Sleep and Military Members: Emerging Issues and Nonpharmacological Intervention

Brown, Cary A.; Berry, Robyn; Schmidt, Ashley

doi:10.1155/2013/160374

Cited by 27 publications

(19 citation statements)

References 52 publications

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“…individuals, members of the armed forces, and institutional populations may have impacted the prevalence rate of troubled sleep reported in this paper as some studies have found prevalence rates of troubled sleep among these individuals to be high [45,46]. However, given that this population constituted <3% of the sample, their impact, if any, would be minimal on the prevalence rate of troubled sleep reported in this study.…”

Section: Tablementioning

confidence: 81%

The enduring effects of early-childhood adversities and troubled sleep among Canadian adults: a population-based study

et al. 2015

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Section: Tablementioning

confidence: 81%

The enduring effects of early-childhood adversities and troubled sleep among Canadian adults: a population-based study

et al. 2015

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“…Clarifying the relationship between insomnia and mental disorders is relevant to the health and well-being of military personnel, particularly in the context of deployment, which may affect both mental health and sleep patterns [9][10][11]. Disruptions to the latter can affect mental and physical stamina, cognitive functioning, and operational readiness of troops [12].…”

Section: Introductionmentioning

confidence: 99%

Pre-deployment insomnia is associated with post-deployment post-traumatic stress disorder and suicidal ideation in US Army soldiers

Wang

Campbell‐Sills

Kessler

et al. 2018

Sleep

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Study Objectives: Insomnia is prevalent among military personnel and may increase risk of mental disorders and suicidal ideation. This study examined associations of pre-deployment insomnia with post-deployment post-traumatic stress disorder (PTSD) and suicidal ideation among US Army soldiers. Methods: Soldiers from three Brigade Combat Teams completed surveys 1-2 months before deploying to Afghanistan in 2012 (T0), on return from deployment (T1), 3 months later (T2), and 9 months later (T3). Logistic regression was performed to estimate associations of pre-deployment (T0) insomnia with post-deployment (T2 or T3) PTSD and suicidal ideation among respondents who completed surveys at all waves (n = 4645). A hierarchy of models incorporated, increasing controls for predeployment risk factors and deployment experiences. Results: Pre-deployment insomnia was associated with increased risk of post-deployment PTSD (adjusted odds ratio [AOR] = 3.14, 95% confidence interval [CI] = 2.58% to 3.82%, p < .0005) and suicidal ideation (AOR = 2.78, 95% CI = 2.07% to 3.74%, p < .0005) in models adjusting for sociodemographic characteristics and prior deployment history. Adjustment for other pre-deployment risk factors and deployment experiences attenuated these associations; however, insomnia remained significantly associated with post-deployment PTSD (AOR = 1.50, 95% CI = 1.19% to 1.89%, p = .001) and suicidal ideation (AOR = 1.43, 95% CI = 1.04% to 1.95%, p = .027). Subgroup models showed that pre-deployment insomnia was associated with incident PTSD (AOR = 1.55, 95% CI = 1.17% to 2.07%, p = .003) and suicidal ideation (AOR = 1.67, 95% CI = 1.16% to 2.40%, p = .006) among soldiers with no pre-deployment history of these problems. Conclusions: Pre-deployment insomnia contributed to prediction of post-deployment PTSD and suicidal ideation in Army soldiers, suggesting that detection of insomnia could facilitate targeting of risk mitigation programs. Future studies should investigate whether treatment of insomnia helps prevent PTSD and suicidal ideation among deployed service members.

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“…Previously deployed soldiers with past-year sleep, depression or alcohol diagnoses were at higher risk for accident death. These conditions are associated with deployment stress exposure and post-deployment adjustment difficulties (Schumm and Chard, 2012; Brown et al, 2013). Consequently, indicators of combat exposure effects, such as health-risk perceptions (Killgore et al, 2008) or post-deployment persistence of combat tactics (e.g., aggressive driving to avoid threat of attacks) (Possis et al, 2014), could further diffierentiate groups at high risk.…”

Section: Resultsmentioning

confidence: 99%

Medical-encounter mental health diagnoses, non-fatal injury and polypharmacy indicators of risk for accident death in the US Army enlisted soldiers, 2004–2009

Lewandowski‐Romps

Schroeder

Berglund

et al. 2018

Preventive Medicine

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Accidents are a leading cause of deaths in U.S. active duty personnel. Understanding accident deaths during wartime could facilitate future operational planning and inform risk prevention efforts. This study expands prior research, identifying health risk factors associated with U.S. Army accident deaths during the Afghanistan and Iraq war. Military records for 2004-2009 enlisted, active duty, Regular Army soldiers were analyzed using logistic regression modeling to identify mental health, injury, and polypharmacy (multiple narcotic and/or psychotropic medications) predictors of accident deaths for current, previously, and never deployed groups. Deployed soldiers with anxiety diagnoses showed higher risk for accident deaths. Over half had anxiety diagnoses prior to being deployed, suggesting anticipatory anxiety or symptom recurrence may contribute to high risk. For previously deployed soldiers, traumatic brain injury (TBI) indicated higher risk. Two-thirds of these soldiers had first TBI medical-encounter while non-deployed, but mild, combat-related TBIs may have been undetected during deployments. Post-Traumatic Stress Disorder (PTSD) predicted higher risk for never deployed soldiers, as did polypharmacy which may relate to reasons for deployment ineligibility. Health risk predictors for Army accident deaths are identified and potential practice and policy implications discussed. Further research could test for replicability and expand models to include unobserved factors or modifiable mechanisms related to high risk. PTSD predicted high risk among those never deployed, suggesting importance of identification, treatment, and prevention of non-combat traumatic events. Finally, risk predictors overlapped with those identified for suicides, suggesting effective intervention might reduce both types of deaths.

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Sleep and Military Members: Emerging Issues and Nonpharmacological Intervention

Cited by 27 publications

References 52 publications

The enduring effects of early-childhood adversities and troubled sleep among Canadian adults: a population-based study

The enduring effects of early-childhood adversities and troubled sleep among Canadian adults: a population-based study

Pre-deployment insomnia is associated with post-deployment post-traumatic stress disorder and suicidal ideation in US Army soldiers

Medical-encounter mental health diagnoses, non-fatal injury and polypharmacy indicators of risk for accident death in the US Army enlisted soldiers, 2004–2009

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