ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2021
Prevalence, risk correlates, and health comorbidities of insomnia in US military veterans: results from the 2019-2020 National Health and Resilience in Veterans Study.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05616819 (Regulating Mood and Suicidal Ideation With Morning Light Exposure Treatment), which is not on this map. Cited by 31 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.
Regulating Mood and Suicidal Ideation With Morning Light Exposure Treatment
Who cites it
31 citing papers in PubMed, 48 citations in OpenAlex.
- Impact of an internet-based insomnia intervention on suicidal ideation and associated correlates in veterans at elevated suicide risk.Translational behavioral medicine · 2024Trial
- US Veterans Show Improvements in Subjective but Not Objective Sleep following Treatment for Posttraumatic Stress Disorder: Secondary Analyses from a Randomised Controlled Trial.Depression and anxiety · 2023Trial
- Impact of Cognitive Behavioral Therapy for Insomnia on Veterans' Willingness to Seek Treatment for Comorbid Health Conditions.Behavioral sleep medicineTrial
- Clinical and subthreshold insomnia in U.S. veterans: increasing prevalence and mental health burden.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026Article
- Article
- Qualitative Investigation of Primary Care Provider Perspectives on the Assessment and Treatment of Insomnia.Journal of clinical psychology in medical settings · 2026Article
- Sleep, PTSD, and suicide risk in U.S. veterans.Frontiers in sleep · 2026Article
- Residual depression symptoms following nature-based exercise therapies among U.S. service members.Frontiers in physiology · 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
- Sleep research, quality and implementation priorities in the Veterans Health Administration: a white paper.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Article
- Clinical Management of Sleep Disturbances in Post-9/11 Men and Women Veterans: A 20-year Prospective Cohort Study.Journal of general internal medicine · 2025Article
- Daily associations between sleep and alcohol use among veterans: Acute and cumulative effects.Addiction (Abingdon, England) · 2025Article
- Cognitive behavioral therapy for insomnia among heavy-drinking veterans: a randomized pilot trial.Sleep advances : a journal of the Sleep Research Society · 2025Article
- Negative Aging Stereotypes and Clinical Insomnia in Older U.S. Military Veterans.The Gerontologist · 2025Article
- Posttraumatic stress disorder and insomnia in US military veterans: Prevalence, correlates, and psychiatric and functional burden.Journal of sleep research · 2025Article
- Insomnia Comorbid With Depression: A Bibliometric and Visualized Analysis of Research Trends and Hotspots From 2000 to 2024.Behavioural neurology · 2025Review
- Insomnia treatment effects on negative emotionality among veterans in treatment for alcohol use disorder.Alcohol, clinical & experimental research · 2024Article
- Perpetuating and protective factors in insomnia across racial/ethnic groups of veterans.Journal of sleep research · 2024Article
- Longitudinal associations between insomnia, cannabis use and stress among US veterans.Journal of sleep research · 2024Article
- Bidirectional links between sleep and pain among heavy-drinking veterans with insomnia.Sleep advances : a journal of the Sleep Research Society · 2024Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesVeterans experience high levels of trauma, psychiatric, and medical conditions that may increase their risk for insomnia. To date, however, no known study has examined the prevalence, risk correlates, and comorbidities of insomnia in a nationally representative sample of veterans.
methodsA nationally representative sample of 4,069 US military veterans completed a survey assessing insomnia severity; military, trauma, medical, and psychiatric histories; and health and psychosocial functioning. Multivariable analyses examined the association between insomnia severity, psychiatric and medical comorbidities, suicidality, and functioning.
resultsA total of 11.4% of veterans screened positive for clinical insomnia and 26.0% for subthreshold insomnia. Greater age and retirement were associated with a lower likelihood of insomnia. Adverse childhood experiences, traumatic life events, lower education and income were associated with greater risk for insomnia. A "dose-response" association was observed for health comorbidities, with increasing levels of insomnia associated with elevated odds of psychiatric and medical conditions (clinical vs no insomnia odds ratio = 1.8-13.4) and greater reductions in health and psychosocial functioning (clinical vs no insomnia Cohen's d = 0.2-0.4). The prevalence of current suicidal ideation was 3-5 times higher in veterans with clinical and subthreshold insomnia relative to those without insomnia (23.9% and 13.6% vs 4.5%, respectively).
conclusionsNearly 2 in 5 US veterans experience clinical or subthreshold insomnia, which is associated with substantial health burden and independent risk for suicidal ideation. Results underscore the importance of assessment, monitoring, and treatment of insomnia in veterans as they transition from the military.
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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.