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Browsing by Author "Dillon, Haley R."

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    Telehealth Cognitive Behavior Therapy for Co-Occurring Insomnia and Depression Symptoms in Older Adults
    (Wiley, 2013) Lichstein, Kenneth L.; Scogin, Forrest; Thomas, S. Justin; DiNapoli, Elizabeth A.; Dillon, Haley R.; McFadden, Anna; University of Alabama Tuscaloosa
    Objective: Telehealth has proven effective with a wide range of disorders, but there is a paucity of data on the use of telehealth using cognitive-behavior therapy (CBT) with late-life insomnia and depression. This pilot study was designed to examine the feasibility and effectiveness of using telehealth to treat older adults with comorbid insomnia and depression living in rural Alabama. Method: Five patients received 10 sessions of CBT for insomnia and depression. Patients were engaged in treatment via Skype from their primary care physician's office. Assessments were conducted at baseline, posttreatment, and 2-month follow-up. Results: Patients exhibited clinically significant improvement in both insomnia (sleep diaries and Insomnia Severity Index) and depression (Hamilton Rating Scale for Depression) at posttreatment, and these gains were well maintained at 2-month follow-up. Conclusions: These preliminary data suggest that telehealth may be an effective means of providing treatment to older adults, including underserved populations. (C) 2013 Wiley Periodicals, Inc.
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    Variability in Self-Reported Normal Sleep Across the Adult Age Span
    (Oxford University Press, 2014-05) Dillon, Haley R.; Lichstein, Kenneth L.; Dautovich, Natalie D.; Taylor, Daniel J.; Riedel, Brant W.; Bush, Andrew J.; University of Alabama Tuscaloosa; University of North Texas System; University of North Texas Denton; University of Tennessee System; University of Tennessee Health Science Center
    Objectives. Illustrate the importance of examining within- and between-person differences in sleep across the adult age span. Method. Two weeks of sleep diary data were analyzed for 592 normal sleepers ranging in age from 20 to 96 years. Variability in total sleep time (TST), number of nighttime awakenings (NWAK), sleep-onset latency (SOL), and wake-time after sleep onset (WASO) were examined overall and by age, sex, and race utilizing multilevel models and multiple regression. Results. Night-to-night differences in sleep within the same individual generally exceeded differences between individuals for TST, SOL, and WASO. The amount of intraindividual variability in TST and NWAK decreased with older age. Further, the degree of reduction in variability in TST associated with age depended on sex and race, with young black females showing the greatest variability. In general, females tended to have more intraindividual variability in SOL and NWAK than males, while race differences were complicated by high variability between blacks. Discussion. To truly assess and understand individual differences in the sleep of older adults, future research needs to take into account night-to-night variability (including what makes sleep vary from one night to the next), in addition to average sleep.