Sleep disturbances and suicidal ideation in a sample of treatment-seeking Canadian Forces members and veterans

Richardson, Julie; Cyr, Kate St.; Nelson, Charles; Elhai, Jon D.; Sareen, Jitender

doi:10.1016/j.psychres.2014.04.008

Cited by 34 publications

(40 citation statements)

References 68 publications

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“…Further, the available data suggest a relatively mild TBI severity, though the lack of formal TBI diagnoses limits conclusions regarding the relationships between gender, AS, and PCS among those with differing levels of TBI severity. Though the absence of these data limits interpretations of these data with regard to subsamples of TBI (i.e., those with recent TBIs vs. persistent symptoms), past research demonstrating convergence of self-reported TBIs using the TBIQ (civilian or military) with interview-based diagnosis of TBI (Diamond et al, 2007; Matthews et al, 2011; Matthews et al, 2012; Richardson et al, 2014; Shu et al, 2014) lends confidence to the preliminary conclusions of the current study that AS plays a role gender differences in PCS. Future research should seek to extend these findings by examining the effects TBI severity and time-since-injury on the relation between gender, AS, and PCS.…”

Section: Discussionmentioning

confidence: 52%

“…The TBIQ was adapted for civilian use from a TBI measure originally intended for use with military populations (Brief Traumatic Brain Injury Screen; Schwab et al, 2006). The Brief Traumatic Brain Injury Screen (BTBIS) and TBIQ have both shown good sensitivity and high specificity for TBI history when compared to TBI history verified by clinical interview and has been successfully used to identify TBI history in a growing number of studies (Diamond et al, 2007; Matthews et al, 2011; Matthews et al, 2012; Richardson et al, 2014; Shu et al, 2014). In the current study, the TBIQ was used to select participants who reported a history of TBI.…”

Section: Methodsmentioning

confidence: 99%

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Anxiety sensitivity mediates gender differences in post-concussive symptoms in a clinical sample

Albanese

Boffa

Macatee

et al. 2017

Psychiatry Research

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Traumatic brain injury (TBI) is both prevalent and potentially disabling. Extant literature has demonstrated women to report greater post-concussive symptoms (PCS) compared to men, highlighting the necessity of investigations into malleable, gender-linked risk factors for PCS that hold promise for reducing this gender disparity. Anxiety Sensitivity (AS) and Distress Tolerance (DT) are gender-linked risk factors that may be related to PCS. Despite a breadth of research supporting elevated AS and reduced DT in women, no study to date has investigated whether AS and DT mediate gender differences in PCS. The current sample was composed of 59 participants selected from a larger study based on their report of a past TBI. Findings indicated that AS, but not DT, significantly mediated gender differences in PCS. The present results suggest that AS is a cognitive risk factor that can partially account for the gender disparity in the expression of PCS. AS may influence an individual’s interpretation of PCS as dangerous, thereby amplifying the perception of PCS severity. This suggests that efforts to reduce the burden of TBI may benefit from targeting AS in prevention and treatment paradigms, especially among women.

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Section: Discussionmentioning

confidence: 52%

Section: Methodsmentioning

confidence: 99%

Anxiety sensitivity mediates gender differences in post-concussive symptoms in a clinical sample

Albanese

Boffa

Macatee

et al. 2017

Psychiatry Research

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“…We also used single items to measure suicidality and insomnia. While not ideal, a similar single-item measures have been used elsewhere to study insomnia and suicide [38]; however, the use of more elaborate measures of insomnia and SI in future studies may further clarify the relationship between insomnia, mental health conditions, and SI identified in the current study. Additionally, the item used to measure insomnia was worded to include both problems falling or staying asleep as a single item.…”

Section: Discussionmentioning

confidence: 98%

“…For example, Bernert and colleagues [22] and Liu [37] noted that although experiencing nightmares was significantly related to elevated suicidal symptoms, the relationship between insomnia and suicidality failed to reach significance. In a treatment-seeking sample of predominantly veterans, Richardson and colleagues [38] failed to find significant associations between either insomnia or nightmares and SI when controlling for probable diagnoses of PTSD, MDD, GAD, or alcohol use disorder (AUD). Instead, MDD emerged as the only significant predictor of SI.…”

Section: Introductionmentioning

confidence: 99%

Insomnia, psychiatric disorders and suicidal ideation in a National Representative Sample of active Canadian Forces members

et al. 2017

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BackgroundPast research on the association between insomnia and suicidal ideation (SI) has produced mixed findings. The current study explored the relationship between insomnia, SI, and past-year mental health status among a large Canadian Forces (CF) sample.MethodData was obtained from the 2013 Canadian Forces Mental Health Survey (CFMHS), and included a large representative sample of Canadian Regular Forces personnel (N = 6700). A series of univariate logistic regressions were conducted to test individual associations between past-year mental health status, insomnia, and potential confounds and SI. Mental health status included three groups: 0, 1, or two or more probable diagnoses of posttraumatic stress disorder (PTSD), major depressive disorder (MDD), generalized anxiety disorder (GAD), panic disorder (PD) and alcohol abuse/dependence. Stepwise multivariate logistic regression was used to assess the relationship between insomnia and SI with mental health status as a moderator.Results40.8% of respondents reported experiencing insomnia. Both insomnia and number of mental health conditions incrementally increased the risk of SI. However, past-year mental health status was a significant moderator of this relationship, such that for CF personnel with either no (AOR = 1.61, 1.37–1.89) or only one past-year mental health condition (AOR = 1.39, 1.12–1.73), an incremental increase in insomnia was associated with an increased likelihood of SI. However, in personnel with two or more past-year mental health disorders, insomnia was no longer significantly associated with SI (AOR = 1.04, 0.81–1.33).ConclusionsInsomnia significantly increased the odds of SI, but only among individuals with no or one mental health condition. Findings highlight the importance of assessing insomnia among CF members in order to further suicide prevention efforts.

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“…Construct validity was demonstrated by Martin, Rief, Klaiberg, and Braehler (2006). Validity of the PHQ-9 in military veterans was recently demonstrated in three studies (Plach & Sells, 2013;Richardson, Cyr, Nelson, Elhai, & Sareen, 2014;Waltz et al, 2014).…”

Section: Patient Health Questionnaire Levels Of Depression Scale (Phqmentioning

confidence: 95%

Psychosocial Characteristics of Student Veterans with Service-Related Disabilities: Implications for Further Research and Occupational Therapy Involvement

Dutra

Eakman

Schelly

2016

Occupational Therapy in Mental Health

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PSYCHOSOCIAL CHARACTERISTICS OF STUDENT VETERANS WITH SERVICE-RELATED DISABILITIES: IMPLICATIONS FOR FURTHER RESEARCH AND OCCUPATIONAL THERAPY INVOLVEMENTThe purpose of this study was to assess how post-9/11 university student veterans differ from nonveteran university students on four mental health indicators. In comparison to a demographically matched sample of nonveteran students, we found that veterans in our study had significantly higher levels of depression and post-traumatic stress symptomatology and nonsignificantly lower levels of engagement in meaningful activities and meaning in life. Our nonexperimental study indicates mental health differences between student veterans and their nonveteran peers do exist and argues for the inclusion of occupational therapy services for student veterans.iii ACKNOWLEDGEMENTS

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Sleep disturbances and suicidal ideation in a sample of treatment-seeking Canadian Forces members and veterans

Cited by 34 publications

References 68 publications

Anxiety sensitivity mediates gender differences in post-concussive symptoms in a clinical sample

Anxiety sensitivity mediates gender differences in post-concussive symptoms in a clinical sample

Insomnia, psychiatric disorders and suicidal ideation in a National Representative Sample of active Canadian Forces members

Psychosocial Characteristics of Student Veterans with Service-Related Disabilities: Implications for Further Research and Occupational Therapy Involvement

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