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Faculty

Kathleen Sikkema

Professor, Psychology and Neuroscience and Global Health
Director, Global Mental Health Initiative
Director of Doctoral Studies, Duke Global Health Institute
Director, Social and Behavioral Sciences Core (Duke CFAR)
Trinity College of Arts and Sciences
Psychology and Neuroscience

238 Soc Psych Building / 330 Trent Hall
(919) 684-9073
kathleen.sikkema@duke.edu

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Kathy Sikkema

Summary

Kathleen J. Sikkema, Ph.D., Professor of Psychology and Neuroscience, Global Health, and Psychiatry and Behavioral Sciences at Duke University, is a clinical psychologist with emphases in health and community psychology. She is the Director of Doctoral Studies at the Duke Global Health Institute (DGHI), Director of the Social and Behavioral Science Core in Duke's Center for AIDS Research (CFAR), and Director of the Global Mental Health Initiative at DGHI.

Dr. Sikkema, an expert in randomized, controlled HIV prevention and mental health intervention trials, has been supported by the National Institutes of Health (NIH) for nearly 25 years. She conducts research on the development of HIV-related mental health interventions focused on traumatic stress and coping. Sikkema's intervention programs have been recognized by the CDC as "best evidence interventions" as well as the National Registry of Evidence-based Programs and Practices (NREPP).

Dr. Sikkema's research is also focused on the development and evaluation of HIV risk behavior change interventions, with expertise in community-level intervention trials and university-community collaboration. She recently developed and evaluated a brief risk reduction intervention (PC: Positive Choices), in collaboration with the Callen Lorde Community Health Center, for those newly diagnosed with HIV, with implications for engagement in care and HIV prevention.

Dr. Sikkema's current research is focused in South Africa, collaborating with various South African universities since 2001. Building on prior work with abused women, she recently completed a multi-method longitudinal study to inform development of innovative intervention approaches related to gender, HIV risk and alcohol use in South Africa. Dr. Sikkema's current efforts are focused on the development of mental health interventions that address the intersection of HIV care engagement and HIV prevention.

Teaching

Title Number Level Semester Requirements Fulfilled
Global Health Doctoral Certificate Seminar

This seminar is required for the Global Health Doctoral Certificate. Its contents will vary by semester but may include a combination of journal club, discussions with experts at Duke or external visitors, research presentations, and dissertation discussions.

Course Notes:
GLHLTH 870S
GRAD Only FALL 2016 PhD: Core

Projects

Recent Publications

Watt, M.H., Dennis, A.C., Choi, K.W., Ciya, N., Joska, J.A., Robertson, C. & Sikkema, K.J. (in press). Impact of sexual trauma on HIV care engagement: Perspectives of female patients with trauma histories in Cape Town, South Africa. AIDS and Behavior.

Vincent, W., Fang, X., Calabrese, S.K., Heckman, T.G., Sikkema, K.J., & Hansen, N.B. HIV-related shame and health-related quality of life among older, HIV-positive adults. Journal of Behavioral Medicine. 2016. [Epub ahead of print] doi:10.1007/s10865-016-9812-0

Skalski, L., Towe, S.L., Sikkema, K.J., & Meade, C.S. The impact of marijuana on memory in HIV-infected patients in the era of combination antiretroviral therapy: A comprehensive review of the HIV and marijuana literatures. Current Drug Abuse Reviews. 2016. [Epub ahead of print]

Dennis, A.C., Wilson, S.M., Mosha, M.V., Masenga, G.G., Sikkema, K.J., Terroso, K., & Watt, M.H. Experiences of social support among women presenting for obstetric fistula repair surgery in Tanzania. International Journal of Women's Health. 2016. 8: 429-39. doi:10.2147/ijwh.s110202 PMCID: PMC5019876

Pitpitan, E.V., Kalichman, S.C., Eaton, L.A., Sikkema, K.J., Watt, M.H., Skinner, D., & Pieterse, D. Men’s behavior predicts women’s risk for HIV/AIDS: Multilevel analysis of alcohol-serving venues in South Africa. Prevention Science. 2016. 17(4):472-82. doi: 10.1007/s11121-015-0629-9. PMCID: PMC4840071

Wilson, S.M., Sikkema, K.J., Watt, M.H., Masenga, G.G., & Mosha, M.V. Psychological symptoms following repair of obstetric fistula in a low income setting. Maternal and Child Health Journal. 2016. 20(5)z;941-5. doi: 10.1007/s10995-016-1950z PMCID: PMC4826832

Willie, T.C., Overstreet, N.M., Peasant, C., Kershaw, T., Sikkema, K.J., & Hansen, N.B. Anxiety and depressive symptoms among people living with HIV and childhood sexual abuse: The role of shame and posttraumatic growth. AIDS and Behavior. 2016. 20(8): 1609-20. doi: 10.1007/s10461-016-1298-9 PMCID: PMC4945398

Puffer, E.S., Green, E.P., Sikkema, K.J., Broverman, S.A., Ogwang-Odhiambo, R.A., & Pian, J. 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. 2016. 84(6):511-25. doi: 10.1037/ccp0000076 PMCID: PMC4871408

Magidson, J.F., Dietrich, J., Otwombe, K., Sikkema, K.J., Katz, I.T. & Gray, G.E. Psychosocial correlates of alcohol and other substance use among low-income adolescents in peri-urban Johannesburg, South Africa: A focus on gender differences. Journal of Health Psychology. 2016. [Epub ahead of print]

Choi, K.W., Watt, M.H., Skinner, D., Kalichman, S.C., & Sikkema, K.J. "Wine you get every day, but a child you can't replace": The perceived impact of parental drinking on child outcomes in Cape Town, South Africa. Journal of Child and Adolescent Mental Health. 2015. 27(3):173-87. doi: 10.2989/17280583.2015.1113974 PMCID: PMC4835338

Abler, L., Sikkema, K.J., Watt, M.H., Wilson, P.A., Hansen, N.B., & Kochman, A. Depression and HIV serostatus disclosure to sexual partners among newly-HIV diagnosed men who have sex with men. AIDS Patient Care and STDs. 2015. 29(10):550-8. doi: 10.1089/apc.2015.0122. PMCID: PMC4599131

Sikkema, K.J., Dennis, A.C., Watt, M.H., Choi, K.W., Yemeke, T., & Joska, J.A. Improving mental health among people living with HIV: A review of intervention trials in low- and middle-income countries. Global Mental Health. 2015. 2, e19-42. doi: 10.1017/gmh.2015.17 PMCID: PMC4589870

Watt, M.H., Eaton, L.A., Dennis, A.C., Choi, K.W., Kalichman, S.C., Skinner, D., & Sikkema, K.J. Alcohol use during pregnancy in Cape Town, South Africa: Reconciling knowledge, norms, personal experience and intuition. Maternal and Child Health. 2015. doi: 10.1007/s10995-015-1800-4.

Wilson, S.M., Sikkema, K.J., Watt, M.H., & Masenga, G.G. Psychological symptoms among obstetric fistula patients compared to gynecology outpatients in Tanzania. International Journal of Behavioral Medicine. 2015; 18(5):731-8. doi: 10.1007/s12529-015-9466-2

Choi, K.W., Sikkema, K.J., Velloza, J., Marais, A., Jose, C., Stein, D.J., Watt, M.H., Joska, J.A. Maladaptive coping mediates the influence of childhood trauma on depression and PTSD among pregnant women in South Africa. Archives of Women’s Mental Health. 2015. doi: 10.1007/s00737-015-0501-8 PMCID: PMC45000677

Watt, M.H., Wilson, S.M., Sikkema, K.J., Velloza, J., Mosha, M.V., Masenga, G.G., Bangser, M., Browning, A., & Nyindo, P.M. Development of an intervention to improve mental health for obstetric fistula patients in Tanzania. Evaluation and Program Planning. 2015; 50:1-9. doi: 10.1016/j.evalprogplan.2015.01.007 PMCID: PMC4395537

Willie, T.C., Overstreet, N.M., Sullilvan, T.P., Sikkema, K.J., & Hansen, N.B. Barriers to HIV medication adherence: Examining distinct anxiety and depression symptoms among women living with HIV who experienced childhood sexual abuse. Behavioral Medicine. 2015. doi: 10.1080/08964289.2015.1045823

Otwombe, K., Dietrich, J., Sikkema, K.J., Coetzee, J., Hopkins, K.L., Laher, F., & Gray, G.E. Exposure to and experiences of violence among adolescents in lower socio-economic groups in Johannesburg, South Africa. BMC Public Health. 2015; 15(450). doi: 10.1186/s12889-015-1780-8 PMCID: PMC4419458

Choi, K.W., & Sikkema, K.J. Childhood maltreatment and perinatal mental disorders: A systematic review. Trauma, Violence and Abuse. 2015. doi: 10.1177/1524838015584369

Velloza, J., Watt, M.H., Choi, K.W., Abler, L.A., Kalichman, S.C., Skinner, D., Pieterse, D., & Sikkema, K.J. HIV/AIDS-related stigma and its impact on testing, disclosure, and treatment-seeking behaviors among patrons in alcohol serving venues in South Africa. Global Public Health. 2015; 10(9):1092-1106. doi: 10.1080/17441692.2014.1001767 PMCID: PMC4519431

Skalski, L.M., Watt, M.H., MacFarlane, J.C., Proeschold-Bell, R.J., Stout, J.E., & Sikkema, K.J. Mental health and substance use among patients in a North Carolina HIV clinic. NC Medical Journal. 2015; 76(3):148-155. 0029-2559/2015/76302

Fang, X., Vincent, W., Calabrese, S.K., Heckman, T.G., Sikkema, K.J., Humphries, D.L., & Hansen, N.B. Resilience, stress, and life quality in older adult people living with HIV/AIDS. Aging and Mental Health. 2015; 19(11):1015-21. doi: 10.1080/13607863.2014.1003287 PMCID: PMC4520800

Abler, L., Sikkema, K.J., Watt, M.H., Pitpitan, E.V., Kalichman, S.C., Skinner, D., Pieterse, D. Traumatic stress and the mediating role of alcohol use on HIV-related sexual risk behavior: Results from a longitudinal cohort of South African women who attend alcohol-serving venues. JAIDS. 2015; 68(3):322-328. doi: 10.1097/QAI.0000000000000433 PMCID: PMC4326588

Choi, K.W., Somers, T., Babyak, M., Sikkema, K.J., & Keefe, F. (2014). The relationship between pain and eating among overweight and obese individuals with osteoarthritis: An ecological momentary study. Pain Research and Management. pii:16173. [Epub ahead of print].

Abler, L., Sikkema, K.J., Watt, M.H., Pitpitan, E.V., Kalichman, S.C., Skinner, D., Pieterse, D. (in press). Traumatic stress and the mediating role of alcohol use on HIV-related sexual risk behavior: Results from a longitudinal cohort of South African women who attend alcohol-serving venues. JAIDS. doi: 10.1097/QAI.0000000000000433 PMCID: PMC Journal In Process

Corneli, A.C., Pettifor, A., Kamanga, G., Golin, C., McKenna, K., Ou, S.S., Hamela, G. Massa, C., Martinson, F., Tharaldson, J., Hilgenberg, D. Yu, X., Chege, W., Hoffman, I., The HPTN 062 study team (Sikkema, K.J.). HPTN 062: A feasibility and acceptability pilot intervention ot reduce HIV transmission risk behaviors among individuals with acute and early HIV infection in Lilongwe, Malawi. AIDS and Behavior. 2014; 18: 1785-1800. doi 10.1007/s10461-014-0707-1

Wilson, S.M., Sikkema, K. J., & Ranby, K.W. Gender moderates the influence of psychosocial factors and drug use on HAART adherence in the context of HIV and childhood sexual abuse. AIDS Care. 2014;26(8):959-67. doi:10.1080/09540121.2013.873765 PMCID: 4156823

Lovejoy, T.I., Heckman, T.G., Sikkema, K.J., Hansen, N.B., & Kochman, A. Changes in sexual behavior of HIV-infected older adults enrolled in a clinical trial of standalone group psychotherapies targeting depression. AIDS and Behavior. 2014. doi:10.1007/s10461-014-0746-7

Eaton, L.A., Pitpitan, E.V., Kalichman, S.C., Sikkema, K.J., Skinner, D., Watt, M.H., Pieterse, D., & Cain, D.N. Beliefs about fetal alcohol spectrum disorder among men and women at alcohol serving establishments in South Africa. American Journal of Drug and Alcohol Abuse. 2014;40:87-94. doi: 10.3109/00952990.2013.830621

Abler, L., Sikkema, K.J., Watt, M.H., Pitpitan, E.V., Kalichman, S.C., Skinner, D., & Pieterse, D. Longitudinal cohort study of depression, post-traumatic stress and alcohol use in South African women who attend alcohol-serving venues. BMC Psychiatry. 2014; 14(1):224. doi:10.1186/s12888-014-0224-9 PMCID: PMC Journal In Process

Thurston, I.B., Dietrich, J., Bogart, L.M., Otwombek, K.N., Sikkema, K.J., Nkala, B., & Gray, G. Correlates of sexual risk among sexual minority and heterosexual South African youth. American Journal of Public Health. 2014;104(7):1265-9. doi: 10.2105/AJPH.2013.30186

Watt, M.H., Sikkema, K.J., Abler, L.A., Velloza, J., Eaton, L.A., Kalichman, S.C., Skinner, D., Pieterse, D. Experiences of forced sex among female patrons of alcohol-serving venues in a South African township. Journal of Interpersonal Violence. 2014. doi: 10. 10.1177/0886260514540807. NIHMID: NIHMS622737

Watt, M.H., Eaton, L.A., Choi, K.W., Velloza, J., Kalichman, S.C., Skinner, D., & Sikkema, K.J. It's better for me to drink, at least the stress is going away: Perspectives on alcohol use during pregnancy among South African women attending drinking establishments. Social Science & Medicine. 2014;116:119-125. doi: 10.1016/j.socscimed.2014.06.048

Eloff, I., Finestone, M., Makin, J.D., Boeving-Allen, A., Visser, M., Ebersohn, L., Ferreira, R., Sikkema, K.J., Briggs-Gowan, M., & Forsyth, B.W.C. A randomized clinical trial of an intervention to promote resilience in young children of HIV infected mothers. AIDS. 2014;28 (Suppl 3): S347-S357. doi: 10.1097/QAD.0000000000000335

Sikkema, K.J., Abler, L., Hansen, B., Wilson, P.A., Drabkin, A.S., Kochman, A., MacFarlane, J.C., DeLorenzo, A., Mayer, G., Watt, M., & Nazareth, W. Positive Choices: Outcomes of a brief risk reduction intervention for newly HIV-diagnosed men who have sex with men. AIDS and Behavior. 2014;18:1808-1819. doi: 10.1007/s10461-014-0782-3. PMCID: 24771017

Watt, M.H., Wilson, S., Mercykutty, J., Masenga, G., MacFarlane, J.C., Oneko, O., & Sikkema, K.J. Religious coping among women with obstetric fistula in Tanzania. Global Public Health. 2014;9(5):516-27. doi:10.1080/17441692.2014.903988 PMCID: PMC4046104

Watt, M.H., Meade, C.S., Kimani, S., MacFarlane, J.C., Choi, K.W., Kalichman, S.C., Skinner, D., Pieterse, D., & Sikkema, K.J. The impact of methamphetamine ("tik") on a township community in Cape Town, South Africa. International Journal of Drug Policy. 2014;25:219-225. doi: 10.1016/j.drugpo.2013.10.007. PMCID: PMC3961551

Choi, K.W., Abler, L.A., Watt, M.H., Eaton, L.A., Kalichman, S.C., Skinner, D., Pieterse, D., & Sikkema, K.J. Drinking before and after pregnancy recognition among South African women: the moderating role of traumatic experiences. BMC Pregnancy and Childbirth. 2014;14(97). doi: 10.1186/1471-2393-14-97. PMCID: PMC3975846

Coetzee, J., Dietrich, J., Otwombe, K., Nkala, B., Khunwane, M., van der Watt, M., Sikkema, K.J., & Gray,G. E. Predictors of Parent Adolescent Communication (PAC) in post-Apartheid South Africa: a protective factor in adolescent sexual and reproductive health. Journal of Adolescence. 2014;37:313-324. doi: 10.1016/j.adolescence.2014.01.006. PMCID: 4048831

Sikkema, K.J., Ranby, K.W., Meade, C.S., Hansen, N.B., Wilson, P.A., & Kochman, A. Reductions in traumatic stress following a coping intervention were mediated by decreases in avoidant coping for people living with HIV/AIDS and childhood sexual abuse. Journal of Consulting and Clinical Psychology. 2013;81:274-283. doi: 10.1037/a0030144. PMCID: PMC3615135

Pitpitan, E.V., Kalichman, S.C., Eaton, L.A., Cain, D., Sikkema, K.J., Watt, M.H., Skinner, D., & Pieterse, D. Co-occurring psychosocial problems and HIV risk among women attending drinking venues in a South African township: A syndemic approach. Annals of Behavioral Medicine. 2013;45:153-162. doi: 10.1007/s12160-012-9420-3. PMCID: PMC3578969

Eaton, L.A., Kalichman, S.C., Sikkema, K.J., Skinner, D., Watt, M.W., Pieterse, D. & Pitpitan, E.V. Men who report recent male and female sex partners in Cape Town, South Africa: An overlooked HIV transmission bridge populations. Archives of Sexual Behavior. 2013;42:1299-1308. doi: 10.1007/s10508-013-0077-1. PMCID:PMC3760968

Kotze, M., Visser, M., Makin, J., Sikkema, K., & Forsyth, B. Psychosocial variables associated with coping of HIV-positive women diagnosed during pregnancy. AIDS and Behavior. 2013;17:498-507. doi: 10.1007/s10461-012-0379-7

Pitpitan, E.V., Kalichman, S.C., Eaton, L.A., Cain, D, Sikkema, K.J., Skinner, D., Watt, M.H., & Pieterse, D. Gender-based violence, alcohol use, and sexual risk among female patrons of drinking venues in Cape Town, South Africa. Journal of Behavioral Medicine. 2013;75:1417-1425. doi:1007/s10865-012-9423-3. PMCID: PMC3646073

Eaton, L.A., Pitpitan, E.V., Kalichman, S.C., Sikkema, K.J., Skinner, D., Watt., M.H., Pieterse, D. & Cain, D.N. Food insecurity and alcohol use among pregnant women at alcohol serving establishments in South Africa. Prevention Science. 2013; 309-17. doi: 10.1007/s11121-013-0386-6. PMCID: PMC3760986

Puffer, E.S., Pian, J., Broverman, S.A., Ogwang-Odhiambo, R.A., & Sikkema, K.J.. Developing a community-based HIV prevention intervention in rural Kenya: Ethical challenges of community based participatory research. The Journal of Empirical Research on Human Research Ethics. 2013;8:119-128. doi: 10.1525/jer.2013.8.2.119 PMCID:PMC3743433

Sikkema, K.J., Ranby, K.W., Meade, C.S., Hansen, N.B., Wilson, P.A., & Kochman, A. Reductions in traumatic stress following a coping intervention were mediated by decreases in avoidant coping for people living with HIV/AIDS and childhood sexual abuse. Journal of Consulting and Clinical Psychology. 2013;81:274-283. doi: 10.1037/a0030144 PMCID: PMC3615135

Pitpitan, E.V., Kalichman, S.C., Eaton, L.A., Cain, D., Sikkema, K.J., Watt, M.H., Skinner, D., & Pieterse, D. Co-occurring psychosocial problems and HIV risk among women attending drinking venues in a South African township: A syndemic approach. Annals of Behavioral Medicine. 2013;45:153-162. doi: 10.1007/s12160-012-9420-3. PMCID: PMC3578969