Furthermore, it is a non-pharmaceutical approach, thereby offering an alternative to potentially harmful and addictive regimens. Given the relatively high prevalence of mTBI in younger veterans and the high co-occurrence of sleep disturbance with both mTBI and psychiatric disorders such as depression and PTSD, this is an important study that could potentially benefit many veterans in VA care. Significance: To date, there are no studies of CBT-I in this population. These training goals and the approach described are appropriate. He will accomplish this through a combination of mentoring, coursework, and attendance at local conferences and national meetings. Orff proposes a training program which will consist of clinical sleep training, TBI training, RCT training, and professional development training. Shahrokh Golshan, PhD, will provide biostatistics mentoring at 3% time. She has had a distinguished career and will meet with Dr. She is certified in Behavioral Sleep Medicine. She is Professor Emeritus of Psychiatry and Medicine at UCSD and Director of the Gillin Sleep and Chronomedicine Research Center. Sonia Ancoli-Israel, PhD., will serve as a mentor for behavioral sleep medicine and professional development. She will meet with the candidate monthly and devote 5% time. She is well published and has good mentoring experience. She is the co-director of the UCSD/VA psychology internship program. She is the Director of TBI Cognitive Rehabilitation at the VA San Diego and an Assistant Professor of Psychiatry at UCSD. Amy Jak, PhD, will serve as the mentor for mTBI and neuropsychology. Orff by phone or skype and devote 5% time. He is well published and also has good mentoring experience. He focuses on insomnia and is a national trainer for CBT-I. He is the Director of the Behavioral Sleep Medicine Program at the Philadelphia VAMC and Assistant Professor of Psychology in Psychiatry at U. ![]() Philip Gehrman, PhD, will be the mentor for CBT-I and treatment fidelity. She is well funded and published and has good mentoring experience. She has developed and tested two interventions for veterans with TBI. She is Chief of the Neuropsychology Unit, Center of Excellence for Stress and Mental Health, and an Associate Professor of Psychiatry at UCSD. Elizabeth Twamley, PhD, will be the primary mentor for randomized clinical trials and rehabilitation of veterans with mTBI. Golshan) are trained as clinical psychologists and all have written strong letters of endorsement. Mentor/s: The mentoring team is excellent and well suited for Dr. He is at the right point in his career to pursue this CDA-2 award. He was awarded a F31 NRSA pre-doctoral fellowship. He lists 23 publications, seven of which are first authored. He has been interested in sleep research since 1996 when he was a research assistant in a sleep lab. Henry Orff has a 1988 BA in Health and Society and Psychology from University of Rochester, a 2010 PhD in Clinical Psychology from SDSU/UCSD, and post-doctoral appointments. These patients will be followed over the six weeks and assessed for changes in sleep and other outcomes. The two conditions are matched appropriately for time and attention. ![]() Orff plans to enroll 70 OEF/OIF/OND veterans who, following baseline assessments, will be randomly assigned to six weeks of either CBT-I or Sleep Education. There are three aims to this project: 1) determine the efficacy of CBT-I relative to Sleep Education in veterans with insomnia following mTBI 2) evaluate sleep efficiency as a mediator of distal effects of CBT-I on symptoms of comorbid depression and PTSD and global functioning and disability 3) examine the effects of moderator variables (e.g., depression, PTSD, physical pain) on CBT-I treatment outcomes. Orff proposes to study a behavioral therapeutic approach, Cognitive Behavioral Therapy for Insomnia (CBT-I) for veterans with a history of mild traumatic brain injury (mTBI) and current insomnia.
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