 Dr.
Marhefka is a clinical and health psychologist
who studies health and risk behaviors of
children and youth who are living with or
affected by HIV. Her work has focused on
adherence to antiretroviral medication
regimens, disclosure of HIV status, mental
health, substance use, and sexual behaviors of
youth living with HIV. She has been involved
in multiple CDC- and NIH-funded studies testing
interventions to promote health behaviors and
reduce risk behaviors among these vulnerable,
high-risk youth. She has also studied
mother-adolescent communication about sex among
uninfected youth who were born to HIV-positive
mothers.Currently, Dr. Marhefka is working
closely with health care providers and other
researchers using Community-Based Participatory
Research Methods to develop a family-based
intervention for youth living with perinatal
HIV (NIMH R34 MH72382; CHAMP+: Supporting
HIV+ Youth and Their Families; PI: Mary
McKay). She is also completing an exploratory
study, Sexual Self-Concepts of Adolescent
Girls Living with HIV, which is funded by
the HIV Center Pilot Studies Program.
EDUCATION
| Miami University,
Oxford, OH |
B.Phl. |
1997 |
Interdisciplinary
Studies |
| University of Florida,
Gainesville, FL |
M.S. |
1999 |
Psychology |
| University of Florida,
Gainesville, FL |
Ph.D. |
2002 |
Psychology |
PROFESSIONAL EXPERIENCE
| 2001-2002 |
Psychology Intern,
Division of Behavioral and Developmental
Pediatrics, University of Maryland
School of Medicine, Baltimore, MD |
| 2002-2003 |
Psychology Postdoctoral
Fellow, Division of Pediatric
Immunology, University of Maryland
School of Medicine, Baltimore, MD |
| 2003-2004 |
Research Scientist,
Division of Pediatric Infectious
Disease, New York University, New York,
NY |
| 2004-present |
NIMH Postdoctoral
Research Fellow, the HIV Center for
Clinical and Behavioral Studies at New
York State Psychiatric Institute and
Columbia University, New York, NY |
PUBLICATIONS
Sears, S.F., Eads, A.E., Marhefka, S.L.,
Sirois, B., Urizar, G., Sotile, W., Curtis, J.,
& Conti, J. (1999). The U.S. national survey of
implantable cardioverter defibrillator
recipients: Examining the global and specific
aspects of quality of life. European Heart
Journal, 20:232.
Sears, S.F., Marhefka, S.L., Rodrigue, J.R., &
Campbell, C. (2000). The role of patient's
ability to pay, gender, and smoking history in
public attitudes toward cardiac transplant
allocation: An experimental investigation.
Health Psychology, 19:192-196.
Rodrigue, J.R., Kanasky, W., Marhefka, S.L., Baz,
M., & Perri, M.G. (2001). A psychometric
normative database for pre-lung transplantation
evaluations: The Florida cohort 1994-1997.
Journal of Clinical Psychology in Medical
Settings, 8:229-236.
Sears, S.F., Eads, A.E., Marhefka, S.L.,
Schofield, R., Aranda, J., & Conti, J., (2001).
Psychological distress across the diagnostic
course: A case study from ICD implantation to
cardiac transplantation. Clinical Cardiology,
24:627-629.
Marhefka, S.L., Tepper, V.J., Rodrigue, J.R.,
Sandrik, L., Farley, J.J. (2004). Clinical
assessment of medication adherence among
HIV-infected children: Examination of the
Treatment Interview Protocol (TIP). AIDS Care,
16:323-338.
Rodrigue, J.R., Cornell D.L., Jackson S.I.,
Kanasky, W., Marhefka, S.L., & Reed AI. (2004).
Are organ donation attitudes and beliefs,
empathy, and life orientation related to donor
registration status? Progress in
Transplantation, 1456-60.
Sirois, B., Marhefka, S.L., Sears, S.F. (2005).
Do new drivers equal new donors? An examination
of factors influencing organ donation attitudes
and behaviors in adolescents. Journal of
Behavioral Medicine, 28:201-212.
Wiener, L., Mellins, C.A., & Marhefka, S.L.,
Battles, H. Disclosure of an HIV diagnosis to
children: Lessons from History, Current
Research, and Future Directions. Journal of
Developmental and Behavioral Pediatrics, (in
press).
Marhefka, S.L., Tepper, V.J., Farley, J.J.,
Sleasman, J.W., & Mellins, C.A. (2006).
Assessing adherence to pediatric antiretroviral
medications using the 24-hour Recall
Interview. Journal of Pediatric Psychology,
31(9), 989-994.
Marhefka, S.L., Tepper, V.J., Brown, J.L., &
Farley, J.J. (2006). Caregiver psychosocial
characteristics and childrens adherence to
antiretroviral therapy. AIDS Patient Care and
STDs, 20, 429-437.
Remien, R., Exner, T., Morin, S., Ehrhardt,
A.A., Johnson, M., Marhefka, S.L., et al. (in
press). Medication adherence and sexual risk
behavior among HIV-infected adults:
Implications for transmission of resistant
virus. AIDS and Behavior.
Klitzman, R.K., Marhefka, S.L., Mellins, C.A.,
& Wiener, L. (in press). Ethical issues
concerning disclosure of HIV status of
perinatal HIV infection to children and
adolescents. Journal of Clinical Ethics.
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