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Patricia Carter, PhD, RN, CNS | Associate Professor

Email Patricia Carter

Phone: 512 232-4709
Fax: 512 471-3688

Office: NUR 5.128
The University of Texas at Austin, School of Nursing
1710 Red River Street
Austin, TX 78701

As a member of the American Academy of Sleep Medicine and the Sleep Research Society, I collaborate with interdisciplinary colleagues across the nation to explore the use of Behavioral Sleep Medicine approaches that can be useful to decrease insomnia in family caregivers of persons with chronic and disabling conditions. In the past 11 years of research I have found that family caregivers suffer with severe insomnia, but they are unable to take advantage of pharmacologic treatments, because the excessive sedation does not allow for ongoing monitoring of the patient’s needs throughout the night. My work has focused on designing, testing, and evaluating non-pharmacologic approaches to decreasing insomnia and depression symptoms while improving quality of life in active and bereaved family caregivers of persons with chronic and disabling conditions.

My work with both objective and subjective measures of sleep quality have afforded me the opportunity to collaborate with the school of psychology on studies to explore the effects of chronic sleep restriction in college students. Additionally, my experience with behavioral sleep medicine techniques has afforded another collaborative opportunity with the school of pharmacy to develop a preliminary intervention to treat insomnia and depressive symptoms in college students. I have had the opportunity to consult and advise on faculty and student projects that were exploring the use of actigraph technology for measuring sleep and activity in diverse populations (e.g., elderly, adolescents).

  • Carter, P. (Faculty), Mackert, M. (Faculty), Guevara, H. (UT Nurse), “Study to develop recruitment materials for a behavioral health promotion intervention of Hispanic family caregivers of persons with cancer. Funded with SON Shivers endowment funds.
  • Schnyer, D. (Faculty), Carter, P. (Faculty), Trujillo, L. (Graduate), Dickey, L. (Graduate), "Neurobehavioral study of cognition and emotion under chronic sleep restriction", (September 2009 - Present). Currently funded through intramural funds.
  • 2007-10. “Sleep: Effect on Dementia Caregiver Mastery, Perceived Stress & Depression” Simpson, C. Principal Investigator; Carter. P & Acton, G. Faculty Sponsors. NIH/NINR – NRSA.
  • 2005-06. "Behavioral Sleep Intervention for Hospice Nurses: A Pilot Study." Cain Excellence Fund. Carter, P. Principal investigator; Dyre, K. Co-Investigator
  • 2004-06. "A Pilot Study of the Relationships between Sleep Quality, Decision-Making. Satisfaction & Depression in Family Caregivers of Community Dwelling and Institutionalized Patients with Dementia." Special Research Grant, The University of Texas at Austin. Carter, P. Principal Investigator; Simpson, C. Co-Investigator.
  • 2003-07. "Development of Caregiver Sleep Intervention." National Institute of Mental Health. Carter, P. Principal Investigator R21 MH067600-01.
  • 2003-07. "Health Promotion for Women with Fibromyalgia." National Institutes of Health. Stuifbergen, A. Principal investigator [H. Becker (15%), P. Carter (10%), & G. Timmerman (5%), Co Investigators].
  • 2004-05. "Health Promotion for HIV Positive Women." Cain Excellence Fund. Abel, E. Principal investigator [P. Carter (5%)]
  • 2003-04. "Bereaved Family Caregiver's Descriptions of Sleep Changes During & After caregiving. Pilot grant from Center for Health Promotion Research in Underserved Populations (CHPR). University of Texas at Austin, School of Nursing. Carter, P. Principal Investigator
  • 2001. "Sleep Deprivation and Depression in Family Caregivers of Persons with Lung Cancer" The University of Texas at Austin Summer Research Award. Carter, P. Principal Investigator
  • 2001-02. "Sleep Intervention for Cancer Caregivers." University of Texas at Austin Research Grant. Carter, P. Principal Investigator
  • 2001. "Sleep Intervention for Cancer Caregivers" Oncology Nursing Foundation. Submitted 5/1/01, un-funded; Submitted 11/1/01, unfunded. (scaled down project was conducted with UT research grant)
  • 2000-02. "Sleep and Depression in Cancer Caregivers" Oncology Nursing Foundation/Bristol-Myers. Oncology Research Grant. Carter, P. Principal Investigator
  • 2000-01. "Depression and Sleep in Cancer Caregivers." Pilot grant from Center for Health Promotion. Research in Underserved Populations (CHPR). University of Texas at Austin, School of Nursing. Carter, P. Principal Investigator
  • 1999-00. "Sleep Pattern Changes and Mood Disturbances as Described by Family Caregivers of Persons with Terminal Cancer." Special Research Grant. The University of Texas at Austin, Office of the Vice President for Research. Carter, P. Principal Investigator
  • 1996-98. “Cancer Caregivers Depression and Sleep Disturbances”, NIH, NINR Vulnerable Populations Pre-doctoral Fellowship #NR07077.  Carter, P. Principal Investigator
  • Stuifbergen, A., Phillips, L., Carter, P., Morrison, J. & Todd, A. (2010). Subjective and objective sleep difficulties in women with fibromyalgia syndrome. Journal of the American Academy of Nurse Practitioners,22, 548-556.
  • Simpson, C. & Carter, P. (2010). Pilot study of a brief behavioral sleep intervention for caregivers of individuals with dementia. Research in Gerontological Nursing, 3(1), 19-29.
  • Carter, P., Mikan, S.Q., & Simpson, C. (2009). A feasibility study of a two session home based cognitive behavioral therapy-insomnia intervention for bereaved family caregivers. Palliative & Supportive Care,7,197-206.
  • Carter, P. (2007) Sleep Disturbance. In Langhorn, M, & Fulton, J. (Eds.) Oncology Nursing, 5th ed. St. Louis: Elsevier Science. (pp. 694-700).
  • Acton, G.A. & Carter, P. (2006). Health promotion research: Addressing the needs of older adults and their caregivers. Journal of Gerontological Nursing, 32(2), 5.
  • Carter, P. (2006) Anxiety and Depression. In Dow, K. (Ed). Women and Cancer. St Louis: Mosby. (pp253-263).
  • Carter, P. (2006) A brief behavioral sleep intervention for family caregivers of persons with cancer. Cancer Nursing, 29, 95-103.
  • Carter, P. & Acton, G.A. (2006). Personality and coping as predictors of caregivers’ depression and sleep problems. Journal of Gerontological Nursing, 32(2), 45-53.
  • Carter, P. (2006) Sleep and the Caregiver. in Lee-Chiong. T (Ed) Encyclopedia of Sleep Medicine. Hoboken, NJ:J. Wiley & Sons. (pp 181-183).
  • Carter, P. (2006) in Canobio, M (ed.) Mosby handbook of patient education, 3nd Edition. St. Louis: Mosby.
  • Carter, P. (2005). Bereaved caregivers description of sleep: Impact on daily life and the bereavement process. Oncology Nursing Forum, 32, E70-E75.
  • Berger, A., Parker, K., Young-McCaughlin, S., Mallory, G., Barsevick, A., Beck, S., Carpenter, J., Carter, P., Farr, L., Hinds, P., Lee, K., Miaskowski, C., Mock, V., & Hall, T. (2005). 2004 State of the Science conference on disturbances in sleep and wakefulness in individuals with cancer and their caregivers. Oncology Nursing Forum, 32, E98-126.
  • Carter, P. & Clark, A. (2005). Assessing and treating sleep problems in family caregivers of ICU patients. Critical Care Nurse, 25, 16-25.
  • Huang, C-M., Carter, P. & Gou, J-L. (2004). A comparison of sleep and daytime sleepiness in depressed and non-depressed mothers during early postpartum period. Journal of Nursing Research, 12, 287-295.
  • Bush, A & Carter, P. (2004). The effect of cancer patient pain and fatigue on caregiver depression level and sleep quality. Journal of Undergraduate Nursing Scholarship, 6(1), 1-6.
  • Chang, B.L., Nitta, S., Carter, P., & Markham. Y.K. (2004). Perceived helpfulness of telephone calls among family caregivers. Journal of Gerontological Nursing, 30(9),14-21.
  • Stuifbergen, A., Harrison, T. Becker, H. & Carter, P. (2004) Adaptation of a wellness intervention for women with chronic disabling conditions. Journal of Holistic Nursing. 22(1), 12-31.
  • Carter, P. (2003). Family caregiver’s sleep loss and depression over time. Cancer Nursing, 26, 253-259.
  • Carter, P. (2002). Sleep disturbance and depression. In M. Hass (ed.), Contemporary Issues in Lung Cancer. (pp. 175-184) Sudbury, MA: Jones & Bartlett.
  • Clark, A. & Carter, P. (2002). Why do nurses see family as “trouble”? Clinical Nurse Specialist Journal. 16(1), 40-41.
  • Carter, P. (2002). Caregiver’s Descriptions of Sleep Changes and Depressive Symptoms. Oncology Nursing Forum, 29,1277-1283.
  • Chang, B., Sarna, L., & Carter, P. (2001). Mammography screening in caregivers of persons with dementia. Geriatric Nursing, 22(1), 33-36.
  • Chang, B., Brecht, M.L., & Carter, P. (2001). Predictors of social support and caregiver outcomes. Women and Health 33(1/2), 39-61.
  • Carter, P. (2001). A not so silent cry for help: Older female cancer caregivers need for information. Journal of Holistic Nursing, 19(3), 271-284.
  • Carter, P. & Chang, B. (2000). Sleep and depression in cancer caregivers. Cancer Nursing, 23(6), 410-415.
  • Flaskerud, J., Carter, P., & Lee, P. (2000). Distressing emotions in female caregivers of persons with AIDS, Age-related dementias, and advanced stage cancers. Perspectives in Psychiatric Care, 36(4), 121-130.
  • Carter, P. (2000) in Canobio, M (ed.) Mosby handbook of patient education, 2nd Edition. St. Louis: Mosby.
  • Winslow, B., & Carter, P. (1999). Patterns of burden and dependency in dementia caregiving couples. Nursing Clinics of North America, 34(2), 275-287.
  • Carter, P. (1998). Self-Care agency: The concept and how it is measured. Significance for caregivers. Journal of Nursing Measurement, 6(2), 195-207.
  • Faherty, B. Cody, M., & Carter, P. (1998). Minimum data set for home health care: State report cards. State and Local Government Review, 30(3), 205-212.