Issue 4 - page 11

nial Magnetic Stimulation Center in Internal
Medicine, Psychiatry, and Behavioral Medicine
at the Lung & Sleep Center.
Mary Rose, Psy D
Dr. Rose was awarded her PsyD from the
Virginia Consortium Program in Clinical
Psychology (Old Dominion University, Eastern
Virginia Medical School, William & Mary and
Norfolk State University). She completed her
internship at the University of Texas Medical
Branch; a fellowship in Behavioral Medicine at
UTMB and Shriner’s Burns Hospital, as well as
a fellowship in Sleep Medicine at the Michael E
DeBakey VAMC in Houston. She is a Clinical
Psychologist and an Assistant Professor in the
Department of Medicine, Pulmonary, Critical
Care and Sleep Section at Baylor College of Med-
icine. She is also affiliated with the VAMC Sleep
Disorders Center, and MD Anderson Cancer
Center. She has a private sleep clinic in Houston,
and is the Clinical Director of American Sleep
Medicine in Webster,Texas. She has been
involved in the sleep field for over 20 years, and
holds subspecialty credentialing by the Amer-
ican Academy of Sleep Medicine in Behavioral
Sleep Medicine. She works with both adults and
pediatric patients. She has published abstracts,
peer reviewed journal articles, and book chapters
in the field of sleep disorders medicine, as well as
in the area of psychosocial outcomes in medical-
ly ill patients.
Rebecca Q. Scott, PhD
Dr. Scott completed her undergraduate degree
at Notre Dame College in Manchester, New
Hampshire. She then completed her PhD in
Health Psychology at Yeshiva University/Albert
Einstein School of Medicine in New York.
She also completed her clinical work in sleep
disorders medicine at The Sleep Disorders
Center, Columbia Presbyterian Medical Center
in New York City. She currently works as a
sleep disorders specialist at New York Sleep
Institute.
AASM Membership Sections Newsletter
Issue # 4
11
CBT-i can at times be misunderstood or overly focused.
When we focus on only behavioral or only “sleep hygiene
treatments” and not the critical and most complex com-
ponent of cognitive restructuring and guided discovery,
patients may be missing some core and essential ingredi-
ents of our standard of care. According to the 2006 AASM
practice parameters, interventions that are our standard of
care include (i.e., high degree of clinical certainty and has
evidence which includes Level 1 evidence): psychological
and behavioral interventions like cognitive therapy with
and without relaxation training stimulus control, and
relaxation training. Sleep restriction, biofeedback, and
paradoxical intentions are guideline treatments (i.e. mod-
erate degree of clinical certainty and includes Level 2 &3
evidence). The use of “sleep hygiene” as a single therapy
has no recommendation level based on evidence. Those
interested are encouraged to read Moss et al 2013 for a
review of reasons to avoid monotherapy.
Further reading:
Moss TG, Lachowski AM, Carney CE (2013) What
all treatment providers should know about sleep hygiene
recommendations. The Behavior Therapist. April; 76-83.
Morgenthaler T, Kramer M, Alessi C, et al. Practice
Parameters for the Psychological and Behavioral Treatment
for Insomnia: An Update. An American Academy of Sleep
Medicine Report. Sleep. 2006;11:1415-1419.
Utilizing Additional Resources To
Promote Our Interdisciplinary Growth
Zhaoming Chen, MD, Ph.D.
Nurse practitioners and physician assistants have been
providing health care in the U.S. since 1960. There are
over 100, 000 nurse practitioners and 70, 000 physician
assistants practicing medicine in the US today. Nurse
practitioners and physician assistants work closely with
other health care providers to care for patients. In addition
to taking medical histories, performing physical exams,
ordering lab tests, interpreting test results, and prescribing
medication, they are trained to provide preventive care and
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