Faculty Profile: M. Tracie Shea

M. Tracie Shea
Professor of Psychiatry & Human Behavior
Psychiatry & Human Behavior
Work: +1 401-444-1907
Tracie Shea's research is focused on trauma related psychopathology in veterans, and personality disorders. Her trauma related research includes treatment of trauma-related anger, and the early longitudinal course and predictors of PTSD in veterans of the Iraq war. Her research in PDs includes continuuing data analysis of 10 years of follow-up data from her participation in a multi-site study of the longitudinal course of PDs.

Biography

Dr. Shea received her Ph.D. in psychology from Catholic University in 1981. She was formerly at the National Institute of Mental Health, where she was chief of the Personality Disorders Program, and Associate Coordinator of the NIMH Treatment of Depression Collaborative Research Program. Currently, she is Professor in the Department of Psychiatry and Human Behavior at Brown University, where she also serves as Director of the Clinical Assessment and Training Unit, and as an Associate Director of the Psychology Training Consortium. She is a staff psychologist at the Post-Traumatic Stress Disorders Clinic at the Providence Veterans Affairs Medical Center. She was a member of the Work Group on Personality Disorders for the DSM-IV; is a former president of the North American Society for Psychotherapy Research, and former member of the Executive Board of the International Society for the Study of Personality Disorders. She is an associate editor of the Journal of Personality Disorders, and has served on several other editorial boards. Dr. Shea is actively involved in research on personality disorders and post-traumatic stress disorder. Her current research in personality disorders includes a multi-site study to study the naturalistic longitudinal course of personality disorders funded by the NIMH. Her research in PTSD includes two studies funded by the Department of Defense including a treatment development study to adapt an intervention for PTSD-related anger problems in veterans of the Iraq war, and a longitudinal study examining the early course of PTSD symptoms and predictors of chronic PTSD in veterans of the Iraq war. She has authored numerous publications in the areas of personality traits and disorders, depression, and posttraumatic stress disorder.

Recent Publications

1.Shea MT, Stout R, Gunderson JG, Morey LC, Grilo CM, McGlashan T, Skodol AE, Dolan-Sewell R, Dyck I, Zanarini MC, Keller MB. Short-term diagnostic stability of schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders. American Journal of Psychiatry, 2002, 159:2036-2041.

2.Johnson DM, Shea MT, Yen S, Battle C, Zlotnick C, Sanislow, CA, Grilo CM, Skodol AE, Bender DS, McGlashan TH, Gunderson JG, Zanarini MC. Gender differences in borderline personality disorder: Findings from the Collaborative Longitudinal Personality Disorders Study. Comprehensive Psychiatry, 2003, 44:284-292.

3.Schnurr PP, Friedman MJ, Foy DW, Shea MT, Hsieh F, Lavori PW, Glynn SM, Wattenberg M, Bernardy NC. A randomized trial of trauma focus group therapy for posttraumatic stress disorder: results from a department of veterans affairs cooperative study. Archives of General Psychiatry, 2003, 80:481-489.

4.Yen S, Shea MT, Pagano M, Sanislow CA, Grilo CM, McGlashan TH, Skodol AE, Bender DS, Zanarini MC, Gunderson JG, Morey LC. Axis I and Axis II disorders as predictors of prospective suicide attempts: findings from the Collaborative Longitudinal Personality Disorders Study. Journal of Abnormal Psychology, 2003, 112:375-381.

5.Shea MT, Yen S. Stability as a distinction between Axis I and Axis II Disorders. Journal of Personality Disorders, 2003, 17:373-386.

6.Battle CL, Shea MT, Johnson DM, Yen S, Zlotnick C, Zanarini MC, Sanislow CA, Skodol AE, Gunderson JG, Grilo CM, McGlashan TH, Morey LC. Childhood maltreatment associated with adult personality disorders: findings from the Collaborative Longitudinal Personality Disorders Study. Journal of Personality Disorders, 2004, 18:193-211.

7.Yen S, Shea MT, Sanislow CA, Grilo CM, Skodol AE, Gunderson JG, McGlashan TH, Zanarini MC, Morey LC. Borderline personality disorder criteria associated with prospectively observed suicidal behavior. American Journal of Psychiatry, 2004, 161: 1296-1298.

8.Shea MT, Stout RL, Yen S, Pagano ME, Skodol AE, Morey LC, Gunderson JG, McGlashan TH, Grilo CM, Sanislow CA, Bender DS, Zanarini MC. Associations in the course of personality disorders and axis I disorders over time. Journal of Abnormal Psychology, 2004, 113:499-508.

9.Grilo CM, Shea MT, Sanislow CA, Skodol AE, Gunderson JG, Stout RL, Pagano ME, Yen S, Morey LC, Zanarini MC, McGlashan TH. Two-year stability and change in schizotypal, borderline, avoidant and obsessive-compulsive personality disorders. Journal of Consulting and Clinical Psychology, 2004; 72:767-775.

10.Yen S, Pagano ME, Shea MT, Grilo CM, Gunderson JG, Skodol AE, McGlashan TH, Sanislow CA, Bender DS, Zanarini MC. Recent life events preceding suicide attempts in a personality disorder sample: findings from the Collaborative Longitudinal Personality Disorders Study. Journal of Consulting and Clinical Psychology, 2005; 73:99-105.

11.Shea MT, Yen S. Models of relationship between personality dimensions, disorders and depression. In: Kennedy S, Rosenbluth M, Bagby MR (Eds). Personality Disorders and Depression. Washington, DC: American Psychiatric Publishing Inc., 2005.

12.Schnurr PP, Friedman MJ, Engel CC, Foa EB, Shea MT, Chow BK, Resick PA, Thurston V, Orsillo SM, Haug R, Turner C, Bernardy N. Cognitive Behavioral Therapy for Posttraumatic Stress Disorder in Women. A Randomized Controlled Trial. Journal of the American Medical Association. 2007; 297:820-830.

13.Shea MT, Edelen MO, Pinto A, Yen S, Gunderson JG, Skodol AF, Markowitz J, Sanislow CA, Grilo CM, Ansell E, Daversa MT, Zanarini MC, McGlashan TH, Morey LC. Improvement in borderline personality disorder in relationship to age. Acta Psychiatr Scand, 2009, 119:143-148.

14.Shea MT, McDevitt-Murphy M, Ready DJ, Schnurr PP. Group Therapy. In Foa EB, Keane TM, Friedman MJ (Eds), Effective Treatments for PTSD. New York, NY, Guilford Press, 2009, 306-326.

Honors

President, North American Society for Psychotherapy Research, 1994-1995
Associate Editor, Journal of Personality Disorders, 1995-present
Work Group on Personality Disorders, Task Force on DSM-IV, American Psychiatric Association, 1990-1994.

Selected Research Projects

The Collaborative Longitudinal Study of Personality Disorders. NIMH. 03/01/96-05/31/09. Principal Investigator, (MH50837). The overall aim of this study is to provide a comprehensive picture of the course and outcome of four specific personality disorders (PD's): schizotypal (STPD), borderline (BPD), avoidant (AVPD), and obsessive-compulsive (OCPD).

Emotional-Processing in Borderline Personality Disorder, NIMH. 9/20/04-8/31/07. Site PI (Brett Litz, PI) (MH069444-01A1).The aims of this study are to examine the emotional-processing consequences of exposure to a personally relevant challenge in BPD, and to develop sets of emotionally evocative stimuli that can be used in future research.

Treatment of PTSD-Related Anger in Troops Returning From Hazardous Deployments, Department of Defense. 03/01/05-02/28/08. Principal Investigator (USAMRC PR 04347). The purpose of this study is to adapt a cognitive-behavioral treatment for early signs of PTSD-related anger, and to conduct a pilot study of the adapted intervention.

A Randomized Clinical Trial of Cognitive-Behavioral Treatment for PTSD in Women. VA Cooperative Studies Program. 11/01/01 – 09/30/05. Site PI (Paula Schnurr, PI) (Cooperative Studies Program #494).
The purpose of this study is to evaluate the efficacy of exposure therapy for treating PTSD and associated problems in female veterans.

Research Description

Treatment of PTSD-Related Anger in Troops Returning From Hazardous Deployments, Department of Defense (DoD). The purpose of this study is to adapt a cognitive-behavioral treatment for early signs of PTSD-related anger and to conduct a pilot study of the adapted intervention.

Identification of Risk Factors for Chronic PTSD
The aims of this research are to examine the early longitudinal course of PTSD symptoms in military personnel reporting symptoms of PTSD after their return from Iraq or Afghanistan and to test several hypotheses regarding early symptomatic course and risk factors from chronic course of PTSD.

The Collaborative Longitudinal Study of Personality Disorders. National Institute of Mental Health (NIMH). The overall aim of this study is to provide a comprehensive picture of the course and outcome of four specific personality disorders (PD's): schizotypal (STPD), borderline (BPD), avoidant (AVPD), and obsessive-compulsive (OCPD).

Grants and Awards

Other Professional Activities and Awards
1990-1994 Workgroup on Personality Disorders: DSM-IV
1991-1995 Executive Board, International Society for the Study of Personality Disorders
1994-1995 President, North American Society for Psychotherapy Research
1992-1998 Monitoring Board, National Institute on Drug Abuse (NIDA) Cocaine Collaborative Treatment Study
1994- 2001 Planning and Executive Committee, Veterans Affairs (VA) Cooperative Studies Program: Group Treatment of PTSD
1995-present Associate Editor, Journal of Personality Disorders
1996-1999 Editorial Board, Journal of Consulting and Clinical Psychology
1997-2002 Association for Clinical and Psychosocial Research Council
1998 Psychotherapy Expert Panel, Treatment Guidelines for Posttraumatic Stress Disorder
1999 Research Advisory Panel, National Institute of Alcohol Abuse and Alcoholism
1999 Research Mentor Award, Department of Psychiatry and Human Behavior, Brown University Medical School
2000-present Planning and Executive Committee, VA Cooperative Studies Program: A Randomized Clinical Trial of Cognitive-Behavioral Treatment for PTSD in Women
2002-2004 STAR*D National Institute of Mental Health (NIMH) Advisors Group
2009-2012 Interventions Committee for Adult Disorders (NIMH)

Affiliations

MEMBERSHIPS IN PROFESSIONAL AND SCIENTIFIC SOCIETIES

American Psychological Association
International Society for the Study of Personality Disorders
Society for Psychotherapy Research
International Society for the Study of Traumatic Stress

OFFICES IN PROFESSIONAL AND SCIENTIFIC SOCIETIES

1993-1995 Executive Committee, Society for Psychotherapy Research
1994-1995 President, North American Society for Psychotherapy Research
1995 Executive Board, International Society for the Study of Personality Disorders
1997-2001 Council Member, Association for Clinical Psychosocial Research

Funded Research

Active
Investigator 2012-2013
TBI/PTS Focused Health Care Policy Research: Working Collaboratively to Empower Patients and Caregivers to Become Actively Involved in Their Own Care
Funding Source: Tug McGraw Foundation
Principle Investigator: Judith Bentkover, Ph.D.
Lead Investigator 2010-2013
Program 1: Establishing the Parameters of a Virtual Reality Environment in the Treatment of PTSD
W81XWH-07-1-0689
Funding Source: Department of Defense


Completed
Principle Investigator 1996-2010
Collaborative Longitudinal Study of Personality Disorders
5R01 MH50837-13
Funding Source: NIMH
Total Costs: $5,044,429

Principle Investigator 2005-2010
Treatment of PTSD-Related Anger in Troops Returning from Hazardous Deployments
USAMRC 043437
Funding Source: Department of Defense
Total Costs: $982,928

Principle Investigator 2006-2009
Identification of Risk Factors for Chronic PTSD
USAMRMC 06333001
Funding Source: Department of Defense
Total Costs: $965,869

Co-Investigator 2009-2013
The Harvard / Brown Anxiety Research Project (HARP)
R01 MH51415-08
Funding Source: NIMH
Principle Investigator: Martin Keller, M.D.

Co-Investigator 2007-2010
Biomarkers of Risk for PTSD
PRO 64771
Funding Source: Department of Defense
Principle Investigator: Audrey Tyrka, M.D.

Co-Investigator 2006-2009
Development of a Family-Based Deployment Readjustment Intervention
Funding Source: National Institute of Mental Health
Principle Investigator: Ivan Miller, Ph.D.

Co-Investigator 2004-2008
Emotional Processing in Borderline Personality Disorder
R34 MH04006
Funding Source: National Institute of Mental Health
Direct Costs (Subcontract): 100,000
Principle Investigator: Brett Litz, Ph.D.

Principle Investigator (Training Site) 2001-2006
A Randomized Clinical Trial of Cognitive Behavioral Treatment for PTSD in Women
CSP #494
Funding Source: Department of Veterans Affairs Cooperative Studies Program
Direct Costs: $450,000

Principle Investigator 2004-2005
Pathways to PTSD and Alcohol Use Disorders
Funding Source: Department of Defense
Direct Costs: $39,500

Co-Investigator 2001-2004
Treatment of Women with Depression and Sexual Abuse
Funding Source: National Institute of Mental Health
Direct Costs: $450,000
Principle Investigator: Caron Zlotnick Ph.D.

Principle Investigator 1997-2003
Research Training in Combined Treatment Modalities
T32 MH19987
Funding Source: National Institute of Mental Health
Total Costs: $1,080,685

Principle Investigator (Training Site) 1996-2000
Group Treatment of PTSD in Vietnam Veterans
CSP #420
Funding Source: Department of Veterans Affairs Cooperative Studies Program
Direct Costs: $122,104

Principle Investigator 1993-1995
Longitudinal Course of PTSD Symptoms in Vietnam Combat Veterans: A Pilot Study
Funding Source: Executive Committee on Research, Department of Psychiatry and Human Behavior, Brown Medical School
Direct Costs: $13,500

Teaching Experience

Seminars on personality disorders for psychology interns, and psychiatry residents.

Lectures on research topics for core seminar series in the postdoctoral fellowship training program.

Supervision of research -- psychology interns, postdoctoral fellows.