The Role of Sleep in Mental Illness in Veterans and Active Service Members

Talbot, Lisa S.; Klingaman, Elizabeth A.; Primeau, Michelle; Kawai, Makoto; Pirog, Sophia; Jordan, Joshua T.; O’Hara, Ruth

doi:10.1007/978-1-4939-7438-2_25

Cited by 3 publications

(3 citation statements)

References 138 publications

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“…However, the lack of information about how veterans with SMI respond to insomnia treatments excluded them from widespread dissemination (Klingaman et al, 2015). VHA coordinating efforts to enhance sleep treatment for veterans with SMI (Talbot et al, 2018) should consider our findings in formation of guidelines.…”

Section: Discussionmentioning

confidence: 98%

How do US military veterans with serious mental illness manage insomnia? A phenomenological analysis

Klingaman

Lucksted

Crosby

et al. 2022

Journal of Sleep Research

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Insomnia is a prevalent experience for individuals with serious mental illness, and is one of the most common reasons for mental health referrals in the Veterans Health Administration. Insomnia also critically impacts psychiatric, cognitive and somatic outcomes. However, there is limited information about how people with serious mental illness (i.e. schizophrenia spectrum, bipolar, or major depressive disorders, with serious functional impairments) understand and respond to problems with their own sleep. Bringing this information to light will yield novel methods of research and treatment. The purpose of this study was to examine reactions to insomnia among veterans with serious mental illness and insomnia. An inductive phenomenological approach was used to collect data from 20 veterans with serious mental illness and insomnia using semi-structured interviews. Six themes were identified: Becoming Aware that Insomnia is a Problem; Response to and Dissatisfaction with Medications; Strategies to Get Better Sleep: Contrary to Usual Guidelines; Personal Responsibility for Getting Sleep; Resigned and Giving Up; and Acceptance and Persistence. These results provide insight into the process of identifying insomnia and the subsequent cognitive and behavioural responses that are used to manage sleep disturbances among veterans with serious mental illness, a group often excluded from gold-standard treatments for chronic insomnia. Clinical implications and recommendations for improving treatment efficacy are discussed.

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Section: Discussionmentioning

confidence: 98%

How do US military veterans with serious mental illness manage insomnia? A phenomenological analysis

Klingaman

Lucksted

Crosby

et al. 2022

Journal of Sleep Research

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“…However, veterans with SMI, especially those with psychotic disorders, have been generally excluded from receiving this treatment due to limited guidelines about how to tailor its principles to their chief concerns (Klingaman, Palmer‐Bacon, Bennett, & Rowland, ). The VHA is leading efforts to optimize sleep treatments for veterans with SMI (Talbot et al., ). As treatment guidelines for insomnia are developed and refined for this population, issues such as safety, hallucinations, paranoia, ambivalence about sleep, and military identity must be considered.…”

Section: Discussionmentioning

confidence: 99%

A phenomenological inquiry into the experience of sleep: Perspectives of US military veterans with insomnia and serious mental illness

Klingaman

Lucksted

Crosby

et al. 2019

Journal of Sleep Research

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The majority of people with serious mental illness experience insomnia, and insomnia is one of the most frequent reasons for mental health referrals in the Veterans Health Administration. Insomnia also represents a critical obstacle to mental health recovery. Little is known about how military veterans with mental health problems conceptualize their sleep and sleep problems; such information may uncover new avenues for research and treatment. Therefore, the purpose of this study was to explore how veterans with serious mental illness and insomnia experience and understand their sleep, towards the aim of identifying these new avenues. Participants included 20 veterans with insomnia and serious mental illness (i.e. schizophrenia spectrum, bipolar or major depressive disorders, with serious functional impairments). Data were collected via an inductive phenomenological approach using semi‐structured interviews. We identified five themes: Sleep to Recharge; Sleep as a Fight; Sleep as Safety or Escape; Sleep as Dangerous; and Military Influence. Participants' relationship with sleep was complex; many associated it with intrusive and troubling hallucinations, paranoia and military experiences, yet at the same time desired sleep for its potential to liberate them from distress. Military mindsets both helped and hindered sleep. These results extend existing models of insomnia development and maintenance, and illuminate phenomena previously unidentified in this underserved veteran population. Clinical and theoretical implications are discussed, as well as new research directions for enhancing therapeutic efficacy.

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“…Данные изменения в «циркадной системе хронометража» обусловлены несоответствиями между временем эндогенного циркадного ритма и временем цикла сна-бодрствования, что в некоторых случаях диктуется академическим расписанием или рабочим графиком. Клиническая картина CRSD нередко зависит от комбинации физиологических, поведенческих и средовых факторов [15][16][17].…”

Section: нарушения циркадных ритмовunclassified

Sleep and Depression: What We Know and What to Learn?

Викторович

Валерьевна

Владимировна

2020

ISci

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Presently, a lot of data indicate that the disturbance of mechanisms underlying the regulation of sleep-waking cycle coincides with the mechanisms underlying the development of depression. The disturbance of circadian rhythms is one of the core factors in the genesis of the most affective disorders including depression, which indicates the role of the internal biological clock in the pathophysiology of affective disorders. The episodes of depression, mania or hypomania may result from the disturbances in endogenous biological timing. In this review, we have summarized the literature data obtained in animal models or in the patients with affective pathology, in which the connection between the function of sleep and depression was demonstrated. Specifically, we highlight the mechanisms underlying sleep dysfunction during depression (imbalance of circadian rhythms, melatonin metabolism and mechanisms of neuroinflammatory dysregulation) and provide an evidence for the link between sleep function and depression (sleep disturbances during depressive episodes, the effects of pharmacotherapy, chronotherapy, the effect of sleep deprivation, comorbidity of obstructive sleep apnea and depression).

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The Role of Sleep in Mental Illness in Veterans and Active Service Members

Cited by 3 publications

References 138 publications

How do US military veterans with serious mental illness manage insomnia? A phenomenological analysis

How do US military veterans with serious mental illness manage insomnia? A phenomenological analysis

A phenomenological inquiry into the experience of sleep: Perspectives of US military veterans with insomnia and serious mental illness

Sleep and Depression: What We Know and What to Learn?

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