Prevalence and mental health correlates of insomnia in first-encounter veterans with and without military sexual trauma

Melissa M Jenkins, Peter J Colvonen, Sonya B Norman, Niloofar Afari, Carolyn B Allard, Sean Patrick Andrews Drummond

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Study Objectives: There is limited information about prevalence of insomnia in general populations of veterans of recent wars in Iraq and Afghanistan. No studies have examined insomnia in veterans with military sexual trauma (MST). We assess prevalence of insomnia, identify types of services sought by veterans with insomnia, and examine correlates of insomnia in veterans with and without MST. Design: A cross-sectional study of first-encounter veterans registering to establish care. Setting: Veteran Affairs San Diego Healthcare System. Participants: Nine hundred seventeen veterans completed questionnaires assessing insomnia, MST, service needs, traumatic brain injury, resilience, and symptoms of depression, posttraumatic stress disorder (PTSD), pain, alcohol misuse, and hypomania. Interventions: N/A. Measurements and Results: 53.1 of veterans without MST and 60.8 of veterans with MST had clinically significant insomnia symptoms, with the MST subsample reporting more severe symptoms, P <0.05. Insomnia was more prevalent than depression, hypomania, PTSD, and substance misuse. Veterans with insomnia were more likely to seek care for physical health problems and primary care versus mental health concerns, P <0.001. For the veteran sample without MST, age, combat service, traumatic brain injury, pain, and depression were associated with worse insomnia, P <0.001. For the MST subsample, employment status, pain, and depression were associated with worse insomnia, P <0.001. Conclusions: Study findings indicate a higher rate of insomnia in veterans compared to what has been found in the general population. Insomnia is more prevalent, and more severe, in veterans with military sexual trauma. Routine insomnia assessments and referrals to providers who can provide evidence-based treatment are crucial
Original languageEnglish
Pages (from-to)1547 - 1554
Number of pages8
JournalSleep
Volume38
Issue number10
DOIs
Publication statusPublished - 2015

Cite this

Jenkins, Melissa M ; Colvonen, Peter J ; Norman, Sonya B ; Afari, Niloofar ; Allard, Carolyn B ; Drummond, Sean Patrick Andrews. / Prevalence and mental health correlates of insomnia in first-encounter veterans with and without military sexual trauma. In: Sleep. 2015 ; Vol. 38, No. 10. pp. 1547 - 1554.
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abstract = "Study Objectives: There is limited information about prevalence of insomnia in general populations of veterans of recent wars in Iraq and Afghanistan. No studies have examined insomnia in veterans with military sexual trauma (MST). We assess prevalence of insomnia, identify types of services sought by veterans with insomnia, and examine correlates of insomnia in veterans with and without MST. Design: A cross-sectional study of first-encounter veterans registering to establish care. Setting: Veteran Affairs San Diego Healthcare System. Participants: Nine hundred seventeen veterans completed questionnaires assessing insomnia, MST, service needs, traumatic brain injury, resilience, and symptoms of depression, posttraumatic stress disorder (PTSD), pain, alcohol misuse, and hypomania. Interventions: N/A. Measurements and Results: 53.1 of veterans without MST and 60.8 of veterans with MST had clinically significant insomnia symptoms, with the MST subsample reporting more severe symptoms, P <0.05. Insomnia was more prevalent than depression, hypomania, PTSD, and substance misuse. Veterans with insomnia were more likely to seek care for physical health problems and primary care versus mental health concerns, P <0.001. For the veteran sample without MST, age, combat service, traumatic brain injury, pain, and depression were associated with worse insomnia, P <0.001. For the MST subsample, employment status, pain, and depression were associated with worse insomnia, P <0.001. Conclusions: Study findings indicate a higher rate of insomnia in veterans compared to what has been found in the general population. Insomnia is more prevalent, and more severe, in veterans with military sexual trauma. Routine insomnia assessments and referrals to providers who can provide evidence-based treatment are crucial",
author = "Jenkins, {Melissa M} and Colvonen, {Peter J} and Norman, {Sonya B} and Niloofar Afari and Allard, {Carolyn B} and Drummond, {Sean Patrick Andrews}",
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Prevalence and mental health correlates of insomnia in first-encounter veterans with and without military sexual trauma. / Jenkins, Melissa M; Colvonen, Peter J; Norman, Sonya B; Afari, Niloofar; Allard, Carolyn B; Drummond, Sean Patrick Andrews.

In: Sleep, Vol. 38, No. 10, 2015, p. 1547 - 1554.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Prevalence and mental health correlates of insomnia in first-encounter veterans with and without military sexual trauma

AU - Jenkins, Melissa M

AU - Colvonen, Peter J

AU - Norman, Sonya B

AU - Afari, Niloofar

AU - Allard, Carolyn B

AU - Drummond, Sean Patrick Andrews

PY - 2015

Y1 - 2015

N2 - Study Objectives: There is limited information about prevalence of insomnia in general populations of veterans of recent wars in Iraq and Afghanistan. No studies have examined insomnia in veterans with military sexual trauma (MST). We assess prevalence of insomnia, identify types of services sought by veterans with insomnia, and examine correlates of insomnia in veterans with and without MST. Design: A cross-sectional study of first-encounter veterans registering to establish care. Setting: Veteran Affairs San Diego Healthcare System. Participants: Nine hundred seventeen veterans completed questionnaires assessing insomnia, MST, service needs, traumatic brain injury, resilience, and symptoms of depression, posttraumatic stress disorder (PTSD), pain, alcohol misuse, and hypomania. Interventions: N/A. Measurements and Results: 53.1 of veterans without MST and 60.8 of veterans with MST had clinically significant insomnia symptoms, with the MST subsample reporting more severe symptoms, P <0.05. Insomnia was more prevalent than depression, hypomania, PTSD, and substance misuse. Veterans with insomnia were more likely to seek care for physical health problems and primary care versus mental health concerns, P <0.001. For the veteran sample without MST, age, combat service, traumatic brain injury, pain, and depression were associated with worse insomnia, P <0.001. For the MST subsample, employment status, pain, and depression were associated with worse insomnia, P <0.001. Conclusions: Study findings indicate a higher rate of insomnia in veterans compared to what has been found in the general population. Insomnia is more prevalent, and more severe, in veterans with military sexual trauma. Routine insomnia assessments and referrals to providers who can provide evidence-based treatment are crucial

AB - Study Objectives: There is limited information about prevalence of insomnia in general populations of veterans of recent wars in Iraq and Afghanistan. No studies have examined insomnia in veterans with military sexual trauma (MST). We assess prevalence of insomnia, identify types of services sought by veterans with insomnia, and examine correlates of insomnia in veterans with and without MST. Design: A cross-sectional study of first-encounter veterans registering to establish care. Setting: Veteran Affairs San Diego Healthcare System. Participants: Nine hundred seventeen veterans completed questionnaires assessing insomnia, MST, service needs, traumatic brain injury, resilience, and symptoms of depression, posttraumatic stress disorder (PTSD), pain, alcohol misuse, and hypomania. Interventions: N/A. Measurements and Results: 53.1 of veterans without MST and 60.8 of veterans with MST had clinically significant insomnia symptoms, with the MST subsample reporting more severe symptoms, P <0.05. Insomnia was more prevalent than depression, hypomania, PTSD, and substance misuse. Veterans with insomnia were more likely to seek care for physical health problems and primary care versus mental health concerns, P <0.001. For the veteran sample without MST, age, combat service, traumatic brain injury, pain, and depression were associated with worse insomnia, P <0.001. For the MST subsample, employment status, pain, and depression were associated with worse insomnia, P <0.001. Conclusions: Study findings indicate a higher rate of insomnia in veterans compared to what has been found in the general population. Insomnia is more prevalent, and more severe, in veterans with military sexual trauma. Routine insomnia assessments and referrals to providers who can provide evidence-based treatment are crucial

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DO - 10.5665/sleep.5044

M3 - Article

VL - 38

SP - 1547

EP - 1554

JO - Sleep

JF - Sleep

SN - 0161-8105

IS - 10

ER -