Evidence map›Paper›PMID 32660579›Full record

ArticleHealth and quality of life outcomes2020

Sleep quality and its impacts on quality of life among military personnel in remote frontier areas and extreme cold environments.

Zonghua Wang, Beijing Chen, Wei Li, Fei Xie, Alice Yuen Loke, Qin Shu

Open access · goldAbstract read
In one paragraph

Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Emotion Regulation and Coping in Active Military Personnel: A Systematic Review.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Pooled it
  2. Pooled it
  3. Sleep and affect: A conceptual review.Sleep medicine reviews · 2022
    Pooled it
  4. Article
  5. Sleep Quality and its Predictors in Brazilian Marines.Sleep science (Sao Paulo, Brazil) · 2025
    Article
  6. Article
  7. Sleep quality and duration: A key to life satisfaction among military students.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024
    Article
  8. Review
  9. Article
  10. Review
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Zonghua WangSchool of Nursing, Army Medical University, Chongqing, 400038, China.
Beijing ChenSchool of Nursing, Army Medical University, Chongqing, 400038, China.
Wei LiSchool of Nursing, Army Medical University, Chongqing, 400038, China.
Fei XieSchool of Nursing, Army Medical University, Chongqing, 400038, China.
Alice Yuen LokeSchool of Nursing, the Hong Kong Polytechnic University, Hung Hum, Kowloon, Hong Kong, China. alice.yuen.loke@polyu.edu.hk.
Qin ShuSchool of Nursing, Army Medical University, Chongqing, 400038, China. qinshu_amu@163.com.ORCID http://orcid.org/0000-0001-8702-1741
Army Medical University · CNHong Kong Polytechnic University · HK

Funding

army medical university 4103010530
6 · The paper itself

Abstract

backgroundPoor sleep quality negatively affects the readiness of military operations and is also associated with the development of mental health disorders and decreased quality of life. The purpose of this study was to investigate the sleep quality of military personnel from remote boundaries of China and its relationship with coping strategies, anxiety, and health-related quality of life (HRQoL).

methodsA cross-sectional survey was performed among military officers and soldiers from a frontier defence department and an extreme cold environment. The participants were surveyed using the Pittsburgh Sleep Quality Index (PSQI), Trait Coping Style Questionnaire (TCSQ), Self-rating Anxiety Scale (SAS), and Short Form Health Survey (SF-36).

resultsA total of 489 military officers and soldiers were included. The participants had a mean age of 22.29 years. The median overall PSQI score was 7.0 (IQR, 4.0 ~ 9.0), with 40.9% (200/489) of the subjects reporting poor sleep quality. The difficulties with sleep were mainly related to daytime dysfunction due to disrupted sleep, sleep latency, and subjective sleep quality. The median score of the SF-36 physical component was 83.5 (IQR, 73.0 ~ 90.5), and the median score of the mental component was 74.1 (IQR, 60.4 ~ 85.1). Significant correlations were found between the PSQI and SF-36 (r = - 0.435, P <  0.01). Anxiety symptoms, marital status, educational background, and global PSQI score were demonstrated as predictors of a low SF-36 physical component by multiple regression analysis (F = 17.06, P <  0.001, R

conclusionsSleep difficulty is a prevalent and underestimated problem in the military that negatively influences HRQoL, especially in physical and social functioning. Evaluation of and education on pain were recommended because of body pain and its negative impacts on sleep quality, coping strategies, anxious emotions and HRQoL.

Indexed as

Adaptation, PsychologicalAdolescentAdultChinaCross-Sectional StudiesExtreme ColdFemaleHumansMaleMilitary PersonnelPrevalenceQuality of LifeSleep Initiation and Maintenance DisordersSleep Wake DisordersSurveys and QuestionnairesYoung AdultHRQoLMilitaryPSQISleep

Identifiers

PMID32660579
PMCPMC7358209
OpenAlexW3041012194

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.