Evidence map›Paper›PMID 33251855›Full record

ArticleBehavioral sleep medicine

Insomnia Precipitating Events among Women Veterans: The Impact of Traumatic and Nontraumatic Events on Sleep and Mental Health Symptoms.

Gwendolyn C Carlson, Monica R Kelly, Austin M Grinberg, Michael Mitchell, Sarah Kate McGowan, Najwa C Culver, Morgan Kay, Cathy A Alessi, Donna L Washington, Elizabeth M Yano and 1 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Behavioral sleep medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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.

NCT02076165 nacompletednot on this map

A Patient-Focused Approach to Insomnia Treatment for Women Veterans

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2014 to 2018Enrolled347ConditionsInsomniaArmsAcceptance and the Behavioral Changes to Treat Insomnia, Cognitive behavioral therapy for insomnia
NCT03377452 nacompletednot on this map

Diagnosis and Treatment of Sleep Apnea in Women Veterans

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2018 to 2022Enrolled90ConditionsSleep ApneaArmsAcceptance and the Behavioral Changes to Treat Sleep Apnea (ACB-SA), Non-directive sleep apnea education control
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
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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

11 authors at 5 institutions in 1 country.

Gwendolyn C CarlsonVeterans Affairs (VA) Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Monica R KellyGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Austin M GrinbergGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Michael MitchellGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Sarah Kate McGowanDepartment of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Najwa C CulverDepartment of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Morgan KayDepartment of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Cathy A AlessiGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Donna L WashingtonVeterans Affairs (VA) Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Elizabeth M YanoVeterans Affairs (VA) Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Jennifer L MartinGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
VA Greater Los Angeles Healthcare System · USGeriatric Research Education and Clinical Center · USUniversity of California, Los Angeles · USCenter for the Study of Healthcare Provider Behavior · USHealth Services Research & Development · US

Funding

Sleep health in special populationsK24HL143055 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTIN, JENNIFER L · 2018 to 2025
$898k
A Patient-Focused Approach to Insomnia Treatment for Women VeteransI01HX001287 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI MARTIN, JENNIFER L · 2014 to 2014
–
HSR&D Research Career Scientist AwardIK6HX003160 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI MARTIN, JENNIFER L · 2020 to 2025
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HSRD VA I01 HX001287HSRD VA I01 HX002300HSRD VA IK6 HX003160NHLBI NIH HHS K24 HL143055
6 · The paper itself

Abstract

OBJECTIVE/

backgroundThe current study describes insomnia precipitating events reported by women Veterans and examines differences in sleep and psychological distress variables in those who endorsed traumatic, nontraumatic, or no insomnia precipitating events.

participantsBaseline data were collected from 347 women Veterans enrolled in a behavioral sleep intervention study (NCT02076165).

methodsParticipants completed self-report measures of insomnia symptoms, sleep quality, sleep efficiency (SE), nightmare frequency, and depression and posttraumatic stress disorder (PTSD) symptoms; SE was also assessed by wrist actigraphy. Participants responded to 2 open-ended questions assessing stressful life events and health changes that coincided with insomnia symptom onset. Responses were coded as traumatic, nontraumatic, and no events. Analyses of covariance examined the effect of insomnia precipitating event type on sleep and psychological symptom variables after controlling for sociodemographic factors.

resultsOverall, 25.80% of participants endorsed traumatic events, 65.80% endorsed only nontraumatic events, and 8.41% endorsed no events. Participants who endorsed traumatic events reported more severe insomnia (

conclusionsTrauma as a precipitant for insomnia may be related to higher symptom severity in women Veterans. Implications for treatment engagement and effectiveness remain unstudied.

Indexed as

Mental HealthSleepDepressionFemaleHumansMiddle AgedPsychological TraumaSeverity of Illness IndexSleep Initiation and Maintenance DisordersStress Disorders, Post-TraumaticVeterans

Identifiers

PMID33251855
PMCPMC9211746
OpenAlexW3110534208

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.