Dr. Puffer is a global mental health researcher and a licensed clinical psychologist. Her research focuses on developing and evaluating integrated community-based interventions to promote child mental health, improve family functioning, and prevent HIV risk behavior. She has conducted much of this work in rural Kenya. Before joining Duke, Dr. Puffer was a research advisor at the International Rescue Committee conducting evaluations of humanitarian programs in refugee settings. She is an investigator on multiple studies of child mental health and parenting interventions in Thailand, Ethiopia, and Liberia.
Fundamentals of Global Mental Health
Course examines global mental health from perspectives of culture, public health, epidemiology, human rights, policy, and intervention. Readings in the course focus on peer-reviewed research literature highlighting topics such as the prevalence of mental health disorders worldwide, the role of culture in mental health, and the interventions backed by strong evidence for prevention and treatment. Students will discuss and critique study methodologies and explore the needs for future research in this emerging field. Course is designed for students with prior research methods and psychology coursework.
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MAJOR: Focused Study
Wachter, K., Horn, R., Friis, E., & Puffer, E. S. (in press). Drivers of intimate partner violenceagainst women in three refugee camps. Violence Against Women.
Green, E. P., Warren, V. R., Broverman, S., Ogwang, B., & Puffer, E. S. (2016). Participatory mapping in low-resource settings: Three novel methods used to engage Kenyan youth and other community members in community-based HIV prevention research. Global public health, 11(5-6), 583-599.
Annan, J., Sim, A., Puffer, E. S., Salhi, C., & Betancourt, T. S. (2016). Improving Mental Health Outcomes of Burmese Migrant and Displaced Children in Thailand: a Community-Based Randomized Controlled Trial of a Parenting and Family Skills Intervention. Prevention Science, 1-11.
Puffer, E. S., Green, E. P., Sikkema, K. J., Broverman, S. A., Ogwang-Odhiambo, R., & Pian, J. (2016). A church-based intervention for families to promote mental health and prevent HIV among adolescents in rural Kenya: Results of a randomized trial. Journal of Consulting and Clinical Psychology.
Puffer, E. S., Green, E. P., Chase, R. M., Sim, A. L., Zayzay, J., Friis, E., Garcia-Rolland, E., & Boone, L. (2015). Parents Make the Difference: A randomized controlled trial of a parenting intervention in Liberia. Global Mental Health, 2, e15; doi: http://dx.doi.org/10.1017/gmh.2015.12.
Horn, R., Puffer, E. S., Roesch, E., & Lehmann, H. (2015). I don't need an eye for an eye, I just want the beating to stop': Responses to intimate partner violence by women in Sierra Leone and Liberia. Global Public Health, published online before print: doi: 10.1080/17441692.2015.1032320.
Schatz, J., Schlenz, A., McClellan, C. B., Puffer, E. S., Hardy, S., Pfeiffer, M., & Roberts, C. W. (2014). Changes in coping, pain and activity following cognitive-behavioral training: A randomized clinical trial for pediatric sickle cell disease using smartphones. The Clinical Journal of Pain, 31, 536-547.
Puffer, E. S., Schatz, J. C., & Roberts, C. W. (2014). Association between somatic growth trajectory and cognitive functioning in young children with Sickle Cell Disease. Journal of Health Psychology, published online before print December 8, 2014; doi:10.1177/1359105314559861.
Horn, R., Puffer, E. S., Roesch, E., & Lehmann, H. (2014). Women's perceptions of effects of war on intimate partner violence and gender roles in two post-conflict West African Countries: Consequences and unexpected opportunities. Conflict and Health, 8, 12; doi: 10.1186/1752-1505-8-12.
Hall, B. J., Puffer, E. S., Murray, L. K., Ismael, A., Bass, J. K., Sim, A., & Bolton, P. A. (2014). The importance of establishing reliability and validity of assessment instruments for mental health problems: An example from Somali children and adolescents living in three refugee camps in Ethiopia. Psychological Injury and Law, 7, 153-164.
Matthews, E. J., Puffer, E. S., Meade, C. S., & Broverman, S. A. (2014). Implementation of a school-based HIV prevention program in rural Kenya after national dissemination. East African Medical Journal, 91, 152-160.
Boateng, L., Puffer, E. S., Allen, T., Bonner, M. (2013). Adherence to secondary stroke prevention in children with sickle cell anemia: Family and child perspectives. Journal of Blood Disorders & Transfusion, 4:148; doi: 10.4172/2155-9864.1000148.
Meyer, S., Murray, L., Puffer, E. S., Larsen, J., & Bolton, P. (2013). The nature and impact of chronic stressors on refugee children in Ban Mai Nai Soi camp, Thailand. Global Public Health: An International Journal for Research, Policy and Practice, 8, 1027-1047.
Puffer, E. S., Pian, J., Sikkema, K. J., Ogwang-Odhiambo, R. A., Broverman, S. A. (2013). Developing a family-based HIV prevention intervention in rural Kenya: Ethical challenges in community based participatory research. The Journal of Empirical Research on Human Research Ethics, 8, 119-128.
Schlenz, A. M., McClellan, C. B., Mark, T. R. M., McKelvy, A., Puffer, E. S., Roberts, C. W., Sweitzer, S. M., Schatz, J. D. (2012). Sensitization to Acute Procedural Pain in Pediatric Sickle Cell Disease: Modulation by Painful Vaso-occlusive Episodes, Age, and Endothelin-1. The Journal of Pain, 13, 656-65.
Puffer, E. S., Drabkin, A., Stashko, A., Broverman, S. A., Ogwang-Odhiambo, R., & Sikkema, K. J. (2012). Associations between orphan status, HIV risk behavior and mental health outcomes among adolescents in rural Kenya. Journal of Pediatric Psychology, 37, 868-878. PMID: 22728899. PMCID: PMC3437686
Puffer, E. S., Watt, M., Sikkema, K. J., Ogwang-Odhiambo, R. A., & Broverman, S. A. (2012). The Protective Role of Religious Coping in Adolescents' Responses to Poverty and Sexual Decision-Making in Rural Kenya: a brief report. Journal of Research on Adolescence, 22, 1-7.
Puffer, E. S., Skalski, L. & Meade, C. (2012). Changes in religious coping and relapse to drug use among opioid-dependent patients following inpatient detoxification. Journal of Religion and Health, 51, 1226-1238. PMID: 21125425