Eve S. Puffer
Assistant Professor of Psychology and Neuroscience
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. Her work includes studies with families with young children through those with adolescents, as well as with couples. She has conducted much of this work in rural Kenya and is an investigator on multiple studies of child mental health, family well-being, and parenting interventions in Thailand, Ethiopia, Liberia, South Sudan, and Iraq.
Among Dr. Puffer's primary collaborators are the International Rescue Committee, a humanitarian organization, the Women's Institute for Secondary Education and Research in Kenya, and AMPATH, a consortium between North American medical schools and Moi University in Kenya.
Current Appointments & Affiliations
- Assistant Professor of Psychology and Neuroscience, Psychology and Neuroscience, Trinity College of Arts & Sciences 2012
- Assistant Research Professor of Global Health, Duke Global Health Institute, University Institutes and Centers 2012
- Affiliate of the Duke Initiative for Science & Society, Duke Science & Society, Initiatives 2014
- Affiliate of the Center for Child and Family Policy, Center for Child and Family Policy, Sanford School of Public Policy 2015
Contact Information
- 417 Chapel Drive, Soc/Psych Building, Office 235, Durham, NC 27708
- 90086, 235 Soc/Psych Building, Durham, NC 27708
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eve.puffer@duke.edu
(919) 660-5734
- Background
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Education, Training, & Certifications
- Ph.D., University of South Carolina at Columbia 2008
- M.A., University of South Carolina at Columbia 2005
- B.S., Furman University 2002
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Duke Appointment History
- Visiting Research Scholar in the Duke Global Health Institute, Duke Global Health Institute, University Institutes and Centers 2011 - 2012
- Recognition
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In the News
- Expertise
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Global Scholarship
- Research
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Selected Grants
- Parents Make The Diffirence awarded by International Rescue Committee 2014 - 2018
- Community-sourced Interventions for Global Mental Health awarded by National Institutes of Health 2017 - 2018
- Developing a Measure of Caregiver Readiness to Disclose HIV Serostatus awarded by National Institutes of Health 2014 - 2017
- Stars in Global Health Round 7 Phase 1; Development of a community embedded family therapy intervention in Kenya: A faith and village based approach awarded by Moi University 2014 - 2016
- Private Violence, Public Concern of Intimate Partner Violence on Women and Girls awarded by International Rescue Committee 2013 - 2014
- Publications & Artistic Works
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Selected Publications
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Academic Articles
- Giusto, A, Kaiser, BN, Ayuku, D, and Puffer, ES. "A Direct Observational Measure of Family Functioning for a Low-Resource Setting: Adaptation and Feasibility in a Kenyan Sample." Behavior Therapy 50, no. 2 (March 2019): 459-473. Full Text
- Green, EP, Cho, H, Gallis, J, and Puffer, ES. "The impact of school support on depression among adolescent orphans: a cluster-randomized trial in Kenya." Journal of Child Psychology and Psychiatry, and Allied Disciplines 60, no. 1 (January 2019): 54-62. Full Text
- Healy, EA, Kaiser, BN, and Puffer, ES. "Family-based youth mental health interventions delivered by nonspecialist providers in low- and middle-income countries: A systematic review." Families, Systems & Health : the Journal of Collaborative Family Healthcare 36, no. 2 (June 2018): 182-197. (Review) Full Text
- Wachter, K, Horn, R, Friis, E, Falb, K, Ward, L, Apio, C, Wanjiku, S, and Puffer, E. "Drivers of Intimate Partner Violence Against Women in Three Refugee Camps." Violence Against Women 24, no. 3 (March 2018): 286-306. Full Text
- Giusto, A, Friis, E, Sim, AL, Chase, RM, Zayzay, JO, Green, E, and Puffer, E. "A Qualitative Study of Mechanisms Underlying Effects of a Parenting Intervention in Rural Liberia." European Journal of Development Research 29, no. 5 (November 1, 2017): 964-982. Full Text
- Goodman, ML, Puffer, ES, Keiser, PH, and Gitari, S. "Suicide clusters among young Kenyan men." Journal of Health Psychology (November 2017): 1359105317743803-null. Full Text
- Annan, J, Sim, A, Puffer, ES, Salhi, C, and Betancourt, TS. "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 : the Official Journal of the Society for Prevention Research 18, no. 7 (October 2017): 793-803. Full Text
- Giusto, AM, Green, EP, and Puffer, ES. "Associations Between Fathers' and Sons' Sexual Risk in Rural Kenya: The Potential for Intergenerational Transmission." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine 61, no. 2 (August 2017): 219-225. Full Text
- Puffer, ES, Annan, J, Sim, AL, Salhi, C, and Betancourt, TS. "The impact of a family skills training intervention among Burmese migrant families in Thailand: A randomized controlled trial." Plos One 12, no. 3 (January 2017): e0172611-null. Full Text
- Puffer, ES, Schatz, JC, and Roberts, CW. "Association between somatic growth trajectory and cognitive functioning in young children with sickle cell disease." Journal of health psychology 21, no. 8 (August 2016): 1620-1629. Full Text
- Puffer, ES, Green, EP, Sikkema, KJ, Broverman, SA, Ogwang-Odhiambo, RA, and 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 84, no. 6 (June 2016): 511-525. Full Text
- Green, EP, Warren, VR, Broverman, S, Ogwang, B, and Puffer, ES. "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, no. 5-6 (May 2016): 583-599. Full Text
- Horn, R, Puffer, ES, Roesch, E, and Lehmann, H. "'I don't need an eye for an eye': Women's responses to intimate partner violence in Sierra Leone and Liberia." Global public health 11, no. 1-2 (January 2016): 108-121. Full Text
- Schatz, J, Schlenz, AM, McClellan, CB, Puffer, ES, Hardy, S, Pfeiffer, M, and Roberts, CW. "Changes in coping, pain, and activity after cognitive-behavioral training: a randomized clinical trial for pediatric sickle cell disease using smartphones." The Clinical Journal of Pain 31, no. 6 (June 2015): 536-547. Full Text
- Puffer, ES, Green, EP, Chase, RM, Sim, AL, Zayzay, J, Friis, E, Garcia-Rolland, E, and Boone, L. "Parents make the difference: a randomized-controlled trial of a parenting intervention in Liberia." Global mental health (Cambridge, England) 2 (January 2015): e15-. Full Text Open Access Copy
- Schatz, J, Schlenz, AM, McClellan, CB, Puffer, ES, Hardy, S, Pfeiffer, M, and Roberts, CW. "Changes in coping, pain, and activity after cognitive-behavioral training: A randomized clinical trial for pediatric sickle cell disease using smartphones." Clinical Journal of Pain 31, no. 6 (January 1, 2015): 536-547. Full Text
- Matthews, EJ, Puffer, ES, Meade, CS, and Broverman, SA. "IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA." East African medical journal 91, no. 5 (May 2014): 152-160.
- Matthews, EJ, Puffer, ES, Meade, CS, and Broverman, SA. "IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA." East African medical journal 91, no. 5 (May 2014): 152-160.
- Hall, BJ, Puffer, E, Murray, LK, Ismael, A, Bass, JK, Sim, A, and Bolton, PA. "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, no. 2 (January 1, 2014): 153-164. Full Text
- Hall, BJ, Puffer, E, Murray, LK, Ismael, A, Bass, JK, Sim, A, and Bolton, PA. "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, no. 2 (2014): 153-164. Full Text
- Horn, R, Puffer, ES, Roesch, E, and Lehmann, H. "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 (January 2014): 12-null. Full Text
- "The nature and impact of chronic stressors on refugee children in Ban Mai Nai Soi camp, Thailand." Global Public Health 8, no. 9 (October 1, 2013): 1027-1047. Full Text
- Puffer, ES, Pian, J, Sikkema, KJ, Ogwang-Odhiambo, RA, and Broverman, SA. "Developing a family-based HIV prevention intervention in rural Kenya: challenges in conducting community-based participatory research." J Empir Res Hum Res Ethics 8, no. 2 (April 2013): 119-128. Full Text Link to Item
- Meyer, S, Murray, LK, Puffer, ES, Larsen, J, and Bolton, P. "The nature and impact of chronic stressors on refugee children in Ban Mai Nai Soi camp, Thailand." Global Public Health 8, no. 9 (January 2013): 1027-1047. Full Text
- Boateng, LB, Puffer, ES, Allen, T, Bonner, M, and Thornburg, CD. "“It is keeping him alive, and life is what it is all about:” A Qualitative Study of Family Perspectives on Adherence to Secondary Stroke Prevention in Children with Sickle Cell Disease (Submitted)." Pediatric Blood and Cancer (December 2012). (Academic Article)
- Puffer, ES, Skalski, LM, and Meade, CS. "Changes in religious coping and relapse to drug use among opioid-dependent patients following inpatient detoxification." Journal of Religion and Health 51, no. 4 (December 2012): 1226-1238. Full Text
- Puffer, ES, Drabkin, AS, Stashko, AL, Broverman, SA, Ogwang-Odhiambo, RA, and Sikkema, KJ. "Orphan status, HIV risk behavior, and mental health among adolescents in rural Kenya." Journal of Pediatric Psychology 37, no. 8 (September 2012): 868-878. Full Text
- Meyer, S, Murray, L, Puffer, ES, Larsen, J, and Bolton, P. "Refugee children in Ban Mai Nai Soi camp, Thailand: a qualitative study (Submitted)." Conflict and Health (August 2012). (Academic Article)
- Schlenz, AM, McClellan, CB, Mark, TRM, McKelvy, A, Puffer, ES, Roberts, CW, Sweitzer, SM, and Schatz, JD. "Sensitization to Acute Procedural Pain in Pediatric Sickle Cell Disease: Modulation by Painful Vaso-occlusive Episodes, Age, and Endothelin-1." Journal of Pain 13 (July 2012): 656-665. (Academic Article)
- Puffer, ES, Watt, MH, Sikkema, KJ, Ogwang-Odhiambo, RA, and Broverman, SA. "The protective role of religious coping in adolescents' responses to poverty and sexual decision-making in rural Kenya." Journal of Research on Adolescence : the Official Journal of the Society for Research on Adolescence 22, no. 1 (March 2012): 1-7. Full Text Open Access Copy
- Puffer, E, Pian, J, Broverman, S, Ogwang Odhaimbo, R, and Sikkema, K. "Developing a community-based HIV prevention intervention in rural Kenya: Ethical challenges of community-based participatory research (Submitted)." Journal of Empirical Research on Human Research Ethics (2012). (Academic Article)
- Sim, A, Puffer, ES, Betancourt, T, and Annan, J. "Development in Adversity: Risk and Resilience Among Displaced Burmese Children in Thailand (In preparation)." Social Science and Medicine (2012). (Academic Article)
- Puffer, ES, Meade, CS, Drabkin, AS, Broverman, SA, Ogwang-Odhiambo, RA, and Sikkema, KJ. "Individual- and family-level psychosocial correlates of HIV risk behavior among youth in rural Kenya." AIDS Behav 15, no. 6 (August 2011): 1264-1274. Full Text Link to Item
- Matthews, EJ, Puffer, ES, Meade, CS, and Broverman, SA. ". Implementation of a of a school-based HIV prevention program in rural Kenya after national dissemination (Submitted)." East African Medical Journal (2011). (Academic Article)
- Miles, A, Proescholdbell, RJ, and Puffer, E. "Explaining rural/non-rural disparities in physical health-related quality of life: A study of United Methodist clergy in North Carolina." Quality of Life Research 20, no. 6 (2011): 807-815. Full Text Open Access Copy
- Miles, A, Proescholdbell, RJ, and Puffer, ES. "Explaining Rural and non-rural disparities in physical health-related quality of life among clergy members." Quality of Life Research 20 (2011): 807-815. (Academic Article)
- Pufer, ES, Kochman, A, Hansen, NB, and Sikema, KJ. "An evidence-based group coping intervention for women living with HIV and history of childhood sexual abuse." International Journal of Group Psychotherapy 61, no. 1 (January 1, 2011): 99-126.
- Puffer, ES, Kochman, A, Hansen, NB, and Sikkema, KJ. "An evidence-based group coping intervention for women living with HIV and history of childhood sexual abuse." International Journal of Group Psychotherapy 61, no. 1 (January 2011): 98-126. Full Text
- McClellan, CB, Schatz, JC, Puffer, E, Sanchez, CE, Stancil, MT, and Roberts, CW. "Use of handheld wireless technology for a home-based sickle cell pain management protocol." Journal of Pediatric Psychology 34, no. 5 (June 2009): 564-573. Full Text
- McClellan, CB, Schatz, JC, Mark, TRM, McKelvy, A, Puffer, E, Roberts, CW, and Sweitzer, SM. "Criterion and convergent validity for 4 measures of pain in a pediatric sickle cell disease population." Clinical Journal of Pain 25, no. 2 (2009): 146-152. Full Text
- McClellan, CB, Schatz, JC, Mark, TRM, McKelvy, A, Puffer, ES, Roberts, C, and Sweitzer, SM. "Criterion and convergent validity for 4 measures of pediatric pain in sickle cell disease." Clinical Journal of Pain 25 (2009): 146-152. (Academic Article)
- Puffer, ES, Schatz, JC, and Roberts, CW. "Relationships between Somatic Growth and Cognitive Functioning in Children with Sickle Cell Disease." Journal of Pediatric Psychology 35 (2009): 892-904. (Academic Article)
- Schatz, J, Puffer, ES, Sanchez, C, Stancil, M, and Roberts, CW. "Language processing deficits in sickle cell disease in young school-age children." Developmental Neuropsychology 34, no. 1 (2009): 122-136. Full Text
- Schatz, JC, Puffer, ES, Sanchez, C, Stancil, M, and Roberts, CW. "Language Processing Deficits in Sickle Cell Disease in Young School-Age Children." Developmental Neuropsychology 34 (2009): 1-15. (Academic Article)
- Schatz, J, McClellan, CB, Puffer, ES, Johnson, K, and Roberts, CW. "Neurodevelopmental Screening in Toddlers and Early Preschoolers with Sickle Cell Disease." Journal of Child Neurology 23 (2008): 44-50. (Academic Article)
- Puffer, ES, Schatz, J, and Roberts, CW. "The association of oral hydroxyurea therapy with improved cognitive functioning in sickle cell disease." Child Neuropsychology 13 (2007): 142-154. (Academic Article)
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- Teaching & Mentoring
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Recent Courses
- CULANTH 323: Fundamentals of Global Mental Health 2019
- GLHLTH 363: Fundamentals of Global Mental Health 2019
- PSY 323: Fundamentals of Global Mental Health 2019
- GLHLTH 393: Research Independent Study in Global Health 2018
- GLHLTH 395: Connections in Global Health: Interdisciplinary Team Projects 2018
- GLHLTH 795: Connections in Global Health: Interdisciplinary Team Projects 2018
- PSY 203: Practicum 2018
- PSY 436S: Clinical Interventions with Children and Families (A,D) 2017
- PSY 494: Research Independent Study 2017
- Scholarly, Clinical, & Service Activities
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Presentations & Appearances
- Beyond the Clinic Walls:Reducing U.S. and Global Health Disparities through Community-Based and Culturally-Anchored Intervention Models;A Family-based intervention in Kenya to Reduce HIV Risk, Improve Family Relationships, and Promote Adolescent W. Society for Pediatric Psychology Annual Conference. Society for Pediatric Psychology. December 27, 2013 2013
- Building resilience: Pilot trial of a family and community-based intervention to promote mental health among adolescents and caregivers in rural Kenya. 2013 Global Mental Health Forum. December 27, 2013 2013
- Developing a family-based intervention to prevent HIV and promote mental health of adolescents in rural Kenya: A community based participatory approach; Paper presented in a symposium: Creating Interventions That Are Deeply Cultural: Methods, Examples,,. The Society for Community Research and Action 2013 Biennial Conference. Society for Community Research and Action. December 27, 2013 2013
- Efficacy of a Cognitive-Behavioral Pain Management Intervention for Pediatric Sickle Cell Disease. Society of Pediatric Psychology Annual Conference. Society for Pediatric Psychology. December 27, 2013 2013
- Evaluation of PEPS: Prevention and Early Intervention Program for Sickle Cell,. Society of Pediatric Psychology Annual Conference. Society for Pediatric Psychology. December 27, 2013 2013
- Religion and Resilience: The capacity of the Church to provide psychosocial support to children and families in a community in rural Kenya.. International Society of Traumatic Stress Studies 28th Annual Meeting. International Society of Traumatic Stress Studies. December 27, 2013 2013
- Advancing the Field of Mental Health Interventions for Children in Refugee Settings: Treatment and research in Burmese and Somali refugee camps.. International Society of Traumatic Stress Studies 28th Annual Meeting. International Society of Traumatic Stress Studies. December 26, 2012 2012
- Creating a mental health assessment for child and adolescent Somali refugees living in Ethiopia: Results from a qualitative study and instrument adaptation process. International Society of Traumatic Stress Studies 28th Annual Meeting. International Society of Traumatic Stress Studies. December 26, 2012 2012
- Orphan status, HIV risk behavior, and mental health among adolescents in rural Kenya. XIX International AIDS Conference. December 26, 2012 2012
- Influence of adolescents’ relationships with caregivers on mental health and HIV risk in rural Kenya. December 27, 2011 2011
- The capacity of churches in Kenya as settings for youth HIV prevention and mental health promotion.. December 27, 2011 2011
- The role of religion in coping with HIV risk and poverty in rural Kenya. December 27, 2010 2010
- Mental health and HIV risk among youth in rural Kenya. December 26, 2010 2010
- Somatic growth and cognitive development in young children with sickle cell disease. December 27, 2009 2009
- Cognitive development in children with sickle cell disease on hydroxyurea therapy. December 27, 2008 2008
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Outreach & Engaged Scholarship
- Bass Connections Faculty Team Member. Global Mental Health Program. August 2017 - May 2018 2017 - 2018
- Bass Connections Faculty Team Member. Global Mental Health Integrative Training Program . August 2016 - May 2017 2016 - 2017
- Duke Global Health Outreach. Developing a direct observational measure of family functioning for low-resource settings: Establishing reliability and validity in a Kenyan sample. January 2016 2016
- Global Health Outreach. Parents Make the Difference. June 2014 2014
- Bass Connections Faculty Team Member. Displacement, Resettlement and Global Mental Health. August 2013 - July 2014 2013 - 2014
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Service to the Profession
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