Alexandra Nicoletta, Ph.D.

Department of Psychiatry and Behavioral Medicine
Brody School of Medicine at East Carolina University
600 Moye Boulevard / 905 Johns Hopkins Drive
Greenville, NC 27834
Phone: 252-744-2660 / 252-744-1406
Fax: 252-744-3815 / 252-744-2419
Email: nicolettaa25@ecu.edu
Faculty Rank: Clinical Assistant Professor
Licensure and Credentials
Licensed Psychologist, Colorado
Oct. 2024 — Present
Licensed Psychologist, North Carolina
Sept. 2025 — Present
Licensed Health Service Provider (HSP-P)
Sept. 2025 — Present
National Register of Health Service Psychologists,
April 2025 — Present
Education and Professional Experience
Clinical Neuropsychologist
Oct. 2025 — Present
ECU Health | Greenville, NC
Post-doctoral Fellowship, Rehabilitation Neuropsychology
Sept. 2023 — Aug. 2025
Craig Hospital | Englewood, CO
Pre-doctoral Residency, Adult Neuropsychology
Aug. 2020 — Oct. 2021
Denver Health Medical Center | Denver, CO
APA Accredited
Doctor of Philosophy
Aug. 2015 — Dec. 2021
East Carolina University | Greenville, NC
APA Accredited program in Health Psychology, Clinical concentration
Neuropsychology training track
Master of Arts
Aug. 2015 — May 2018
East Carolina University | Greenville, NC
Clinical Psychology
Bachelor of Science
Aug. 2012 — Dec. 2014
East Carolina University | Greenville, NC
Major: Neuroscience, Minor: Psychology
Peer-Reviewed Publications
Huber, N. L., Nicoletta, A., Ellis, J. M. & Everhart, D. E. (2020). Validating the Adolescent Sleep Wake Scale for Use with Young Adults. Sleep Medicine, 69, 217-219.
Everhart, D. E., Nicoletta, A. J., Zurlinden, T. M., & Gencarelli, A. M. (2020). Caregiver Issues and Concerns following TBI: A Review of the Literature and Future Directions. Psychological Injury and Law, 13(1), 33-43.
Lehockey, K. A., Winters, A. R., Nicoletta, A. J., Zurlinden, T. E., & Everhart, D. E. (2018). The Effects of emotional states and traits on time perception. Brain Informatics, 5(9).
Loveless, J. P., Nicoletta, A. J., Winters, A. R., Carels, R. A., Wuensch, K. L., Whited, M. C., McCubbin, J. A., Everhart, D. E. (2018). Exploring the relationship between frontal asymmetry and emotional dampening. International Journal of Psychophysiology, 123, 8-16.
Rogers, S., Smith, P., Nicoletta, A. (Stephenson), & Everhart, E. (2017). A retrospective crosssectional and longitudinal study of the effects of age on CNS Vital Signs scores in high school athletes. Sports Medicine, 47(9), 1893-1899.
Watson, E. M., Loveless, J. P., Nicoletta, A. J. (Stephenson), Bickel, K. L., Lehockey, K. A., Everhart, E. (2016). The relationship between anger, frontal asymmetry, and the BIS/BAS subscales. The Journal of Nature and Science, 2(12), e264.
Highsmith, J., Nicoletta, A. J. (Stephenson), & Everhart, D. E. (2016). A Review of assessment of sleep disruption in adults following traumatic brain injury. International Journal of Neurorehabilitation, 3(4), 223.
Everhart, D. E., Loveless, J. P., Nicoletta, A. J. (Stephenson) (2016). The emerging importance of evaluation of pre-injury sleep characteristics among adolescents with traumatic brain injury. International Journal of Neurorehabilitation, 3(3), 210.
Highsmith, J., Wuensch, K., Tran, T., Nicoletta, A. (Stephenson), & Everhart, E. (2016). It’s not what you expect: Feedback negativity is independent of reward expectation and affective responsivity in a non-probabilistic task. Brain Informatics, 4(1), 51-63.
Everhart, D., E., Watson, E. M., Bickel, K. D., Nicoletta, A. J. (Stephenson) (2015). Right temporal lobe atrophy: A case that initially presented as excessive piety. The Clinical Neuropsychologist, 29(7), 1053-67.
Professional Presentations
Nicoletta, A., Dorman, K., Griffith, A., Winters, A., Gencarelli, A., Haney, L., Sorrell, A., & Everhart, D. (2025). Moderate-Intensity Physical Activity and Insomnia Symptoms are Related to Cognitive Functioning in an Emerging Adult Population. Poster to be presented at the 2025 Annual Meeting of the International Neuropsychological Society, New Orleans, LA.
Everhart, D., Watson, E., Nicoletta, A., Winters, A., Zurlinden, T., Gencarelli, A., . . . Falletta, G. (2023). Poor sleep is associated with bias for negative sleep-related images: Development of the sleep approach-avoidance task (SAAT). Poster presented at the 51st Annual Meeting of the International Neuropsychological Society, San Diego, CA.
Nicoletta, A., Winters, A. R., Gencarelli, A. M., Haney, L., Griffith, A., Sorrell, A. E., & Everhart, D. E. (2020, February). Cognitive functioning and perceived executive dysfunction relate to poor sleep. Poster presented at the 48th Annual Meeting of the International Neuropsychological Society, Denver, CO.
Winters, A. R., Nicoletta, A., Everhart, D. E., & Watson, E. (2020, February). Behavioral inhibition subscales and neuroticism relate to poor sleep. Poster presented at the 48th Annual Meeting of the International Neuropsychological Society, Denver, CO.
Zurlinden, T., Everhart, E., Nicoletta, A., Winters, A., Gencarelli, A., Corbett, Q., & Sorrell, A. (2020, February). Utilizing the Sleep Approach Avoidance Task in Sleep Research. Poster presented at the 48th Annual Meeting of the International Neuropsychological Society. Denver, Colorado.
Everhart, D. E., Nicoletta, A., Winters, A., Zurlinden, T., Gencarelli, A., Watson, E., Lehockey, K., Highsmith, J., & Loveless, J. (2019, September). Resting anterior alpha asymmetry is related to stage 2 sleep and apneic events during overnight polysomnography. Poster presented at the 59th Annual Meeting of the Society for Psychophysiological Research, Washington, D.C.
Huber, N. L., Nicoletta, A. J., Ellis, J. M., & Everhart, D. E. (2019, April). Sleep across the ages: Investigating the validity of the adolescent sleep wake scale in a national sample of emerging adults. Poster presented at the 13th Annual ECU Research and Creative Achievement Week, Greenville, NC.
Everhart, D. E., Lehockey, K.A., Highsmith, J.M., Watson, E. M., Loveless, J.P., Nicoletta, A. J., Winters, A. R., Zurlinden, T.E., Kelly, C. T. Bickel, K. (2019, February). Behavioral inhibition and anterior alpha asymmetry are predictors of adherence to continuous positive airway pressure for obstructive sleep apnea. Poster presented at the 47th Annual Meeting of the International Neuropsychological Society. New York City, New York.
Loveless, J. P., Nicoletta, A. J., Everhart, D. E. (2018, October). Exploration of emotional dampening at differing levels of emotion processing. Poster presented at the 58th Annual Meeting of the Society for Psychophysiological Research, Quebec City, Quebec, Canada.
Everhart, D. E., Lehockey, K. A., Highsmith, J. M., Watson, E. M., Loveless, J. P., Nicoletta, A. J., Winters, A. R., Zurlinden, T., Kelly, C. T. & Bickel, K. (2018, October). Behavioral inhibition and anterior alpha asymmetry are predictors of adherence to continuous positive airway pressure for obstructive sleep apnea. Poster presented at the 58th Annual Meeting of the Society for Psychophysiological Research, Quebec City, Quebec, Canada.
Winters, A. R., Nicoletta, A. J., Watson, E., Everhart, D. E. (2018, February). Behavioral inhibition subscales relate to resting frontal asymmetry and sleep. Poster presented at the 46th Annual Meeting of the International Neuropsychological Society, Washington, D.C.
Watson, E. M., Nicoletta, A. J., Lehockey, K. A., & Everhart, D. E. (2018, February). Poor sleepers have delayed behavioral responses to positive sleep imagery. Poster presented at the 46th Annual Meeting of the International Neuropsychological Society, Washington, D.C.
Lehockey, K. A., Watson, E. M., Bickel, K. D., Nicoletta, A. J., & Everhart, D. E. (2018, February). The relationship between electrophysiology, behavioral activation, and CPAP nonadherence in a sample of adult patients with obstructive sleep apnea. Poster presented at the 46th Annual Meeting of the International Neuropsychological Society, Washington, D.C.
Winters, A. R., Nicoletta, A. J., Watson, E., & Everhart, D. E. (2017, October). Behavioral inhibition subscales relate to poor sleep and resting frontal asymmetry. Poster presented at the 19th Annual Neuroscience Symposium, Greenville, NC.
Huber, N. L., Nicoletta, A. J., Everhart, D. E., & Valrie, C. R. (2017, April). Examining the validity of the adolescent sleep wake scale for an emerging adult population. Poster presented at the 11th Annual ECU Research and Creative Achievement Week, Greenville, NC.
Nicoletta, A. J., Corson, A. T., Watson, E. M., Everhart, D. E. (2017, February). Behavioral inhibition and baseline frontal asymmetry are associated with sleep quality components. Poster presented at the 45th Annual Meeting of the International Neuropsychological Society, New Orleans, LA.
Loveless, J. P., Nicoletta, A. J., & Everhart, D. E. (2017, January). The relationship between behavioral approach and emotion perception. Poster presented at the 18th Annual Society for Personality and Social Psychology Convention, San Antonio, TX.
Nicoletta, A. J., Winters, A. R., Corson, A. T., Watson, E. M., & Everhart, D. E. (2016, October). Can’t sleep? Individual differences and resting frontal alpha asymmetry are related to insomnia and sleep quality components. Poster presented at the 18th Annual Neuroscience Symposium, Greenville, NC.
Corson, A. T., Nicoletta, A. J., Watson, E. M., & Everhart, D. E. (2016, October). P300 latency for positively-valenced sleep images is reduced in poor sleepers. Poster presented at the 18th Annual Neuroscience Symposium, Greenville, NC.
Nicoletta, A. J., Watson, E. M., Everhart, D. E. (2016, September). Baseline frontal alpha asymmetry is related to sleep and quality of life. Poster presented at the 56th Annual Meeting of the Society for Psychophysiological Research, Minneapolis, MN.
Watson, E. M., Nicoletta, A. J., Everhart, D. E. (2016, September). Poor sleepers have decreased P300 latency for positively-valenced sleep images. Poster presented at the 56th Annual Meeting of the Society for Psychophysiological Research, Minneapolis, MN.
Lehockey, K. A., Bickel, K., Nicoletta, A. J., Watson, E. M., Highsmith, J., Everhart, D. E. (2016, September). P300 responses to novel positively valenced stimuli are negatively correlated with disengagement as a coping strategy. Poster presented at the 56th Annual Meeting of the Society for Psychophysiological Research, Minneapolis, MN.
Watson, E. M., Nicoletta, A. J., & Everhart, D. E. (2016, April). Is neuroticism keeping you up at night? Poster presented at the 37th Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine, Washington, D.C.
Watson, E. M., Nicoletta, A. J., & Everhart, D. E. (2016, April). Predictive utility of the mini IPIP in classification of type d behavior pattern. Poster presented at the 37th Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine, Washington, D. C.
Watson, E. M., Nicoletta, A. J., & Everhart, D. E. (2016, February). Neurophysiological behavioral inhibition (BIS) and behavioral activation (BAS) systems are related to sleep quality. Poster presented at the 44th Annual Meeting of the International Neuropsychological Society, Boston, MA.
Watson, E. M., Nicoletta, A. J., Corson, A. T., & Everhart, D. E. (2015, November). Behavioral inhibition and resting frontal alpha asymmetry are related to sleep quality. Poster presented at the 17th Annual Neuroscience Symposium, Greenville, NC.
Highsmith, J. M., Lehockey, K. A., Watson, E. M., Loveless, J., Nicoletta, A. J., & Everhart, D. E. (2015, October). HRV and electrophysiological responses to errors vary by cognitive versus affective task framing. Poster presented at the 55th Annual Meeting of the Society for Psychophysiological Research, Seattle, WA.
Nicoletta, A. J., Watson, E., Loveless, J., Bickel, K., Lehockey, K. A., Highsmith, J. M., Hardin, L., and Everhart, D. E. (2014, October). Neurophysiological behavioral activation (BAS) and behavioral inhibition (BIS) systems are associated with quality of life and adherence in patients with obstructive sleep apnea (OSA). Poster presented at the 16th Annual Neuroscience Symposium, Greenville, NC.
Watson, E. M., Clements, K. N., Nicoletta, A. J., Loveless, J. P., Bickel, K., Lehockey, K. A., & Everhart, D. E. (2014, October). Anger is associated with greater left than right hemisphere baseline electroencephalographic activity. Poster presented at the 16th Annual Neuroscience Symposium, Greenville, NC.
Everhart, D. E., Watson, E. M., Loveless, J. P., Hardin, L., Johnson-Cowan, S., Bickel, K. D., Nicoletta, A. J., Lehockey, K. A., Highsmith, J. M. (2014, September). Behavioral inhibition and frontal alpha activity are associated with adherence to continuous positive airway pressure in patients with obstructive sleep apnea. Poster presented at the 54th Annual Meeting of the Society for Psychophysiological Research, Atlanta, GA.
Lehockey, K. A., Highsmith, J. M., Watson, E. M., Bickel, K. D., Nicoletta, A. J., Everhart, D. E. (2014, September). Individual differences in the behavioral inhibition system and resting alpha asymmetry predict behavioral intentions to adhere after viewing a disadvantage-framed health message. Poster presented at the 54th Annual Meeting of the Society for Psychophysiological Research, Atlanta, GA.
Nicoletta, A. J., Watson, E., Loveless, J., Bickel, K., Lehockey, K. A., Highsmith, J. M., Hardin, L., and Everhart, D. E. (2014, March). Behavioral inhibition and activation are related to quality of life and adherence in patients with obstructive sleep apnea. Poster presented at the 35th Annual Society of Behavioral Medicine Conference, Philadelphia, PA.
Lehockey, K. A., Highsmith, J. M., Watson, E. M., Bickel, K. D., Nicoletta, A. J., Everhart, D. E. (2014, March). Predicting Adherence Behavioral Intentions from Electrophysiological Biomarkers and Individual Differences in Behavioral Activation and Behavioral Inhibition Systems. Poster presented at the 35th Annual Society of Behavioral Medicine Conference, Philadelphia, PA.
Bickel, K., Highsmith, J. M., Watson, E., Loveless, J., Nicoletta, A. J., Lehockey, K.A., and Everhart, D. E. (2013, October). Examination of neurophysiological correlates of the behavioral activation (BAS) and behavioral inhibition (BIS) systems. Poster presented at the 15th Annual Neuroscience Symposium, Greenville, NC.
Professional Affiliations
American Psychological Association, Div 40 Society for Clinical Neuropsychology
American Psychological Association, Div 22 Rehabilitation Psychology
International Neuropsychological Society
National Academy of Neuropsychology
Eastern Carolina Chapter of the Society for Neuroscience