ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2020
The relationship between military occupation and diagnosed insomnia following combat deployment.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed, 8 citations in OpenAlex.
- Sleep and PTSD in the Military Forces: A Reciprocal Relationship and a Psychiatric Approach.Brain sciences · 2021Review
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Authors and funding
4 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesOur objective was to investigate the relationship between military occupation and diagnosed insomnia following combat deployment.
methodsThis retrospective cohort study was conducted using existing electronic military databases. Eligible participants were military personnel with a deployment to Iraq, Afghanistan, or Kuwait between 2005 and 2009. A total of 66,869 U.S. Navy and U.S. Marine Corps service members constituted the study sample and were categorized by military occupation. Military medical databases were used to abstract information on insomnia diagnoses and prescription medications.
resultsThe overall prevalence of diagnosed insomnia was 3.4%. In multivariable logistic regression, personnel in law enforcement (odds ratio = 1.62; 95% confidence interval, 1.28-2.04), motor transport (odds ratio = 1.38; 95% confidence interval, 1.14-1.66), and health care occupations (odds ratio = 2.24; 95% confidence interval, 1.85-2.71) had significantly higher odds of an insomnia diagnosis following deployment than did those in infantry occupations. These results remained unchanged after excluding those who reported posttraumatic stress disorder symptoms. Nonbenzodiazepine sedative/hypnotics were prescribed for 44.2% of those with insomnia, and prescription patterns differed by occupation.
conclusionsThese results suggest that military occupation may play a primary role in the onset and management of insomnia. The findings provide a rationale for targeting individuals in insomnia-susceptible occupations with better methods to prevent and/or minimize sleep issues during and after combat deployment.
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