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Bruce                          Miller

Bruce D. Miller MD

Department of Psychiatry

Professor of Psychiatry, Pediatrics, Psychology

Specialty/Research Focus

Child and Adolescent Psychiatry; Psychiatry

 
Professional Summary:

Dr. Miller is Chief of the Division of Child and Adolescent Psychiatry in the Department of Psychiatry. He supervises child psychiatry fellows in consultation-liaison psychiatry and child and family psychotherapy. He is an internationally recognized physician-scientist focusing on psychobiologic mechanisms by which child/adolescent stress and depression affects physical illness and somatization in children. His translational research program takes place in the Center for Child and Family Asthma Studies, (Women and Children’s Hospital of Buffalo) of which he is founder and co-director.

Education and Training:
  • MD, Child Psychiatry, College of Medicine and Dentistry of New Jersey (1972)
  • BA, Biology, Lafayette College (1968)
Employment:
  • Professor of Psychiatry and Pediatrics, Psychiatry, State University of New York at Buffalo (1995-present)
  • Associate Professor of Psychiatry and Pediatrics, Division of Child and Adolescent Psychiatry, University of Rochester School of Medicine and Dentistry (1990–1995)
  • Associate Professor of Psychiatry and Pediatrics, Division of Child & Adolescent Psychiatry, University of Colorado Health Sciences Center, School of Medicine (1981–1990)
Awards and Honors:
  • Lecturship (2010)
  • Outstanding Research Award (2004)
  • Simon Wile Award (2004)
  • President's Recognition Award (2002)
  • Visiting Scholar Awardee (1999)
  • President (1989)
  • International Task Force on Asthma Mortality (1986)
  • Ehrman Fellow (1981)
  • International Fellow (1971)
  • Sigma Xi Honorary Society (1968)
  • Honors Degree in Biology (1968)
  • Undergraduate Academic Scholarship (1964)

Research Expertise:
  • Mind-Body Pathways: The trajectory of my research program has been to examine psychobiologic mechanisms by which stress and emotions impact asthma in children and adolescents. In carrying out this research, we study high risk, medically and emotionally vulnerable children with asthma. Specifically we measure social and family stress, child emotional and psychological conditions, asthma related mind-body pathways (autonomic, hypothalamic-pituitary-adrenal, beta adrenergic), pulmonary function, and asthma disease activity/control. We use longitudinal linear modeling techniques to test ANS, HPA, and beta adrenergic mechanisms by which stress and depressive symptoms influence asthma disease activity over time. In addition, I have developed a laboratory stress provocation paradigm which enables us to examine proximal mechanisms by which stress and depressive symptoms alter stress responsivity and airway function in asthmatic patients. I am trained as a pediatric psychiatry clinician/researcher and have extensive research training and experience in developmental psychobiology. After my post-doctoral Research Fellowship in Developmental Psychobiology in the Department of Psychiatry, University of Colorado Health Sciences Center, I joined the faculty at the University of Colorado. Early in my tenure I developed the “Psychophysiologic Treatment/Research Unit” at the National Jewish Medical and Research Center (now called National Jewish Health); this Unit served as the foundation upon which I built my research. There I began my treatment and study of medically and emotionally vulnerable, high risk asthmatic children. I have been involved in federally funded research since 1979. In 1986-1987 I served as an invited member of the AAAI/NHLBI sponsored International Asthma Mortality Task Force, whose goal was to set priorities for research aimed at reducing asthma morbidity and mortality. This task force identified low SES, minority children as being at high risk, and recommended prioritizing research in this population. These experiences prepared me to embark on a systematic program of research. As I set out, I met and teamed up with Beatrice Wood, Ph.D., who brought a strong and complementary set of training, experience and expertise in family study and psychosomatic research in chronically ill children to our collaborative effort. Dr. Wood and I have work closely together since 1991 during which time we have integrated my model of stress, depression and autonomic dysregulation in asthma with her model of family relational stress as they impact on child depression and asthma. We have had federal funding for nearly 15 years consecutively, and have published many empirical papers emanating from our research program. Our most recent NIH grant application is a natural extension of our research to date. The goal of this proposal (presently under review) is to identify targetable psychosocial and psychoneuroimmunologic factors contributing to asthma morbidity and mortality in low SES minority children, and thus develop more effective means to reduce health disparities in this population.
Grants and Sponsored Research:
  • August 2015–July 2020
    Treating Caregiver Depression to Improve Childhood Asthma: Impact and Mediators
    NIH/NHLBI
    Role: Principal Investigator
    $3,987,363
  • January 2002–June 2010
    Depression and Child Asthma: Effects of Family Relations
    NIH
    Role: Co-Principal Investigator
    $3,761,650
  • January 2000–June 2005
    Effect of Depressive Emotions on Airways in Asthma
    NIH
    Role: Principal Investigator
    $1,438,029
  • January 1996–January 2001
    Career Development K Award: Psychophysiologic and Family Factors in Childhood Asthma
    NIMH
    Role: Contributor
    $698,000

Journal Articles:
See all (15 more)
Books and Book Chapters:
Evaluative Studies and Case Reports:

Professional Memberships:
  • Society of Psychophysiologic Research (1995–present)
  • International Society for Advancement of Respiratory Psychophysiology (1995–present)
  • American Psychosomatic Society (1992–present)
  • Society of Professors of Child and Adolescent Psychiatry (1991–present)
  • American Academy of Child and Adolescent Psychiatry (1981–present)
Presentations:
  • "Effects of Stress and Depression on Neurobiologic Processes in Pediatric Asthma" , State University of New York at Buffalo, Neuroscience Program Seminar (2012)
  • "Depressed Asthmatic Children Evidence Airway Compromise Under Stress: Physiologic Findings and Immunologic Implications" The World Conference of Immunodisease and Therapy (2011)
  • "The Effects of Insecure Attachment on Child Asthma: Depression and Autonomic Dysregulation as Possible Mechanisms" 2011 Annual Meeting, Academy of Psychosomatic Medicine (2011)
  • "The Effects of Insecure Attachment on Child Asthma: Stress, Depression and Autonomic Dysregulation as Possible Mechanisms" Lecture, Tokushima University, Tokushima University (2011)
  • "The Effects of Depressive State on ANS Regulation and Pulmonary Function in Obese Asthmatic Children" 21th World Congress on Psychosomatic Medicine (2011)
  • "The Effects of Stress and Depression on Insecurely Attached Asthmatic Children" Lecture, Korea University, Korea University (2011)
  • "Stress, Depression and Pediatric Asthma" 57th Annual Meeting, the American Academy of Child and Adolescent Psychiatry (2010)
  • "Psychosomatic Considerations in Children and their Families: Pediatric Asthma as a Prototype" 20th World Congress on Psychosomatic Medicine (2009)
  • "Child Depression and Asthma: Research Findings and Clinical Implications" 54th Annual Meeting, the Academy of Psychosomatic Medicine (2007)
  • "Childhood Depression And Asthma: Psychobiologic Effects Of Family Relations" 54th Annual Meeting, the American Academy of Child and Adolescent Psychiatry, Simon Wile Symposium (2007)
  • "Breach of Attachment: A Stressor Beyond Words" 19th World Congress on Psychosomatic Medicine (2007)
  • "Depressed Asthmatic Children Show Increased Respiratory Resistance" 65th Annual Scientific Meeting, the American Psychosomatic Society (2007)
  • "Autonomic Nervous System Dysregulation in Children with Depression and Asthma" 53rd Annual Meeting, Academy of Psychosomatic Medicine (2006)
  • "Childhood Asthma, Depression and Stress: A Recipe for Disaster" Grand Rounds Presentation / Visiting Professor, University of Medicine & Dentistry of New Jersey, Department of Psychiatry (2006)
  • "Psychosomatic Considerations in Psychiatric Treatment" Grand Rounds Presentation, Western New York Children's Psychiatric Center (2005)
  • "The Influence of Depression on Asthma in Children: Psychobiologic Mechanisms and Pathways of Effect" Grand Rounds, State University of New York at Buffalo, Department of Psychiatry (2005)
  • "Pediatric Stress-related Seizures: Reconceptualization and Evaluation of Nonepileptic Seizures in Children and Adolescents" Epilepsy Symposium, Advances in Epilepsy (2005)
  • "Psychosomatic Considerations in Childhood Asthma" Grand Rounds, Western New York Children's Psychiatric Center (2004)
  • "Where Psyche Meets Soma in Childhood Asthma: Psychobiologic Mechanisms and Pathways of Effect" Grand Rounds, University of Medicine & Dentistry of New Jersey, Department of Psychiatry, Division of Child & Adolescent Psychiatry, Children’s Memorial Hospital (2004)
  • "Psychosomatic Considerations in Pediatric Asthma, A 21st Century Perspective" Grand Rounds, University of Chicago Medical Center, Department of Pediatrics, Children's Memorial Hospital (2004)
  • "The Influence of Depression on Asthma in Children: Psychobiologic Mechanisms and Pathways of Effect" Grand Rounds Presentation, State University of New York at Buffalo, Department of Psychiatry (1995)
See all (11 more)
Service Activities:
  • International Advisory Board; 20th World Congress on Psychosomatic Medicine; Professional Committee (2009)
  • Expert Reviewer; State of New York Office of Professional Medical Conduct.; Ad Hoc Reviewer (2006–present)
  • Search Committee for Clinical Service Director of Psychiatry; Kaleida Health; Committee Member (2004)
  • Department of Psychiatry Academic Affairs Committee; State University of New York at Buffalo; Committee Member (2004–present)
  • Executive Committee; Department of Psychiatry, State University of New York at Buffalo; Committee Member (2004–present)
  • Graduate Medical Education Committee; Division of Child & Adolescent Psychiatry, Department of Psychiatry, State University of New York at Buffalo; Committee Member (2004–present)
  • Senator and Member; Faculty Senate, State University of New York at Buffalo; Senator (2001–2003)
  • Faculty Mentor; SUNY Medical Student Faculty Mentoring Program, State University of New York at Buffalo; Student Mentor (1999–present)
  • Medical Advisory Committee; Women & Children's Hospital of Buffalo; Committee Member (1999–present)

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Contact Information

Women and Childrens Hospital of Buffalo
219 Bryant Street
Buffalo, NY 14222
Phone: (716) 878-7645
Fax: (716) 888-3935
Email: brumill@buffalo.edu

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