A5041928253- Sleep and related disorders
- Sleep and Wakefulness Research
- Sleep and Work-Related Fatigue
- Child Nutrition and Feeding Issues
- Youth Substance Use and School Attendance
- Circadian rhythm and melatonin
- Optimism, Hope, and Well-being
- Health, psychology, and well-being
- Posttraumatic Stress Disorder Research
- Geriatric Care and Nursing Homes
- Respiratory Support and Mechanisms
- Child and Adolescent Psychosocial and Emotional Development
- Resilience and Mental Health
- Healthcare professionals’ stress and burnout
- Trauma and Emergency Care Studies
- Long-Term Effects of COVID-19
- Health Systems, Economic Evaluations, Quality of Life
- Neuroscience of respiration and sleep
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Thermal Regulation in Medicine
- COVID-19 and Mental Health
- Aging and Gerontology Research
- Obesity, Physical Activity, Diet
- Cardiac Health and Mental Health
- Healthcare Policy and Management
Geriatric Research Education and Clinical Center
2022-2025
VA Boston Healthcare System
2021-2025
Harvard University
2022-2024
Philadelphia College of Osteopathic Medicine
2019-2022
University of Pennsylvania
2019
Saint Joseph's University
2016
Socioeconomically disadvantaged children are at risk for poor sleep hygiene and increased problems. This pilot study examined the efficacy of Sleep Well!, a parent-based education endeavor, which supplemented an outreach program that provides beds to socioeconomically children.In addition receiving bed, 152 (mean age = 5.95 years, 57.2% boys) were randomly assigned (3 messages: bedtime before 21:00; no caffeine; keep electronics out bedroom) or control (dental education) conditions. All was...
Abstract Background and Objectives Insomnia symptoms are more prevalent in older age may be impacted by negative perceptions of aging; however, research is needed. The present study characterizes the relationship between aging stereotypes clinical insomnia a nationally representative sample United States (U.S.) veterans. Research Design Methods Data were analyzed from 3,000 U.S. veterans (aged 60-99) who participated National Health Resilience Veterans Study (NHRVS). Multivariable regression...
Evaluate insomnia symptoms and environmental disruptors at admission discharge in a subacute rehabilitation care setting.
The 3P and 4P models represent illness severity over the course of insomnia disorder. model suggests that is worst during acute onset. crescendos with chronicity. present analysis from an archival dataset assesses new onset (i.e. good sleep [GS] to [AI] chronic [CI]). Illness quantified in terms total wake time (TWT).
Later in life Veterans may report increased thoughts and memories of traumatic military experience the context age-related changes, a process called Later-Adulthood Trauma Reengagement (LATR); this lead to resilience or distress. We describe development 10-session group intervention with goals providing psychoeducation about LATR, enhancing stress management coping skills, fostering meaning making. characterize implementation outcome characteristics for seven cohorts over 5 years; groups...
Objective/Background: Illness severity and resultant dysfunction are often linearly related tightly coupled (concordant). Some percentage of individuals, however, exhibit discordant associations (high illness low [HL] or high [LH]). In the present study, a sample subjects with insomnia complaints were evaluated to determine what exhibited associations. Participants: Archival data drawn from community-based (n = 4,680; 61.8% female; Ages 18–105). Methods: Median splits calculated for daytime...
Objectives Sleep continuity (i.e., ability to initiate and/or maintain sleep) worsens with age. It is unclear whether problem endorsement daytime dysfunction show similar age-related trends. Accordingly, a large archival dataset was used examine age differences in sleep continuity, endorsement, and related dysfunction.Method Participants were categorized as: Young Adults (18–29 years); (30–44 Middle Aged (45–64 Older (65–89 years). Adults, 1:1 matched (n = 233) on the basis of gender, race,...
Sleep continuity disturbance (i.e., insomnia) is a significant risk factor for the development and recurrence of depression. Few studies, however, have assessed temporal dynamics insomnia depression (e.g., how changes in sleep are related to episodes dysthymia). Analyses were conducted on sub-sample subjects (n = 190; 79% female) that participated larger study natural history insomnia. Subjects included 95 adults who developed an acute dysthymic episode PHQ-9 ≥ 10; DEP10 Group), equivalent...
While there is epidemiologic evidence that racial/ethnic minorities report shorter sleep duration and poorer quality than whites, few studies have assessed continuity (SC), variable by (e.g., SL, NWAK, WASO, EMA, & TST). The present analysis assesses in a quantitative way whether insomnia symptom severity varies race/ethnicity. An archival was conducted on an existing database of 4,206 individuals who completed screening survey on-line at www.sleeplessinphilly.com. Variables collected...
Emerging data suggests that COVID-19 is associated with fatigue well beyond the acute illness period. The present analysis aimed to: (1) characterize prevalence and incidence of high at baseline follow-up; (2) examine impact diagnosis on level following illness; (3) symptom severity duration follow-up. Subjects (n = 1417; 81.0% female; 83.3% White; X¯age 43.6 years) completed PROMIS-Fatigue during initial wave pandemic (April-June 2020) 9-month follow-up (January-March 2021). A generalized...
To date, research has focused primarily on the hypersecretion of cortisol as neurobiologic substrate for chronic insomnia. No study, however, used a neuroendocrine marker to evaluate effects stress among patients with insomnia, and more specifically, whether can predict transition from acute The study included data 30 adults (67% female) recruited longitudinal natural history This sub-sample participated in two lab-based studies that took place approximately 3-months apart. Subjects were...
It is widely held that the likelihood of having a sleep disorder increases with age and this especially true Insomnia, OSA, RLS. Few studies, however, have been conducted concurrently assess how symptoms vary while simultaneously taking into account multiple disorders. The present analysis evaluates prevalence ten disorders across four cohorts. An archival was on an existing database 4,206 individuals who completed on-line screening survey at www.sleeplessinphilly.com. Subjects were grouped...
It is commonly accepted that high BMI values are associated with a wide range of sleep complaints and/or signs and symptoms various disorders. In contrast, little known about the relationship between low disturbance. Accordingly, present study represents an initial inquiry into whether An archival analysis was conducted on existing database 4,206 individuals who completed screening survey (www.sleeplessinphilly.com). Low (BMI <18.5 kg/m2) subjects were identified matched 1:1 by race, age,...
Older adults are thought to be particularly prone insomnia. What is less clear the extent which this general observation 1) applies specific measures and 2) corresponds sleep dissatisfaction. The aim of present analysis was evaluate how continuity disturbance (SCD) problem endorsement vary by age. An archival conducted with an existing database 4,206 individuals who completed online screening survey (www.sleeplessinphilly.com). Subjects were grouped into four age categories (matched for...