Predictors of sleep disturbances in Operation Iraqi Freedom/Operation Enduring Freedom veterans reporting a trauma
This investigation assessed the extent to which various health factors are associated with difficulties initiating and maintaining sleep (DIMS) and nightmares among Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans reporting a trauma (combat, noncombat, or a trauma before service...
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| Veröffentlicht in: | Military medicine 2010-08, Vol.175 (8), p.567-573 |
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| creator | Gellis, Les A Gehrman, Philip R Mavandadi, Shahrzad Oslin, David W |
| description | This investigation assessed the extent to which various health factors are associated with difficulties initiating and maintaining sleep (DIMS) and nightmares among Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans reporting a trauma (combat, noncombat, or a trauma before service). Veterans (N = 201, 88.1% male, mean age = 34.2, SD = 10.1) were referred by primary care for a behavioral health assessment upon evidence of psychiatric symptoms. Sleep problems were assessed using items from the PTSD checklist. After controlling for demographics and nonsleep PTSD symptoms, head injury with a loss of consciousness increased the likelihood of severe nightmares (OR = 3.77, p = 0.019), alcohol abuse or dependence increased the likelihood of moderate nightmares (OR = 4.80, p = 0.007), and greater nonsleep depression increased the likelihood of severe DIMS (OR = 1.20, p = 0.008). Thus, factors aside from PTSD severity are related to sleep disturbance in OIF/OEF veterans reporting a trauma. |
| doi_str_mv | 10.7205/MILMED-D-09-00123 |
| format | Article |
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Veterans (N = 201, 88.1% male, mean age = 34.2, SD = 10.1) were referred by primary care for a behavioral health assessment upon evidence of psychiatric symptoms. Sleep problems were assessed using items from the PTSD checklist. After controlling for demographics and nonsleep PTSD symptoms, head injury with a loss of consciousness increased the likelihood of severe nightmares (OR = 3.77, p = 0.019), alcohol abuse or dependence increased the likelihood of moderate nightmares (OR = 4.80, p = 0.007), and greater nonsleep depression increased the likelihood of severe DIMS (OR = 1.20, p = 0.008). Thus, factors aside from PTSD severity are related to sleep disturbance in OIF/OEF veterans reporting a trauma.</description><identifier>ISSN: 0026-4075</identifier><identifier>EISSN: 1930-613X</identifier><identifier>DOI: 10.7205/MILMED-D-09-00123</identifier><identifier>PMID: 20731260</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adult ; Afghan Campaign 2001 ; Chi-Square Distribution ; Female ; Humans ; Iraq War, 2003-2011 ; Logistic Models ; Male ; Predictive Value of Tests ; Risk Factors ; Severity of Illness Index ; Sleep Wake Disorders - epidemiology ; Sleep Wake Disorders - psychology ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - psychology ; United States - epidemiology ; Veterans ; Veterans - psychology</subject><ispartof>Military medicine, 2010-08, Vol.175 (8), p.567-573</ispartof><rights>Copyright Association of Military Surgeons of the United States Aug 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-4f091036a9a9f867c5a8f71303c9a9c36c3a705684e6e9072f55287a269404ec3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20731260$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gellis, Les A</creatorcontrib><creatorcontrib>Gehrman, Philip R</creatorcontrib><creatorcontrib>Mavandadi, Shahrzad</creatorcontrib><creatorcontrib>Oslin, David W</creatorcontrib><title>Predictors of sleep disturbances in Operation Iraqi Freedom/Operation Enduring Freedom veterans reporting a trauma</title><title>Military medicine</title><addtitle>Mil Med</addtitle><description>This investigation assessed the extent to which various health factors are associated with difficulties initiating and maintaining sleep (DIMS) and nightmares among Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans reporting a trauma (combat, noncombat, or a trauma before service). Veterans (N = 201, 88.1% male, mean age = 34.2, SD = 10.1) were referred by primary care for a behavioral health assessment upon evidence of psychiatric symptoms. Sleep problems were assessed using items from the PTSD checklist. After controlling for demographics and nonsleep PTSD symptoms, head injury with a loss of consciousness increased the likelihood of severe nightmares (OR = 3.77, p = 0.019), alcohol abuse or dependence increased the likelihood of moderate nightmares (OR = 4.80, p = 0.007), and greater nonsleep depression increased the likelihood of severe DIMS (OR = 1.20, p = 0.008). 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Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Military medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gellis, Les A</au><au>Gehrman, Philip R</au><au>Mavandadi, Shahrzad</au><au>Oslin, David W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of sleep disturbances in Operation Iraqi Freedom/Operation Enduring Freedom veterans reporting a trauma</atitle><jtitle>Military medicine</jtitle><addtitle>Mil Med</addtitle><date>2010-08-01</date><risdate>2010</risdate><volume>175</volume><issue>8</issue><spage>567</spage><epage>573</epage><pages>567-573</pages><issn>0026-4075</issn><eissn>1930-613X</eissn><abstract>This investigation assessed the extent to which various health factors are associated with difficulties initiating and maintaining sleep (DIMS) and nightmares among Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans reporting a trauma (combat, noncombat, or a trauma before service). 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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Afghan Campaign 2001 Chi-Square Distribution Female Humans Iraq War, 2003-2011 Logistic Models Male Predictive Value of Tests Risk Factors Severity of Illness Index Sleep Wake Disorders - epidemiology Sleep Wake Disorders - psychology Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - psychology United States - epidemiology Veterans Veterans - psychology |
| title | Predictors of sleep disturbances in Operation Iraqi Freedom/Operation Enduring Freedom veterans reporting a trauma |
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