Prevalence, Correlates, and Predictors of Insomnia in the US Army prior to Deployment

Taylor, Daniel J.; Pruiksma, Kristi E.; Hale, Willie J.; Kelly, Kevin M.; Maurer, Douglas; Peterson, Alan L.; Mintz, Jim; Litz, Brett T.; Williamson, Douglas E.

doi:10.5665/sleep.6156

Cited by 100 publications

(68 citation statements)

References 73 publications

(158 reference statements)

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“…Consistent with prior literature (Staner, ; Taylor et al ., ), mental health problems were robust predictors of insomnia. Stressors that challenge good sleep may be perceived to be the responsibility of and/or mitigated by soldiers’ superiors, and lack of support by fellow unit members may potentiate the sleep‐disturbing effects of stressors.…”

Section: Discussionmentioning

confidence: 88%

“…Future research should explore characteristics of effective communication regarding insomnia prevention and management. Taken with literature on insomnia and unit cohesion (Taylor et al ., ), results illustrate the need to further explore how unit member support may reduce insomnia risk.…”

Section: Discussionmentioning

confidence: 91%

“…Nearly one‐quarter of participants met the selected DSM‐5 insomnia criteria, over twice that of the estimated prevalence in the general population (Mai and Buysse, ). While lower than the rate of insomnia in Veterans (Vet Advisor, ), results are consistent with rates reported in other studies of active duty personnel (Mysliwiec et al ., ; Seelig et al ., ; Taylor et al ., ). Duration typically lasted at least 6–12 months.…”

Section: Discussionmentioning

confidence: 97%

“…Taylor et al . () reported an insomnia prevalence rate of 19.9% among pre‐deployment military service members, though relied exclusively on the Insomnia Severity Index for documentation of insomnia symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence, predictors and correlates of insomnia in US army soldiers

Klingaman

Brownlow

Boland

et al. 2017

Journal of Sleep Research

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The objective of this study was to investigate the rates, predictors and correlates of insomnia in a national sample of US Army soldiers. Data were gathered from the cross-sectional survey responses of the All-Army Study, of the Army Study to Assess Risk and Resilience in Service members. Participants were a representative sample of 21 499 US Army soldiers who responded to the All-Army Study self-administered questionnaire between 2011 and 2013. Insomnia was defined by selected DSM-5 criteria using the Brief Insomnia Questionnaire. The results highlight significant functional difficulties associated with insomnia among US soldiers, as well as insights into predictors of insomnia specific to this population. Insomnia was present in 22.76% of the sample. Predictors of insomnia status in logistic regression included greater number of current mental health disorders, less perceived open lines of communication with leadership, less unit member support and less education. Insomnia had global, negative associations with health, social functioning, support, morale, work performance and Army career intentions. The results provide the strongest evidence to-date that insomnia is common in a military population, and is associated with a wide array of negative factors in the domains of health, military readiness and intentions to remain in military careers.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence, predictors and correlates of insomnia in US army soldiers

Klingaman

Brownlow

Boland

et al. 2017

Journal of Sleep Research

View full text Add to dashboard Cite

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“…Experimental paradigms indicate that exposure to acute laboratory stressors increases sleep onset latency and nocturnal awakenings and decreases total sleep time (e.g., Bkeland, Koulack, & Lasky, ; Gross & Borkovec, ; Hall et al, ). Naturalistic psychosocial stressors such as interpersonal conflicts, job stress, and negative life events are cross‐sectionally and prospectively associated with increases in insomnia (e.g., Fortunato & Harsh, ; Ota et al, ; Taylor et al, ). However, chronic stress , ongoing stressors lasting at least 1 year, has been related to a particularly high risk for insomnia (Pillai et al, ).…”

Section: Introductionmentioning

confidence: 99%

Chronic parenting stress and mood reactivity: The role of sleep quality

et al. 2017

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Sleep is a basic biological process supporting emotion regulation. The emotion regulation function of sleep may be particularly important in the context of chronic stress. To better understand how chronic stress and sleep interact to predict mood, 66 parents of children with autism completed daily diaries assessing parenting stress, negative mood, and sleep quality for 6 consecutive days. Hierarchical linear modelling revealed that daily negative mood was predicted by between-person differences in parenting stress and between-person differences in sleep efficiency. Further, between-person differences in sleep efficiency and within-person differences in sleep satisfaction moderated the impact of stress on mood. These data suggest that sleep disturbances may exacerbate the association between stress and mood in the context of chronic parenting stress. Further, high parenting stress appears to heighten the impact of transient sleep disturbances on mood.

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Post‐traumatic stress symptomatology and adjustment of medical oncology practice during the COVID‐19 pandemic among adult patients with cancer in a day care hospital

Joly

Rigal²,

Guittet

et al. 2021

Cancer

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BACKGROUND:The COVID-19 pandemic may induce post-traumatic stress disorder (PTSD) symptoms among patients with cancer, who also face adaptations to their treatment. The authors assessed the occurrence of PTSD symptoms, investigated pandemic-induced adjustments in medical oncology practice in patients with cancer, and explored risk factors for PTSD and the association between PTSD symptoms, insomnia, and quality of life (QoL). METHODS: This prospective French study was conducted in patients with solid/hematologic tumors who were receiving medical treatment in the day care departments of 2 cancer centers during the lockdown. Adjustments to medical oncology practice were collected from medical records. PTSD (measured using the Impact of Event Scale-Revised), insomnia (measured using the Insomnia Severity Index), QoL (measured using the Functional Assessment of Cancer Therapy-General instrument), and cognitive complaints (measured using the Functional Assessment of Cancer Therapy-Cognitive Function instrument) were collected through validated questionnaires. RESULTS: Clinical data and questionnaires were available for 734 and 576 patients, respectively. The median patient age was 64 years, and 69% of patients were women. Twenty-one percent of patients had PTSD. Twenty-seven percent (95% CI, 23%-30%) had an adjustment in their medical oncology program, including adjournments (29%), treatment interruptions (16%), modified treatment plans (27%), or adapted monitoring (27%). Women and patients experiencing an adjustment in oncology practice had a higher odds of PTSD (odds ratio= 2.10 [95% CI, 1.07-4.14] and 1.65 [95% CI, 1.03-2.63]; P < .05). PTSD symptoms were correlated with worse scores for QoL, cognition, and insomnia. CONCLUSIONS: Twenty-one percent of patients with cancer experienced PTSD symptoms associated with poor QoL during the first COVID-19-induced lockdown. Medical oncology practice was adjusted in approximately one-quarter of patients and was associated with the occurrence of PTSD symptoms. Psychosocial support should be offered in cancer centers to promote emotional resilience and avoid PTSD symptoms in patients. Cancer 2021;0:1-10.

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Prevalence, Correlates, and Predictors of Insomnia in the US Army prior to Deployment

Abstract: Insomnia occurs in about one of five service members prior to a military deployment and is associated with a wide array of psychosocial stressors and mental and physical health problems.

Cited by 100 publications

References 73 publications

Prevalence, predictors and correlates of insomnia in US army soldiers

Prevalence, predictors and correlates of insomnia in US army soldiers

Chronic parenting stress and mood reactivity: The role of sleep quality

Post‐traumatic stress symptomatology and adjustment of medical oncology practice during the COVID‐19 pandemic among adult patients with cancer in a day care hospital

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