Insomnia Precipitating Events among Women Veterans: The Impact of Traumatic and Nontraumatic Events on Sleep and Mental Health Symptoms.
Insomnia Precipitating Events among Women Veterans: The Impact of Traumatic and Nontraumatic Events on Sleep and Mental Health Symptoms.
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DOI：
10.1080/15402002.2020.1846537
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发表时间：
2021-09
影响因子：
3.1
通讯作者：
Martin, Jennifer L.
中科院分区：
文献类型：
--
作者：
Carlson, Gwendolyn C.;Kelly, Monica R.;Grinberg, Austin M.;Mitchell, Michael;McGowan, Sarah Kate;Culver, Najwa C.;Kay, Morgan;Alessi, Cathy A.;Washington, Donna L.;Yano, Elizabeth M.;Martin, Jennifer L.
目前的研究描述了女性退伍军人报告的失眠诱发事件，并检查了那些支持创伤性、非创伤性或无失眠诱发事件的人在睡眠和心理痛苦变量方面的差异。基线数据来自347名参加行为睡眠干预研究(NCT02076165)的女性退伍军人。参与者完成了失眠症状、睡眠质量、睡眠效率(SE)、噩梦频率以及抑郁和创伤后应激障碍(PTSD)症状的自我报告；SE还通过腕部活动描记进行评估。参与者回答了两个开放式问题，评估了紧张性生活事件和健康变化，这些问题与失眠症状出现的时间一致。反应被编码为创伤性、非创伤性和无事件。协方差分析检验了在控制社会人口学因素后，失眠诱发事件类型对睡眠和心理症状变量的影响。总体而言，25.80%的参与者支持创伤性事件，65.80%的参与者只支持非创伤性事件，8.41%的参与者不支持任何事件。支持创伤性事件的参与者报告了比不支持任何事件的参与者更严重的失眠(p=.003)、创伤后应激障碍(p=.001)和抑郁症状(p=.012)，以及更差的睡眠质量(p=.042)。支持创伤性事件的参与者报告了比支持非创伤性事件的参与者更严重的PTSD症状(p=.004)、更长的睡眠问题持续时间(p=.001)和更差的睡眠质量(p=.039)。支持非创伤性事件的参与者报告了比不支持任何事件的参与者更严重的失眠(p=.029)和创伤后应激障碍(p=.049)症状。创伤作为失眠的诱因，可能与退伍军人女性较高的症状严重程度有关。对治疗参与度和有效性的影响仍未得到研究。
The 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. Baseline data were collected from 347 women Veterans enrolled in a behavioral sleep intervention study (NCT02076165). Participants 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. Overall, 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 (p = .003), PTSD (p = .001), and depression symptoms (p = .012), and poorer quality of sleep (p = .042) than participants who endorsed no events. Participants who endorsed traumatic events reported more severe PTSD symptoms (p = .004), a longer duration of sleep problems (p = .001), and poorer quality of sleep (p = .039) than participants who endorsed nontraumatic events. Participants who endorsed nontraumatic events reported more severe insomnia (p = .029) and PTSD (p = .049) symptoms than participants who endorsed no events. Trauma as a precipitant for insomnia may be related to higher symptom severity in women Veterans. Implications for treatment engagement and effectiveness remain unstudied.
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影响因子：
4.4
作者：
Lehavot K;Goldberg SB;Chen JA;Katon JG;Glass JE;Fortney JC;Simpson TL;Schnurr PP
通讯作者：
Schnurr PP
影响因子：
5.5
作者：
Kimerling, Rachel;Makin-Byrd, Kerry;McCarthy, John F.
通讯作者：
McCarthy, John F.
影响因子：
3.8
作者：
Drennan, J
通讯作者：
Drennan, J
影响因子：
4.8
作者：
Bastien, Celyne H.;Vallieres, Annie;Morin, Charles M.
通讯作者：
Morin, Charles M.
影响因子：
3.2
作者：
Martin, Jennifer L.;Schweizer, C. Amanda;Alessi, Cathy A.
通讯作者：
Alessi, Cathy A.