Details

Autor(en) / Beteiligte

• Klingaman, EA
• Brownlow, JA
• Boland, EM
• Mosti, C
• Gehrman, PR

Titel

0334 PREVALENCE, PREDICTORS, AND CORRELATES OF INSOMNIA IN U.S. ARMY SOLDIERS

Ist Teil von

• Sleep (New York, N.Y.), 2017-04, Vol.40 (suppl_1), p.A123-A124

Ort / Verlag

US: Oxford University Press

Erscheinungsjahr

2017

Link zum Volltext

Quelle

Oxford Journals 2020 Medicine

Beschreibungen/Notizen

• Abstract Introduction: Insomnia is one of the most common reasons military personnel seek behavioral health treatment; its consequences may adversely impact military readiness and performance. The majority of research conducted on insomnia and its impact on military personnel has focused on treatment-seeking samples and/or isolated symptoms of DSM-IV insomnia disorder criteria. Representative and larger-sample studies using full insomnia diagnostic criteria are needed. This study investigated the prevalence, predictors, and correlates of insomnia disorder in a national sample of U.S. Army Soldiers. Methods: Data were analyzed from the Army Study to Assess Risk and Resilience in Service members (STARRS)--All-Army Study (AAS). A representative sample of 21,499 U.S. Army Soldiers responded to the cross-sectional AAS self-administered questionnaire. The Brief Insomnia Questionnaire was used to define DSM-5 insomnia disorder; biopsychosocial correlates and predictors were assessed with measures validated with this population. Chi-square and logistic regression analyses identified correlates and predictors of insomnia status at a small effect size or greater. Results: The rate of DSM-5 insomnia disorder was 22.76%. Insomnia was associated with less intention to build an Army career and poorer functioning in health (mental, physical, and cognitive), social support, morale, and work performance domains. Multivariable analyses showed that number of current and lifetime mental health disorders, poor stress coping, feeling unsupported by leadership, and less education predicted insomnia disorder (overall model R2=.37, p<.001). Conclusion: Insomnia disorder is associated with many facets of military readiness and well-being. Education and opportunities for healthier sleep practices are needed--specifically those supported by leadership and that address stress coping skills. Support (If Any): Data were collected as part of the Army STARRS, sponsored by the Department of the Army and funded under cooperative agreement U01MH087981 with the U.S. Department of Health and Human Services, National Institutes of Health, and National Institute of Mental Health. Research was supported with resources and use of facilities at the VA Capitol Health Care Network (VISN 5) MIRECC and U.S. Department of Veterans Affairs, Veterans Health Administration, Rehabilitation Research and Development Service-1IK2RX001836. Views expressed here are those of the authors and do not necessarily represent views of the Department of Veterans Affairs.