tu FF, Harte SE, Schrepf A, Farrar JT, Sutcliffe S, Naliboff BD, Williams DA, Afari N, Spitznagle T, Taple BJ, Lai HH, Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Research Network. PMID: 38270336; PMCID: PMC10981467.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    6. Celiac disease symptom profiles and their relationship to gluten-free diet adherence, mental health, and quality of life. BMC Gastroenterol. 2024 Jan 02; 24(1):9. Dochat C, Afari N, Satherley RM, Coburn S, McBeth JF. PMID: 38166645; PMCID: PMC10759532.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    7. Functional decline during the COVID-19 pandemic among U.S. military veterans: Results from the National Health and Resilience in Veterans Study. Int J Geriatr Psychiatry. 2023 Dec; 38(12):e6040. Morse JL, Fischer IC, Na PJ, Afari N, Pietrzak RH. PMID: 38072628.
      View in: PubMed   Mentions: 1     Fields:    Translation:HumansPHPublic Health
    8. Daily Functioning of Veterans With Type 2 Diabetes: Protocol for an Ambulatory Assessment Study. JMIR Res Protoc. 2023 Nov 20; 12:e53874. Wooldridge JS, Morse JL, Delgado J, Afari N. PMID: 37983070; PMCID: PMC10696502.
      View in: PubMed   Mentions:
    9. Design of the CHARGE study: A randomized control trial evaluating a novel treatment for Veterans with binge eating disorder and overweight and obesity. Contemp Clin Trials. 2023 07; 130:107234. Boutelle KN, Afari N, Obayashi S, Eichen DM, Strong DR, Peterson CB. PMID: 37210072; PMCID: PMC10409628.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    10. Mediators of the association between childhood trauma and pain sensitivity in adulthood: a Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research Network analysis. Pain. 2023 09 01; 164(9):1995-2008. Pierce J, Harte SE, Afari N, Bradley CS, Griffith JW, Kim J, Lutgendorf S, Naliboff BD, Rodriguez LV, Taple BJ, Williams D, Harris RE, Schrepf A, MAPP Research Network. PMID: 37144687; PMCID: PMC10440258.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    11. Symptoms of major depressive disorder and post-traumatic stress disorder in veterans with mild traumatic brain injury: A network analysis. PLoS One. 2023; 18(5):e0283101. Shi S, Almklov E, Afari N, Pittman JOE. PMID: 37141223; PMCID: PMC10159137.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    12. Psychometric validation of the celiac disease-specific quality of life survey (CD-QOL) in adults with celiac disease in the United States. Qual Life Res. 2023 Aug; 32(8):2195-2208. Dochat C, Afari N, Arigo D. PMID: 36928648; PMCID: PMC10329069.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    13. Clinically Important Differences for Pain and Urinary Symptoms in Urological Chronic Pelvic Pain Syndrome: A MAPP Network Study. J Urol. 2023 06; 209(6):1132-1140. Stephens-Shields AJ, Lai HH, Landis JR, Kreder K, Rodriguez LV, Naliboff BD, Afari N, Sutcliffe S, Moldwin R, Griffith JW, Clemens JQ, Bradley CS, Quallich S, Gupta P, Harte SE, Farrar JT. PMID: 36848118; PMCID: PMC11062515.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    14. Associations among meaning in life, coping, and distress in trauma-exposed U.S. military veterans. Psychol Serv. 2024 May; 21(2):247-253. Morse JL, Wooldridge JS, Afari N, Angkaw AC, Schnurr PP, Lang AJ, Capone C, Norman SB. PMID: 36848054; PMCID: PMC10460455.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    15. Associations Among Stress, Internalized Weight Stigma, Emotional Eating, and Body Composition in Active-Duty Service Members Enrolling in a Randomized Controlled Trial of a Weight Management Program. Int J Behav Med. 2024 Feb; 31(1):145-150. Morse JL, Wooldridge JS, Herbert MS, Tynan M, Dochat C, Afari N. PMID: 36729285.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    16. Prevalence, characteristics, and health burden of rheumatoid arthritis in the U.S. veteran population. J Psychiatr Res. 2023 03; 159:224-229. Morse JL, Afari N, Norman SB, Guma M, Pietrzak RH. PMID: 36746059.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    17. Characteristics of Active Duty Service Members Referred to the Navy's Weight-Management Program. Mil Med. 2023 01 04; 188(1-2):e174-e181. Miggantz EL, Materna K, Herbert MS, Golshan S, Hernandez J, Peters J, Delaney E, Webb-Murphy J, Wisbach G, Afari N. PMID: 34910186; PMCID: PMC9825239.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    18. Lessons Learned From Transition of an In-Person to a Virtual Randomized Controlled Trial for Weight and Fitness Concerns in Active-Duty Service Members: Survey Study. J Med Internet Res. 2022 11 10; 24(11):e37797. Afari N, Yarish NM, Wooldridge JS, Materna K, Hernandez J, Blanco BH, Camodeca AL, Peters JJ, Herbert MS. PMID: 36201851; PMCID: PMC9693705.
      View in: PubMed   Mentions: 1     Fields:    Translation:HumansPHPublic Health
    19. Baseline Characteristics and Their Associations with Body Composition of Active-Duty Service Members Enrolling in a Randomized Controlled Trial of a Weight Management Program. Mil Med. 2022 Aug 12. Morse JL, Dochat C, Wooldridge JS, Herbert MS, Materna K, Blanco BH, Hernandez J, Afari N. PMID: 35960850.
      View in: PubMed   Mentions: 1     Fields:    
    20. Confirmatory Factor Analysis of the Comprehensive Assessment of Acceptance and Commitment Therapy (CompACT) in Active-Duty Military Personnel. J Contextual Behav Sci. 2022 Jul; 25:115-121. Tynan M, Afari N, Dochat C, Gasperi M, Roesch S, Herbert MS. PMID: 36504674; PMCID: PMC9731269.
      View in: PubMed   Mentions:
    21. Patterns of adverse childhood experiences and cardiovascular risk factors in U.S. adults. Stress Health. 2023 Feb; 39(1):48-58. Wooldridge JS, Tynan M, Rossi FS, Gasperi M, McLean CL, Bosch J, Trivedi RB, Herbert MS, Afari N. PMID: 35618265; PMCID: PMC9699903.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    22. An integrated mindfulness meditation and acceptance and commitment therapy intervention for chronic pain: Rationale, design, and methodology of a pilot randomized controlled trial of Acting with Mindfulness for Pain (AMP). Contemp Clin Trials. 2022 08; 119:106809. Herbert MS, Tynan M, Lang AJ, Backhaus A, Casmar P, Golshan S, Afari N. PMID: 35636734.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    23. Clinical Phenotyping for Pain Mechanisms in Urologic Chronic Pelvic Pain Syndromes: A MAPP Research Network Study. J Pain. 2022 09; 23(9):1594-1603. Schrepf A, Gallop R, Naliboff B, Harte SE, Afari N, Lai HH, Pontari M, McKernan LC, Strachan E, Kreder KJ, As-Sanie SA, Rodriguez LV, Griffith JW, Williams DA, Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Research Network. PMID: 35472518; PMCID: PMC10547025.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    24. Latent Class Patterns of Adverse Childhood Experiences and Their Relationship to Veteran Status and Sex in the National Epidemiologic Survey of Alcohol and Related Conditions Wave III. Mil Med. 2022 03 28; 187(3-4):304-312. Tynan M, Wooldridge JS, Rossi F, McLean CL, Gasperi M, Bosch J, Timko C, Herbert M, Afari N. PMID: 34977940; PMCID: PMC8963153.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    25. Feasibility and Acceptability of Ecological Momentary Assessment of Psychosocial Factors and Self-Management Behaviors Among Veterans With Type 2 Diabetes. Diabetes Spectr. 2022 Feb 15; 35(1):76-85. Wooldridge JS, Soriano EC, Harris DE, Afari N. PMID: 35308149; PMCID: PMC8914587.
      View in: PubMed   Mentions: 2  
    26. Technology-supported Acceptance and Commitment Therapy for chronic health conditions: A systematic review and meta-analysis. Behav Res Ther. 2022 01; 148:103995. Herbert MS, Dochat C, Wooldridge JS, Materna K, Blanco BH, Tynan M, Lee MW, Gasperi M, Camodeca A, Harris D, Afari N. PMID: 34800873; PMCID: PMC8712459.
      View in: PubMed   Mentions: 11     Fields:    Translation:Humans
    27. Pain and Trauma: The Role of Criterion A Trauma and Stressful Life Events in the Pain and PTSD Relationship. J Pain. 2021 11; 22(11):1506-1517. Gasperi M, Afari N, Goldberg J, Suri P, Panizzon MS. PMID: 34029685; PMCID: PMC8578317.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    28. Implementing eScreening for suicide prevention in VA post-9/11 transition programs using a stepped-wedge, mixed-method, hybrid type-II implementation trial: a study protocol. Implement Sci Commun. 2021 Apr 29; 2(1):46. Pittman JOE, Lindamer L, Afari N, Depp C, Villodas M, Hamilton A, Kim B, Mor MK, Almklov E, Gault J, Rabin B. PMID: 33926577; PMCID: PMC8082763.
      View in: PubMed   Mentions: 3  
    29. Relationships Between Dietary Intake and Weight-Related Experiential Avoidance Following Behavioral Weight-Loss Treatment. Int J Behav Med. 2022 Feb; 29(1):104-109. Wooldridge JS, Blanco BH, Dochat C, Herbert MS, Godfrey KM, Salamat J, Afari N. PMID: 33864234; PMCID: PMC8522188.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    30. Adaptation of a quality improvement approach to implement eScreening in VHA healthcare settings: innovative use of the Lean Six Sigma Rapid Process Improvement Workshop. Implement Sci Commun. 2021 Apr 07; 2(1):37. Pittman JOE, Rabin B, Almklov E, Afari N, Floto E, Rodriguez E, Lindamer L. PMID: 33827705; PMCID: PMC8028199.
      View in: PubMed   Mentions: 2  
    31. Single-Session Acceptance and Commitment Therapy (ACT) Interventions for Patients with Chronic Health Conditions: A Systematic Review and Meta-Analysis. J Contextual Behav Sci. 2021 Apr; 20:52-69. Dochat C, Wooldridge JS, Herbert MS, Lee MW, Afari N. PMID: 33868913; PMCID: PMC8045767.
      View in: PubMed   Mentions: 9  
    32. Posttraumatic Stress Disorder and Chronic Pain Conditions in Men: A Twin Study. Psychosom Med. 2021 Feb-Mar 01; 83(2):109-117. Gasperi M, Panizzon M, Goldberg J, Buchwald D, Afari N. PMID: 33337593; PMCID: PMC7858228.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    33. Understanding relationships between posttraumatic stress disorder symptoms, binge-eating symptoms, and obesity-related quality of life: the role of experiential avoidance. Eat Disord. 2021 May-Jun; 29(3):260-275. Wooldridge JS, Herbert MS, Dochat C, Afari N. PMID: 33459212; PMCID: PMC8285449.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    34. Genetic and environmental influences on posttraumatic stress disorder symptoms and disinhibited eating behaviors. Eat Disord. 2021 May-Jun; 29(3):226-244. Afari N, Gasperi M, Dochat C, Wooldridge JS, Herbert MS, Schur EA, Buchwald DS. PMID: 33404377; PMCID: PMC8257777.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    35. Trauma Informed Guilt Reduction (TrIGR) therapy for guilt, shame, and moral injury resulting from trauma: Rationale, design, and methodology of a two-site randomized controlled trial. Contemp Clin Trials. 2021 02; 101:106251. Capone C, Norman SB, Haller M, Davis B, Shea MT, Browne K, Lang AJ, Schnurr PP, Golshan S, Afari N, Pittman J, Allard CB, Westendorf L. PMID: 33326878.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    36. Prevalence rates and correlates of insomnia disorder in post-9/11 veterans enrolling in VA healthcare. Sleep. 2020 12 14; 43(12). Colvonen PJ, Almklov E, Tripp JC, Ulmer CS, Pittman JOE, Afari N. PMID: 32529231; PMCID: PMC8479677.
      View in: PubMed   Mentions: 25     Fields:    Translation:Humans
    37. Ethnic Differences in the Association Between Pain and Social Support in Iraq and Afghanistan Veterans. Pain Med. 2020 11 01; 21(11):3066-3072. Herbert MS, Hernandez J, Dochat C, Pittman JOE, Afari N. PMID: 32022888.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    38. Relationships among adverse childhood experiences, posttraumatic stress disorder symptom clusters, and health in women veterans. Stress Health. 2020 Dec; 36(5):596-605. Wooldridge JS, Bosch J, Crawford JN, Morland L, Afari N. PMID: 32369234.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    39. Post-9/11 Veteran Satisfaction With the VA eScreening Program. Mil Med. 2020 03 02; 185(3-4):519-529. Almklov E, Afari N, Floto E, Lindamer L, Hurst S, Pittman JOE. PMID: 32060553.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    40. Confirmatory Factor Analysis of the Acceptance and Action Questionnaire for Weight-Related Difficulties-Revised (AAQW-R) in a United States Sample of Adults with Overweight and Obesity. J Contextual Behav Sci. 2020 Jan; 15:189-196. Dochat C, Afari N, Wooldridge JS, Herbert MS, Gasperi M, Lillis J. PMID: 32257780; PMCID: PMC7108794.
      View in: PubMed   Mentions: 4  
    41. A MAPP Network Case-control Study of Urological Chronic Pelvic Pain Compared With Nonurological Pain Conditions. Clin J Pain. 2020 01; 36(1):8-15. Afari N, Buchwald D, Clauw D, Hong B, Hou X, Krieger JN, Mullins C, Stephens-Shields AJ, Gasperi M, Williams DA, MAPP Research Network. PMID: 31794439; PMCID: PMC7055954.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    42. Acceptance and Commitment Therapy for Chronic Pain: Does Post-traumatic Stress Disorder Influence Treatment Outcomes? Pain Med. 2019 09 01; 20(9):1728-1736. Herbert MS, Malaktaris AL, Dochat C, Thomas ML, Wetherell JL, Afari N. PMID: 30602034.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    43. Implementing eScreening technology in four VA clinics: a mixed-method study. BMC Health Serv Res. 2019 Aug 28; 19(1):604. Pittman JOE, Afari N, Floto E, Almklov E, Conner S, Rabin B, Lindamer L. PMID: 31462280; PMCID: PMC6712612.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    44. Improvement in 6-min Walk Test Distance Following Treatment for Behavioral Weight Loss and Disinhibited Eating: an Exploratory Secondary Analysis. Int J Behav Med. 2019 Aug; 26(4):443-448. Wooldridge JS, Herbert MS, Hernandez J, Dochat C, Godfrey KM, Gasperi M, Afari N. PMID: 31236874; PMCID: PMC7210791.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    45. Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel. Contemp Clin Trials Commun. 2019 Sep; 15:100408. Afari N, Cuneo JG, Herbert M, Miller I, Webb-Murphy J, Delaney E, Peters J, Materna K, Miggantz E, Godino J, Golshan S, Wisbach G. PMID: 31338482; PMCID: PMC6627580.
      View in: PubMed   Mentions: 6  
    46. Quantitative assessment of nonpelvic pressure pain sensitivity in urologic chronic pelvic pain syndrome: a MAPP Research Network study. Pain. 2019 06; 160(6):1270-1280. Harte SE, Schrepf A, Gallop R, Kruger GH, Lai HHH, Sutcliffe S, Halvorson M, Ichesco E, Naliboff BD, Afari N, Harris RE, Farrar JT, Tu F, Landis JR, Clauw DJ, MAPP Research Network. PMID: 31050659; PMCID: PMC6527452.
      View in: PubMed   Mentions: 23     Fields:    Translation:Humans
    47. Dietary restraint and weight loss in relation to disinhibited eating in obese Veterans following a behavioral weight loss intervention. Appetite. 2019 09 01; 140:98-104. Dochat C, Godfrey KM, Golshan S, Cuneo JG, Afari N. PMID: 31078701; PMCID: PMC6581621.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    48. Genetic and Environmental Influences on Urinary Conditions in Men: A Classical Twin Study. Urology. 2019 Jul; 129:54-59. Gasperi M, Krieger JN, Panizzon MS, Goldberg J, Buchwald D, Afari N. PMID: 30986484; PMCID: PMC6592774.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    49. Heart rate variability and emotion regulation among individuals with obesity and loss of control eating. Physiol Behav. 2019 02 01; 199:73-78. Godfrey KM, Juarascio A, Manasse S, Minassian A, Risbrough V, Afari N. PMID: 30414883; PMCID: PMC6492031.
      View in: PubMed   Mentions: 11     Fields:    Translation:Humans
    50. Sensory sensitivity and symptom severity represent unique dimensions of chronic pain: a MAPP Research Network study. Pain. 2018 Oct; 159(10):2002-2011. Schrepf A, Williams DA, Gallop R, Naliboff BD, Basu N, Kaplan C, Harper DE, Landis JR, Clemens JQ, Strachan E, Griffith JW, Afari N, Hassett A, Pontari MA, Clauw DJ, Harte SE, MAPP Research Network. PMID: 29863527; PMCID: PMC6705610.
      View in: PubMed   Mentions: 33     Fields:    Translation:Humans
    51. Feasibility, Acceptability, and Exploratory Outcomes of Acceptance and Commitment Therapy for Binge Eating Symptoms in Veterans: A Preliminary Clinic-Based Study. J Cogn Psychother. 2018 Aug; 32(3):155-170. Cuneo JG, Godfrey KM, Wright LJ, Backhaus A, Miggantz E, Afari N. PMID: 32746432.
      View in: PubMed   Mentions: 1     Fields:    
    52. Race/ethnicity, psychological resilience, and social support among OEF/OIF combat veterans. Psychiatry Res. 2018 07; 265:265-270. Herbert MS, Leung DW, Pittman JOE, Floto E, Afari N. PMID: 29763847.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    53. Neuropsychological Functioning and Treatment Outcomes in Acceptance and Commitment Therapy for Chronic Pain. J Pain. 2018 08; 19(8):852-861. Herbert MS, Afari N, Robinson JB, Listvinsky A, Bondi MW, Wetherell JL. PMID: 29496638.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    54. Corrigendum to "Pretreatment biomarkers predicting PTSD psychotherapy outcomes: A systematic review" [Neurosci. Biobehav. Rev. 75 (2017) 140-156]. Neurosci Biobehav Rev. 2018 01; 84:495. Colvonen PJ, Glassman LH, Crocker LD, Buttner MM, Orff H, Schiehser DM, Norman SB, Afari N. PMID: 28951017.
      View in: PubMed   Mentions:    Fields:    
    55. Chronic prostatitis and comorbid non-urological overlapping pain conditions: A co-twin control study. J Psychosom Res. 2017 11; 102:29-33. Gasperi M, Krieger JN, Forsberg C, Goldberg J, Buchwald D, Afari N. PMID: 28992894; PMCID: PMC5683425.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    56. Combat exposure and pain in male and female Afghanistan and Iraq veterans: The role of mediators and moderators. Psychiatry Res. 2017 11; 257:7-13. Buttner MM, Godfrey KM, Floto E, Pittman J, Lindamer L, Afari N. PMID: 28709118.
      View in: PubMed   Mentions: 4     Fields:    Translation:HumansPHPublic Health
    57. Genetic and Environmental Influences on Sleep, Pain, and Depression Symptoms in a Community Sample of Twins. Psychosom Med. 2017 Jul/Aug; 79(6):646-654. Gasperi M, Herbert M, Schur E, Buchwald D, Afari N. PMID: 28658193; PMCID: PMC5501256.
      View in: PubMed   Mentions: 17     Fields:    Translation:Humans
    58. Dexamethasone-suppressed Salivary Cortisol and Pain Sensitivity in Female Twins. Clin J Pain. 2017 03; 33(3):246-253. Godfrey KM, Herbert M, Strachan E, Mostoufi S, Crofford LJ, Buchwald D, Poeschla B, Succop A, Afari N. PMID: 27275736; PMCID: PMC5143218.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    59. VA eScreening program: Technology to improve care for post-9/11 veterans. Psychol Serv. 2017 02; 14(1):23-33. Pittman JOE, Floto E, Lindamer L, Baker DG, Lohr JB, Afari N. PMID: 28134554.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    60. Pretreatment biomarkers predicting PTSD psychotherapy outcomes: A systematic review. Neurosci Biobehav Rev. 2017 Apr; 75:140-156. Colvonen PJ, Glassman LH, Crocker LD, Buttner MM, Orff H, Schiehser DM, Norman SB, Afari N. PMID: 28143760.
      View in: PubMed   Mentions: 32     Fields:    Translation:Humans
    61. The many wounds of war: The association of service-related and clinical characteristics with problems with the law in Iraq and Afghanistan veterans. Int J Law Psychiatry. 2016 Nov - Dec; 49(Pt B):205-213. Backhaus A, Gholizadeh S, Godfrey KM, Pittman J, Afari N. PMID: 27863701.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    62. Telehealth Versus In-Person Acceptance and Commitment Therapy for Chronic Pain: A Randomized Noninferiority Trial. J Pain. 2017 02; 18(2):200-211. Herbert MS, Afari N, Liu L, Heppner P, Rutledge T, Williams K, Eraly S, VanBuskirk K, Nguyen C, Bondi M, Atkinson JH, Golshan S, Wetherell JL. PMID: 27838498.
      View in: PubMed   Mentions: 50     Fields:    Translation:HumansCTClinical Trials
    63. Heritability of Lower Urinary Tract Symptoms in Men: A Twin Study. J Urol. 2016 11; 196(5):1486-1492. Afari N, Gasperi M, Forsberg CW, Goldberg J, Buchwald D, Krieger JN. PMID: 27312318; PMCID: PMC5069121.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    64. Familial Contributions to Self-Reported Sleep and Pain in Female Twins. Pain Med. 2016 Jan; 17(1):33-9. Godfrey KM, Strachan E, Mostoufi S, Poeschla B, Succop A, Afari N. PMID: 26271474; PMCID: PMC4753149.
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    65. Multi-site evaluation of a complementary, spiritually-based intervention for Veterans: The Mantram Repetition Program. Complement Ther Clin Pract. 2016 Feb; 22:74-9. Buttner MM, Bormann JE, Weingart K, Andrews T, Ferguson M, Afari N. PMID: 26850810.
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    66. Pain and Urinary Symptoms Should Not be Combined into a Single Score: Psychometric Findings from the MAPP Research Network. J Urol. 2016 Apr; 195(4 Pt 1):949-54. Griffith JW, Stephens-Shields AJ, Hou X, Naliboff BD, Pontari M, Edwards TC, Williams DA, Clemens JQ, Afari N, Tu F, Lloyd RB, Patrick DL, Mullins C, Kusek JW, Sutcliffe S, Hong BA, Lai HH, Krieger JN, Bradley CS, Kim J, Landis JR. PMID: 26585679; PMCID: PMC4867140.
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    67. Associations of military sexual trauma, combat exposure, and number of deployments with physical and mental health indicators in Iraq and Afghanistan veterans. Psychol Serv. 2015 Nov; 12(4):366-77. Godfrey KM, Mostoufi S, Rodgers C, Backhaus A, Floto E, Pittman J, Afari N. PMID: 26524278.
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    68. Prevalence and Mental Health Correlates of Insomnia in First-Encounter Veterans with and without Military Sexual Trauma. Sleep. 2015 Oct 01; 38(10):1547-54. Jenkins MM, Colvonen PJ, Norman SB, Afari N, Allard CB, Drummond SP. PMID: 26085301; PMCID: PMC4576328.
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    69. Age moderates response to acceptance and commitment therapy vs. cognitive behavioral therapy for chronic pain. Int J Geriatr Psychiatry. 2016 Mar; 31(3):302-8. Wetherell JL, Petkus AJ, Alonso-Fernandez M, Bower ES, Steiner AR, Afari N. PMID: 26216753.
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    70. Widespread Psychosocial Difficulties in Men and Women With Urologic Chronic Pelvic Pain Syndromes: Case-control Findings From the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research Network. Urology. 2015 Jun; 85(6):1319-27. Naliboff BD, Stephens AJ, Afari N, Lai H, Krieger JN, Hong B, Lutgendorf S, Strachan E, Williams D, MAPP Research Network. PMID: 26099876; PMCID: PMC4479402.
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    71. Heritability of pain catastrophizing and associations with experimental pain outcomes: a twin study. Pain. 2015 Mar; 156(3):514-520. Trost Z, Strachan E, Sullivan M, Vervoort T, Avery AR, Afari N. PMID: 25599234; PMCID: PMC4329018.
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    72. Differential impact of combat on postdeployment symptoms in female and male veterans of iraq and afghanistan. Mil Med. 2015 Mar; 180(3):296-303. Afari N, Pittman J, Floto E, Owen L, Buttner M, Hossain N, Baker DG, Lindamer L, Lohr JB. PMID: 25735020.
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    73. Mindfulness-based interventions for binge eating: a systematic review and meta-analysis. J Behav Med. 2015 Apr; 38(2):348-62. Godfrey KM, Gallo LC, Afari N. PMID: 25417199.
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    74. Pain sensitivity in posttraumatic stress disorder and other anxiety disorders: a preliminary case control study. Ann Gen Psychiatry. 2014; 13(1):31. Mostoufi S, Godfrey KM, Ahumada SM, Hossain N, Song T, Wright LJ, Lohr JB, Afari N. PMID: 25422670; PMCID: PMC4236800.
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    75. Relationship between chronic nonurological associated somatic syndromes and symptom severity in urological chronic pelvic pain syndromes: baseline evaluation of the MAPP study. J Urol. 2015 Apr; 193(4):1254-62. Krieger JN, Stephens AJ, Landis JR, Clemens JQ, Kreder K, Lai HH, Afari N, Rodríguez L, Schaeffer A, Mackey S, Andriole GL, Williams DA, MAPP Research Network. PMID: 25444992; PMCID: PMC4497586.
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    76. Clinical and evoked pain, personality traits, and emotional states: can familial confounding explain the associations? J Psychosom Res. 2015 Jan; 78(1):58-63. Strachan E, Poeschla B, Dansie E, Succop A, Chopko L, Afari N. PMID: 25311873; PMCID: PMC4272603.
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    77. The MAPP research network: design, patient characterization and operations. BMC Urol. 2014 Aug 01; 14:58. Landis JR, Williams DA, Lucia MS, Clauw DJ, Naliboff BD, Robinson NA, van Bokhoven A, Sutcliffe S, Schaeffer AJ, Rodriguez LV, Mayer EA, Lai HH, Krieger JN, Kreder KJ, Afari N, Andriole GL, Bradley CS, Griffith JW, Klumpp DJ, Hong BA, Lutgendorf SK, Buchwald D, Yang CC, Mackey S, Pontari MA, Hanno P, Kusek JW, Mullins C, Clemens JQ, MAPP Research Network Study Group. PMID: 25085119; PMCID: PMC4126395.
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    78. Salivary cortisol and cold pain sensitivity in female twins. Ann Behav Med. 2014 Apr; 47(2):180-8. Godfrey KM, Strachan E, Dansie E, Crofford LJ, Buchwald D, Goldberg J, Poeschla B, Succop A, Noonan C, Afari N. PMID: 23955075; PMCID: PMC3926904.
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    79. Psychological trauma and functional somatic syndromes: a systematic review and meta-analysis. Psychosom Med. 2014 Jan; 76(1):2-11. Afari N, Ahumada SM, Wright LJ, Mostoufi S, Golnari G, Reis V, Cuneo JG. PMID: 24336429; PMCID: PMC3894419.
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    80. Posttraumatic stress disorder and health: a preliminary study of group differences in health and health behaviors. Ann Gen Psychiatry. 2013 Sep 26; 12(1):30. Godfrey KM, Lindamer LA, Mostoufi S, Afari N. PMID: 24070007; PMCID: PMC3852011.
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    81. Adverse childhood experiences, health perception, and the role of shared familial factors in adult twins. Child Abuse Negl. 2013 Nov; 37(11):910-6. Mostoufi SM, Strachan E, Chopko L, Succop A, Martinez B, Ahumada SM, Afari N. PMID: 23876862; PMCID: PMC4108345.
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    82. Chronic fatigue and personality: a twin study of causal pathways and shared liabilities. Ann Behav Med. 2013 Jun; 45(3):289-98. Poeschla B, Strachan E, Dansie E, Buchwald DS, Afari N. PMID: 23361410; PMCID: PMC3643988.
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    83. Can familial factors account for the association of body mass index with poor mental health in men or women? Gen Hosp Psychiatry. 2013 Sep-Oct; 35(5):502-7. Schur E, Godfrey KM, Dansie E, Buchwald D, Pagoto S, Afari N. PMID: 23664570; PMCID: PMC3775952.
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    84. Specific pain complaints in Iraq and Afghanistan veterans screening positive for post-traumatic stress disorder. Psychosomatics. 2014 Mar-Apr; 55(2):172-8. Moeller-Bertram T, Afari N, Mostoufi S, Fink DS, Johnson Wright L, Baker DG. PMID: 23473449.
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    85. Evidence for overlap between urological and nonurological unexplained clinical conditions. J Urol. 2013 Jan; 189(1 Suppl):S66-74. Bullones Rodríguez MÁ, Afari N, Buchwald DS, National Institute of Diabetes and Digestive and Kidney Diseases Working Group on Urological Chronic. PMID: 23234637; PMCID: PMC9159381.
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    86. University of Washington Twin Registry: poised for the next generation of twin research. Twin Res Hum Genet. 2013 Feb; 16(1):455-62. Strachan E, Hunt C, Afari N, Duncan G, Noonan C, Schur E, Watson N, Goldberg J, Buchwald D. PMID: 23218177; PMCID: PMC4505360.
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    87. The comorbidity of self-reported chronic fatigue syndrome, post-traumatic stress disorder, and traumatic symptoms. Psychosomatics. 2012 May-Jun; 53(3):250-7. Dansie EJ, Heppner P, Furberg H, Goldberg J, Buchwald D, Afari N. PMID: 22296866; PMCID: PMC3343192.
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    88. Temporomandibular disorder-type pain and migraine headache in women: a preliminary twin study. J Orofac Pain. 2012; 26(2):91-8. Plesh O, Noonan C, Buchwald DS, Goldberg J, Afari N. PMID: 22558608.
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    89. C-reactive protein and pain sensitivity: findings from female twins. Ann Behav Med. 2011 Oct; 42(2):277-83. Afari N, Mostoufi S, Noonan C, Poeschla B, Succop A, Chopko L, Strachan E. PMID: 21785898; PMCID: PMC3184380.
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    90. Conditions comorbid with chronic fatigue in a population-based sample. Psychosomatics. 2012 Jan-Feb; 53(1):44-50. Dansie EJ, Furberg H, Afari N, Buchwald D, Edwards K, Goldberg J, Schur E, Sullivan PF. PMID: 22221720; PMCID: PMC3254018.
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    91. Health and distress predictors of heart rate variability in fibromyalgia and other forms of chronic pain. J Psychosom Res. 2012 Jan; 72(1):39-44. Mostoufi SM, Afari N, Ahumada SM, Reis V, Wetherell JL. PMID: 22200521.
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    92. A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain. 2011 Sep; 152(9):2098-2107. Wetherell JL, Afari N, Rutledge T, Sorrell JT, Stoddard JA, Petkus AJ, Solomon BC, Lehman DH, Liu L, Lang AJ, Atkinson HJ. PMID: 21683527.
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    93. Twin studies of posttraumatic stress disorder: differentiating vulnerability factors from sequelae. Neuropharmacology. 2012 Feb; 62(2):647-53. Kremen WS, Koenen KC, Afari N, Lyons MJ. PMID: 21443892; PMCID: PMC3153636.
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    94. Acceptance and Commitment Therapy for generalized anxiety disorder in older adults: a preliminary report. Behav Ther. 2011 Mar; 42(1):127-34. Wetherell JL, Afari N, Ayers CR, Stoddard JA, Ruberg J, Sorrell JT, Liu L, Petkus AJ, Thorp SR, Kraft A, Patterson TL. PMID: 21292059; PMCID: PMC3496779.
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    95. Depression and obesity: do shared genes explain the relationship? Depress Anxiety. 2010 Sep; 27(9):799-806. Afari N, Noonan C, Goldberg J, Roy-Byrne P, Schur E, Golnari G, Buchwald D. PMID: 20821799; PMCID: PMC2949065.
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    96. The role of emotional numbing in sexual functioning among veterans of the Iraq and Afghanistan wars. Mil Med. 2010 Jun; 175(6):424-8. Nunnink SE, Goldwaser G, Afari N, Nievergelt CM, Baker DG. PMID: 20572475.
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    97. Chronic pain, overweight, and obesity: findings from a community-based twin registry. J Pain. 2010 Jul; 11(7):628-35. Wright LJ, Schur E, Noonan C, Ahumada S, Buchwald D, Afari N. PMID: 20338816; PMCID: PMC2892725.
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    98. Psychological distress in twins with urological symptoms. Gen Hosp Psychiatry. 2010 May-Jun; 32(3):262-7. Wright LJ, Noonan C, Ahumada S, Rodríguez MA, Buchwald D, Afari N. PMID: 20430229; PMCID: PMC2862233.
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    99. Adolescent offspring of mothers with chronic fatigue syndrome. J Adolesc Health. 2010 Mar; 46(3):284-91. Smith MS, Buchwald DS, Bogart A, Goldberg J, Smith WR, Afari N. PMID: 20159507; PMCID: PMC2824612.
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    100. PTSD, combat injury, and headache in Veterans Returning from Iraq/Afghanistan. Headache. 2009 Oct; 49(9):1267-76. Afari N, Harder LH, Madra NJ, Heppner PS, Moeller-Bertram T, King C, Baker DG. PMID: 19788469.
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    101. Evidence for overlap between urological and nonurological unexplained clinical conditions. J Urol. 2009 Nov; 182(5):2123-31. Rodríguez MA, Afari N, Buchwald DS, National Institute of Diabetes and Digestive and Kidney Diseases Working Group on Urological Chronic. PMID: 19758633; PMCID: PMC2957306.
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    102. Change in airflow among patients with asthma discussing relationship problems with their partners. J Health Psychol. 2009 Sep; 14(6):715-20. Schmaling KB, Afari N, Hops H, Barnhart S, Buchwald D. PMID: 19687108.
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    103. Trauma exposure, branch of service, and physical injury in relation to mental health among U.S. veterans returning from Iraq and Afghanistan. Mil Med. 2009 Aug; 174(8):773-8. Baker DG, Heppner P, Afari N, Nunnink S, Kilmer M, Simmons A, Harder L, Bosse B. PMID: 19743729.
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    104. A twin study of depression and migraine: evidence for a shared genetic vulnerability. Headache. 2009 Nov-Dec; 49(10):1493-502. Schur EA, Noonan C, Buchwald D, Goldberg J, Afari N. PMID: 19438739; PMCID: PMC2853741.
      View in: PubMed   Mentions: 27     Fields:    Translation:Humans
    105. The illness uncertainty concept: a review. Curr Pain Headache Rep. 2009 Apr; 13(2):133-8. Johnson Wright L, Afari N, Zautra A. PMID: 19272279.
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    106. The association of posttraumatic stress disorder and metabolic syndrome: a study of increased health risk in veterans. BMC Med. 2009 Jan 09; 7:1. Heppner PS, Crawford EF, Haji UA, Afari N, Hauger RL, Dashevsky BA, Horn PS, Nunnink SE, Baker DG. PMID: 19134183; PMCID: PMC2647553.
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    107. Are post-traumatic stress disorder symptoms and temporomandibular pain associated? Findings from a community-based twin registry. J Orofac Pain. 2008; 22(1):41-9. Afari N, Wen Y, Buchwald D, Goldberg J, Plesh O. PMID: 18351033; PMCID: PMC2950007.
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    108. Twin analyses of fatigue. Twin Res Hum Genet. 2007 Oct; 10(5):729-33. Schur E, Afari N, Goldberg J, Buchwald D, Sullivan PF. PMID: 17903114; PMCID: PMC2953372.
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    109. Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions. J Gen Intern Med. 2007 Jun; 22(6):818-21. Schur EA, Afari N, Furberg H, Olarte M, Goldberg J, Sullivan PF, Buchwald D. PMID: 17503107; PMCID: PMC2219854.
      View in: PubMed   Mentions: 41     Fields:    Translation:Humans
    110. Cold pressor pain sensitivity in monozygotic twins discordant for chronic fatigue syndrome. Pain Med. 2007 Apr; 8(3):216-22. Ullrich PM, Afari N, Jacobsen C, Goldberg J, Buchwald D. PMID: 17371408; PMCID: PMC2957294.
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    111. University of Washington Twin Registry: construction and characteristics of a community-based twin registry. Twin Res Hum Genet. 2006 Dec; 9(6):1023-9. Afari N, Noonan C, Goldberg J, Edwards K, Gadepalli K, Osterman B, Evanoff C, Buchwald D. PMID: 17254446; PMCID: PMC2953369.
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    112. Is the association between posttraumatic stress disorder symptoms and poor health due to a common familial or genetic factor? Gen Hosp Psychiatry. 2006 Sep-Oct; 28(5):408-13. Roy-Byrne PP, Noonan C, Afari N, Buchwald D, Goldberg J. PMID: 16950376; PMCID: PMC2953376.
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    113. A twin study of posttraumatic stress disorder symptoms and chronic widespread pain. Pain. 2006 Sep; 124(1-2):150-7. Arguelles LM, Afari N, Buchwald DS, Clauw DJ, Furner S, Goldberg J. PMID: 16701954; PMCID: PMC2957179.
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    114. Genetic pleiotropy between asthma and obesity in a community-based sample of twins. J Allergy Clin Immunol. 2005 Dec; 116(6):1235-41. Hallstrand TS, Fischer ME, Wurfel MM, Afari N, Buchwald D, Goldberg J. PMID: 16337451; PMCID: PMC2014783.
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    115. The prevalence of self-reported chronic fatigue in a U.S. twin registry. J Psychosom Res. 2005 Nov; 59(5):283-90. Furberg H, Olarte M, Afari N, Goldberg J, Buchwald D, Sullivan PF. PMID: 16253618; PMCID: PMC2949064.
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    116. Chronic fatigue syndrome: a review. Am J Psychiatry. 2003 Feb; 160(2):221-36. Afari N, Buchwald D. PMID: 12562565.
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    117. Relationship satisfaction moderates the association between catastrophic cognitions and asthma symptoms. J Asthma. 2002 Dec; 39(8):749-56. Giardino ND, Schmaling KB, Afari N. PMID: 12507196.
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    118. A prospective study of the relationship of mood and stress to pulmonary function among patients with asthma. J Asthma. 2002 Sep; 39(6):501-10. Schmaling KB, McKnight PE, Afari N. PMID: 12375709.
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    119. Chronic fatigue and anxiety/depression: a twin study. Br J Psychiatry. 2002 Jan; 180:29-34. Roy-Byrne P, Afari N, Ashton S, Fischer M, Goldberg J, Buchwald D. PMID: 11772848.
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