Publications by authors named "Candice Alfano"

Article Synopsis
  • This study examines the effectiveness of SAFE-T, a telehealth-based sleep intervention, for toddlers and preschoolers in foster care compared to a control group receiving Sleep Education Support.
  • A total of 45 caregivers participated, and assessments were conducted before, immediately after, and three months after the intervention, using parent-reported sleep diaries.
  • Results showed that children in the SAFE-T group experienced significant improvements in sleep duration, fewer nighttime awakenings, and better emotional and behavior outcomes, with these benefits largely maintained over time.
View Article and Find Full Text PDF

Study Objectives: Sleep disruption is prevalent and persistent among children who experience maltreatment/interpersonal trauma. Weighted blankets have gained popularity in recent years as a potential nonpharmacological intervention for improving sleep in various populations, but their efficacy has not been examined among maltreated children. The current study used a randomized, within-subjects, crossover design to examine whether the use of a weighted blanket improves objective and/or subjective indices of sleep among 30 children, ages 6-15 years (mean = 9.

View Article and Find Full Text PDF

Menstruating individuals experience an increased risk for sleep and affective disorders, attributed in part to monthly oscillations in sex hormones. Emotional functioning and sleep continuity worsens during the perimenstrual phase of the menstrual cycle. This study examined the interactive effects of sleep, menstrual phase, and emotion in healthy women.

View Article and Find Full Text PDF

Objectives: Sleep disruption is prevalent among children placed in foster care, elevating risk for a range of deleterious outcomes. Theoretically, achieving permanency via adoption may have a positive influence on children's sleep via the presence of various factors, but little is known about the sleep health of children adopted from foster care, including predictors and moderators of sleep health.

Method: The current study included 226 parents who adopted a child from foster care in the U.

View Article and Find Full Text PDF
Article Synopsis
  • A systematic review and meta-analysis examined how sleep loss affects emotions, based on 154 studies involving 5,717 participants aged 7 to 79 years.
  • Results indicated that all types of sleep loss (total deprivation, partial restriction, and fragmentation) led to decreased positive emotions, increased anxiety symptoms, and reduced emotional reactivity.
  • Mixed results were found for negative emotions and depressive symptoms, with variations depending on the amount and type of sleep lost, highlighting the importance of sleep for emotional well-being.
View Article and Find Full Text PDF

Background: While connections between children's sleep and their daytime functioning are well established, less is known about the microstructural features of sleep that support emotional wellbeing. Investigating these relationships in healthy children may provide insight into adaptive emotional development. We therefore examined associations between non-rapid eye movement (N2) sleep spindles and both state- and trait-based measures of emotion.

View Article and Find Full Text PDF

Objective: Childhood sexual abuse (CSA) is associated with posttraumatic stress symptoms (PTSSs) and sleep disturbance into adulthood. The latter is thought to emerge from dysregulation in biobehavioral systems, including nighttime hyperarousal; however, studies investigating specific mechanisms to explain these long-term sleep problems are limited. The present study examined presleep arousal, fear of sleep, and the cortisol awakening response (CAR) as putative mediators between PTSS and sleep disturbance in women with a history of CSA.

View Article and Find Full Text PDF

The present investigation examined associations of childhood maltreatment, anxiety sensitivity (AS), and sleep disturbance among a diverse sample of adults in psychiatric inpatient treatment. We hypothesized that childhood maltreatment would be indirectly associated with greater sleep disturbance through elevated AS. Exploratory analyses examined the indirect effect models with three AS subscales ( i.

View Article and Find Full Text PDF

Objective: The disparity of problems, impairments, and disorders among children in foster care is well-documented and spans virtually every domain of functioning. Sleep, however, has received minimal attention among this vulnerable group, which is concerning given the multitude of ways sleep affects children's development, health, and behavior.

Methods: A total of 485 foster caregivers from across the United States completed a survey including quantitative items and qualitative, open-ended questions about sleep and related health and behavior for one child (M = 6.

View Article and Find Full Text PDF

Sleep patterns affect children's socioemotional functioning in ways that may predict long-term social problems. However, precise mechanisms through which these effects occur remain unexplored and thus unknown. Building on findings in adults, the current study examined whether changes in children's facial expressions of emotion after sleep restriction predict social problems concurrently and/or longitudinally.

View Article and Find Full Text PDF

The rate of Latinx migration to the U.S. has risen rapidly over the last several decades.

View Article and Find Full Text PDF

Background: The i♥rhythm project is a mobile health adaptation of interpersonal and social rhythm therapy designed to promote healthy sleep and behavioral rhythms among 5-8-year olds during summer for the prevention of accelerated summer weight gain.

Objective: This pilot study will examine the feasibility, acceptability, and preliminary efficacy of the i♥rhythm intervention. This will ensure that the research protocol and procedures work as desired and are acceptable to families in preparation for the fully powered randomized controlled trial.

View Article and Find Full Text PDF

Objective: Evidence of poor sleep health among children in foster care continues to mount, but information about whether and how sleep problems are addressed is unavailable. The goal of this study was to begin to fill these significant knowledge gaps.

Methods: Four hundred eighty-five foster caregivers from across the United States completed a survey focused on the sleep health of one child, 4 to 11 years ( M = 6.

View Article and Find Full Text PDF
Article Synopsis
  • Sleep patterns among youth (ages 8-17) after Hurricane Harvey were studied to understand their impact on mental health, particularly concerning post-traumatic stress symptoms.
  • The study involved 68 participants who provided both subjective sleep assessments and objective sleep data through actigraphy 6-9 months post-disaster, while also considering pre-hurricane emotional health.
  • Findings revealed that sleep disturbances and a tendency for eveningness were linked to higher levels of post-traumatic stress, with specific symptoms like re-experiencing and negative mood being more pronounced in those with poorer sleep.
View Article and Find Full Text PDF

Sleep health is a critical but under-recognized area of concern for the more than 650,000 children served by the US child welfare system each year. While sleep is vital to optimal child health and development, it is likely harmed by the multiple adversities and traumas experienced among children and youth residing in alternative care settings (ie, kinship care, nonrelative foster care, group homes). Children residing in alternative care settings have experienced, at a minimum, the trauma of removal from a biological parent's care and would benefit from holistic, comprehensive care approaches inclusive of sleep health.

View Article and Find Full Text PDF

Study Objective: Adverse childhood experiences (ACEs) are associated with sleep problems in adulthood, but less research has focused on ACEs and sleep during adolescence. The goal of the present study was to explore associations between ACEs reported at ages 5 and 9 years, and sleep (ie, total sleep time (TST), social jetlag, and insomnia symptoms) at age 15.

Methods: Participants comprised 817 families from the Fragile Families and Child Wellbeing Study, a nationally representative sample of children born to unwed parents.

View Article and Find Full Text PDF

Rising rates of youth migration are occurring globally and, thus, the adaptation of immigrant youth to their host country's cultural norms is a pressing public health concern. Indeed, both acculturation and acculturative stress are associated with mental health for immigrant youth. The broad aim of this study was to examine how sleep duration would prospectively relate to acculturation (Short Acculturation Scale) and acculturative stress (Social, Attitudinal, Familial, and Environmental Acculturative Stress Scale) following migration for N = 110 immigrant high school students across 1 year.

View Article and Find Full Text PDF

Electronic devices are routinely associated with adverse effects on sleep; however, prospective studies among healthy children are unavailable. This study examined relationships among specific and total electronic device use within the hour before bed and same-night sleep patterns among 55 pre-pubertal children (7-11 years) without medical, psychiatric or sleep disorders. Sleep was assessed via subjective reports and actigraphy for 5 weeknights and pre-bed device use was assessed via daily diary.

View Article and Find Full Text PDF

Objectives And Background: Social demands of the school-year and summer environment may affect children's sleep patterns and circadian rhythms during these periods. The current study examined differences in children's sleep and circadian-related behaviors during the school-year and summer and explored the association between sleep and circadian parameters and change in body mass index (BMI) during these time periods.

Methods: This was a prospective observational study with 119 children ages 5 to 8 years with three sequential BMI assessments: early school-year (fall), late school-year (spring), and beginning of the following school-year in Houston, Texas, USA.

View Article and Find Full Text PDF

The COVID-19 pandemic resulted in unprecedented disruption to everyday life, including widespread social distancing and self-quarantining aimed at reducing the virus spread. The Mental Health Checklist (MHCL) is a measure developed to assess psychological health during extended periods of isolation and confinement, and has shown strong psychometric properties in community samples and during Antarctic missions. This study validated the MHCL in a sample of 359 U.

View Article and Find Full Text PDF

Background And Objectives: E-cigarette use is associated with concurrent use of combustible cigarettes among adults and may increase the risk of future combustible cigarette use in adolescents and young adults. Detrimental effects of combustible cigarette use on sleep health are well documented, but little is known about the additive effects of concurrent e-cigarette use. The current study examined the main and interactive effects of daily nicotine product frequency on various components of sleep health.

View Article and Find Full Text PDF

Insufficient sleep during childhood can lead to physical and mental health issues. In adults, sleep disturbances have been associated with altered levels of stress hormones and inflammatory cytokines, but data in youth is lacking. The aim of this study was to explore relationships between objective measures of sleep and salivary biomarkers in children and adolescents.

View Article and Find Full Text PDF