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  1. Article ; Online: A Peripandemic Examination of Health Care Worker Burnout and Implications for Clinical Practice, Education, and Research.

    Shechter, Ari / Norful, Allison A

    JAMA network open

    2022  Volume 5, Issue 9, Page(s) e2232757

    MeSH term(s) Burnout, Professional ; Burnout, Psychological ; Health Personnel ; Humans
    Language English
    Publishing date 2022-09-01
    Publishing country United States
    Document type Journal Article ; Comment
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2022.32757
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  2. Article ; Online: The impact of COVID-19 three years on: Introduction to the 2023 special issue.

    Maunder, Robert / Shechter, Ari / Huffman, Jeff C

    General hospital psychiatry

    2023  Volume 86, Page(s) 56–57

    MeSH term(s) Humans ; COVID-19 ; SARS-CoV-2
    Language English
    Publishing date 2023-11-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392299-6
    ISSN 1873-7714 ; 0163-8343
    ISSN (online) 1873-7714
    ISSN 0163-8343
    DOI 10.1016/j.genhosppsych.2023.11.007
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    Zs.A 1584: Show issues Location:
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  3. Article ; Online: COVID-19 and the amplification of cardiovascular risk by psychological distress.

    Kronish, Ian M / Shechter, Ari

    Nature cardiovascular research

    2022  Volume 1, Issue 11, Page(s) 968–970

    Abstract: The COVID-19 pandemic has unleashed a tidal wave of psychological distress. Here, we discuss the biobehavioral mechanisms through which psychological distress amplifyies the adverse effects of SARS-CoV-2-infection on cardiovascular outcomes. We also ... ...

    Abstract The COVID-19 pandemic has unleashed a tidal wave of psychological distress. Here, we discuss the biobehavioral mechanisms through which psychological distress amplifyies the adverse effects of SARS-CoV-2-infection on cardiovascular outcomes. We also examine how the stress of caring for patients with COVID-19 increases cardiovascular risk in healthcare workers.
    Language English
    Publishing date 2022-10-24
    Publishing country England
    Document type Journal Article
    ISSN 2731-0590
    ISSN (online) 2731-0590
    DOI 10.1038/s44161-022-00153-2
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  4. Article ; Online: Post-stroke sleep disturbance and recurrent cardiovascular and cerebrovascular events: A systematic review and meta-analysis.

    Hale, Evan / Gottlieb, Elie / Usseglio, John / Shechter, Ari

    Sleep medicine

    2023  Volume 104, Page(s) 29–41

    Abstract: Despite improvements in survival rates, risk of recurrent events following stroke remains high. Identifying intervention targets to reduce secondary cardiovascular risk in stroke survivors is a priority. The relationship between sleep and stroke is ... ...

    Abstract Despite improvements in survival rates, risk of recurrent events following stroke remains high. Identifying intervention targets to reduce secondary cardiovascular risk in stroke survivors is a priority. The relationship between sleep and stroke is complex: sleep disturbances are likely both a contributor to, and consequence of, stroke. The current aim was to examine the association between sleep disturbance and recurrent major acute coronary events or all-cause mortality in the post-stroke population. Thirty-two studies were identified, including 22 observational studies and 10 randomized clinical trials (RCTs). Identified studies included the following as predictors of post-stroke recurrent events: obstructive sleep apnea (OSA, n = 15 studies), treatment of OSA with positive airway pressure (PAP, n = 13 studies), sleep quality and/or insomnia (n = 3 studies), sleep duration (n = 1 study), polysomnographic sleep/sleep architecture metrics (n = 1 study), and restless legs syndrome (n = 1 study). A positive relationship of OSA and/or OSA severity with recurrent events/mortality was seen. Findings on PAP treatment for OSA were mixed. Positive findings indicating a benefit of PAP for post-stroke risk came largely from observational studies (pooled RR [95% CI] for association between PAP and recurrent cardiovascular event: 0.37 [0.17-0.79], I
    MeSH term(s) Humans ; Sleep Initiation and Maintenance Disorders/complications ; Stroke/complications ; Sleep Apnea, Obstructive/complications ; Sleep Apnea, Obstructive/therapy ; Sleep ; Continuous Positive Airway Pressure/adverse effects
    Language English
    Publishing date 2023-02-20
    Publishing country Netherlands
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 2012041-2
    ISSN 1878-5506 ; 1389-9457
    ISSN (online) 1878-5506
    ISSN 1389-9457
    DOI 10.1016/j.sleep.2023.02.019
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    Zs.A 5315: Show issues Location:
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    Zs.MO 635: Show issues

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  5. Article ; Online: Cardiac-induced PTSD symptoms predict shorter sleep a month after acute coronary syndrome evaluation.

    Ten Brink, Maia / Shechter, Ari / Cornelius, Talea / Rojas, Danielle A / Murdock, Margaret E / Schwartz, Joseph E / Lee, Sung A J / Birk, Jeffrey L

    General hospital psychiatry

    2024  

    Language English
    Publishing date 2024-04-04
    Publishing country United States
    Document type Letter
    ZDB-ID 392299-6
    ISSN 1873-7714 ; 0163-8343
    ISSN (online) 1873-7714
    ISSN 0163-8343
    DOI 10.1016/j.genhosppsych.2024.04.003
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    Zs.A 1584: Show issues Location:
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  6. Article ; Online: The relationship of shift work disorder with symptoms of depression, anxiety, and stress.

    Chang, Melinda J / Vidafar, Parisa / Birk, Jeffrey L / Shechter, Ari

    Journal of affective disorders reports

    2023  Volume 15

    Abstract: Shift workers commonly suffer from disturbed sleep, which is known to affect mental health in other populations. Shift work disorder (SWD) is characterized by complaints of insomnia and/or excessive daytime sleepiness temporally associated with working ... ...

    Abstract Shift workers commonly suffer from disturbed sleep, which is known to affect mental health in other populations. Shift work disorder (SWD) is characterized by complaints of insomnia and/or excessive daytime sleepiness temporally associated with working non-standard schedules that occur during the usual time for sleep. Few studies have explored the extent to which workers with vs. without SWD experience worse mental health. We administered the Shift Work Disorder Screening Questionnaire to 60 adults engaged in various shift work schedules to categorize workers as being at high or low risk for SWD. Mental health outcomes were measured using the Depression Anxiety Stress Scale-21 (DASS-21). Linear regression was performed for each DASS-21 subscale, adjusting for age, sex, shift type, sleep duration, and frequency of alcohol use. Most participants (55 %) were at high risk for SWD. High-risk participants had higher depressive symptoms than low-risk participants,
    Language English
    Publishing date 2023-12-30
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2666-9153
    ISSN (online) 2666-9153
    DOI 10.1016/j.jadr.2023.100713
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  7. Article ; Online: Obstructive sleep apnea and energy balance regulation: A systematic review.

    Shechter, Ari

    Sleep medicine reviews

    2016  Volume 34, Page(s) 59–69

    Abstract: Obesity and obstructive sleep apnea (OSA) have a reciprocal relationship. Sleep disruptions characteristic of OSA may promote behavioral, metabolic, and/or hormonal changes favoring weight gain and/or difficulty losing weight. The regulation of energy ... ...

    Abstract Obesity and obstructive sleep apnea (OSA) have a reciprocal relationship. Sleep disruptions characteristic of OSA may promote behavioral, metabolic, and/or hormonal changes favoring weight gain and/or difficulty losing weight. The regulation of energy balance (EB), i.e., the relationship between energy intake (EI) and energy expenditure (EE), is complex and multi-factorial, involving food intake, hormonal regulation of hunger/satiety/appetite, and EE via metabolism and physical activity (PA). The current systematic review describes the literature on how OSA affects EB-related parameters. OSA is associated with a hormonal profile characterized by abnormally high leptin and ghrelin levels, which may encourage excess EI. Data on actual measures of food intake are lacking, and not sufficient to make conclusions. Resting metabolic rate appears elevated in OSA vs.
    Controls: Findings on PA are inconsistent, but may indicate a negative relationship with OSA severity that is modulated by daytime sleepiness and body weight. A speculative explanation for the positive EB in OSA is that the increased EE via metabolism induces an overcompensation in the drive for hunger/food intake, which is larger in magnitude than the rise in EI required to re-establish EB. Understanding how OSA affects EB-related parameters can help improve weight loss efforts in these patients.
    MeSH term(s) Eating/physiology ; Energy Metabolism/physiology ; Exercise ; Humans ; Leptin ; Obesity ; Polysomnography ; Sleep Apnea, Obstructive/metabolism ; Sleep Apnea, Obstructive/therapy
    Chemical Substances Leptin
    Language English
    Publishing date 2016-07-15
    Publishing country England
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 1414211-9
    ISSN 1532-2955 ; 1087-0792
    ISSN (online) 1532-2955
    ISSN 1087-0792
    DOI 10.1016/j.smrv.2016.07.001
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    Zs.A 5901: Show issues Location:
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  8. Article ; Online: Effects of continuous positive airway pressure on energy balance regulation: a systematic review.

    Shechter, Ari

    The European respiratory journal

    2016  Volume 48, Issue 6, Page(s) 1640–1657

    Abstract: Obesity is both a cause and a possible consequence of obstructive sleep apnoea (OSA), as OSA seems to affect parameters involved in energy balance regulation, including food intake, hormonal regulation of hunger/satiety, energy metabolism and physical ... ...

    Abstract Obesity is both a cause and a possible consequence of obstructive sleep apnoea (OSA), as OSA seems to affect parameters involved in energy balance regulation, including food intake, hormonal regulation of hunger/satiety, energy metabolism and physical activity. It is known that weight loss improves OSA, yet it remains unclear why continuous positive airway pressure (CPAP) often results in weight gain.The goal of this systematic review is to explore if and how CPAP affects the behaviour and/or metabolism involved in regulating energy balance.CPAP appears to correct for a hormonal profile characterised by abnormally high leptin and ghrelin levels in OSA, by reducing the circulating levels of each. This is expected to reduce excess food intake. However, reliable measures of food intake are lacking, and not yet sufficient to make conclusions. Although studies are limited and inconsistent, CPAP may alter energy metabolism, with reports of reductions in resting metabolic rate or sleeping metabolic rate. CPAP appears to not have an appreciable effect on altering physical activity levels. More work is needed to characterise how CPAP affects energy balance regulation.It is clear that promoting CPAP in conjunction with other weight loss approaches should be used to encourage optimal outcomes in OSA patients.
    MeSH term(s) Continuous Positive Airway Pressure ; Eating ; Energy Metabolism ; Ghrelin/blood ; Humans ; Leptin/blood ; Obesity/complications ; Randomized Controlled Trials as Topic ; Sleep Apnea, Obstructive/metabolism ; Sleep Apnea, Obstructive/therapy
    Chemical Substances Ghrelin ; Leptin
    Language English
    Publishing date 2016-10-20
    Publishing country England
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/13993003.00689-2016
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    Zs.A 2322: Show issues Location:
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    Zs.MO 292: Show issues

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  9. Article ; Online: Sleep and Circadian Disturbance in Cardiovascular Risk.

    Belloir, Joseph / Makarem, Nour / Shechter, Ari

    Current cardiology reports

    2022  Volume 24, Issue 12, Page(s) 2097–2107

    Abstract: Purpose of review: We discuss the relationship between sleep and circadian factors with cardiovascular disease (CVD) risk, including physiologic, behavioral, and psychological mechanisms along this pathway.: Recent findings: The relationship between ... ...

    Abstract Purpose of review: We discuss the relationship between sleep and circadian factors with cardiovascular disease (CVD) risk, including physiologic, behavioral, and psychological mechanisms along this pathway.
    Recent findings: The relationship between short and long sleep duration, as well as insomnia, with CVD risk is well-established. Recent work has highlighted how other sleep factors, such as sleep regularity (i.e., consistency of sleep timing), multidimensional sleep health, and circadian factors like chronotype and social jetlag, relate to CVD risk. Sleep-focused interventions (e.g., cognitive behavioral therapy for insomnia and sleep extension) may be effective to reduce CVD risk and disease burden. Sleep is increasingly recognized as an integral component of cardiovascular health. This was underscored by the recent inclusion of sleep duration as a health behavior in the American Heart Association's Life's Essential 8 for defining optimal cardiovascular health.
    MeSH term(s) Humans ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/prevention & control ; Circadian Rhythm/physiology ; Sleep Initiation and Maintenance Disorders/complications ; Sleep Initiation and Maintenance Disorders/therapy ; Risk Factors ; Sleep/physiology ; Heart Disease Risk Factors
    Language English
    Publishing date 2022-11-03
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2055373-0
    ISSN 1534-3170 ; 1523-3782
    ISSN (online) 1534-3170
    ISSN 1523-3782
    DOI 10.1007/s11886-022-01816-z
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  10. Article ; Online: Assessing sleep health dimensions in frontline registered nurses during the COVID-19 pandemic: implications for psychological health and wellbeing.

    Norful, Allison A / Haghighi, Fatemeh / Shechter, Ari

    Sleep advances : a journal of the Sleep Research Society

    2022  Volume 4, Issue 1, Page(s) zpac046

    Abstract: The COVID-19 pandemic altered work environments of nurses, yielding high rates of stress and burnout. Potential protective factors, including effective sleep, may influence psychological health and wellbeing. Evidence about sleep in nurses may help ... ...

    Abstract The COVID-19 pandemic altered work environments of nurses, yielding high rates of stress and burnout. Potential protective factors, including effective sleep, may influence psychological health and wellbeing. Evidence about sleep in nurses may help develop interventions that mitigate burnout and poor psychological outcomes. A cross sectional survey was distributed across three hospitals to nurses in New York City (NYC). During the first wave of the pandemic (March-April 2020), NYC had the highest incidence of laboratory-confirmed COVID-19 cases (915/100 000) and half of all COVID-related deaths nationwide. Multivariable logistic regression was used to determine associations between Pittsburgh Sleep Quality Index (PSQI) global sleep score, PSQI sleep dimensions, and psychological health (burnout, depression, anxiety, and compassion fatigue), unadjusted and then controlling for individual and professional characteristics. More than half of the participants reported burnout (64%), depression, (67%), and anxiety (77%). Eighty percent of participants had PSQI global scores >5 (poor sleep) (mean 9.27,
    Language English
    Publishing date 2022-12-16
    Publishing country United States
    Document type Journal Article
    ISSN 2632-5012
    ISSN (online) 2632-5012
    DOI 10.1093/sleepadvances/zpac046
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