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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. …


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 …


On The Contribution Of Perceptual Fluency And Priming To Recognition Memory, M. A. Conroy, Ramona O. Hopkins, L. R. Squire Jan 2009

On The Contribution Of Perceptual Fluency And Priming To Recognition Memory, M. A. Conroy, Ramona O. Hopkins, L. R. Squire

Faculty Publications

Repetition priming has been shown to be independent of recognition memory. Thus, the severely amnesic patient E.P. has demonstrated intact stem completion priming and perceptual identification priming, despite at-chance performance on recognition memory tasks. It has also been shown that perceptual fluency can influence feelings of familiarity, in the sense that items perceived more quickly tend to be identified as familiar. If studied items are identified more fluently, due to perceptual priming, and fluency leads to familiarity, why do severely amnesic patients perform no better than chance on recognition memory tasks? One possibility is that severely amnesic patients do not …


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, …


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 …