Publications by authors named "Erin Gould"
Purpose: Although cognitive behavioral therapy for insomnia (CBT-I) is considered the preferred treatment for insomnia in patients with comorbid insomnia and obstructive sleep apnea (COMISA), the remission rate with CBT-I is generally considered lower than in insomnia-only populations. There is also a sizable variability in individual treatment responses. Due to the limited availability of CBT-I, we sought to identify specific clinical attributes that predict benefit from Brief Behavioral Therapy for Insomnia (BBTI)-an adaptation of CBT-I-in patients with COMISA.
View Article and Find Full Text PDFIntroduction: Opioid overdose mortality rates have surged dramatically in the last decade due largely to fentanyl in the illicit US drug supply. As of June 2024, 38 states, three territories, namely US Virgin Islands, Guam and the Northern Mariana Islands, and the District of Columbia, allow the medical use of cannabis products. However, there remains limited qualitative community-based evidence on the role of cannabis co-use among opioid using and injecting populations.
View Article and Find Full Text PDFArticle Synopsis
- Traditional treatments for obstructive sleep apnea (OSA) mainly focus on methods like continuous positive airway pressure therapy and oral appliances, but they don't tackle the underlying metabolic issues that contribute to the condition.
- Glucagon-like peptide-1 receptor agonists (GLP-1 RAs), initially created for managing type 2 diabetes, show promise in helping obese patients with OSA by promoting significant weight loss and reducing fat around the airway.
- Emerging research indicates that integrating GLP-1 RAs into standard OSA treatments could improve patient outcomes by addressing both obesity and related health issues, potentially changing the way OSA is managed in the future.
Article Synopsis
- Chronic insufficient and poor-quality sleep is linked to serious health issues like hypertension and depression, but there’s limited research on the sleep health of people who inject drugs (PWID) in community settings.
- A study with 472 active opioid-using PWID in Los Angeles and Denver found that 76% had insufficient sleep and 62% reported poor sleep quality, with a mean sleep duration of only 4.99 hours.
- Factors like drug use, high subsistence scores, violent victimization, and poor health were associated with these negative sleep outcomes, suggesting that addressing these structural issues could improve sleep health and overall well-being for PWID.
Background: Cannabis is the most common illicit substance used in pregnancy. As use continues to increase, understanding peoples' behaviors surrounding cannabis use during pregnancy is needed to improve maternal and child health outcomes. The aim of this study was to better understand pregnant individuals' perceptions and knowledge of cannabis use and use patterns as well as the social and environmental factors that may influence their use.
View Article and Find Full Text PDFArticle Synopsis
- The study examines the challenges faced by Black and Latina individuals who use cannabis during pregnancy and healthcare providers working with them.
- It uncovers that stigma around cannabis use creates barriers for providers in building relationships with patients and leads to a focus on the fetus over the mother's health challenges.
- Both patients and providers are seeking information independently, highlighting the need for culturally sensitive and accurate guidance on maternal cannabis use.
Background: Women's sexual health after radical cystectomy is an important but poorly understood aspect of bladder cancer survivorship. Dedicated investigation is needed to elucidate patient perceptions on sexual function and dysfunction in this setting.
Aims: In this study we sought to qualitatively examine women's perceptions and experiences of sexual health following radical cystectomy for bladder cancer.
Objective: Our goal is to determine if there is a correlation between Modified Epworth Sleepiness Scale (M-ESS) scores, obstructive sleep apnea (OSA)-18 scores, and polysomnography (PSG) outcomes in children.
Study Design: Retrospective chart review.
Setting: Pediatric otolaryngology clinic.
Objective: To identify perceptions of cannabis use and risk among maternal health providers who provide care for people who use cannabis during pregnancy in safety-net health settings.
Methods: Using qualitative, constructivist ground theory methods, we conducted semistructured remote interviews with 10 providers (2 midwives, 6 OB/GYN physicians, and 2 OB/GYN residents) in Southern California, United States, between March 15, 2022, and April 6, 2022. We selected participants through selective sampling using a convenience sample and snowball approach.