Jessica Ruth Lunsford-Avery
Assistant Professor in Psychiatry and Behavioral Sciences
I am a clinical psychologist who specializes in empirically supported evaluation and treatment of psychiatric and behavioral disorders across the lifespan. I offer a range of psychological interventions including parent behavior management training and academic skills training for youth and families impacted by ADHD and developmental disorders, as well as cognitive behavioral treatment (CBT) for adults with a range of psychiatric conditions, including ADHD, mood disorders and anxiety.
Current Research Interests
My research focuses on the role of sleep disturbances in the onset and maintenance of psychiatric and behavioral disorders in childhood and adolescence. Specifically, I am interested in how sleep problems may contribute to increased psychiatric symptoms, difficulties with cognition, and reduced functioning for youth with ADHD. I hope my research will help to identify children at risk for sleep problems and psychiatric conditions and lead to developing more effective prevention and treatment strategies.
Current Appointments & Affiliations
- Assistant Professor in Psychiatry and Behavioral Sciences, Psychiatry, Child & Family Mental Health & Community Psychiatry, Psychiatry & Behavioral Sciences 2021
Contact Information
- 2608 Erwin Road Suite 300, Durham, NC 27705
- 2608 Erwin Road, Suite 300, Durham, NC 27705
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jessica.r.avery@duke.edu
(919) 681-0035
- Background
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Education, Training, & Certifications
- Ph.D., University of Colorado - Boulder 2014
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Previous Appointments & Affiliations
- Assistant Professor in Psychiatry and Behavioral Sciences, Psychiatry, Child & Family Mental Health & Community Psychiatry, Psychiatry & Behavioral Sciences 2015 - 2020
- Clinical Associate in the Department of Psychiatry and Behavioral Sciences, Psychiatry, Child & Family Mental Health & Community Psychiatry, Psychiatry & Behavioral Sciences 2014 - 2015
- Recognition
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In the News
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SEP 21, 2018 Duke Health News
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- Research
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Selected Grants
- Preschool Attention and Sleep Support (PASS): A Telehealth Intervention for Children at Risk for ADHD awarded by National Institutes of Health 2023 - 2026
- Sustainable Habits for Encouraging Even Teen Sleep (SHEETS): A Digital Intervention to Enhance Sleep Regularity and Psychiatric Health in Adolescents awarded by National Institutes of Health 2022 - 2025
- Effects of prenatal maternal depression and antidepressant exposures on offspring neurodevelopmental trajectories: A birth cohort study awarded by Research Foundation for Mental Hygiene, Inc. 2021 - 2023
- Sleep Dysfunction and Neurocognitive Outcomes in Adolescent ADHD awarded by National Institutes of Health 2016 - 2022
- Behavioral and genetic mechanisms of smoking risk in individuals with ADHD awarded by National Institutes of Health 2012 - 2018
- Publications & Artistic Works
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Selected Publications
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Academic Articles
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Lunsford-Avery, Jessica R. “Light Regularity: Illuminating Opportunities to Enhance Adolescent Health.” Sleep, March 28, 2023. https://doi.org/10.1093/sleep/zsad086.Full Text Link to Item
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Lunsford-Avery, Jessica R., Ke Will Wang, Scott H. Kollins, Richard J. Chung, Casey Keller, and Matthew M. Engelhard. “Regularity and Timing of Sleep Patterns and Behavioral Health Among Adolescents.” J Dev Behav Pediatr 43, no. 4 (May 1, 2022): 188–96. https://doi.org/10.1097/DBP.0000000000001013.Full Text Link to Item
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Ristanovic, Ivanka, Claudia M. Haase, Jessica R. Lunsford-Avery, and Vijay A. Mittal. “The relationship between stress responding in family context and stress sensitivity with sleep dysfunction in individuals at clinical high-risk for psychosis.” J Psychiatr Res 149 (May 2022): 194–200. https://doi.org/10.1016/j.jpsychires.2022.02.038.Full Text Link to Item
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Lunsford-Avery, Jessica R., Scott H. Kollins, Sujay Kansagra, Ke Will Wang, and Matthew M. Engelhard. “Impact of daily caffeine intake and timing on electroencephalogram-measured sleep in adolescents.” J Clin Sleep Med 18, no. 3 (March 1, 2022): 877–84. https://doi.org/10.5664/jcsm.9736.Full Text Link to Item
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Lunsford-Avery, Jessica R., Jack D. Edinger, and Andrew D. Krystal. “Overnight Delta Dynamics Associated with Daytime Psychomotor Performance in Adults with Insomnia and Healthy Controls.” Nat Sci Sleep 14 (2022): 217–30. https://doi.org/10.2147/NSS.S330939.Full Text Link to Item
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Lunsford-Avery, Jessica R., Matthew M. Engelhard, Ann Marie Navar, and Scott H. Kollins. “Author Correction: Validation of the Sleep Regularity Index in Older Adults and Associations with Cardiometabolic Risk.” Sci Rep 11, no. 1 (December 16, 2021): 24398. https://doi.org/10.1038/s41598-021-03253-4.Full Text Link to Item
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Lunsford-Avery, Jessica R., Katherine S. F. Damme, Teresa Vargas, Maggie M. Sweitzer, and Vijay A. Mittal. “Psychotic-Like Experiences Associated with Sleep Disturbance and Brain Volumes in Youth: Findings from the Adolescent Brain Cognitive Development Study.” Jcpp Adv 1, no. 4 (December 2021). https://doi.org/10.1002/jcv2.12055.Full Text Link to Item
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Lunsford-Avery, Jessica R., Maggie M. Sweitzer, Scott H. Kollins, and John T. Mitchell. “Eveningness Diurnal Preference: Putting the "Sluggish" in Sluggish Cognitive Tempo.” J Atten Disord 25, no. 14 (December 2021): 2060–67. https://doi.org/10.1177/1087054720959697.Full Text Link to Item
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Lunsford-Avery, Jessica R., Andrea Pelletier-Baldelli, Stephanie A. Korenic, Jason Schiffman, Lauren M. Ellman, Leah Jackson, and Vijay A. Mittal. “Eveningness chronotype preference among individuals at clinical high risk for psychosis.” Schizophr Res 236 (October 2021): 3–8. https://doi.org/10.1016/j.schres.2021.07.034.Full Text Link to Item
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Lunsford-Avery, Jessica R., Jack D. Edinger, and Andrew D. Krystal. “Optimizing computation of overnight decline in delta power: Evidence for slower rate of decline in delta power in insomnia patients.” Clin Neurophysiol 132, no. 2 (February 2021): 545–53. https://doi.org/10.1016/j.clinph.2020.12.004.Full Text Link to Item
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Lunsford-Avery, Jessica R., Scott H. Kollins, and John T. Mitchell. “Sluggish Cognitive Tempo in Adults Referred for an ADHD Evaluation: A Psychometric Analysis of Self- and Collateral Report.” J Atten Disord 25, no. 3 (February 2021): 322–31. https://doi.org/10.1177/1087054718787894.Full Text Link to Item
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Lunsford-Avery, Jessica R., Tatyana Bidopia, Leah Jackson, and Jessica Solis Sloan. “Behavioral Treatment of Insomnia and Sleep Disturbances in School-Aged Children and Adolescents.” Child Adolesc Psychiatr Clin N Am 30, no. 1 (January 2021): 101–16. https://doi.org/10.1016/j.chc.2020.08.006.Full Text Link to Item
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Lunsford-Avery, Jessica R., and Argelinda Baroni. “Pediatric Sleep Disorders: A Unique Opportunity for Child and Adolescent Psychiatry.” Child Adolesc Psychiatr Clin N Am 30, no. 1 (January 2021): xv–xvii. https://doi.org/10.1016/j.chc.2020.10.001.Full Text Link to Item
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Mitchell, John T., Naomi Ornstein Davis, Scott H. Kollins, and Jessica R. Lunsford-Avery. “Sluggish cognitive tempo (SCT) in an adult outpatient sample seeking an attention-deficit/hyperactivity disorder assessment: Age of onset and assessment method impact on SCT rates.” J Psychiatr Res 131 (December 2020): 203–8. https://doi.org/10.1016/j.jpsychires.2020.09.013.Full Text Link to Item
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Lunsford-Avery, Jessica R., Casey Keller, Scott H. Kollins, Andrew D. Krystal, Leah Jackson, and Matthew M. Engelhard. “Feasibility and Acceptability of Wearable Sleep Electroencephalogram Device Use in Adolescents: Observational Study.” Jmir Mhealth Uhealth 8, no. 10 (October 1, 2020): e20590. https://doi.org/10.2196/20590.Full Text Link to Item
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Lunsford-Avery, Jessica R., Casey Keller, Scott H. Kollins, Andrew D. Krystal, Leah Jackson, and Matthew M. Engelhard. “Feasibility and Acceptability of Wearable Sleep Electroencephalogram Device Use in Adolescents: Observational Study (Preprint),” May 25, 2020. https://doi.org/10.2196/preprints.20590.Full Text
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Lunsford-Avery, Jessica R., Matthew M. Engelhard, Ann Marie Navar, and Scott H. Kollins. “Author Correction: Validation of the Sleep Regularity Index in Older Adults and Associations with Cardiometabolic Risk.” Sci Rep 10, no. 1 (February 14, 2020): 2993. https://doi.org/10.1038/s41598-020-59762-1.Full Text Link to Item
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Lunsford-Avery, Jessica R., Katherine S. F. Damme, Matthew M. Engelhard, Scott H. Kollins, and Vijay A. Mittal. “Sleep/Wake Regularity Associated with Default Mode Network Structure among Healthy Adolescents and Young Adults.” Sci Rep 10, no. 1 (January 16, 2020): 509. https://doi.org/10.1038/s41598-019-57024-3.Full Text Link to Item
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Lunsford-Avery, Jessica R., Scott H. Kollins, and Vijay A. Mittal. “Eveningness diurnal preference associated with poorer socioemotional cognition and social functioning among healthy adolescents and young adults.” Chronobiol Int 36, no. 3 (March 2019): 439–44. https://doi.org/10.1080/07420528.2018.1538156.Full Text Link to Item
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Lunsford-Avery, Jessica R., and Scott H. Kollins. “Editorial Perspective: Delayed circadian rhythm phase: a cause of late-onset attention-deficit/hyperactivity disorder among adolescents?” J Child Psychol Psychiatry 59, no. 12 (December 2018): 1248–51. https://doi.org/10.1111/jcpp.12956.Full Text Link to Item
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Lunsford-Avery, Jessica R., Matthew M. Engelhard, Ann Marie Navar, and Scott H. Kollins. “Validation of the Sleep Regularity Index in Older Adults and Associations with Cardiometabolic Risk.” Sci Rep 8, no. 1 (September 21, 2018): 14158. https://doi.org/10.1038/s41598-018-32402-5.Full Text Open Access Copy Link to Item
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Lunsford-Avery, Jessica R., Derek J. Dean, and Vijay A. Mittal. “Self-reported sleep disturbances associated with procedural learning impairment in adolescents at ultra-high risk for psychosis.” Schizophr Res 190 (December 2017): 160–63. https://doi.org/10.1016/j.schres.2017.03.025.Full Text Link to Item
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Lunsford-Avery, Jessica R., Bruno da Silva Brandão Gonçalves, Elisa Brietzke, Rodrigo A. Bressan, Ary Gadelha, Randy P. Auerbach, and Vijay A. Mittal. “Adolescents at clinical-high risk for psychosis: Circadian rhythm disturbances predict worsened prognosis at 1-year follow-up.” Schizophr Res 189 (November 2017): 37–42. https://doi.org/10.1016/j.schres.2017.01.051.Full Text Link to Item
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Lunsford-Avery, Jessica R., Andrew D. Krystal, and Scott H. Kollins. “Sleep disturbances in adolescents with ADHD: A systematic review and framework for future research.” Clin Psychol Rev 50 (December 2016): 159–74. https://doi.org/10.1016/j.cpr.2016.10.004.Full Text Link to Item
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Lunsford-Avery, Jessica R., Monique K. LeBourgeois, Tina Gupta, and Vijay A. Mittal. “Actigraphic-measured sleep disturbance predicts increased positive symptoms in adolescents at ultra high-risk for psychosis: A longitudinal study.” Schizophr Res 164, no. 1–3 (May 2015): 15–20. https://doi.org/10.1016/j.schres.2015.03.013.Full Text Link to Item
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Bernard, Jessica A., Derek J. Dean, Jerillyn S. Kent, Joseph M. Orr, Andrea Pelletier-Baldelli, Jessica R. Lunsford-Avery, Tina Gupta, and Vijay A. Mittal. “Cerebellar networks in individuals at ultra high-risk of psychosis: impact on postural sway and symptom severity.” Hum Brain Mapp 35, no. 8 (August 2014): 4064–78. https://doi.org/10.1002/hbm.22458.Full Text Link to Item
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Pelletier-Baldelli, Andrea, Derek J. Dean, Jessica R. Lunsford-Avery, Ashley K. Smith Watts, Joseph M. Orr, Tina Gupta, Zachary B. Millman, and Vijay A. Mittal. “Orbitofrontal cortex volume and intrinsic religiosity in non-clinical psychosis.” Psychiatry Res 222, no. 3 (June 30, 2014): 124–30. https://doi.org/10.1016/j.pscychresns.2014.03.010.Full Text Link to Item
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Mittal, Vijay A., Joseph M. Orr, Jessica A. Turner, Andrea L. Pelletier, Derek J. Dean, Jessica Lunsford-Avery, and Tina Gupta. “Striatal abnormalities and spontaneous dyskinesias in non-clinical psychosis.” Schizophr Res 151, no. 1–3 (December 2013): 141–47. https://doi.org/10.1016/j.schres.2013.10.003.Full Text Link to Item
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Lunsford-Avery, Jessica R., Joseph M. Orr, Tina Gupta, Andrea Pelletier-Baldelli, Derek J. Dean, Ashley K. Smith Watts, Jessica Bernard, Zachary B. Millman, and Vijay A. Mittal. “Sleep dysfunction and thalamic abnormalities in adolescents at ultra high-risk for psychosis.” Schizophr Res 151, no. 1–3 (December 2013): 148–53. https://doi.org/10.1016/j.schres.2013.09.015.Full Text Link to Item
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Mittal, Vijay A., Tina Gupta, Joseph M. Orr, Andrea Pelletier-Baldelli, Derek J. Dean, Jessica R. Lunsford-Avery, Ashley K. Smith, Briana L. Robustelli, Daniel R. Leopold, and Zachary B. Millman. “Physical activity level and medial temporal health in youth at ultra high-risk for psychosis.” J Abnorm Psychol 122, no. 4 (November 2013): 1101–10. https://doi.org/10.1037/a0034085.Full Text Link to Item
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Lunsford-Avery, J. R., and V. A. Mittal. “Sleep dysfunction prior to the onset of schizophrenia: A review and neurodevelopmental diathesis-stress conceptualization.” Clinical Psychology: Science and Practice 20, no. 3 (September 1, 2013): 291–320. https://doi.org/10.1111/cpsp.12041.Full Text
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Mittal, Vijay Anand, Joseph Michael Orr, Andrea Pelletier, Derek James Dean, Ashley Smith, and Jessica Lunsford-Avery. “Hypothalamic-pituitary-adrenal axis dysfunction in non-clinical psychosis.” Psychiatry Res 206, no. 2–3 (April 30, 2013): 315–17. https://doi.org/10.1016/j.psychres.2012.12.021.Full Text Link to Item
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Pelletier, Andrea L., Derek J. Dean, Jessica R. Lunsford-Avery, Ashley K. Smith, Joseph M. Orr, Tina Gupta, Zachary B. Millman, and Vijay A. Mittal. “Emotion recognition and social/role dysfunction in non-clinical psychosis.” Schizophr Res 143, no. 1 (January 2013): 70–73. https://doi.org/10.1016/j.schres.2012.10.039.Full Text Link to Item
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Lunsford-Avery, Jessica R., Charles M. Judd, David A. Axelson, and David J. Miklowitz. “Sleep impairment, mood symptoms, and psychosocial functioning in adolescent bipolar disorder.” Psychiatry Res 200, no. 2–3 (December 30, 2012): 265–71. https://doi.org/10.1016/j.psychres.2012.07.037.Full Text Link to Item
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Mittal, Vijay A., Andrew Smolen, Derek J. Dean, Andrea L. Pelletier, Jessica Lunsford-Avery, and Ashley Smith. “BDNF Val66Met and spontaneous dyskinesias in non-clinical psychosis.” Schizophr Res 140, no. 1–3 (September 2012): 65–70. https://doi.org/10.1016/j.schres.2012.06.018.Full Text Link to Item
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Brotman, Melissa A., Brendan A. Rich, Amanda E. Guyer, Jessica R. Lunsford, Sarah E. Horsey, Michelle M. Reising, Laura A. Thomas, et al. “Amygdala activation during emotion processing of neutral faces in children with severe mood dysregulation versus ADHD or bipolar disorder.” Am J Psychiatry 167, no. 1 (January 2010): 61–69. https://doi.org/10.1176/appi.ajp.2009.09010043.Full Text Link to Item
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Baroni, Argelinda, Jessica R. Lunsford, David A. Luckenbaugh, Kenneth E. Towbin, and Ellen Leibenluft. “Practitioner review: the assessment of bipolar disorder in children and adolescents.” J Child Psychol Psychiatry 50, no. 3 (March 2009): 203–15. https://doi.org/10.1111/j.1469-7610.2008.01953.x.Full Text Link to Item
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Book Sections
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Bidopia, T., M. M. Engelhard, S. H. Kollins, and J. R. Lunsford-Avery. “Screen media technology and ADHD in children and adolescents: Potential perils and emerging opportunities.” In Encyclopedia of Child and Adolescent Health, First Edition, 3:260–74, 2023. https://doi.org/10.1016/B978-0-12-818872-9.00126-6.Full Text
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Conference Papers
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Glasgow, Trevin E., Elizabeth L. Adams, Albert Ksinan, D Jeremy Barsell, Jessica Lunsford-Avery, Shanshan Chen, Scott Kollins, et al. “Sleep onset, duration, or regularity: which matters most for child adiposity outcomes?” In Int J Obes (Lond), 46:1502–9, 2022. https://doi.org/10.1038/s41366-022-01140-0.Full Text Link to Item
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Davis, Naomi, Jessica Lunsford-Avery, Scott Compton, and Geraldine Dawson. “ASSOCIATIONS BETWEEN SLEEP PROBLEMS AND ADHD SYMPTOMS IN EARLY CHILDHOOD: A LONGITUDINAL, PRIMARY-CARE BASED STUDY.” In Sleep, 45:A220–A220, 2022.Link to Item
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Lunsford-Avery, J., S. Kansagra, S. Kollins, and M. Engelhard. “Leveraging convenient wearable technology to assess adolescent sleep: Physical and psychiatric health correlates of single-channel sleep EEG in a community sample of youth.” In Journal of Sleep Research, Vol. 31, 2022.Link to Item
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Lunsford-Avery, Jessica, Scott Kollins, Leah Jackson, Noyuri Tominaga-Brown, Venkata Ramana Thalasila, and Andrew Krystal. “SLEEP AND NEUROCOGNITION IN ADOLESCENTS WITH ADHD: A POLYSOMNOGRAPHIC STUDY.” In Sleep, 45:A221–A221, 2022.Link to Item
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Lunsford-Avery, Jessica, Andrew Krystal, Leah Jackson, and Scott Kollins. “DIFFERENTIAL IMPACT OF OVERNIGHT DELTA POWER DYNAMICS ON NEUROCOGNITION AMONG ADOLESCENTS WITH ADHD VERSUS HEALTHY CONTROLS.” In Sleep, 44:A236–A236, 2021.Link to Item
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Lunsford-Avery, J. R., A. D. Krystal, M. A. Carskadon, and S. H. Kollins. “SLEEP ASSOCIATED WITH EXECUTIVE FUNCTIONING AMONG ADOLESCENTS ACROSS THE ADHD CONTINUUM.” In Sleep, 43:A373–A373, 2020.Link to Item
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Lunsford-Avery, J., S. Kollins, C. Keller, and M. Engelhard. “Ambulatory EEG-measured sleep associated with attention-deficit/hyperactivity disorder symptom severity among adolescents.” In Journal of Sleep Research, 29:162–63, 2020.Link to Item
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Lunsford-Avery, Jessica, Ke Will Wang, Matthew Engelhard, Casey Keller, Sujay Kansagra, and Scott Kollins. “Impact of Daily Caffeine on Actigraphically-Measured Sleep Duration Among Adolescents With and Without Attention-Deficit/Hyperactivity Disorder.” In Neuropsychopharmacology, 45:82–83, 2020.Link to Item
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Lunsford-Avery, Jessica, Andrew Krystal, Mary Carskadon, and Scott Kollins. “Associations Between Sleep, Neurocognitive Performance, and ADHD Symptom Severity Among Adolescents.” In Neuropsychopharmacology, 44:289–289. NATURE PUBLISHING GROUP, 2019.Link to Item
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Chen, S., R. Perera, M. M. Engelhard, J. R. Lunsford-Avery, S. H. Kollins, and B. F. Fuemmeler. “A generic algorithm for sleep-wake cycle detection using unlabeled actigraphy data.” In 2019 Ieee Embs International Conference on Biomedical and Health Informatics, Bhi 2019 Proceedings, 2019. https://doi.org/10.1109/BHI.2019.8834568.Full Text
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Lunsford-Avery, J. R., S. H. Kollins, and A. D. Krystal. “0762 Sleeping at Home: Feasibility and Tolerability of Ambulatory Polysomnography for Use with Adolescents with Attention-Deficit/Hyperactivity Disorder.” In Sleep, 41:A283–84. Oxford University Press (OUP), 2018. https://doi.org/10.1093/sleep/zsy061.761.Full Text
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