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Andrew Darrell Krystal

Professor Emeritus of Psychiatry and Behavioral Sciences
Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences
Box 3309 Med Ctr, Durham, NC 27710
54221 Hosp South, Durham, NC 27710

Overview


My research is focused on better understanding the pathophysiology of sleep disorders and mood disorders and developing improved treatments for these conditions. My primary research tools are: electroencepahlography (EEG), polysomnography (PSG), computer signal analysis and modeling, functional magnetic resonance imaging (fMRI), and positron emission tomograophy (PET). Nearly all of my projects have been carried out with humans, however, projects are ongoing with gene knock-out models in mice, and lemurs in collaboration with the Duke Primate Center. A few representative current studies are: 1) Defining physiologic (EEG, PSG, PET, fMRI) correlates of sleep complaints and subtyping insomnia on the basis of the associated pathophysiology, 2) Studying the relationship of EEG data recorded during non-REM sleep, daytime function, and insomnia treatment response, 3) Developing new pharmacologic and non-pharmacologic treatments for insomnia, 4) Studying the relationship of natural sleep and hibernation-like phenomena (torpor), 5) Predicting depression treatment response on the basis of pre-treatment EEG and structural MRI data.

Current Duke Appointments & Affiliations


Professor Emeritus of Psychiatry and Behavioral Sciences · 2017 - Present Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences, Psychiatry & Behavioral Sciences

Recent News Items


Published July 21, 2016
Duke to Participate in Early Clinical Trials for Emerging Neurological Therapies
Published January 21, 2016
Type A to ZZZ: The agony of industry insomnia
Published May 8, 2014
Dr. Andrew Krystal comments: Psychiatry's scientific reboot gets under way

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Recent Scholarly Works


Leveraging convenient wearable technology to assess adolescent sleep: physical and behavioral health correlates of single-channel sleep electroencephalogram in a community sample of youth.

Conference J Clin Sleep Med · July 13, 2026 STUDY OBJECTIVES: Sleep disturbances during adolescence heighten risk for physical and behavioral health problems, yet sleep physiological markers critical to health outcomes are rarely assessed in pediatric care. Wearable single-channel electroencephalogr ... Full text Link to item Cite

Cognitive-behavioural therapy for insomnia in adults to decrease cannabis use: study protocol for a randomised controlled trial in a community sample of adults with frequent cannabis use.

Journal article BMJ Open · June 17, 2026 INTRODUCTION: Cannabis use is common in the USA and is associated with adverse outcomes across many domains, including sleep difficulties. Targeting insomnia with an evidence-based treatment could improve sleep and reduce frequent cannabis use. This random ... Full text Link to item Cite

Simulated Reasoning and Self-Verification for Psychiatric Diagnosis in Generalist Large Language Models: Comparative Evaluation.

Journal article JMIR AI · June 8, 2026 BACKGROUND: Large language models (LLMs) and, more recently, large reasoning models (LRMs) have rapidly garnered significant interest for application in psychiatry and behavioral health. However, recent studies have identified significant shortcomings and ... Full text Link to item Cite
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Recent Grants


Obstructive Sleep Apnea Screening in Pregnant Women with Chronic Hypertension

ResearchSignificant Contributor · Awarded by Society for Obstetric Anesthesia and Perinatology · 2017 - 2020

KOR Phase 2A Study - Mod 3 (Advanced Understanding)

Clinical TrialPrincipal Investigator · Awarded by National Institutes of Health · 2014 - 2017

Modified KOR Phase 2A Study

Clinical TrialPrincipal Investigator · Awarded by National Institutes of Health · 2014 - 2017

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Education


Duke University · 1987 M.D.