{"id":"https://openalex.org/W4394978703","doi":"https://doi.org/10.1093/sleep/zsae067.0961","title":"0961 Association of Sleep Disturbance and Depression with Effort-based Decision Making and Delay Discounting in Veterans","display_name":"0961 Association of Sleep Disturbance and Depression with Effort-based Decision Making and Delay Discounting in Veterans","publication_year":2024,"publication_date":"2024-04-20","ids":{"openalex":"https://openalex.org/W4394978703","doi":"https://doi.org/10.1093/sleep/zsae067.0961"},"language":"en","primary_location":{"id":"doi:10.1093/sleep/zsae067.0961","doi":"https://doi.org/10.1093/sleep/zsae067.0961","is_oa":false,"landing_page_url":"https://doi.org/10.1093/sleep/zsae067.0961","pdf_url":null,"source":{"id":"https://openalex.org/S42921845","display_name":"SLEEP","issn_l":"0161-8105","issn":["0161-8105","1550-9109"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"SLEEP","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054278994","display_name":"Elaine M. Boland","orcid":"https://orcid.org/0000-0002-3532-6380","observed_orcids":["https://orcid.org/0000-0002-3532-6380"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elaine Boland","raw_affiliation_strings":["University of Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Pennsylvania","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016767553","display_name":"Olivia Larson","orcid":"https://orcid.org/0000-0003-3887-7476","observed_orcids":["https://orcid.org/0000-0003-3887-7476"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Olivia Larson","raw_affiliation_strings":["University of Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Pennsylvania","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059951401","display_name":"Nicholas J. Kelley","orcid":"https://orcid.org/0000-0003-2256-0597","observed_orcids":["https://orcid.org/0000-0003-2256-0597"]},"institutions":[{"id":"https://openalex.org/I43439940","display_name":"University of Southampton","ror":"https://ror.org/01ryk1543","country_code":"GB","type":"education","lineage":["https://openalex.org/I43439940"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Nicholas Kelley","raw_affiliation_strings":["Southampton University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Southampton University","institution_ids":["https://openalex.org/I43439940"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054013085","display_name":"Robin Nusslock","orcid":"https://orcid.org/0000-0001-6283-7824","observed_orcids":["https://orcid.org/0000-0001-6283-7824"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robin Nusslock","raw_affiliation_strings":["Northwestern University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwestern University","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085107940","display_name":"Michael E. Thase","orcid":"https://orcid.org/0000-0002-6403-0861","observed_orcids":["https://orcid.org/0000-0002-6403-0861","https://orcid.org/0009-0002-3646-845X"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Thase","raw_affiliation_strings":["University of Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Pennsylvania","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029363863","display_name":"Steven L. Sayers","orcid":"https://orcid.org/0000-0003-3710-9926","observed_orcids":["https://orcid.org/0000-0003-3710-9926"]},"institutions":[{"id":"https://openalex.org/I2799886695","display_name":"Veterans Health Administration","ror":"https://ror.org/05eq41471","country_code":"US","type":"government","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695"]},{"id":"https://openalex.org/I4210133394","display_name":"Philadelphia VA Medical Center","ror":"https://ror.org/03j05zz84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210133394","https://openalex.org/I4210147340"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steven Sayers","raw_affiliation_strings":["Cpl. Michael J. Crescenz VA Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cpl. Michael J. Crescenz VA Medical Center","institution_ids":["https://openalex.org/I2799886695","https://openalex.org/I4210133394"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5095789506","display_name":"Jillian Convery","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799886695","display_name":"Veterans Health Administration","ror":"https://ror.org/05eq41471","country_code":"US","type":"government","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695"]},{"id":"https://openalex.org/I4210133394","display_name":"Philadelphia VA Medical Center","ror":"https://ror.org/03j05zz84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210133394","https://openalex.org/I4210147340"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jillian Convery","raw_affiliation_strings":["Cpl. Michael J. Crescenz VA Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cpl. Michael J. Crescenz VA Medical Center","institution_ids":["https://openalex.org/I2799886695","https://openalex.org/I4210133394"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084652393","display_name":"Daniel H. Wolf","orcid":"https://orcid.org/0000-0002-9731-8781","observed_orcids":["https://orcid.org/0000-0002-9731-8781"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel Wolf","raw_affiliation_strings":["University of Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Pennsylvania","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063889651","display_name":"Philip Gehrman","orcid":"https://orcid.org/0000-0003-1054-7475","observed_orcids":["https://orcid.org/0000-0003-1054-7475"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Philip Gehrman","raw_affiliation_strings":["University of Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Pennsylvania","institution_ids":["https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4607,"currency":"USD","value_usd":4607},"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"47","issue":"Supplement_1","first_page":"A412","last_page":"A412"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10316","display_name":"Sleep and related disorders","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10316","display_name":"Sleep and related disorders","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10853","display_name":"Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13283","display_name":"Mental Health Research Topics","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/insomnia","display_name":"insomnia","score":0.9710000157356262},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.8650000095367432},{"id":"https://openalex.org/keywords/effort-based-decision-making","display_name":"effort-based decision making","score":0.9089999794960022},{"id":"https://openalex.org/keywords/delay-discounting","display_name":"delay discounting","score":1.0},{"id":"https://openalex.org/keywords/veterans","display_name":"veterans","score":0.7710000276565552},{"id":"https://openalex.org/keywords/reward-processing","display_name":"reward processing","score":0.8019999861717224},{"id":"https://openalex.org/keywords/sleep-efficiency","display_name":"sleep efficiency","score":0.8140000104904175},{"id":"https://openalex.org/keywords/progressive-ratio-task","display_name":"progressive ratio task","score":0.7250000238418579},{"id":"https://openalex.org/keywords/sleep-disturbance","display_name":"sleep disorders","score":0.4099999964237213}],"concepts":[{"id":"https://openalex.org/C6177178","wikidata":"https://www.wikidata.org/wiki/Q10998070","display_name":"Discounting","level":2,"score":0.6875467896461487},{"id":"https://openalex.org/C2994109249","wikidata":"https://www.wikidata.org/wiki/Q186412","display_name":"Delay discounting","level":3,"score":0.6780892610549927},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.6703138947486877},{"id":"https://openalex.org/C2777601987","wikidata":"https://www.wikidata.org/wiki/Q5283581","display_name":"Disturbance (geology)","level":2,"score":0.6259899735450745},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.5747670531272888},{"id":"https://openalex.org/C1513209611","wikidata":"https://www.wikidata.org/wiki/Q177190","display_name":"Sleep disorder","level":3,"score":0.5592101216316223},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5505160093307495},{"id":"https://openalex.org/C2775841894","wikidata":"https://www.wikidata.org/wiki/Q4683692","display_name":"Sleep (system call)","level":2,"score":0.5357576608657837},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.47229912877082825},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3948114812374115},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.13843867182731628},{"id":"https://openalex.org/C2780319597","wikidata":"https://www.wikidata.org/wiki/Q1549918","display_name":"Impulsivity","level":2,"score":0.12992846965789795},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.10803395509719849},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.09057188034057617},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.08412039279937744},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/sleep/zsae067.0961","doi":"https://doi.org/10.1093/sleep/zsae067.0961","is_oa":false,"landing_page_url":"https://doi.org/10.1093/sleep/zsae067.0961","pdf_url":null,"source":{"id":"https://openalex.org/S42921845","display_name":"SLEEP","issn_l":"0161-8105","issn":["0161-8105","1550-9109"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"SLEEP","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2887413242","https://openalex.org/W3130530844","https://openalex.org/W7118066150","https://openalex.org/W2938656332","https://openalex.org/W1981531620","https://openalex.org/W7154014185","https://openalex.org/W2789397289","https://openalex.org/W2114102624","https://openalex.org/W6887784441","https://openalex.org/W4293067457"],"abstract_inverted_index":{"Abstract":[0],"Introduction":[1],"Insomnia":[2,91,296],"symptoms":[3,58,80,200,271,289,297],"are":[4],"associated":[5,273],"with":[6,59,73,113,154,274,314],"negative":[7],"depression":[8,19,32,39,57,79,152,182,199,227,241,253,260,270,308,332],"treatment":[9,22],"outcomes":[10],"including":[11],"longer":[12],"time":[13],"to":[14,38,284,293,312,324,333],"recovery,":[15],"greater":[16,172,198,202,214,230,269],"risk":[17],"of":[18,54,62,76,98,116,141,307,329,346],"relapse,":[20],"and":[21,44,56,78,95,101,127,144,149,151,156,187,240,248,281,331],"non-response.":[23],"A":[24],"theoretical":[25],"model":[26],"has":[27],"hypothesized":[28],"that":[29],"insomnia":[30,55,77,142,169,211,262,288,330],"influences":[31],"by":[33,343],"impacting":[34],"reward":[35],"processes":[36],"central":[37],"(e.g.,":[40],"effort-based":[41,117],"decision":[42,118],"making":[43],"delay":[45,108,173,195,203],"discounting).":[46],"The":[47],"present":[48],"study":[49,340],"examined":[50,139],"the":[51,83,90,120,128,217,278,305,326,344],"cross-sectional":[52],"relationships":[53,292],"behavioral":[60],"measures":[61,115],"these":[63,294],"constructs.":[64],"Methods":[65],"Eighty-nine":[66],"veterans":[67],"(Mage":[68],"=":[69,176,179,220,223,233,246],"47.3,":[70],"60.2%":[71],"male)":[72],"a":[74,107],"range":[75],"were":[81,135,162,242,272],"administered":[82],"Hamilton":[84],"Rating":[85],"Scale":[86],"for":[87,123,164,286],"Depression":[88],"(HRSD),":[89],"Severity":[92],"Index":[93],"(ISI),":[94],"one":[96],"week":[97],"sleep":[99,145,189],"diaries":[100,148],"wrist":[102],"actigraphy.":[103],"Participants":[104],"then":[105],"completed":[106],"discounting":[109,174,204],"task":[110,280],"(DDT)":[111],"along":[112],"two":[114],"making:":[119],"Effort":[121],"Expenditure":[122],"Rewards":[124],"Task":[125,131],"(EEfRT)":[126],"Progressive":[129],"Ratio":[130],"(PRT).":[132],"Nine":[133],"models":[134,207],"analyzed:":[136],"linear":[137],"regressions":[138],"associations":[140],"(ISI":[143],"efficiency":[146,190,239],"from":[147],"actigraphy)":[150],"jointly,":[153],"PRT":[155,218,279],"DDT":[157],"outcomes;":[158],"generalized":[159],"estimating":[160],"equations":[161],"conducted":[163],"EEfRT":[165,265],"outcomes.":[166,266],"Results":[167],"Higher":[168,210],"scores":[170,183,212,228],"predicted":[171,201,213,229,264],"(B":[175,219,232],"0.065,":[177],"p":[178,222,235],".02)":[180],"while":[181],"did":[184,191],"not.":[185],"Diary":[186],"actigraphy-measured":[188],"not":[192],"significantly":[193,263],"predict":[194],"discounting,":[196],"however":[197],"in":[205,256,304,316],"those":[206],"(p\u2019s":[208],"<.006).":[209],"effort":[215,231,276],"on":[216,277],"0.027,":[221],".01)":[224],"whereas":[225],"lower":[226],"-.039,":[234],"<.001).":[236],"Sleep":[237],"diary":[238],"likewise":[243],"significant":[244,255],"(p":[245],".047":[247],".011":[249],"respectively)":[250],"but":[251],"only":[252],"was":[254,341],"actigraphy":[257],"models.":[258],"Neither":[259],"nor":[261],"Conclusion":[267],"Although":[268],"diminished":[275],"reduced":[282],"willingness":[283],"wait":[285],"rewards,":[287],"showed":[290],"differential":[291],"processes.":[295],"may":[298,310],"represent":[299],"heightened":[300],"arousal":[301],"that,":[302],"even":[303],"context":[306],"symptoms,":[309],"contribute":[311],"difficulty":[313],"disengagement":[315],"certain":[317],"reward-relevant":[318,334],"tasks.":[319],"Future":[320],"research":[321],"is":[322],"needed":[323],"disentangle":[325],"relative":[327],"contributions":[328],"behavior.":[335],"Support":[336],"(if":[337],"any)":[338],"This":[339],"supported":[342],"Department":[345],"Veterans":[347],"Affairs,":[348],"CSR&D":[349],"(Boland,":[350],"IK2":[351],"CX001501).":[352]},"counts_by_year":[],"updated_date":"2026-10-01T08:54:57.152042","created_date":"2024-04-21T00:00:00"}