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    Carol Mathews, MD

    TitleAssociate Professor in Residence
    SchoolUCSF School of Medicine
    DepartmentPsychiatry
    Address401 Parnassus Ave, LangPorter
    San Francisco CA 94143
    Phone415-476-7702

       Overview 
       Overview
      Research activities: My research is focused on how genes, environment, and culture interact to influence the development and expression of neuropsychiatric symptoms/syndromes, including anxiety, resilience, obsessive compulsive disorder (OCD), compulsive hoarding, tic disorders, including Tourette Syndrome (TS), and attention deficit hyperactivity disorder (ADHD). These disorders are common, usually begin in childhood, and are frequently co-morbid with one another. In addition, there is some evidence that they may have overlapping etiologies. One component of my research focuses on identifying susceptibility genes for OCD and TS using linkage analyses in genetically isolated populations and genome-wide association (GWAS) approaches. Another component focuses on identifying potential endophenotypes or intermediate phenotypes for these complex traits, using clinical, neuropsychological, electrophyisological and neuroimaging approaches. See my website for more details on a particular project. pgenes.net

      Clinical activities: Director, Obsessive Compulsive Disorders Clinic, UCSF, 2007-present. I direct and attend in this resident-staffed clinic, which meets for 1/2 day a week, and sees adults, adolescents, and children with OCD, Tourette Syndrome, and related disorders for consultation, evaluation, and treatment, including pharmacological treatment and psychotherapy, with a focus on cognitive behavioral therapy.

      Co-Director, Anxiety Disorders Program, UCSF, 2009. I co-direct and attend in this resident-staffed clinic, which meets for 1 and 1/2 days a week, and sees adults with Anxiety Disorders for consultation, evaluation, and treatment, including pharmacological treatment and psychotherapy, with a focus on cognitive behavioral therapy.

      Faculty practice, UCSF, 2006-current, two days a week. In my UCSF faculty practice, I see adults, adolescents, and children with OCD, Tourette Syndrome, and related disorders for consultation, evaluation, and treatment, including pharmacological treatment and psychotherapy, with a focus on cognitive behavioral therapy.

      Teaching/Mentoring: My mentoring activities are primarily focused in the area of mentoring psychiatry research residents, postdoctoral fellows, and junior faculty in the area of pursuing academic careers in research. I have been active as the co-director of the Psychiatry Resident Research Training Program (RRTP) since arriving at UCSF in 2006, and have recently been appointed as the Faculty Chief for Research and Scholarship for the Department of Psychiatry. In these roles, I have been very active in mentoring and promoting the research and academic careers of women and minorities within the Department. I have mentored approximately 20 residents, fellows, or faculty members since coming to UCSF. The RRTP, which I co-direct, has had a very successful record of recruiting and training both women (55% of RRTP residents are women) and ethnic minorities (over 30% of RRTP residents are ethnic minorities). I currently mentor two postdoctoral research fellows as well as a nursing graduate student in a research mentorship capacity, as well as many RRTP and general psychiatry residents as a faculty/career mentor. In addition, because of my involvement in several international research collaborations, I have had the opportunity to mentor/supervise a number of international students who have chosen to come to my laboratory for additional training and/or research rotations. These include a Master’s student from the Free University of Amsterdam, an undergraduate/medical student from the University of Cologne, and a psychiatrist from Buenos Aires, Argentina. I am also active in mentoring junior faculty through the UCSF Department of Psychiatry’s Faculty Mentorship Program. I currently mentor four junior faculty through this program; all are in the early stages of their research careers and are planning the next steps for ongoing successful academic careers.


       Bibliographic 
       Publications
      Publications by year:
      Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
      1. Nag A, Bochukova EG, Kremeyer B, Campbell DD, Muller H, Valencia-Duarte AV, Cardona J, Rivas IC, Mesa SC, Cuartas M, Garcia J, Bedoya G, Cornejo W, Herrera LD, Romero R, Fournier E, Reus VI, Lowe TL, Farooqi IS. CNV Analysis in Tourette Syndrome Implicates Large Genomic Rearrangements in COL8A1 and NRXN1. PLoS One. 2013; 8(3):e59061.
        View in: PubMed
      2. Egan CA, Marakovitz SE, O'Rourke JA, Osiecki L, Illmann C, Barton L, McLaughlin E, Proujansky R, Royal J, Cowley H, Rangel-Lugo M, Pauls DL, Scharf JM, Mathews CA. Effectiveness of a web-based protocol for the screening and phenotyping of individuals with Tourette syndrome for genetic studies. Am J Med Genet B Neuropsychiatr Genet. 2012 Dec; 159B(8):987-96.
        View in: PubMed
      3. Chen K, Budman CL, Diego Herrera L, Witkin JE, Weiss NT, Lowe TL, Freimer NB, Reus VI, Mathews CA. Prevalence and clinical correlates of explosive outbursts in Tourette Syndrome. Psychiatry Res. 2013 Feb 28; 205(3):269-75.
        View in: PubMed
      4. Mathews CA, Badner JA, Andresen JM, Sheppard B, Himle JA, Grant JE, Williams KA, Chavira DA, Azzam A, Schwartz M, Reus VI, Kim SW, Cook EH, Hanna GL. Genome-wide linkage analysis of obsessive-compulsive disorder implicates chromosome 1p36. Biol Psychiatry. 2012 Oct 15; 72(8):629-36.
        View in: PubMed
      5. Mathews CA, Perez VB, Delucchi KL, Mathalon DH. Error-related negativity in individuals with obsessive-compulsive symptoms: toward an understanding of hoarding behaviors. Biol Psychol. 2012 Feb; 89(2):487-94.
        View in: PubMed
      6. Scharf JM, Miller LL, Mathews CA, Ben-Shlomo Y. Prevalence of Tourette syndrome and chronic tics in the population-based Avon longitudinal study of parents and children cohort. J Am Acad Child Adolesc Psychiatry. 2012 Feb; 51(2):192-201.e5.
        View in: PubMed
      7. Ross J, Badner J, Garrido H, Sheppard B, Chavira DA, Grados M, Woo JM, Doo P, Umaña P, Fournier E, Murray SS, Mathews CA. Genomewide linkage analysis in Costa Rican families implicates chromosome 15q14 as a candidate region for OCD. Hum Genet. 2011 Dec; 130(6):795-805.
        View in: PubMed
      8. Schuler J, Weiss NT, Chavira DA, McGough JJ, Berrocal M, Sheppard B, Vaglio E, Fournier E, Herrera LD, Mathews CA. Characteristics and comorbidity of ADHD sib pairs in the Central Valley of Costa Rica. Compr Psychiatry. 2012 May; 53(4):379-86.
        View in: PubMed
      9. Wang Y, Mathews CA, Li Y, Lin Z, Xiao Z. Brain-derived neurotrophic factor (BDNF) plasma levels in drug-naïve OCD patients are lower than those in healthy people, but are not lower than those in drug-treated OCD patients. J Affect Disord. 2011 Sep; 133(1-2):305-10.
        View in: PubMed
      10. Mackin RS, Areán PA, Delucchi KL, Mathews CA. Cognitive functioning in individuals with severe compulsive hoarding behaviors and late life depression. Int J Geriatr Psychiatry. 2011 Mar; 26(3):314-21.
        View in: PubMed
      11. Mathews CA, Grados MA. Familiality of Tourette syndrome, obsessive-compulsive disorder, and attention-deficit/hyperactivity disorder: heritability analysis in a large sib-pair sample. J Am Acad Child Adolesc Psychiatry. 2011 Jan; 50(1):46-54.
        View in: PubMed
      12. Delucchi KL, Katerberg H, Stewart SE, Denys DA, Lochner C, Stack DE, den Boer JA, van Balkom AJ, Jenike MA, Stein DJ, Cath DC, Mathews CA. Latent class analysis of the Yale-Brown Obsessive-Compulsive Scale symptoms in obsessive-compulsive disorder. Compr Psychiatry. 2011 May-Jun; 52(3):334-41.
        View in: PubMed
      13. Sheppard B, Chavira D, Azzam A, Grados MA, Umaña P, Garrido H, Mathews CA. ADHD prevalence and association with hoarding behaviors in childhood-onset OCD. Depress Anxiety. 2010 Jul; 27(7):667-74.
        View in: PubMed
      14. Scharf JM, Mathews CA. Copy number variation in Tourette syndrome: another case of neurodevelopmental generalist genes? Neurology. 2010 May 18; 74(20):1564-5.
        View in: PubMed
      15. Katerberg H, Delucchi KL, Stewart SE, Lochner C, Denys DA, Stack DE, Andresen JM, Grant JE, Kim SW, Williams KA, den Boer JA, van Balkom AJ, Smit JH, van Oppen P, Polman A, Jenike MA, Stein DJ, Mathews CA, Cath DC. Symptom dimensions in OCD: item-level factor analysis and heritability estimates. Behav Genet. 2010 Jul; 40(4):505-17.
        View in: PubMed
      16. Knight S, Coon H, Johnson M, Leppert MF, Camp NJ, McMahon WM. Linkage analysis of Tourette syndrome in a large Utah pedigree. Am J Med Genet B Neuropsychiatr Genet. 2010 Mar 5; 153B(2):656-62.
        View in: PubMed
      17. Grados MA, Mathews CA. Clinical phenomenology and phenotype variability in Tourette syndrome. J Psychosom Res. 2009 Dec; 67(6):491-6.
        View in: PubMed
      18. Mathews CA, Greenwood T, Wessel J, Azzam A, Garrido H, Chavira DA, Chandavarkar U, Bagnarello M, Stein M, Schork NJ. Evidence for a heritable unidimensional symptom factor underlying obsessionality. Am J Med Genet B Neuropsychiatr Genet. 2008 Sep 5; 147B(6):676-85.
        View in: PubMed
      19. Grados MA, Mathews CA. Latent class analysis of gilles de la tourette syndrome using comorbidities: clinical and genetic implications. Biol Psychiatry. 2008 Aug 1; 64(3):219-25.
        View in: PubMed
      20. Mathews CA, Kaur N, Stein MB. Childhood trauma and obsessive-compulsive symptoms. Depress Anxiety. 2008; 25(9):742-51.
        View in: PubMed
      21. Chavira DA, Garrido H, Bagnarello M, Azzam A, Reus VI, Mathews CA. A comparative study of obsessive-compulsive disorder in Costa Rica and the United States. Depress Anxiety. 2008; 25(7):609-19.
        View in: PubMed
      22. Mathews CA, Nievergelt CM, Azzam A, Garrido H, Chavira DA, Wessel J, Bagnarello M, Reus VI, Schork NJ. Heritability and clinical features of multigenerational families with obsessive-compulsive disorder and hoarding. Am J Med Genet B Neuropsychiatr Genet. 2007 Mar 5; 144B(2):174-82.
        View in: PubMed
      23. Chandavarkar U, Azzam A, Mathews CA. Anxiety symptoms and perceived performance in medical students. Depress Anxiety. 2007; 24(2):103-11.
        View in: PubMed
      24. Keen-Kim D, Mathews CA, Reus VI, Lowe TL, Herrera LD, Budman CL, Gross-Tsur V, Pulver AE, Bruun RD, Erenberg G, Naarden A, Sabatti C, Freimer NB. Overrepresentation of rare variants in a specific ethnic group may confuse interpretation of association analyses. Hum Mol Genet. 2006 Nov 15; 15(22):3324-8.
        View in: PubMed
      25. Herzberg I, Jasinska A, García J, Jawaheer D, Service S, Kremeyer B, Duque C, Parra MV, Vega J, Ortiz D, Carvajal L, Polanco G, Restrepo GJ, López C, Palacio C, Levinson M, Aldana I, Mathews C, Davanzo P, Molina J, Fournier E, Bejarano J, Ramírez M, Ortiz CA, Araya X, Sabatti C, Reus V, Macaya G, Bedoya G, Ospina J, Freimer N, Ruiz-Linares A. Convergent linkage evidence from two Latin-American population isolates supports the presence of a susceptibility locus for bipolar disorder in 5q31-34. Hum Mol Genet. 2006 Nov 1; 15(21):3146-53.
        View in: PubMed
      26. Service S, Molina J, Deyoung J, Jawaheer D, Aldana I, Vu T, Araya C, Araya X, Bejarano J, Fournier E, Ramirez M, Mathews CA, Davanzo P, Macaya G, Sandkuijl L, Sabatti C, Reus V, Freimer N. Results of a SNP genome screen in a large Costa Rican pedigree segregating for severe bipolar disorder. Am J Med Genet B Neuropsychiatr Genet. 2006 Jun 5; 141B(4):367-73.
        View in: PubMed
      27. Mathews CA, Bimson B, Lowe TL, Herrera LD, Budman CL, Erenberg G, Naarden A, Bruun RD, Freimer NB, Reus VI. Association between maternal smoking and increased symptom severity in Tourette's syndrome. Am J Psychiatry. 2006 Jun; 163(6):1066-73.
        View in: PubMed
      28. Mathews CA, Jang KL, Herrera LD, Lowe TL, Budman CL, Erenberg G, Naarden A, Bruun RD, Schork NJ, Freimer NB, Reus VI. Tic symptom profiles in subjects with Tourette Syndrome from two genetically isolated populations. Biol Psychiatry. 2007 Feb 1; 61(3):292-300.
        View in: PubMed
      29. Abelson JF, Kwan KY, O'Roak BJ, Baek DY, Stillman AA, Morgan TM, Mathews CA, Pauls DL, Rasin MR, Gunel M, Davis NR, Ercan-Sencicek AG, Guez DH, Spertus JA, Leckman JF, Dure LS, Kurlan R, Singer HS, Gilbert DL, Farhi A, Louvi A, Lifton RP, Sestan N, State MW. Sequence variants in SLITRK1 are associated with Tourette's syndrome. Science. 2005 Oct 14; 310(5746):317-20.
        View in: PubMed
      30. Mathews CA, Waller J, Glidden D, Lowe TL, Herrera LD, Budman CL, Erenberg G, Naarden A, Bruun RD, Freimer NB, Reus VI. Self injurious behaviour in Tourette syndrome: correlates with impulsivity and impulse control. J Neurol Neurosurg Psychiatry. 2004 Aug; 75(8):1149-55.
        View in: PubMed
      31. Mathews CA, Reus VI, Bejarano J, Escamilla MA, Fournier E, Herrera LD, Lowe TL, McInnes LA, Molina J, Ophoff RA, Raventos H, Sandkuijl LA, Service SK, Spesny M, León PE, Freimer NB. Genetic studies of neuropsychiatric disorders in Costa Rica: a model for the use of isolated populations. Psychiatr Genet. 2004 Mar; 14(1):13-23.
        View in: PubMed
      32. Mathews CA, Jang KL, Hami S, Stein MB. The structure of obsessionality among young adults. Depress Anxiety. 2004; 20(2):77-85.
        View in: PubMed
      33. Mathews CA, Reus VI. Genetic linkage in bipolar disorder. CNS Spectr. 2003 Dec; 8(12):891-904.
        View in: PubMed
      34. Azzam A, Mathews CA. Meta-analysis of the association between the catecholamine-O-methyl-transferase gene and obsessive-compulsive disorder. Am J Med Genet B Neuropsychiatr Genet. 2003 Nov 15; 123B(1):64-9.
        View in: PubMed
      35. Verkerk AJ, Mathews CA, Joosse M, Eussen BH, Heutink P, Oostra BA. CNTNAP2 is disrupted in a family with Gilles de la Tourette syndrome and obsessive compulsive disorder. Genomics. 2003 Jul; 82(1):1-9.
        View in: PubMed
      36. Escamilla MA, Batki S, Reus VI, Spesny M, Molina J, Service S, Vinogradov S, Neylan T, Mathews C, Meza L, Gallegos A, Montero AP, Cruz ML, Neuhaus J, Roche E, Smith L, Leon P, Freimer NB. Comorbidity of bipolar disorder and substance abuse in Costa Rica: pedigree- and population-based studies. J Affect Disord. 2002 Sep; 71(1-3):71-83.
        View in: PubMed
      37. Ophoff RA, Escamilla MA, Service SK, Spesny M, Meshi DB, Poon W, Molina J, Fournier E, Gallegos A, Mathews C, Neylan T, Batki SL, Roche E, Ramirez M, Silva S, De Mille MC, Dong P, Leon PE, Reus VI, Sandkuijl LA, Freimer NB. Genomewide linkage disequilibrium mapping of severe bipolar disorder in a population isolate. Am J Hum Genet. 2002 Sep; 71(3):565-74.
        View in: PubMed
      38. Mathews CA, Glidden D, Murray S, Forster P, Hargreaves WA. The effect on treatment outcomes of assigning patients to ethnically focused inpatient psychiatric units. Psychiatr Serv. 2002 Jul; 53(7):830-5.
        View in: PubMed
      39. Mathews CA, Glidden D, Hargreaves WA. The effect on diagnostic rates of assigning patients to ethnically focused inpatient psychiatric units. Psychiatr Serv. 2002 Jul; 53(7):823-9.
        View in: PubMed
      40. McInnes LA, Service SK, Reus VI, Barnes G, Charlat O, Jawahar S, Lewitzky S, Yang Q, Duong Q, Spesny M, Araya C, Araya X, Gallegos A, Meza L, Molina J, Ramirez R, Mendez R, Silva S, Fournier E, Batki SL, Mathews CA, Neylan T, Glatt CE, Escamilla MA, Luo D, Gajiwala P, Song T, Crook S, Nguyen JB, Roche E, Meyer JM, Leon P, Sandkuijl LA, Freimer NB, Chen H. Fine-scale mapping of a locus for severe bipolar mood disorder on chromosome 18p11.3 in the Costa Rican population. Proc Natl Acad Sci U S A. 2001 Sep 25; 98(20):11485-90.
        View in: PubMed
      41. Mathews CA, Reus VI. Assortative mating in the affective disorders: a systematic review and meta-analysis. Compr Psychiatry. 2001 Jul-Aug; 42(4):257-62.
        View in: PubMed
      42. Mathews CA, Herrera Amighetti LD, Lowe TL, van de Wetering BJ, Freimer NB, Reus VI. Cultural influences on diagnosis and perception of Tourette syndrome in Costa Rica. J Am Acad Child Adolesc Psychiatry. 2001 Apr; 40(4):456-63.
        View in: PubMed
      43. Mathews CA, George P, Hood AF. Cardiofaciocutaneous syndrome. Arch Dermatol. 1993 Jan; 129(1):46-7.
        View in: PubMed
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