Socioeconomic Status, Waist-to-Hip Ratio, and Short-Term Heart Rate Variability in Cambodians with Type 2 Diabetes

Wagner J, Keuky L, Lampert RFraser-King L, Feinn R, Kuoch T, Scully M.

Published in International Journal of Behavioral Medicine December 2015.




Diabetes, adiposity, and socioeconomic status (SES) are all associated with decreased heart rate variability (HRV), a marker of autonomic function predictive of mortality. Cambodians have high rates of diabetes and low SES. How these factors interact to explain HRV has not been examined.


The aims of this study were to investigate associations among waist-to-hip ratio, socioeconomic status, and HRV among Cambodians with

The National Cambodian American Town Hall Meeting: a community dialogue on "eat, walk, sleep" for health

Kuoch T, Scully M, Tan HK, Rajan TV, Wagner J.

Published in Progress in Community Health Partnerships: Research, Education, and Action Winter 2014.



The 2009 National Cambodian American Town Hall Meeting was a public-private partnership convened to address long-term health issues related the Cambodian holocaust. Goals for participants were to dispel myths about diabetes; goals for the partnership were to build research capacity and to strengthen relationships.



Partners collaborated on all aspects of the meeting which was held in Khmer by bridged videoconferencing in 10

Patient Reported Outcomes of 'Eat, Walk, Sleep': A Cardiometabolic Lifestyle Program for Cambodian Americans Delivered by Community Health Workers

Wagner J, Kong S, Kuoch T, Scully MF, Tan HK, Bermudez-Millan A.

Published inJournal of Health Care for the Poor and Underserved  May 2015.



This study investigated a community health worker-delivered lifestyle intervention for prevention of cardiometabolic disease, called Eat, Walk, Sleep. It was designed for traumatized, low-literacy Cambodian American refugees.


We used a single group, pre-post design to evaluate the effects of the program on self-reported health behaviors.

Can Metformin Buffer the Deleterious Association between Psychological Distress and Glycemia in Patients with Type 2 Diabetes?

Wagner J, Keuky L, Horn I, Schumann K, Scully M, Kuoch T. 

Published in the Journal of Endocrinology, Diabetes & Obesity, September 2015.

The full article is available for free at the link below.


Background: Psychological distress is associated with hyperglycemia in persons with diabetes. Preliminary reports suggest that metformin may help buffer the effects of psychological distress on hyperglycemia. Many Cambodians who are currently over age 35 have elevated symptoms of psychological distress from having survived their country's genocide.

Complementary and alternative medicine in the treatment of refugees and survivors of torture: a review and proposal for action

By Mckenna Longacre, MM, Ellen Silver-Highfield, Puja Lama, and Michael A. Grodin, MD. This article reviews the scientific medical literature for the efficacy and feasibility of some complementary and alternative medicine (CAM) modalities including meditation, Ayurveda, pranayama/yogic breathing, massage/body-work, dance/movement, spirituality, yoga, music, Traditional Chinese Medicine and acupuncture, qigong, t’ai chi, chiropractic, homeopathy, aromatherapy and Reiki specifically with respect to survivors of torture and refugee trauma. 

Published in TORTURE Volume 22, Number 1, 2012

Effective Strategies for Recruiting and Retaining Pro Bono Providers


In a recent survey conducted by CVT’s National Capacity Building Project to Survivors of Torture programs, many of you responded that when working with community providers, you experience significant challenges in developing effective, ongoing services for survivors.  In this webinar three torture treatment programs that have developed a network of successful pro bono relationships will discuss their strategies for recruiting and retaining this valuable resource and share special considerations to make when working with these providers.


After attending this webinar

IBHC for Refugees: A Qualitative Inquiry


There is a tremendous unmet need for behavioral health services among refugee populations in the U.S. Integrated care is one promising approach to improving refugee populations’ access to high quality mental health services, and it is receiving increasing resources from funding sectors as part of health care reform. While there is much excitement about integrated care, there remains a clear need for research on how integrated care works in practice and how it works for specific populations.

Classifying the torture experiences of refugees living in the United States

Hooberman J, Rosenfeld B, Lhewa D, Rasmussen A, Keller A. Classifying the Torture Experiences of Refugees Living in the United States. Journal Of Interpersonal Violence [serial online]. January 2007;22(1):108-123. Available from: EBSCO MegaFILE, Ipswich, MA.


Few research studies have systematically categorized the types of torture experienced around the world. The purpose of this study is to categorize the diverse traumatic events that are defined as torture, and determine how these torture types relate to demographics and symptom presentation.

USCRI Report on Medically Vulnerable Refugees

The U.S. Committee for Refugees and Immigrants (USCRI) recently released a report that assessed the capacity of resettlement communities across the country to address the complex medical and mental healthcare needs of recently resettled refugees.

Torture in Honduras: Therapeutic Experiences of 2007-2008 and the Aftermath of the Coup

Alvarado, A. (2014) Torture in Honduras: Therapeutic Experiences of 2007-2008 and the Aftermath of the Coup. Open Journal of Therapy and Rehabilitation, 2, 63-75. doi: 10.4236/ojtr.2014.22011

Background: The Center for Prevention, Treatment and Rehabilitation for Torture Victims and their Family (CPTRT) participated in the “Professionalization facilitated through training in key healthcare services for torture victims” project coordinated by the International Rehabilitation Council for Torture Victims (IRCT). Centers like CPTRT are typically created and run by small groups of healthcare

Education as Treatment for Chronic Pain in Survivors of Torture and Other Violent Events in Cambodia: Experiences with Implementation of a Group-based "Pain School" and Evaluation of its Effect in a Pilot Study

Phaneth, S., Panha, P., Sopheap, T., Harlacher, U., & Polatin, P. (2014). Education as Treatment for Chronic Pain in Survivors of Torture and Other Violent Events in Cambodia: Experiences with Implementation of a Group-based "Pain School" and Evaluation of its Effect in a Pilot Study. Journal of Applied Biobehavioral Research, 19(1), 53-69.

The DIGNITY Institute Against Torture is a Danish nongovernmental organization with a Copenhagen-based rehabilitation program for torture survivors, where the majority of patients suffer from chronic pain and are treated with a group-based, ten-session,


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