Evidence map›Paper›PMID 38845413›Full record

ArticleJournal of sleep research2025

Posttraumatic stress disorder and insomnia in US military veterans: Prevalence, correlates, and psychiatric and functional burden.

Michael F Georgescu, Ian C Fischer, May A Beydoun, Elissa McCarthy, Jason C DeViva, Robert H Pietrzak

Abstract read
In one paragraph

Article in Journal of sleep research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. 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

6 authors.

Michael F GeorgescuLaboratory of Epidemiology and Population Sciences, NIA/NIH/IRP, Baltimore, Maryland, USA.ORCID 0000-0002-2619-2675
Ian C FischerDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
May A BeydounLaboratory of Epidemiology and Population Sciences, NIA/NIH/IRP, Baltimore, Maryland, USA.
Elissa McCarthyUS Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, VA White River Junction Healthcare System, White River Junction, Vermont, USA.ORCID 0000-0003-3022-0509
Jason C DeVivaDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Robert H PietrzakDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.

Funding

Intramural NIH HHS Z99 AG999999
6 · The paper itself

Abstract

Military veterans have high rates of psychiatric conditions such as posttraumatic stress disorder, which can complicate the clinical management of insomnia. Population-based data are lacking on the prevalence, characteristics and mental health burden of veterans with co-occurring posttraumatic stress disorder and insomnia. The current cross-sectional study analysed data from a nationally representative sample of 4069 US veterans examining the prevalence and comorbidity between posttraumatic stress disorder and insomnia, and their associations with psychiatric and medical comorbidities, suicidality, and psychosocial functioning. Results revealed that 4.0% of US veterans screened positive for posttraumatic stress disorder + insomnia, 7.4% for insomnia only, and 3.2% for posttraumatic stress disorder only. Compared with controls, higher odds of major depressive disorder and generalized anxiety disorder were observed in the posttraumatic stress disorder + insomnia and posttraumatic stress disorder only groups. Moreover, compared with the control group, posttraumatic stress disorder + insomnia and posttraumatic stress disorder only groups had higher odds of current suicidal ideation, while the posttraumatic stress disorder + insomnia group had also higher odds of attempting suicide. Relative to the posttraumatic stress disorder only group, the posttraumatic stress disorder + insomnia group scored substantially lower on measures of cognitive, emotional and social functioning (d = 1.05, 1.04 and 0.87, respectively). This study provides contemporary data regarding current prevalence, correlates, and psychiatric and functional burden of posttraumatic stress disorder + insomnia among US veterans. The results underscore the importance of assessing, monitoring and treating posttraumatic stress disorder and insomnia as part of the efforts to mitigate suicide risk and promote multi-domain functioning in this population.

Indexed as

Sleep Initiation and Maintenance DisordersStress Disorders, Post-TraumaticVeteransAdultComorbidityCross-Sectional StudiesFemaleHumansMajor Depressive DisorderMaleMiddle AgedPrevalenceSuicidal IdeationUnited Statesinsomniaposttraumatic stress disordersuicideveterans

Identifiers

PMID38845413
PMCPMC11624313

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.