Research Topics
| Anne GermainSummaryAffiliation: University of Pittsburgh Country: USA Publications
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Publications
Effects of a brief behavioral treatment for PTSD-related sleep disturbances: a pilot studyAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, PA, USA
Behav Res Ther 45:627-32. 2007..The goal of this pilot study was to explore the effects of a very brief intervention for PTSD-related nightmares and insomnia in victims of violent crimes with PTSD...
Treating complicated grief: effects on sleep qualityAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
Behav Sleep Med 4:152-63. 2006..Given that sleep disturbance is a risk factor for poor health outcomes, adjunctive sleep interventions may be necessary to enhance CGT outcomes...
Clinical correlates of poor sleep quality in posttraumatic stress disorderAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
J Trauma Stress 17:477-84. 2004..Results suggest that age, gender, and psychiatric comorbidity have minimal impact on sleep quality in this PTSD sample. The inclusion of PTSD patients who were not specifically seeking treatment for SD reinforces the study findings...
Diurnal variation in regional brain glucose metabolism in depressionAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
Biol Psychiatry 62:438-45. 2007..This study compared diurnal variation in mood and regional cerebral metabolic rate of glucose (rCMRglc) in depressed and healthy subjects...
Ecological study of sleep disruption in PTSD: a pilot studyAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O Hara Street, Room E 1124, Pittsburgh, PA 15213, USA
Ann N Y Acad Sci 1071:438-41. 2006..These preliminary findings suggest that ambulatory methods can capture objective signs of sleep disruption, and corroborate subjective complaints of disrupted sleep in PTSD...
Sleep quality in complicated griefAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA
J Trauma Stress 18:343-6. 2005..Comorbid depression, but not PTSD, further worsened sleep quality. Further studies are required to investigate the potential role of poor sleep quality as a modifiable risk factor of complicated grief response...
Sleep-specific mechanisms underlying posttraumatic stress disorder: integrative review and neurobiological hypothesesAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O Hara Street, Room E 1124, Pittsburgh, PA 15213, USA
Sleep Med Rev 12:185-95. 2008..Testable hypotheses regarding the neurobiological underpinnings of PTSD across the sleep-wake cycle are offered...
Circadian rhythm disturbances in depressionAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA
Hum Psychopharmacol 23:571-85. 2008..The aim of this article is to review progress in understanding the mechanisms that underlie circadian and sleep rhythms, and their role in the pathogenesis and treatment of depression...
A brief sleep scale for Posttraumatic Stress Disorder: Pittsburgh Sleep Quality Index Addendum for PTSDAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, PA 15213, USA
J Anxiety Disord 19:233-44. 2005..The PSQI-A is a valid instrument for PTSD applicable to both clinical and research settings...
Neurobiology of non-REM sleep in depression: further evidence for hypofrontality and thalamic dysregulationAnne Germain
University of Pittsburgh School of Medicine, Department of Psychiatry, 3811 O Hara St, E 1116, Pittsburgh, PA 15213, USA
Am J Psychiatry 161:1856-63. 2004..The goal of this study was to investigate the functional neuroanatomical correlates of non-REM sleep relative to presleep wakefulness in depressed patients and healthy subjects...
Alterations in regional cerebral glucose metabolism across waking and non-rapid eye movement sleep in depressionEric A Nofzinger
Department of Psychiatry, Western Psychiatric Institute and Clinic, 3811 O Hara Street, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
Arch Gen Psychiatry 62:387-96. 2005..Non-rapid eye movement sleep is associated with decreases in frontal, parietal, and temporal cortex metabolic activity compared with wakefulness...
EEG spectral analysis in primary insomnia: NREM period effects and sex differencesDaniel J Buysse
Neuroscience Clinical and Translational Research Center and Sleep Medicine Institute, University ofPittsburgh School ofMedicine, Pittsburgh, PA, USA
Sleep 31:1673-82. 2008..To compare NREM EEG power in primary insomnia (PI) and good sleeper controls (GSC), examining both sex and NREM period effects; to examine relationships between EEG power, clinical characteristics, and self-reports of sleep...
Functional neuroimaging evidence for hyperarousal in insomniaEric A Nofzinger
Western Psychiatric Institute and Clinic, Sleep Neuroimaging Research Program, Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O Hara St, Pittsburgh, PA 15213 2593, USA
Am J Psychiatry 161:2126-8. 2004..The authors investigated the neurobiological basis of poor sleep and daytime fatigue in insomnia...
Regional brain glucose metabolism during morning and evening wakefulness in humans: preliminary findingsDaniel J Buysse
Department of Psychiatry, University of Pittsburgh School of Medicine, University of Pittsburgh Medical Center, Pennsylvania, USA
Sleep 27:1245-54. 2004..The goal of this pilot study was to examine regional relative brain glucose metabolism during morning and evening wakefulness in healthy humans...
Regional cerebral metabolic correlates of WASO during NREM sleep in insomniaEric A Nofzinger
Western Psychiatric Institute and Clinic, Sleep Neuroimaging Research Program, Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O Hara Street, Pittsburgh, PA 15213 2593, USA
J Clin Sleep Med 2:316-22. 2006..To investigate the non-rapid eye movement (NREM) sleep-related regional cerebral metabolic correlates of wakefulness after sleep onset (WASO) in patients with primary insomnia...
Efficacy of brief behavioral treatment for chronic insomnia in older adultsDaniel J Buysse
Sleep Medicine Institute, Department of Psychiatry, University of Pittsburgh School of Medicine, USA
Arch Intern Med 171:887-95. 2011..Cognitive behavioral treatments are efficacious but not widely available. The aim of this study was to test the efficacy of brief behavioral treatment for insomnia (BBTI) vs an information control (IC) condition...
Increased activation of anterior paralimbic and executive cortex from waking to rapid eye movement sleep in depressionEric A Nofzinger
Department of Psychiatry, University of Pittsburgh School of Medicine, PA 15213 2593, USA
Arch Gen Psychiatry 61:695-702. 2004....
Daytime symptoms in primary insomnia: a prospective analysis using ecological momentary assessmentDaniel J Buysse
Neuroscience Clinical and Translational Research Center, Department of Psychiatry, University of Pittsburgh, School of Medicine, USA
Sleep Med 8:198-208. 2007....
Effects of a brief behavioral treatment for late-life insomnia: preliminary findingsAnne Germain
Department Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
J Clin Sleep Med 2:403-6. 2006..CONCLUSION: BBTI was associated with significant improvements in sleep measures and in daytime symptoms of anxiety and depression. BBTI appears to be a promising intervention for older adults with insomnia...
Psychological stress is associated with heightened physiological arousal during NREM sleep in primary insomniaMartica Hall
Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O Hara Street, Pittsburgh, PA 15213, USA
Behav Sleep Med 5:178-93. 2007..Perceived stress and stress-related avoidance behaviors were associated with multiple indexes of physiological arousal during NREM sleep in patients with chronic, primary insomnia...
Placebo-controlled comparison of prazosin and cognitive-behavioral treatments for sleep disturbances in US Military VeteransAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
J Psychosom Res 72:89-96. 2012..This randomized controlled trial compared the effects of prazosin vs. a behavioral sleep intervention (BSI), targeting nightmares and insomnia against a placebo pill control condition on sleep and daytime symptoms...
Development of short forms from the PROMIS™ sleep disturbance and Sleep-Related Impairment item banksLan Yu
Department of Psychiatry, University of Pittsburgh School of Medicine, USA
Behav Sleep Med 10:6-24. 2011....
Night-to-night sleep variability in older adults with and without chronic insomniaDaniel J Buysse
Sleep Medicine Institute and Neuroscience Clinical and Translational Research Center, Department of Psychiatry, School of Medicine, University of Pittsburgh, PA 15213, USA
Sleep Med 11:56-64. 2010....
Functional neuroanatomical correlates of eye movements during rapid eye movement sleep in depressed patientsAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O Hara Street, E 1116, Pittsburgh, PA 15213, USA
Psychiatry Res 130:259-68. 2004..The observed pattern of correlations suggests that average RC may be a marker of hypofrontality during REM sleep in depressed patients...
A pilot study of subjective daytime alertness and mood in primary insomnia participants using ecological momentary assessmentHelena Levitt
Department of Psychiatry, University of Pittsburgh School of Medicine, PA, USA
Behav Sleep Med 2:113-31. 2004..Coefficients of variation for DSD domains were greater in the insomnia group. Frequent measures of daytime symptoms may be useful outcomes in insomnia studies...
Post-traumatic stress symptoms correlate with smaller subgenual cingulate, caudate, and insula volumes in unmedicated combat veteransRYAN HERRINGA
Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
Psychiatry Res 203:139-45. 2012..PTSS are associated with abnormalities in limbic structures that may underlie the pathophysiology of PTSD. These abnormalities exist on a continuum with PTSS, beyond a diagnosis of PTSD...
Examining initial sleep onset in primary insomnia: a case-control study using 4-second epochsDouglas E Moul
University of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, USA
J Clin Sleep Med 3:479-88. 2007..Conventional scorings in 20-second and 60-second epochs were also obtained...
Clinical management of insomnia with brief behavioral treatment (BBTI)Wendy M Troxel
Department of Psychiatry and Psychology, University of Pittsburgh, PA 15213, USA
Behav Sleep Med 10:266-79. 2012....
Focusing on the experience of insomniaThomas J Carey
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
Behav Sleep Med 3:73-86. 2005..Daytime problems are salient descriptors of the insomnia experience. Assessing the patient's daytime experiences is valued by patients with insomnia and may be used as a benchmark for treatment response...
Development and validation of patient-reported outcome measures for sleep disturbance and sleep-related impairmentsDaniel J Buysse
Department of Psychiatry, University of Pittsburgh School of Medicine, PA, USA
Sleep 33:781-92. 2010....
A quantitative approach to distinguishing older adults with insomnia from good sleeper controlsJessica C Levenson
Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA
J Clin Sleep Med 9:125-31. 2013..The purpose of this study was to identify the optimal quantitative thresholds for actigraphy and sleep diary that differentiate older adults (> 60 years) with insomnia from good sleeper controls...
K-complexes are not preferentially evoked to combat sounds in combat-exposed Vietnam veterans with and without post-traumatic stress disorderPeter L Franzen
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Int J Psychophysiol 83:393-8. 2012....
Insecure attachment is an independent correlate of objective sleep disturbances in military veteransWendy M Troxel
University of Pittsburgh, Department of Psychiatry and Psychology, Pittsburgh, PA, USA
Sleep Med 12:860-5. 2011..This study examines the association between interpersonal attachment styles and sleep in a high-risk cohort of military veterans with PTSD symptoms...
Sleep and circadian rhythms in spousally bereaved seniorsTimothy H Monk
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Chronobiol Int 25:83-98. 2008..However, this disruption does not appear to be due to bereavement-related disruptions in the circadian system...
Psychophysiological reactivity and coping styles influence the effects of acute stress exposure on rapid eye movement sleepAnne Germain
Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
Psychosom Med 65:857-64. 2003..Mediation and moderation models are more informative than traditional bivariate approaches to investigating the relation between stress exposure and sleep alterations...
Chronotype and diurnal patterns of positive affect and affective neural circuitry in primary insomniaBrant P Hasler
Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
J Sleep Res 21:515-26. 2012....
Impact of imagery rehearsal treatment on distressing dreams, psychological distress, and sleep parameters in nightmare patientsAnne Germain
Department of Psychology, University of Montreal
Behav Sleep Med 1:140-54. 2003..The results independently replicate the efficacy of IRT for alleviating disturbing dreams and psychological distress. Sleep improvement may occur later in the recovery process...
Validation of the Pittsburgh Sleep Quality Index Addendum for Posttraumatic Stress Disorder (PSQI-A) in U.S. Male Military VeteransSalvatore P Insana
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
J Trauma Stress 26:192-200. 2013..Assessment of disruptive nocturnal behaviors may provide a cost-effective, nonstigmatizing approach to PTSD screening without directly probing for trauma exposure(s)...
A window into the invisible wound of war: Functional neuroimaging of REM sleep in returning combat veterans with PTSDAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA Electronic address
Psychiatry Res 211:176-9. 2013..Hypermetabolism in brain regions involved in arousal regulation, fear responses, and reward processing persist during REM sleep in combat veterans with PTSD...
Event-related distress in kidney disease patientsSarah Ramer
Department of Medicine, Renal Electrolyte Division, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Nephrol Dial Transplant 27:299-303. 2012..This study aimed to determine the prevalence of stressful life events in CKD and CKD5 patients and identify the factors correlated with high levels of event-related distress...
Early-life trauma is associated with rapid eye movement sleep fragmentation among military veteransSalvatore P Insana
Department of Psychiatry, University of Pittsburgh School of Medicine, PA, USA
Biol Psychol 89:570-9. 2012....
Phase relationships between core body temperature, melatonin, and sleep are associated with depression severity: further evidence for circadian misalignment in non-seasonal depressionBrant P Hasler
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Psychiatry Res 178:205-7. 2010..Two markers of circadian misalignment correlated with depression severity in the depressed group...
Quantitative electroencephalography during rapid eye movement (REM) and non-REM sleep in combat-exposed veterans with and without post-traumatic stress disorderDaniel J Cohen
University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Neuroscience Clinical and Translational Research Center, University of Pittsburgh Medical Center, Pittsburgh, PA, USA Washington and Jefferson College, Washington, PA, USA Departments of Psychiatry and Psychology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
J Sleep Res 22:76-82. 2013....
Predictors of acute posttraumatic stress disorder symptoms following civilian trauma: highest incidence and severity of symptoms after assaultLouis H Alarcon
Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
J Trauma Acute Care Surg 72:629-35; discussion 635-7. 2012..The incidence and risk factors for PTSD are not well described in the civilian trauma population. We proposed to screen all trauma patients in the outpatient trauma clinic for acute PTSD symptoms and identify risk factors for PTSD...
Sleep pathophysiology in posttraumatic stress disorder and idiopathic nightmare sufferersAnne Germain
Sleep Research Center, , , , Canada
Biol Psychiatry 54:1092-8. 2003..Rather, PLMs may be a correlate of processes contributing to intense negative dreaming...
