ReviewClinical psychology review2018
Insomnia in United States military veterans: An integrated theoretical model.
Review in Clinical psychology review, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 46 citations in OpenAlex.
- Sleep efficiency predicts improvements in fear extinction and PTSD symptoms during prolonged exposure for veterans with comorbid insomnia.Psychiatry research · 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
- Black Women Benefit From Psychotherapies for Insomnia, but Experience Adherence Challenges: Results of a Comparative Effectiveness Trial in Women Veterans.Women's health issues : official publication of the Jacobs Institute of Women's HealthTrial
- Article
- Multimorbidity: Addressing the Elephant in the Clinic Room.Healthcare (Basel, Switzerland) · 2025Article
- Negative Aging Stereotypes and Clinical Insomnia in Older U.S. Military Veterans.The Gerontologist · 2025Article
- Article
- Longitudinal associations between insomnia, cannabis use and stress among US veterans.Journal of sleep research · 2024Article
- The influence of service dog partnerships on perceived and objective sleep quality for military veterans with PTSD.Frontiers in sleep · 2024Article
- Reducing Nighttime Interruptions and Improving Sleep for Hospitalized Patients by Restructuring Nighttime Clinical Workflow.Journal of general internal medicine · 2023Article
- Insomnia among community members in Florida: Associations with demographics, health conditions, and social support.Journal of clinical and translational science · 2023Article
- Pre-deployment threat learning predicts increased risk for post-deployment insomnia: Evidence from the Marine Resiliency Study.Behaviour research and therapy · 2022Article
- Automated stress detection using mobile application and wearable sensors improves symptoms of mental health disorders in military personnel.Frontiers in digital health · 2022Article
- Dementia in military and veteran populations: a review of risk factors-traumatic brain injury, post-traumatic stress disorder, deployment, and sleep.Military Medical Research · 2021Review
- Prevalence, risk correlates, and health comorbidities of insomnia in US military veterans: results from the 2019-2020 National Health and Resilience in Veterans Study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- Effects of a forehead cooling device in veterans with chronic insomnia disorder and co-morbid medical and psychiatric conditions: a pilot study.Sleep & breathing = Schlaf & Atmung · 2021Article
- Prevalence rates and correlates of insomnia disorder in post-9/11 veterans enrolling in VA healthcare.Sleep · 2020Observational
- The role of insomnia in the association between posttraumatic stress disorder and hypertension.Journal of hypertension · 2020Article
- Sleep in the United States Military.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020Review
- Predictors of cognitive behavioral therapy outcomes for insomnia in veterans with post-traumatic stress disorder.Sleep & breathing = Schlaf & Atmung · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
Marked by difficulty falling or staying asleep and/or poor sleep leading to daytime dysfunction, insomnia contributes to functional impairment, poor health, and increased healthcare utilization when left untreated. As many as two-thirds of Iraq and Afghanistan military veterans complain of insomnia. Older veterans of prior conflicts report insomnia occurring since initial service, suggesting a chronic nature to insomnia in this population. Despite insomnia's high prevalence and severe consequences, there is no theoretical model to explain either the onset or chronicity of insomnia in this growing patient population. Existing theories view insomnia as an acute, unidirectional phenomenon and do little to elucidate long-term consequences of such problems. Existing theories also fail to address mechanisms by which acute insomnia becomes chronic. This paper presents an original, integrated theoretical model that draws upon constructs from several prominent behavioral medicine theories to reconceptualize insomnia as a chronic, cyclical problem that is both a consequence and predictor of stress. Additional research examining the relationships between stress, sleep, resilience, and outcomes of interest could inform clinical and research practices. Addressing sleep problems early could potentially enhance adaptive capacity, thereby reducing the risk for subsequent negative outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.