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Treatment Of Late-Life Insomnia, Christina S. Mccrae Phd, Joseph M. Dzierzewski Ms, Daniel Kay Dec 2009

Treatment Of Late-Life Insomnia, Christina S. Mccrae Phd, Joseph M. Dzierzewski Ms, Daniel Kay

Faculty Publications

Insomnia, defined as difficulty initiating and/or maintaining sleep at least 3 nights/week that is accompanied by complaints of sleep-related daytime impairment 1, 2, is the most common sleep disturbance in later life. Although insomnia can occur as an acute disorder (7 days or less), older adults are often afflicted with chronic insomnia (12 months or more3 ). Additionally, insomnia in older individuals is most frequently co-morbid in nature, occurring in the context of age-related medical/psychiatric conditions, increased medication usage, and/or polypharmacy. This chapter will focus on the conceptualization, assessment and treatment of late-life insomnia from a behavioral sleep medicine perspective. …


Hostility And Anger In: Cardiovascular Reactivity And Recovery To Mental Arithmetic Stress., Elizabeth J. Vella, Bruce H. Friedman Jun 2009

Hostility And Anger In: Cardiovascular Reactivity And Recovery To Mental Arithmetic Stress., Elizabeth J. Vella, Bruce H. Friedman

Faculty Publications

Hostility and anger have been attributed as psychosocial risk factors for coronary heart disease. Heightened cardiovascular reactivity (CVR), and poor recovery, to provocative stressors are thought to hasten this risk. Purpose: To examine the relationship between hostility and anger inhibition (AI), and the moderating situational influences of harassment and evaluation, in predicting CVR and recovery to mental arithmetic (MA) stress using a multiple regression approach.


Longitudinal Changes In Global Brain Volume Between 79 And 409 Days After Traumatic Brain Injury: Relationship With Duration Of Coma, Mehul A. Trivedi, Michael A. Ward, Timothy M. Hess, Shawn D. Gale, Robert J. Dempsey, Howard A. Rowley, Sterling C. Johnson Jan 2009

Longitudinal Changes In Global Brain Volume Between 79 And 409 Days After Traumatic Brain Injury: Relationship With Duration Of Coma, Mehul A. Trivedi, Michael A. Ward, Timothy M. Hess, Shawn D. Gale, Robert J. Dempsey, Howard A. Rowley, Sterling C. Johnson

Faculty Publications

Neuropathological and experimental animal studies indicate that traumatic brain injury (TBI) results in long-term, neurodegenerative changes. Structural image evaluation using normalization of atrophy (SIENA) offers an automated analysis of the subtle changes in percent brain volume change (%BVC) associated with TBI. In the present study, SIENA was used to evaluate %BVC in individuals who had sustained a mild to severe TBI. We obtained 3D-T1 weighted anatomical MRI scans approximately 79 days and again 409 days post-injury. TBI patients (n= 37) displayed significantly greater decline in %BVC (-1.43%) relative to a normal comparison group (+ 0.1%, n=30). Greater %BVC was associated …


Does A Gatekeeper Suicide Prevention Program Work In A School Setting? Evaluating Training Outcome And Moderators Of Effectiveness, Tanya L. Tompkins, Jody Witt, Nadia Abraibesh Jan 2009

Does A Gatekeeper Suicide Prevention Program Work In A School Setting? Evaluating Training Outcome And Moderators Of Effectiveness, Tanya L. Tompkins, Jody Witt, Nadia Abraibesh

Faculty Publications

The current study sought to evaluate the suicide prevention gatekeeper training program QPR (Question, Persuade, and Refer) among school personnel using a non-equivalent control group design. Substantial gains were demonstrated from pre- to post-test for attitudes, knowledge, and beliefs regarding suicide and suicide prevention. Exploratory analyses revealed the possible moderating effects of age, professional role, prior training, and recent contact with suicidal youth on QPR participants’ general knowledge, questioning, attitudes toward suicide and suicide prevention, QPR quiz scores, and self-efficacy. The need for replication using a more rigorous experimental design in the context of strong community collaboration is discussed.


Do Emotions Have Distinct Vocal Profiles? A Study Of Idiographic Patterns Of Expression, Bruce L. Brown, Matthew M. Spackman, Sean Otto Jan 2009

Do Emotions Have Distinct Vocal Profiles? A Study Of Idiographic Patterns Of Expression, Bruce L. Brown, Matthew M. Spackman, Sean Otto

Faculty Publications

Research on vocal expressions of emotion indicates that persons can identify emotions from voice with relatively high accuracy rates. In addition, fairly consistent vocal profiles for specific emotions have been identified. However, important methodological issues remain to be addressed. In this paper, we address the issue of whether there are individual differences in the manner in which particular emotions may be expressed vocally and whether trained speakers’ portrayals of emotion are in some sense superior to untrained speakers’ portrayals. Consistent support was found for differences across speakers in the manner in which they expressed the same emotions. No accompanying relationship …


Social Ties And Cardiovascular Function: An Examination Of Relationship Positivity And Negativity During Stress, Wendy C. Birmingham, Bert N. Uchino, Timothy W. Smith, Kathy C. Light, David M. Sanbonmatsu Jan 2009

Social Ties And Cardiovascular Function: An Examination Of Relationship Positivity And Negativity During Stress, Wendy C. Birmingham, Bert N. Uchino, Timothy W. Smith, Kathy C. Light, David M. Sanbonmatsu

Faculty Publications

The quality and quantity of one’s relationships have been reliably linked to morbidity and mortality. More recently, studies have focused on links between relationships and cardiovascular reactivity as a physiological mechanism via the stress-buffering hypothesis. However, not all social relationships are consistently positive which points to the importance of a more comprehensive examination of relationship that includes negative qualities. In this study, we manipulated relationship positivity and negativity with an experimenter and examined its influence on cardiovascular reactivity. Results revealed that relationship positivity was associated with lower systolic blood pressure (SBP) reactivity for men and women. Relationship negativity, on the …


Multiple Pathways To Functional Impairment In Obsessive–Compulsive Disorder, Scott A. Baldwin, Yeraz Markarian, Michale J. Larson, Mirela A. Aldea, Daniel Good, Arjan Berkeljon, Tanya K. Murphy, Eric A. Storch, Dean Mckay Jan 2009

Multiple Pathways To Functional Impairment In Obsessive–Compulsive Disorder, Scott A. Baldwin, Yeraz Markarian, Michale J. Larson, Mirela A. Aldea, Daniel Good, Arjan Berkeljon, Tanya K. Murphy, Eric A. Storch, Dean Mckay

Faculty Publications

Obsessive–compulsive disorder (OCD) is a chronic and debilitating condition that is relatively common in both children and adults, and it is associated with a wide range of functional impairments. Mental health researchers and practitioners have placed considerable attention on OCD over the past two decades, with the goal of advancing treatment and understanding its etiology. Until recently, it was unknown to what extent this disorder was associated with functional impairment. However, recent research shows that the condition has significant social and occupational liabilities. This article discusses etiology, common symptom presentations (including comorbid and ancillary symptoms), basic OCD subtypes, neuropsychological functioning, …