Publications

Published, in-press and under-review papers. Each has one line for researchers and one for clinicians. Papers under review have not yet passed peer review.

• In press
  López Díaz, T., Shah, N., Santoscoy, R., Velez Torres, J. M., Garcia-Buitrago, M., Ruiz Cordero, R., Sioni, S. R., Punnen, S., Kava, B. R., Parekh, D. J., Gonzalgo, M. L., Jorda, M., & Kryvenko, O. N.Clinical significance of extensive urothelial denudation: Association with high-grade urothelial carcinoma in contemporary cohortArchives of Pathology & Laboratory Medicine

  For researchers

  Extensive urothelial denudation and high-grade urothelial carcinoma, contemporary cohort.

  For clinicians

  Asks how extensive urothelial denudation relates to high-grade urothelial carcinoma.

• In press
  Sioni, S. R., Al-Hashimi, J., Butner, J. L., & Manson, L.Embedded psychological services and lower 60-day acute-care utilization in high-need, high-cost adults: A target trial emulationThe Journal of Behavioral Health Services & Research

  For researchers

  Target trial emulation, four clinics: engagement was tied to lower 60-day acute-care use.

  For clinicians

  Attending embedded behavioral health visits went with fewer emergency department visits.

• Under review
  Sioni, S. R., Butner, J. L., Carroll, N. A., Al-Hashimi, J., & Potenza, M. N.Are controlled interventions for gaming disorder ready for implementation? A systematic review with dual-validity appraisalAddictive Behaviors

  For researchers

  Systematic review of controlled gaming disorder studies with bias and readiness appraisal.

  For clinicians

  Asks whether tested treatments for gaming disorder are ready for routine services.

• Under review
  Sioni, S. R., Al-Hashimi, J., Al Mouslmani, M., & Manson, L.Implementation features and acute-care outcomes among high-need, high-cost adults engaged in embedded behavioral health: A preregistered observational studyAdministration and Policy in Mental Health and Mental Health Services Research

  For researchers

  Preregistered analysis of how delivery features relate to 60-day acute-care use.

  For clinicians

  Looks at warm handoffs, session count, modality and clinician role in embedded care.

• Under review
  Sioni, S. R., Al-Hashimi, J., Butner, J. L., & Carroll, N. A.Comparing DSM-5 and ICD-11-like decision rules for disordered gaming on a shared nine-criterion set in U.S. adultsAssessment

  For researchers

  Compares DSM-5 and ICD-11-like decision rules on one nine-criterion set in U.S. adults.

  For clinicians

  Asks whether the choice of rule changes who is classified with disordered gaming.

• Under review
  Sioni, S. R., Butner, J. L., Carroll, N. A., Al-Hashimi, J., & Vermund, S. H.Digital behavioral addictions in adolescents and young adults: A scoping review of construct labels, measurement, epidemiologic reporting, and determinantsCurrent Addiction Reports

  For researchers

  Scoping review of labels, instruments and reporting for digital behavioral addictions.

  For clinicians

  Maps where evidence on problematic digital use at ages 10 to 24 can be compared.

• Under review
  Al-Hashimi, J., & Sioni, S. R.Family preservation as disaster governance: A structured policy-content analysis of humanitarian child-protection guidanceChild Abuse Review

  For researchers

  Content analysis of how humanitarian standards apply family-preservation duties.

  For clinicians

  Examines how emergency guidance treats kinship care, tracing and family reunification.

• Under review
  Sioni, S. R., Al-Hashimi, J., Al Mouslmani, M., & Manson, L.Early attendance at embedded psychological services for high-need, high-cost adults in safety-net primary care: A cost-utility analysis using target trial emulationMDM Policy & Practice

  For researchers

  Cost-utility analysis by target trial emulation of early attendance at embedded services.

  For clinicians

  Asks whether attending within 30 days of an offer is worth its cost to a health system.

• Under review
  Sioni, S. R., & Al-Hashimi, J.Taʿārof as a relational economy of esteem: Witnessed recognition in Iranian interactionSymbolic Interaction

  For researchers

  Theorizes taʿārof, Persian ritual courtesy, as a relational economy of esteem.

  For clinicians

  Shows how offers, refusals and insistence can create connection, obligation or pressure.

• 2026
  Iakymenko, O. A., Khosravaniardakani, S., Menendez, A., Sioni, S. R., Jorda, M., Punnen, S., Parekh, D. J., Gonzalgo, M. L., & Kryvenko, O. N.Risk factors for lymph node metastasis in a contemporary radical prostatectomy cohortAmerican Journal of Clinical Pathology · Published

  For researchers

  Grade, tumor volume, PSA density and stage were tied to node spread in 3,142 cases.

  For clinicians

  No lymph node metastasis was seen in Grade Group 1 cancer in this cohort.

  DOI: Risk factors for lymph node metastasis in a contemporary radical prostatectomy cohort

• 2026
  Sioni, S. R., Jakkidi, N., Morales, C., Clarke, R. D., & Lage, O. G.Household basic needs support and insufficient sleep among United States high school students: Evidence from the 2023 National Youth Risk Behavior SurveyClinical Child Psychology and Psychiatry · Published

  For researchers

  National survey: students lacking basic-needs support had slightly more short sleep.

  For clinicians

  Sleep screening and basic-needs assessment may be useful together; cause is unproven.

  DOI: Household basic needs support and insufficient sleep among United States high school students: Evidence from the 2023 National Youth Risk Behavior Survey

• 2026
  Sioni, S. R., Manson, L., Arledge, N., Yanez, J., & Al Mouslmani, M.Acute-care utilization and cost offsets associated with language-concordant, pharmacist-integrated care management among high-need, high-cost adultsHealth Services Research · Published

  For researchers

  Target trial emulation, n = 526: enrollees had fewer 60-day admissions and ED visits.

  For clinicians

  Care management with a pharmacist, in the patient's language, went with less hospital use.

  DOI: Acute-care utilization and cost offsets associated with language-concordant, pharmacist-integrated care management among high-need, high-cost adultsOpen copy: Acute-care utilization and cost offsets associated with language-concordant, pharmacist-integrated care management among high-need, high-cost adults

• 2026
  Sioni, S. R., Butner, J. L., Carroll, N. A., Al-Hashimi, J., & Vermund, S. H.Digital behavioral addictions in adolescents and young adults: Protocol for a scoping review of definitions, measurement, epidemiology, determinants, harms, interventions, and equityPLOS ONE · Published

  For researchers

  Protocol for a scoping review of digital behavioral addictions at ages 10 to 24.

  For clinicians

  Plans evidence maps to guide the choice of measures; it reports no findings yet.

  DOI: Digital behavioral addictions in adolescents and young adults: Protocol for a scoping review of definitions, measurement, epidemiology, determinants, harms, interventions, and equityOpen copy: Digital behavioral addictions in adolescents and young adults: Protocol for a scoping review of definitions, measurement, epidemiology, determinants, harms, interventions, and equity

• 2025
  Sioni, S. R., Carroll, N., Al-Hashimi, J., & Manson, L.Thirty minutes to transform care: A mixed-methods study on brief psychosomatic education for unexplained symptomsCureus · Published

  For researchers

  Pre-post study, 80 clinicians: knowledge and comfort scores rose after a 30-minute module.

  For clinicians

  Brief training on unexplained symptoms may help clinicians validate patients' experiences.

  DOI: Thirty minutes to transform care: A mixed-methods study on brief psychosomatic education for unexplained symptomsOpen copy: Thirty minutes to transform care: A mixed-methods study on brief psychosomatic education for unexplained symptoms

• 2025
  Roller, B. A., & Sioni, S. R.GNOME logic: Evidence-based strategies for high-impact medical education pathwaysJournal of Community Engagement and Higher Education · Published

  For researchers

  Presents GNOME, a logic model linking pathway barriers to supports and metrics.

  For clinicians

  Draws on 14 years of a pathway program for students underrepresented in medicine.

  Open copy: GNOME logic: Evidence-based strategies for high-impact medical education pathways

• 2025
  Sioni, S. R., Manson, L., & Arledge, N.Short-term gains, enduring potential: An integrated SDOH-focused care model delivers cost savings and patient-reported benefitsPopulation Health Management · Published

  For researchers

  Matched study of 526 adults: an SDOH-focused care model was tied to fewer ED visits.

  For clinicians

  Monthly SDOH screening with medication oversight went with less short-term acute care.

  DOI: Short-term gains, enduring potential: An integrated SDOH-focused care model delivers cost savings and patient-reported benefits

• 2022
  Burleson, M. H., Roberts, N. A., Munson, A. A., Duncan, C. J., Randall, A. K., Ha, T., Sioni, S. R., & Mickelson, K. D.Feeling the absence of touch: Distancing, distress, regulation, and relationships in the context of COVID-19Journal of Social and Personal Relationships · Published

  For researchers

  Survey of 585 partnered adults on distancing, affectionate touch and distress in COVID-19.

  For clinicians

  People who rely on touch to regulate emotion reported more distress when touch was scarce.

  DOI: Feeling the absence of touch: Distancing, distress, regulation, and relationships in the context of COVID-19

• 2017
  Sioni, S. R., Burleson, M. H., & Bekerian, D. A.Internet gaming disorder: Social phobia and identifying with your virtual selfComputers in Human Behavior · Published

  For researchers

  Survey of 394 gamers: social phobia, avatar identification and IGD symptoms were related.

  For clinicians

  Avatar identification may help in assessing risk for internet gaming disorder.

  DOI: Internet gaming disorder: Social phobia and identifying with your virtual self

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