- Sleep and related disorders
- Menopause: Health Impacts and Treatments
- Sleep and Wakefulness Research
- Maternal Mental Health During Pregnancy and Postpartum
- Circadian rhythm and melatonin
- Sleep and Work-Related Fatigue
- Menstrual Health and Disorders
- Treatment of Major Depression
- Schizophrenia research and treatment
- Stress Responses and Cortisol
- Obesity and Health Practices
- Estrogen and related hormone effects
- Health disparities and outcomes
- Obstructive Sleep Apnea Research
- Obesity, Physical Activity, Diet
- Cardiac Health and Mental Health
- Nutritional Studies and Diet
- Health and Wellbeing Research
- Air Quality and Health Impacts
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Racial and Ethnic Identity Research
- Eating Disorders and Behaviors
- Sex and Gender in Healthcare
- Climate Change and Health Impacts
Rush University Medical Center
2016-2025
Triangle
2018
Rush University
1999-2016
Cancer Research And Biostatistics
1983-2011
General Department of Preventive Medicine
2006
University of Pittsburgh
2001-2004
Wake Forest University
2004
University of Michigan
2004
Presbyterian St. Luke's Medical Center
1991-2003
St. Luke's Hospital
2002
The expected duration of menopausal vasomotor symptoms (VMS) is important to women making decisions about possible treatments.To determine total frequent VMS (≥ 6 days in the previous 2 weeks) (hereafter duration) during transition, quantify how long persist after final menstrual period (FMP) post-FMP persistence), and identify risk factors for longer persistence.The Study Women's Health Across Nation (SWAN) a multiracial/multiethnic observational study transition among 3302 enrolled at 7 US...
Objective To compare age-adjusted and ethnic differences in prevalences of sleep difficulty at various stages the menopausal transition to determine relative contribution other factors, including vasomotor symptoms, sociodemographics, psychological physical health self-reported middle-aged women. Design A community-based survey women's symptoms was conducted between November 1995 October 1997 each seven US sites participating Study Women's Health Across Nation. multiethnic sample 12,603...
A subpopulation of chronically mentally ill patients, sometimes referred to as "revolving door" are frequently readmitted psychiatric units. This study examined the relationships among demographic features, diagnostic characteristics, and frequency hospitalization patients from four state hospitals.Two semistructured, standardized instruments, Schedule for Affective Disorders Schizophrenia a life events history, were administered 135 inpatients who met Research Diagnostic Criteria...
Background It is unclear whether risk for major depression during the menopausal transition or immediately thereafter increased relative to pre-menopause. We aimed examine odds of experiencing were greater when women peri- post-menopausal compared they pre-menopausal, independent a history at study entry and annual measures vasomotor symptoms (VMS), serum levels of, changes in, estradiol (E2), follicular stimulating hormone (FSH) testosterone (T) relevant confounders. Method Participants...
Examine age-adjusted odds and racial/ethnic differences in self-reported difficulties falling staying asleep early morning awakening midlife women to determine whether difficulty sleeping increased with progression through the menopausal transition.Longitudinal analysis.Community-based.3,045 Caucasian, African American, Chinese, Japanese, Hispanic women, aged 42-52 years pre- or peri-menopausal at baseline, participating Study of Women's Health Across Nation (SWAN).None.Self-reported number...
To examine racial differences in sleep a large cohort of midlife women and to evaluate whether indices socioeconomic status (SES) are associated with sleep. Cross-sectional study. Participants' homes. Caucasian (n = 171), African American 138) Chinese 59). None. Sleep quality was assessed the Pittsburgh Quality Index. Polysomnographically duration, continuity, architecture, NREM electroencephalograhic (EEG) power were calculated over multiple nights. disordered breathing periodic leg...
<h3>Context</h3> The contribution of reproductive hormones to mood has been the focus considerable research. Results from clinical and epidemiological studies have inconsistent. It remains unclear whether alterations in serum hormone levels across menopausal transition are linked depressive symptoms. <h3>Objectives</h3> To evaluate relationship between high symptoms or their change might explain association status with previously reported a national sample midlife women. <h3>Design</h3> A...
Objective Little is known about the risk of anxiety in women during midlife and menopausal transition. We examined as a cluster four symptoms determined association between stage high 10 years follow-up 2,956 multiple race/ethnicities. Methods This study was longitudinal analysis data from multisite Study Women’s Health Across Nation, menopause aging. Women were aged 42 to 52 at entry. The outcome anxiety, with score 4 or greater on sum rated according frequency previous 2 weeks 0 (none)...
Objectives. This study examined the association between psychologic distress and natural menopause in a community sample of African American, White, Chinese, Hispanic, Japanese women participating national women's health study. Methods. A cohort 16 065 aged 40 to 55 years provided information on menstrual regularity previous year, psychosocial factors, health, somatic–psychologic symptoms. Psychologic was defined as feeling tense, depressed, irritable 2 weeks. Results. Rates were highest...
OBJECTIVE—To examine depression and 3-year change in insulin resistance risk of diabetes whether associations vary by race. RESEARCH DESIGN AND METHODS—We analyzed data from 2,662 Caucasian, African-American, Hispanic, Japanese-American, Chinese-American women without a history the Study Women’s Health Across Nation. We estimated regression coefficients odds ratios to determine (Center for Epidemiological Studies Depression Scale score ≥16) predicted increases homeostasis model assessment...
Objectives. We examined racial/ethnic differences in significant depressive symptoms among middle-aged women before and after adjustment for socioeconomic, health-related, psychosocial characteristics. Methods. Racial/ethnic unadjusted adjusted prevalence of (score ≥ 16 on the Center Epidemiologic Studies Depression [CES-D] Scale) were assessed with univariate multiple logistic regressions. Results. Twenty-four percent sample had a CES-D score or higher. Unadjusted varied by race/ethnicity...
The objective was to psychometrically evaluate the Insomnia Symptom Questionnaire (ISQ), a self-report instrument designed establish clinically relevant case definition of insomnia consistent with widely used classification criteria, using methods from classical test theory and item response (IRT).
Ten male patients selected as having sleep apnea predominantly of the obstructive type associated with supine position on their evaluation night were trained for 1 additional to avoid back by wearing a gravity-activated monitor/alarm chest. This device emitted an auditory signal if patient remained more than 15 s. The number apneic events was significantly reduced, episodes significant O2 desaturation. While alarm, index seven within or near normal limits. On follow-up night, only...
Researchers have suggested that poor sleep may play a role in the association between discrimination and health, but studies linking experiences of to are limited. The authors examined associations reports everyday over 4 years (chronic discrimination) subjective objective indicators sleep.
The authors examined the association between self-reported experiences of discrimination and subtypes abdominal fat (visceral, subcutaneous) in a population-based cohort African-American Caucasian women. Prior studies examining associations have yielded mixed results. A major limitation this research has been reliance on waist circumference, which may be poor marker visceral fat, particularly for Participants were 402 (45% African-American, 55% Caucasian) middle-aged women from Chicago,...
Evaluate whether levels of upsetting life events measured over a 9-y period prospectively predict subjective and objective sleep outcomes in midlife women.
We evaluated associations among subjective and objective measures of sleep the metabolic syndrome in a multi-ethnic sample midlife women.
Background Women's vulnerability for a first lifetime-onset of major depressive disorder (MDD) during midlife is substantial. It unclear whether risk factors differ and recurrent MDD. Identifying these can provide more focused depression screening earlier intervention. This study aims to evaluate lifetime psychiatric health histories, personality traits, menopausal status that vary over time, e.g. symptoms, are independent first-onset or MDD across 13 annual follow-ups. Method Four hundred...