ArticleSleep2016
Sleep and Health Resilience Metrics in a Large Military Cohort.
Article in Sleep, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.
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Who cites it
51 citing papers in PubMed.
- Skin-attached bioadhesive patch enabling ultrasound deep brain stimulation and real-time electrophysiological monitoring for REM sleep enhancement.Nature communications · 2026Trial
- The effects of a Total Worker Health intervention on workplace safety: Mediating effects of sleep and supervisor support for sleep.Journal of occupational health psychology · 2023Trial
- Perceived benefits of brief acupuncture for sleep disturbances in postdeployment military service members.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Trial
- Effects of a Workplace-Based Sleep Health Program on Sleep in Members of the German Armed Forces.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Trial
- Comprehensive Health Predictors of Injury, Illness, and Separation From Service After Enrollment in Special Forces Assessment and Selection: A Two-Year Longitudinal Study.Stress and health : journal of the International Society for the Investigation of Stress · 2026Article
- Cannabis use and sleep outcomes among National Guard and Reserve soldiers.Psychological services · 2026Article
- Article
- Relationship between sleep, stress and psychological distress in internally displaced persons depends on the length of displacement.Scientific reports · 2026Article
- The prevalence and incidence of sleep disorder symptoms, correlates, and sex-stratified longitudinal associations with mental and menstrual health outcomes in UK Service Personnel: a prospective survey-based cohort study protocol.Sleep advances : a journal of the Sleep Research Society · 2026Article
- Longitudinal association of quality of life and health behaviors with service member readiness.PloS one · 2026Article
- Article
- Understanding sleep health challenges of defence shift workers to design a digital, sleep and circadian management tool.Scientific reports · 2025Article
- Sleep health and its correlates among male and female military recruits in Jordan: a cross-sectional study.BMC public health · 2025Article
- The relationship between self-efficacy/resilience and the mental health status of hemodialysis nurses: multiple mediation effects of insomnia and fatigue.Frontiers in psychology · 2025Article
- Development and preliminary evaluation of the Comprehensive Health Self-Assessment Questionnaire (CHSAQ) for individuals in the Chinese People Liberation Army.BMC public health · 2024Article
- Association between sleep duration and psychological resilience in a population-based survey: A cross-sectional study.Journal of education and health promotion · 2024Article
- Article
- Prototyping Apps for the Management of Sleep, Fatigue, and Behavioral Health in Austere Far-Forward Environments: Development Study.Journal of medical Internet research · 2023Article
- Differences in quality-of-life scores across injury categories by mental health status among injured U.S. military service members and veterans.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesExamine the relationship between self-reported sleep parameters and indicators of resilience in a US military population (n = 55,021).
methodsLongitudinal analyses (2001-2008) were conducted using subjective data collected from Millennium Cohort Study questionnaires and objective data from military records that included demographics, military health, and deployment information. Subjective sleep duration and insomnia symptoms were collected on the study questionnaire. Resilience metrics included lost work days, self-rated health, deployment, frequency and duration of health care utilization, and early discharge from the military. Generalized estimating equations and survival analyses were adjusted for demographic, military, behavioral, and health covariates in all models.
resultsThe presence of insomnia symptoms was significantly associated with lower self-rated health, more lost work days, lower odds of deployment, higher odds of early discharge from military service early, and more health care utilization. Those self-reporting < 6 h (short sleepers) or > 8 h (long sleepers) of sleep per night had similar findings, except for the deployment outcome in which those with the shortest sleep were more likely to deploy.
conclusionsPoor sleep is a detriment to service members' health and readiness. Leadership should redouble efforts to emphasize the importance of healthy sleep among military service members, and future research should focus on the efficacy of interventions to promote healthy sleep and resilience in this population. COMMENTARY: A commentary on this article appears in this issue on page 963.
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