Bharathi Zvara, PhD, MS
Associate Professor
Bharathi J. Zvara is an Associate Professor in the School of Nursing at the University of North Carolina at Chapel Hill. She joined Carolina Nursing in April 2025 after more than a decade at the Gillings School of Global Public Health, where she developed a well-established program of research, teaching, and academic leadership.
Dr. Zvara is a developmental psychologist whose scholarship examines biopsychosocial processes linking childhood maltreatment and trauma to health and development within and across generations. Her work focuses on the associations between parents’ early adverse experiences and later adult mental health, parenting and caregiving behaviors, stress physiology, and children’s emotional, cognitive, and behavioral development. A central feature of her research is the study of intergenerational patterns of risk and resilience across the life course.
Her research program has been supported by federal and institutional funding and includes sustained contributions to teaching and mentoring. She has served as principal investigator on multiple NIH-funded studies examining biopsychosocial mechanisms linking early adversity to parenting, stress vulnerability, and later psychopathology. She also collaborates on large-scale NIH-funded research focused on early brain development, executive functioning, dyadic resilience, and the effects of poverty and caregiving environments on child outcomes.
Prior to joining the School of Nursing, Dr. Zvara served as Associate Chair of Research in the Department of Maternal and Child Health at the Gillings School of Global Public Health, where she provided leadership for departmental research strategy, faculty mentorship, and grant development initiatives. She has taught numerous courses in public health, mentored Master’s- and PhD level students, and served on doctoral committees.
Dr. Zvara has received several competitive honors for her research, including a National Institutes of Health Research Career Development Award (K01) from the Eunice Kennedy Shriver National Institute of Child Health and Human Development and a Ruth L. Kirschstein National Research Service Award (NRSA) Individual Fellowship from the National Institutes of Health. She has also been recognized with the William R. Kenan, Jr. Charitable Trust Innovations for Public Good Award and election to Sigma Xi.
1. Ingol, T. T., Anderson, S. E., Rausch, J., Andridge, R., Zvara, B. J., & Keim, S. A. (2025). Maternal weight trajectories from pre-pregnancy through postpartum and childhood obesity risk at 24 months of age: A group-based trajectory modeling analysis. Journal of Child Science, 15(1), 7.
2. Zvara, B. J., Altenburger, L., Keim, S. A., Andridge, R., & Anderson, S. E. (2025). Family meals and behavioral development: The role of feeding strategies and mealtime emotional climate. Journal of Family Psychology.
3. Zvara, B. J., Mills-Koonce, R., Propper, C., Grewen, K., Pearson, B., & Stuebe, A. M. (2025). Infant 6-month psychophysiology during interaction with mother is differentiated by 12-month attachment quality. Developmental Psychobiology, 67(6), e70086.
4. McCarty, D., Shanahan, M., Ferrari, R., Golden, S., Wylin, W., & Zvara, B. J. (2024). Identifying facilitators and barriers to NICU visitation in mothers of low socioeconomic status. Children, 11(11), 1390.
5. McCarty, D., Shanahan, M., Ferrari, R., Golden, S., Zvara, B. J., & Wylin, W. (2024). Sociodemographic characteristics of maternal presence in neonatal intensive care: An intersectional analysis. Journal of Perinatology.
6. Khalsa, A. M., Keim, S., Andridge, R., Zvara, B. J., & Anderson, S. (2024). Screen time, outdoor play, and sleep routines in early childhood: Longitudinal associations with parenting stress during toddler to preschool years. Journal of Pediatric Health Care, 38(6), 794-803.
7. Krupsky, K. L., Zvara, B. J., Khalsa, A. S., Andridge, R., Keim, S. A., & Anderson, S. E. (2024). Household chaos, child temperament, and structure-related feeding practices in toddlerhood: A moderation analysis. Eating Behaviors, 52, 101838.
8. MacNeill, L., Zvara, B. J., & Anderson, S. (2024). Association between maternal closeness with parents and mother-toddler relationship quality. Family Relations, 73(2), 645-660.
9. Zvara, B. J., Keim, S. A., Andridge, R., & Anderson, S. E. (2023). Self-compassion and depressive symptoms as determinants of sensitive parenting. Children, 10(8), 1284-1296.
10. Zvara, B. J., Andridge, R., Keim, S. A., & Anderson, S. E. (2023). Variability in parenting behaviors during play and during mealtimes with toddlers. Infant and Child Development, 32(5), e2447.
11. Altenburger, L., Zvara, B. J., Donithen, R., & Schoppe-Sullivan, S. (2023). Household chaos as a moderator of the link between parents’ inhibitory control and parenting quality. Journal of Family Psychology, 37(5), 614-623.
12. Girod, S., Leerkes, E. M., & Zvara, B. J. (2023). Childhood maltreatment predicts maternal sensitivity to distress: Negative attributions during the transition to parenthood. Journal of Family Psychology, 37(5), 709-719.
13. Frazier, J. A., Li, X., Kong, X., Zvara, B. J., et al. (2023). Perinatal factors and emotional, cognitive, and behavioral dysregulation in childhood and adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 62(12), 1351-1362.
14. Kravets, M., Sullivan, J., Parrott, A., Zvara, B. J., Andridge, R., Keim, S., & Anderson, S. (2022). Eating competence among caregivers of toddlers: Associations with caregiver and child overweight/obesity. Journal of Nutrition Education and Behavior, 54(8), 745-752.
15. Khalsa, A. M., Weber, Z., Zvara, B. J., Keim, S., Andridge, R., & Anderson, S. E. (2022). Factors associated with parenting stress in parents of 18-month-old children. Child: Care, Health and Development.
16. Hopper, L., Shanahan, M. E., Vines, A., Daniels, J., Zvara, B., & Hussey, J. (2021). Fathers and child health behaviors: Assessing father engagement, early childhood diet, and screen time. Health Promotion Practice.
17. Krupsky, K., Parrott, A., Andridge, R., Zvara, B. J., Keim, S., & Anderson, S. (2021). Environmental and household chaos: Considerations for early-childhood obesity research. BMC Public Health, 21, 1867.
18. Sullivan, J., Zvara, B. J., Keim, S., Andridge, R., & Anderson, S. (2021). Associations between caregiver knowledge of infant development and caregiver well-being. Journal of Developmental & Behavioral Pediatrics, 42(6), 442-449.
19. Macfie, J., Zvara, B. J., Stuart, G. L., Kurdziel-Adams, G., Kors, S. B., Fortner, K. B., Towers, C. V., Gorrondona, A. M., & Noose, S. K. (2020). Pregnant women’s history of childhood maltreatment and current opioid use: The mediating role of reflective functioning. Addictive Behaviors, 102, 106134.
20. Lathren, C., Bluth, K., & Zvara, B. J. (2020). Parent self-compassion and supportive responses to child difficult emotion: An intergenerational theoretical model rooted in attachment. Journal of Family Theory & Review, 12(3), 368-381.
21. Parrott, A. M., Zvara, B. J., Keim, S. A., Andridge, R., & Anderson, S. E. (2022). Play & Grow: A prospective observational cohort. BMJ Open, 12, e055490.
22. Zvara, B. J., Lathren, C., & Mills-Koonce, R. (2020). Attachment style and household chaos as risk factors for parenting behavior. Family Relations, 69(3), 233-246.
23. Rehder, P., Wagner, N. J., Zvara, B. J., Willoughby, M. T., & Mills-Koonce, W. R. (2020). Attachment quality assessed from children’s family drawings links to child conduct problems and callous-unemotional behaviors. Attachment & Human Development, 22(6), 647-664.
24. Macfie, J., Towers, C. V., Fortner, K. B., Stuart, G. L., Zvara, B. J., Kurdziel-Adams, G., Kors, S. B., Noose, S. K., Gorrondona, A. M., & Cohen, C. T. (2020). Medication-assisted treatment vs. detoxification for women who misuse opioids in pregnancy: Associations with dropout, relapse, neonatal opioid withdrawal syndrome (NOWS), and childhood sexual abuse. Addictive Behaviors Reports, 12, 100315.
25. Wouk, K., Gottfredson, N. C., Tucker, C., Pence, B. W., Meltzer-Brody, S., Zvara, B. J., Grewen, K., & Stuebe, A. M. (2019). Positive emotions during infant feeding and postpartum mental health. Journal of Women’s Health, 28, 194-202.
26. Zvara, B. J., Lang, S., & Schoppe-Sullivan, S. S. (2019). The role of co-parenting in associations between maternal personality and intrusive parenting. Journal of Family Psychology, 33, 945-953.
27. Zvara, B. J., Burchinal, M., & FLP Contributors. (2019). Maternal history of childhood maltreatment and children’s cognitive and social development. Early Child Development and Care, 191(3), 403-414.
28. Zvara, B. J., Keim, S., McNamara, K., & Anderson, S. (2019). Associations between parenting behavior and executive function among preschool-aged children born very preterm. Early Childhood Research Quarterly, 48, 317-324.
29. Zvara, B. J., Macfie, J., Cox, M., & Mills-Koonce, W. R. (2018). Mother-child role confusion, child adjustment problems, and the moderating roles of child temperament and sex. Developmental Psychology, 54(10), 1891-1903.
30. Zvara, B. J., Sheppard, K. W., & Cox, M. (2018). Bidirectional effects between parenting sensitivity and child behavior: A cross-lagged analysis across middle childhood and adolescence. Journal of Family Psychology, 32(4), 484-495.
31. Austin, A., Shanahan, M. E., & Zvara, B. J. (2018). Association of childhood abuse and prescription opioid use in early adulthood. Addictive Behaviors, 76, 265-269.
32. Zvara, B. J., Mills-Koonce, W. R., & Cox, M. (2017). Maternal childhood sexual trauma, child-directed aggression, parenting behavior, and the moderating role of child sex. Journal of Family Violence, 32(2), 219-229.
33. Zvara, B. J., Mills-Koonce, W. R., Carmody, K. A., Cox, M., & Family Life Project Key Investigators. (2017). Maternal childhood sexual trauma and child conduct problems. Journal of Family Violence, 32(2), 231-242.
34. Zvara, B. J., Mills-Koonce, W. R., Cox, M., et al. (2017). Intimate partner violence, maternal gatekeeping, and child conduct problems. Family Relations, 65(5), 647-660.
35. Zvara, B. J., Meltzer-Brody, S., Mills-Koonce, W. R., & Cox, M. (2016). Maternal childhood sexual trauma and early parenting: Prenatal and postnatal associations. Infant and Child Development, 26(3).
36. Zvara, B. J., Mills-Koonce, W. R., Heilbron, N., Clincy, A., & Cox, M. (2015). The interdependence of adult relationship quality and parenting behaviors among African American and European couples in rural, low-income communities. Infant and Child Development, 24(3), 343-363.
37. Wagner, N. J., Mills-Koonce, W. R., Willoughby, M. T., Zvara, B. J., & Cox, M. J. (2015). Family representations and disruptive behavior. Developmental Psychology, 51(7), 935-948.
38. Zvara, B. J., Mills-Koonce, W. R., Appleyard Carmody, K., & Cox, M. (2015). Childhood sexual trauma and subsequent parenting beliefs and behaviors. Child Abuse & Neglect, 44, 87-97.
39. Mills-Koonce, W. R., Willoughby, M. T., Zvara, B. J., Barnett, M., Gustafsson, H., Cox, M. J., et al. (2015). Mothers’ and fathers’ sensitivity and children’s cognitive development in low-income, rural families. Journal of Applied Developmental Psychology, 38, 1-10.
40. Zvara, B. J., Mills-Koonce, W. R., Garrett-Peters, P., Wagner, N. J., Vernon-Feagans, L., Cox, M., et al. (2014). The mediating role of parenting in the associations between household chaos and children’s representations of family dysfunction. Attachment & Human Development, 16(6), 633-655.
41. Zvara, B. J., Schoppe-Sullivan, S. J., & Kamp Dush, C. M. (2013). Fathers’ involvement in health care. Family Relations, 62(4), 649-661.
42. Zvara, B. J., & Schoppe-Sullivan, S. (2010). Does parent education moderate relations between low birth weight and child cognitive development outcomes? Family Science, 1(3-4), 212-221.
43. Malarkey, W., Zvara, B., & DeGroff, V. (1989). Interleukin-1β and other cytokines stimulate adrenocorticotropin release from cultured pituitary cells of patients with Cushing’s disease. Journal of Clinical Endocrinology & Metabolism, 69(1), 196-199.
44. Malarkey, W., Zvara, B., & DeGroff, V. (1987). Angiotensin II promotes prolactin release. Journal of Clinical Endocrinology & Metabolism, 64(4), 713-717.
45. Camisa, C., Kraut, E., & Zvara, B. (1984). Psoriatic sera reduces granulocyte response. Journal of Investigative Dermatology, 82(4), 318-321.
Under Review / Submitted
1. Zvara, B. J., Jensen, T., Mills-Koonce, R., & Sheridan, M. Deprivation and threat pathways linking maternal childhood maltreatment to adolescent internalizing and externalizing symptoms. Under review.
2. Stough, C. O., Khalsa, A. S., Bradley, R., Garre, K., Keim, S. A., Zvara, B. J., Andridge, R., & Anderson, S. E. Brief report: Caregiver and family factors related to Life’s Essential 8 in young children. Under review.
3. Bernhardt, E. R., Beeber, L., Strauman, T. J., Zvara, B., & Williams, J. R. Understanding maternal self-regulation and functioning in the postpartum period: A qualitative exploration of goal pursuit. Under review.
4. McCarty, D., Shanahan, M., Ferrari, R., Golden, S., Wylin, W., & Zvara, B. J. Maternal presence during neonatal intensive care: How neonatal physical therapists can support best practice. Under review.
PI, R21HD110824-01A1, Eunice Kennedy Shriver National Institute of Child Health and Human Development, 2024-2026
PI, K01HD095535-01, Eunice Kennedy Shriver National Institute of Child Health and Human Development, 2019-2023
• Site PI, R01DK108969, National Institute of Diabetes and Digestive and Kidney Diseases, 2017-2021
• PI, R03HD090430-01A1, Eunice Kennedy Shriver National Institute of Child Health and Human Development, 2017-2019
• PI, F31AA020693-02, National Institute on Alcohol Abuse and Alcoholism, 2012-2014