Browsing by Author "Scogin, Forrest"

Now showing 1 - 7 of 7
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    Affective mediators of the association between pleasant events and global sleep quality in community-dwelling adults
    (Springer, 2016) Tighe, Caitlan A.; Shoji, Kristy D.; Dautovich, Natalie D.; Lichstein, Kenneth L.; Scogin, Forrest; University of Alabama Tuscaloosa
    This study explored the association of engagement in pleasant events and global sleep quality, as well as examined the intermediary roles of positive affect and depressive symptoms in this association. Data were derived from the Midlife in the United States-II study. The sample consisted of 1054 community-dwelling adults. Participants completed the Pittsburgh Sleep Quality Index and indicated the frequency and enjoyableness of experiences on a positive events scale. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale. Positive affect was measured using the Mood and Symptoms Questionnaire. Regression analyses indicated more frequent engagement in pleasant events was associated with better global sleep quality. Depressive symptoms, but not positive affect, partially mediated the association between pleasant events and global sleep quality. The findings suggest that behavioral engagement in pleasant events may be related to global sleep quality via depressive symptoms, but not positive affect. These findings highlight the potential for engagement in pleasant activities to influence both mood and sleep.
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    Effects of Home-Delivered Cognitive Behavioral Therapy (CBT) for Depression on Anxiety Symptoms among Rural, Ethnically Diverse Older Adults
    (Routledge, 2017) DiNapoli, Elizabeth A.; Pierpaoli, Christina M.; Shah, Avani; Yang, Xin; Scogin, Forrest; US Department of Veterans Affairs; Veterans Health Administration (VHA); VA Pittsburgh Healthcare System; University of Pittsburgh; University of Alabama Tuscaloosa
    Background: We examined the effects of home-delivered cognitive-behavioral therapy (CBT) for depression on anxiety symptoms in an ethnically diverse, low resource, and medically frail sample of rural, older adults.Method: This was a secondary analysis of a randomized clincial trial with 134 rural-dwelling adults 65years and older with decreased quality of life and elevated psychological symptomatology. Anxiety symptoms were assessed with the anxiety and phobic anxiety subscales of the Symptom Checklist-90-Revised (SCL-90-R).Results: Compared to a minimal support control condition, CBT for depression resulted in significantly greater improvements in symptoms of anxiety and phobic anxiety from pre-treatment to post-treatment.Conclusion: Home-delivered CBT for depression can be an effective treatment for anxiety in a hard-to-reach older populations.Clinical Implications: Additional research should explore integrated anxiety and depression protocols and other treatment modalities, including bibliotherapy or telehealth models of CBT, to reduce costs associated with its in home delivery. Flexibility in administration and adaptations to the CBT protocol may be necessary for use with vulnerable, rural older adults.
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    Effects of Integrated Telehealth-Delivered Cognitive-Behavioral Therapy for Depression and Insomnia in Rural Older Adults
    (American Psychological Association, 2018) Scogin, Forrest; Lichstein, Kenneth; DiNapoli, Elizabeth A.; Woosley, Julie; Thomas, S. Justin; LaRocca, Michael A.; Byers, Haley D.; Mieskowski, Lisa; Parker, Christina Pierpaoli; Yang, Xin; Parton, Jason; McFadden, Anna; Geyer, James D.; University of Alabama Tuscaloosa; US Department of Veterans Affairs; Veterans Health Administration (VHA); VA Pittsburgh Healthcare System; University of Alabama Birmingham; VA Palo Alto Health Care System; Kaiser Permanente; Permanente Medical Groups
    We examined the effects of integrated cognitive-behavioral therapy for depression and insomnia (CBT-D + CBT-I, respectively) delivered via videoconference in rural middle-aged and older adults. Forty patients with depressive and insomnia symptoms were randomized to receive either 10 sessions of CBT-D + CBT-I or usual care (UC). Patients in the integrated CBT condition were engaged in telehealth treatment through Skype at their primary care clinic. Assessments were conducted at baseline, posttreatment, and 3-month follow-up. CBT-D + CBT-I participants had significantly greater improvements in sleep at posttreatment and 3-month follow-up as compared with the UC participants. The Time + Group interaction for depression was not significant; participants in both the CBT-D + CBT-I and UC conditions showed a decrease in depressive symptoms over time. Although integrated CBT benefits both depression and insomnia symptoms, its effects on depression are more equivocal. Further research should consider expanding the depression treatment component of integrated CBT to enhance effectiveness.
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    Expanding on Rowe and Kahn's model of successful aging through an examination of the associations between affective functioning, global sleep quality, and global cognition among adults
    (University of Alabama Libraries, 2019) Condeelis, Kristen; Crowther, Martha; University of Alabama Tuscaloosa
    Previous research includes various conceptualizations of the successful aging process as it relates to adult functioning. Specifically, Rowe and Kahn's (1997) model of successful aging includes: 1) low probability of disease and disease-related disability; 2) high cognitive and physical functional capacity; and 3) active engagement with life. The aforementioned model applies primarily to later adulthood and fails to consider other important components of the successful aging process for adults (i.e., global sleep quality and affective functioning). This project used a lifespan perspective, which included global sleep quality and affective functioning, to expand on Rowe and Kahn's (1997) model of successful aging and to better understand successful aging across adulthood. To address these objectives, interrelationships between global cognition, global sleep quality, and affective functioning were examined within a nationally representative sample of community-dwelling adults (ages 34 to 84) from the Midlife in the United States Study-II (MIDUS-II). A secondary data analysis was performed using wave two data from MIDUS-II's Cognitive and Biomarker Projects. The Positive Affect Scale, Negative Affect Scale, Pittsburgh Sleep Quality Inventory, and Brief Test of Adult Cognition by Telephone were used to measure this project's constructs of interest. A General Linear Modeling approach (i.e., ANOVA) was used for data analyses, and age was examined as a moderating variable. The results of the primary analyses suggest that when younger adults were compared to older adults: 1) age did not moderate the positive affect-global cognition association, [F(1, 927)=0.22, p=0.64]; 2) the positive affect-global sleep quality association, [F(1, 927)=1.95, p=0.16]; 3) the negative affect-global sleep quality association, [F(1, 928)=2.13, p=0.15]; or 4) the global sleep quality-global cognition association, [F(1, 1042)=3.66, p=0.06]; 5) However, age moderated the negative affect-global cognition association, [F(1, 928)=5.85, p=0.02]. Exploratory analyses indicated that education level moderated the positive affect-global sleep quality association, [F(10, 906)=3.32, p<0.001], as did self-evaluated health status, [F(4, 918)=2.43, p=0.05], and self-evaluated physical health status, [F(4, 921)=3.60, p=0.01]. Self-evaluated physical health status moderated the global sleep quality-global cognition association, [F(4, 925)=2.73, p=0.03]. Results suggest that future research in this area may be warranted to help enhance understanding of the successful aging process across adulthood.
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    Memory and Cancer: A Review of the Literature
    (WB Saunders, 2014) McDougall, Graham J., Jr.; Oliver, JoAnn S.; Scogin, Forrest; University of Alabama Tuscaloosa
    The mental health of cancer survivors has not always been the primary emphasis of treatment protocols since physical health outcomes have taken precedence. Older cancer survivors experience a double jeopardy since they are at risk for memory impairments and mild cognitive impairment and because they are greater than 55 years of age. Of the 9.6 million cancer survivors in the US who have completed active treatment, many report cognitive difficulties, with labels such as "chemo brain," "not as sharp," "woolly-headedness," or the "mind does not work as quickly". To date, most of our knowledge of cognitive impairment in cancer survivors comes from female breast cancer survivors. Studies indicate that these survivors have diminished executive function, verbal memory, and motor function. Cancer survivors want to live independently in the community for as long as possible however, these cognitive deficits may prevent this desired lifestyle. To broaden our understanding this paper reviews the literature on the cognitive impairment and memory deficits experienced by three groups of cancer survivors breast, colorectal, and prostate cancer, that make up 60% of all survivors nationally. Even though mental health declined after a cancer diagnosis, the long-term outcomes of cancer survivors did not differ from persons without cancer in depression or cognitive function. (C) 2014 Elsevier Inc. All rights reserved.
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    mSocial Workers as Research Psychotherapists in an Investigation of Cognitive Behavioral Therapy among Rural Older Adults
    (Oxford University Press, 2013) Shah, Avani; Scogin, Forrest; Presnell, Andrew; Morthland, Martin; Kaufman, Allan V.; University of Alabama Tuscaloosa
    This is a report on the treatment fidelity of in-home cognitive-behavioral therapy (CBT) delivered by a sample of clinically trained, master's-level social workers to a group of primarily rural, medically frail older adults as part of the Project to Enhance Aged Rural Living (PEARL) clinical trial. The social workers in this study received brief didactic and experiential CBT training. Audiotaped sessions were randomly selected and evaluated by independent reviewers. Results showed that the social workers adequately delivered CBT as measured by the Cognitive Therapy Scale. Older adult participants also evidenced pre-posttreatment improvements, suggesting that the social workers' delivery of CBT facilitated improvement.
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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.