Anne Germain
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View article: 0542 Early Findings from a Non-Inferiority Trial Comparing Traditional vs. Provider-Guided Asynchronous Digital CBTI
0542 Early Findings from a Non-Inferiority Trial Comparing Traditional vs. Provider-Guided Asynchronous Digital CBTI Open
Introduction CBTI is the first-line recommended treatment for insomnia. However, the impracticability of CBTI protocols in real-world clinical settings and the scarcity of trained providers create significant CBTI capability gaps. This ong…
View article: 0561 Insomnia Treatment for Anti-Suicidal Response Is Associated with Lower Perceived Stigma and Posttreatment Improvements in Hope: An Open-Label Trial
0561 Insomnia Treatment for Anti-Suicidal Response Is Associated with Lower Perceived Stigma and Posttreatment Improvements in Hope: An Open-Label Trial Open
Introduction Suicide has emerged as a public health emergency, but selective treatments remain scarce and unacceptable to those high in need. Perceived stigma represents a central barrier to treatment and thus prevention, but has yet to be…
View article: 0395 Effectiveness of a Digital Clinical Decision Support Platform to Augment CBTI Capability Gaps in the DHA/DoD
0395 Effectiveness of a Digital Clinical Decision Support Platform to Augment CBTI Capability Gaps in the DHA/DoD Open
Introduction Insomnia is the most prevalent sleep disorder among active duty service members (ADSMs) and compromises readiness. Cognitive-behavioral therapy for insomnia (CBTI) is the DoD/VA recommended treatment, but access and delivery o…
View article: Survey of Resources in Behavioral Sleep Medicine Across the Department of Defense, Defense Health Agency
Survey of Resources in Behavioral Sleep Medicine Across the Department of Defense, Defense Health Agency Open
Introduction Insomnia affects approximately 40% of active duty service members and adversely affects health, readiness, and safety. The VA/DoD Clinical Practice Guideline for the management of insomnia recommends cognitive-behavioral treat…
View article: Digital CBTI Hubs as a Treatment Augmentation Strategy in Military Clinics: Study Protocol for a Pragmatic Randomized Clinical Trial
Digital CBTI Hubs as a Treatment Augmentation Strategy in Military Clinics: Study Protocol for a Pragmatic Randomized Clinical Trial Open
• Background Chronic insomnia is the most prevalent sleep disorder among military service members, and it compromises readiness, performance, and physical and mental health. Cognitive Behavioral Treatment for Insomnia (CBTI) is the standar…
View article: Reduction of Sleep Medications via a Combined Digital Insomnia and Pharmacist-Led Deprescribing Intervention: Protocol for a Feasibility Trial
Reduction of Sleep Medications via a Combined Digital Insomnia and Pharmacist-Led Deprescribing Intervention: Protocol for a Feasibility Trial Open
Background Chronic insomnia is one of the most common health problems among veterans and negatively impacts their health, function, and quality of life. Although cognitive behavioral therapy for insomnia (CBT-I) is the first-line recommend…
View article: Prototyping Apps for the Management of Sleep, Fatigue, and Behavioral Health in Austere Far-Forward Environments: Development Study
Prototyping Apps for the Management of Sleep, Fatigue, and Behavioral Health in Austere Far-Forward Environments: Development Study Open
Background Military service inherently includes frequent periods of high-stress training, operational tempo, and sustained deployments to austere far-forward environments. These occupational requirements can contribute to acute and chronic…
View article: Development of Training to Prepare Army Medics to Address Behavioral Health Needs of Soldiers in Far-Forward Environments Utilizing Mobile App Technology
Development of Training to Prepare Army Medics to Address Behavioral Health Needs of Soldiers in Far-Forward Environments Utilizing Mobile App Technology Open
Introduction Multi-domain operational combat environments will likely restrict key components of current behavioral health (BH) service delivery models. Combat teams in far-forward outposts or extended missions may need to rely on their ow…
View article: Military tactical adaptive decision making during simulated military operational stress is influenced by personality, resilience, aerobic fitness, and neurocognitive function
Military tactical adaptive decision making during simulated military operational stress is influenced by personality, resilience, aerobic fitness, and neurocognitive function Open
Laboratory-based studies designed to mimic combat or military field training have consistently demonstrated deleterious effects on warfighter’s physical, cognitive, and emotional performance during simulated military operational stress (SM…
View article: A longitudinal assessment of posttraumatic stress symptoms and pain catastrophizing after injury.
A longitudinal assessment of posttraumatic stress symptoms and pain catastrophizing after injury. Open
These novel findings highlight that injured Black patients may be vulnerable to post-injury PC, and that both PTSSrecall and PTSSpost significantly predict post-injury PC. Brief PTSS assessment in the ED can identify high-risk patients who…
View article: Prototyping Apps for the Management of Sleep, Fatigue, and Behavioral Health in Austere Far-Forward Environments: Development Study (Preprint)
Prototyping Apps for the Management of Sleep, Fatigue, and Behavioral Health in Austere Far-Forward Environments: Development Study (Preprint) Open
BACKGROUND Military service inherently includes frequent periods of high-stress training, operational tempo, and sustained deployments to austere far-forward environments. These occupational requirements can contribute to acute and chroni…
View article: 0341 Digital Health Technology to Support Autonomous Sleep Monitoring and Management in Multi-Domain Operational (MDO) Environments
0341 Digital Health Technology to Support Autonomous Sleep Monitoring and Management in Multi-Domain Operational (MDO) Environments Open
Introduction Sleep and fatigue management strategies can substantially impact the Armed Forces’ readiness and fitness. These strategies can be implemented with behavioral health personnel and Wi-Fi connectivity to support real-time assessm…
View article: 0295 Subjective alertness, behavioral alertness, and perception-action coupling reflect distinct aspects of neurobehavioral resilience during simulated military operational stress
0295 Subjective alertness, behavioral alertness, and perception-action coupling reflect distinct aspects of neurobehavioral resilience during simulated military operational stress Open
Introduction Despite exposure to operational stressors (e.g., sleep loss, caloric restriction), military personnel must maintain different aspects of neurobehavioral function (i.e., subjective alertness, behavioral alertness, perception-ac…
View article: Childhood Threat Is Associated With Lower Resting-State Connectivity Within a Central Visceral Network
Childhood Threat Is Associated With Lower Resting-State Connectivity Within a Central Visceral Network Open
Childhood adversity is associated with altered or dysregulated stress reactivity; these altered patterns of physiological functioning persist into adulthood. Evidence from both preclinical animal models and human neuroimaging studies indic…
View article: Investigating the insomnia severity spectrum using the Pittsburgh Insomnia Rating Scale (PIRS)
Investigating the insomnia severity spectrum using the Pittsburgh Insomnia Rating Scale (PIRS) Open
To understand how a population natively conceptualizes insomnia along with related mental health and related disabilities, understanding how an insomnia severity spectrum operates in any given population will be a goal for sleep epidemiolo…
View article: A trait of mind: stability and robustness of sleep across sleep opportunity manipulations during simulated military operational stress
A trait of mind: stability and robustness of sleep across sleep opportunity manipulations during simulated military operational stress Open
Study Objectives Within-subject stability of certain sleep features across multiple nights is thought to reflect the trait-like behavior of sleep. However, to be considered a trait, a parameter must be both stable and robust. Here, we exam…
View article: The role of specific sources of social support on postinjury psychological symptoms.
The role of specific sources of social support on postinjury psychological symptoms. Open
MVC-related injuries are robust contributors to psychological sequelae. These findings extend prior work by highlighting that perceived social support, particularly from significant others and friends, provides unique information regarding…
View article: Development and Validation of Computerized Adaptive Assessment Tools for the Measurement of Posttraumatic Stress Disorder Among US Military Veterans
Development and Validation of Computerized Adaptive Assessment Tools for the Measurement of Posttraumatic Stress Disorder Among US Military Veterans Open
Using a maximum of only 6 items, the CAD-PTSD developed in this study was shown to have excellent diagnostic screening accuracy. Similarly, using a mean of 10 items, the CAT-PTSD provided valid severity ratings with excellent convergent va…
View article: 540 Age Trends in Sleep Across the Lifespan: Findings from the Pittsburgh Lifespan Sleep Databank
540 Age Trends in Sleep Across the Lifespan: Findings from the Pittsburgh Lifespan Sleep Databank Open
Introduction Sleep continuously changes over the human lifespan and it does so across multiple dimensions, including duration, timing, efficiency, and variability. Although studies focused on specific developmental periods have shown age-r…
View article: 126 Exposure to simulated military operational stress decreases alertness in the morning but not the evening
126 Exposure to simulated military operational stress decreases alertness in the morning but not the evening Open
Introduction Alertness, essential for optimal performance, may be modulated by acute stressors including: sleep loss, caloric restriction, cognitive load, and physical exertion. Prior sleep may attenuate sleep loss-related alertness decrem…
View article: Opposing relationships of childhood threat and deprivation with stria terminalis white matter
Opposing relationships of childhood threat and deprivation with stria terminalis white matter Open
While stress may be a potential mechanism by which childhood threat and deprivation influence mental health, few studies have considered specific stress‐related white matter pathways, such as the stria terminalis (ST) and medial forebrain …
View article: Enhancing behavioral sleep care with digital technology: study protocol for a hybrid type 3 implementation-effectiveness randomized trial
Enhancing behavioral sleep care with digital technology: study protocol for a hybrid type 3 implementation-effectiveness randomized trial Open
Background Insomnia affects almost one in four military service members and veterans. The first-line recommended treatment for insomnia is cognitive-behavioral therapy for insomnia (CBTI). CBTI is typically delivered in-person or online ov…
View article: Identification of Veterans With PTSD Based on EEG Features Collected During Sleep
Identification of Veterans With PTSD Based on EEG Features Collected During Sleep Open
Background: Previously, we identified sleep-electroencephalography (EEG) spectral power and synchrony features that differed significantly at a population-average level between subjects with and without posttraumatic stress disorder (PTSD)…
View article: A Pilot Randomized Controlled Trial of the PTSD Coach App Following Motor Vehicle Crash–related Injury
A Pilot Randomized Controlled Trial of the PTSD Coach App Following Motor Vehicle Crash–related Injury Open
Objective Posttraumatic stress disorder (PTSD) symptoms (PTSS) are common after minor injuries and can impair recovery. We sought to understand whether an evidence‐based mobile phone application with self‐help tools (PTSD Coach) could be u…