Participant enrollment was completed for the first phase of this project in 9/2012, resulting in a sample of 117 military personnel seeking care for a sleep disorder. We elected to continue recruitment of participants and to develop a second phase to the study. The institutional review board approval of re-initiating this project was approved on 8/13/2013, and we have collected an additional 57 participance. All participants in this study underwent a polysomonographic sleep evlauation and had blood collected for biomarker measurement which includes proteomics, gene-expression and DNA methyltion. Participants are seen at baseline and then 6 weeks following this. We use follow-up data to examine changes in symptoms with standard of care interventions. Accomplishments: Publications: Heinzelmann M, Lee, H., Baxter T, Mysliwiec V., Gill, J.M., (2014) Sleep Restoration Is Associated with Reduced Plasma C-reactive Protein and Depression Symptoms in Military Personnel with Sleep Disturbance after Deployment. Sleep Medicine, Online Release, September 10, 2014 Gill J, Lee H, Barr T, Heinzelmann M, Rak H, Mysliwiec V. (2014) Lower health related quality of life in U.S. military personnel is associated with service-related disorders and inflammation. Psychiatric Research, Apr 30;216(1):116-22. Heinzlemann M, Reddy S, Lee H, French L, Mysliwiec V, Baxter T, Barr T, Gill, J (2014). Military Personnel with Chronic Symptoms Following Blast Traumatic Brain Injury Have Differential Expression of Neuronal Recovery and Epidermal Growth Factor Receptor Genes, Frontiers in Neurology, Online Release, October 6, 2014 Mysliwiec V, Capaldi V, Gill J, Mastangas P, Roth B, (In press, 2014) Adherence to Positive Airway Pressure Therapy in U.S. Military Personnel with Sleep Apnea Improves Sleepiness, Sleep Quality and Depressive Symptoms. Military Medicine. Barr T, Livingston W, Guardadoa P, Baxter T, Mysliwiec V, Gill, J (In Press, 2014) Military Personnel with Traumatic Brain Injuries and Insomnia Have Reductions in PTSD and Improved Perceived Health Following Sleep Restoration;A Relationship Moderated by Inflammation. Annual Review of Nursing Research. Special issue on traumatic brain injuries. Gill J, Lee H, Reddy S, Barr T, Heinzelmann M, Mysliwiec V. (Accepted) Differential Expression of Sleep Regulating Genes in Military Personnel with Insomnia. Biological Research in Nursing.

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Budget End
Support Year
2
Fiscal Year
2014
Total Cost
Indirect Cost
Name
National Institute of Nursing Research
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Osier, Nicole; Motamedi, Vida; Edwards, Katie et al. (2018) Exosomes in Acquired Neurological Disorders: New Insights into Pathophysiology and Treatment. Mol Neurobiol :
Motamedi, Vida; Kanefsky, Rebekah; Matsangas, Panagiotis et al. (2018) Elevated tau and interleukin-6 concentrations in adults with obstructive sleep apnea. Sleep Med 43:71-76
Devoto, Christina; Arcurio, Lindsay; Fetta, Joseph et al. (2017) Inflammation Relates to Chronic Behavioral and Neurological Symptoms in Military Personnel with Traumatic Brain Injuries. Cell Transplant 26:1169-1177
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Cashion, Ann K; Gill, Jessica; Hawes, Rebecca et al. (2016) National Institutes of Health Symptom Science Model sheds light on patient symptoms. Nurs Outlook 64:499-506
Devoto, Christina; Arcurio, Lindsay; Fetta, Joseph et al. (2016) Inflammation Relates to Chronic Behavioral and Neurological Symptoms in Military with Traumatic Brain Injuries. Cell Transplant :
Livingston, Whitney S; Rusch, Heather L; Nersesian, Paula V et al. (2015) Improved Sleep in Military Personnel is Associated with Changes in the Expression of Inflammatory Genes and Improvement in Depression Symptoms. Front Psychiatry 6:59
Rusch, Heather L; Shvil, Erel; Szanton, Sarah L et al. (2015) Determinants of psychological resistance and recovery among women exposed to assaultive trauma. Brain Behav 5:e00322
Barr, Taura; Livingston, Whitney; Guardado, Pedro et al. (2015) Chapter 8 Military Personnel With Traumatic Brain Injuries and Insomnia Have Reductions in PTSD and Improved Perceived Health Following Sleep Restoration: A Relationship Moderated by Inflammation. Annu Rev Nurs Res 33:249-66
Rusch, Heather L; Guardado, Pedro; Baxter, Tristin et al. (2015) Improved Sleep Quality is Associated with Reductions in Depression and PTSD Arousal Symptoms and Increases in IGF-1 Concentrations. J Clin Sleep Med 11:615-23

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