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321 results on '"Kalmbach, David A."'

14. Preliminary evidence of psychological improvements and increased maternal–fetal attachment associated with a mindfulness sleep programme: secondary analysis of uncontrolled data in 11 pregnant women with insomnia disorder.

Author

Kalmbach, David A., Reffi, Anthony N., Ong, Jason C., Cheng, Philip, Walch, Olivia, Pitts, D'Angela S., Seymour, Grace M., Hirata, Mika, Roth, Andrea, Roth, Thomas, and Drake, Christopher L.

Subjects
*PRENATAL bonding, *PREGNANT women, *SECONDARY analysis, *MINDFULNESS, *INSOMNIA, *SLEEP
Abstract

Summary: Treating insomnia during pregnancy improves sleep and depressed mood. However, given well‐established links between poor sleep and a broad spectrum of adverse maternal outcomes, the benefits of insomnia care may reach beyond sleep and depression. The present study evaluated the preliminary efficacy of 'Perinatal Understanding of Mindful Awareness for Sleep' (PUMAS)—a mindfulness sleep programme tailored to pregnancy that combines behavioural sleep strategies and meditation—for enhancing everyday mindfulness and maternal–fetal attachment, as well as for alleviating anxiety, repetitive thinking, and sleep‐related daytime impairment. We conducted a secondary analysis of a single‐arm proof‐of‐concept trial of 11 pregnant women with fifth edition of the Diagnostic and Statistical Manual of Mental Disorders diagnosed insomnia disorder who completed PUMAS (six sessions), which was delivered in an individual format via telemedicine video. Pre‐ and post‐treatment outcomes included the Cognitive and Affective Mindfulness Scale‐Revised (CAMS‐R), Maternal–Fetal Attachment Scale (MFAS), Generalised Anxiety Disorder seven‐item survey (GAD‐7), Perseverative Thinking Questionnaire (PTQ), Daytime Insomnia Symptoms Response Scale (DISRS), and the Patient‐Reported Outcomes Measurement Information System Sleep‐Related Impairment Scale (PROMIS‐SRI). Symptom changes were evaluated with paired‐samples t tests. Results showed PUMAS patients reported large increases in CAMS‐R (Cohen's dz = 1.81) and medium‐large increases in MFAS scores (Cohen's dz = 0.73). Moreover, PUMAS patients reported large reductions in scores on the GAD‐7 (Cohen's dz = 1.09), PTQ (Cohen's dz = 1.26), DISRS (Cohen's dz = 1.38), and PROMIS‐SRI (Cohen's dz = 1.53). Preliminary evidence suggests that a mindfulness‐based perinatal sleep programme may benefit several domains of maternal wellbeing beyond sleep and depression. PUMAS substantially enhanced patient ratings of everyday mindfulness and maternal–fetal attachment, while reporting alleviations in anxiety, perseverative thinking, insomnia‐focused rumination, and sleep‐related daytime impairment. [ABSTRACT FROM AUTHOR]

Published
2024
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15. Preliminary evidence of psychological improvements and increased maternal–fetal attachment associated with a mindfulness sleep programme: secondary analysis of uncontrolled data in 11 pregnant women with insomnia disorder

Author

Kalmbach, David A., primary, Reffi, Anthony N., additional, Ong, Jason C., additional, Cheng, Philip, additional, Walch, Olivia, additional, Pitts, D'Angela S., additional, Seymour, Grace M., additional, Hirata, Mika, additional, Roth, Andrea, additional, Roth, Thomas, additional, and Drake, Christopher L., additional

Published
2023
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16. Reducing cognitive arousal and sleep effort alleviates insomnia and depression in pregnant women with DSM-5 insomnia disorder treated with a mindfulness sleep program

Author

Kalmbach, David A, primary, Cheng, Philip, additional, Reffi, Anthony N, additional, Ong, Jason C, additional, Swanson, Leslie M, additional, Espie, Colin A, additional, Seymour, Grace M, additional, Hirata, Mika, additional, Walch, Olivia, additional, Pitts, D’Angela S, additional, Roth, Thomas, additional, and Drake, Christopher L, additional

Published
2023
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31. Burden of sleep disturbance in non-Hispanic Black pregnant women

Author

White, Kaylin M., Dunietz, Galit L., Pitts, D’Angela S., Kalmbach, David A., Lucchini, Maristella, and O’Brien, Louise M.

Subjects
Male, Sleep Wake Disorders, Pulmonary and Respiratory Medicine, Snoring, Infant, Newborn, Disorders of Excessive Somnolence, Scientific Investigations, Pregnancy Complications, Neurology, Pregnancy, Sleep Initiation and Maintenance Disorders, Humans, Female, Pregnant Women, Neurology (clinical), Sleep
Abstract

STUDY OBJECTIVES: Non-Hispanic Black pregnant women disproportionately experience poor perinatal outcomes compared to other racial/ethnic groups. Sleep disruption has emerged as a risk factor for adverse pregnancy outcomes, but there are limited data in minority pregnant women. We examined the prevalence of habitual snoring and its timing of onset with several key sleep-wake disturbances and their associations with perinatal outcomes in a cohort of non-Hispanic Black pregnant women. METHODS: Non-Hispanic Black pregnant women in their third trimester were recruited from a large academic medical center and screened for habitual snoring and its timing relative to pregnancy, along with sleep quality, symptoms of insomnia, excessive daytime sleepiness, and daytime function. Clinical diagnoses of hypertensive disorders of pregnancy were obtained along with delivery outcomes. RESULTS: In 235 women, the vast majority (80%) reported 3 or more sleep-wake disturbances, and almost half had at least 5 disturbances. Sixteen percent reported prepregnancy snoring and 20% reported pregnancy-onset snoring. Women with pregnancy-onset snoring had significantly increased odds of poor sleep quality (adjusted odds ratio [aOR] = 8.2), trouble staying asleep (aOR = 3.6), waking up too early (aOR = 2.7), excessive daytime sleepiness (aOR = 2.3), and poor daytime function (aOR = 8.7) but no relationship with perinatal outcomes. In contrast, prepregnancy snoring was related to chronic hypertension, preterm delivery, and fetal growth restriction (aOR = 2.6, aOR = 2.8, and aOR = 5.1, respectively). CONCLUSIONS: Sleep-wake disturbances confer a significant burden to pregnant non-Hispanic Black women, an infrequently studied yet disproportionately affected population. Contributions of maternal sleep to racial disparities in perinatal health should be a priority for public health research. CITATION: White KM, Dunietz GL, Pitts DS, Kalmbach DA, Lucchini M, O’Brien LM. Burden of sleep disturbance in non-Hispanic Black pregnant women. J Clin Sleep Med. 2022;18(5):1319–1325.

Published
2022

32. Mindfulness-based therapy for insomnia alleviates insomnia, depression, and cognitive arousal in treatment-resistant insomnia: A single-arm telemedicine trial

Author

Kalmbach, David A., primary, Cheng, Philip, additional, Ong, Jason C., additional, Reffi, Anthony N., additional, Fresco, David M., additional, Fellman-Couture, Cynthia, additional, Ruprich, Melissa K., additional, Sultan, Zain, additional, Sagong, Chaewon, additional, and Drake, Christopher L., additional

Published
2023
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38. Improved resilience following digital cognitive behavioral therapy for insomnia protects against insomnia and depression one year later.

Author

Cheng, Philip, Kalmbach, David A., Hsieh, Hsing-Fang, Castelan, Andrea Cuamatzi, Sagong, Chaewon, and Drake, Christopher L.

Subjects
*INSOMNIA treatment, *PREVENTION of mental depression, *STRUCTURAL equation modeling, *TREATMENT effectiveness, *RANDOMIZED controlled trials, *SLEEP, *DISEASE relapse, *DESCRIPTIVE statistics, *RESEARCH funding, *INSOMNIA, *STATISTICAL sampling, *RUMINATION (Cognition), *SENSITIVITY & specificity (Statistics), *PSYCHOLOGICAL resilience, *COGNITIVE therapy, *TELEMEDICINE, *PSYCHOLOGICAL stress
Abstract

Background: While the negative consequences of insomnia are well-documented, a strengths-based understanding of how sleep can increase health promotion is still emerging and much-needed. Correlational evidence has connected sleep and insomnia to resilience; however, this relationship has not yet been experimentally tested. This study examined resilience as a mediator of treatment outcomes in a randomized clinical trial with insomnia patients. Methods: Participants were randomized to either digital cognitive behavioral therapy for insomnia (dCBT-I; n = 358) or sleep education control (n = 300), and assessed at pre-treatment, post-treatment, and 1-year follow-up. A structural equation modeling framework was utilized to test resilience as a mediator of insomnia and depression. Risk for insomnia and depression was also tested in the model, operationalized as a latent factor with sleep reactivity, stress, and rumination as indicators (aligned with the 3-P model). Sensitivity analyses tested the impact of change in resilience on the insomnia relapse and incident depression at 1-year follow-up. Results: dCBT-I resulted in greater improvements in resilience compared to the sleep education control. Furthermore, improved resilience following dCBT-I lowered latent risk, which was further associated with reduced insomnia and depression at 1-year follow-up. Sensitivity analyses indicated that each point improvement in resilience following treatment reduced the odds of insomnia relapse and incident depression 1 year later by 76% and 65%, respectively. Conclusions: Improved resilience is likely a contributing mechanism to treatment gains following insomnia therapy, which may then reduce longer-term risk for insomnia relapse and depression. [ABSTRACT FROM AUTHOR]

Published
2023
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45. Sleep to Reduce Incident Depression Effectively (STRIDE): Study protocol for a randomized controlled trial comparing stepped-care cognitive behavioral therapy for insomnia versus sleep education control to prevent major depression.

Author

Drake, Christopher L, primary, Kalmbach, David A, additional, Cheng, Philip, additional, Ahmedani, Brian K, additional, Peterson, Edward L, additional, Joseph, Christine LM, additional, Roth, Thomas, additional, Kidwell, Kelley M, additional, and Sagong, Chaewon, additional

Published
2022
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