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Objective/background: 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.

Participants: Baseline data were collected from 347 women Veterans enrolled in a behavioral sleep intervention study (NCT02076165).

Methods: 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.

Results: 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.

Conclusions: Trauma as a precipitant for insomnia may be related to higher symptom severity in women Veterans. Implications for treatment engagement and effectiveness remain unstudied.

Titel:	Insomnia Precipitating Events among Women Veterans: The Impact of Traumatic and Nontraumatic Events on Sleep and Mental Health Symptoms.
Autor/in / Beteiligte Person:	Carlson, GC ; Kelly, MR ; Grinberg, AM ; Mitchell, M ; McGowan, SK ; Culver, NC ; Kay, M ; Alessi, CA ; Washington, DL ; Yano, EM ; Martin, JL
Zeitschrift:	Behavioral sleep medicine, Jg. 19 (2021-09-01), Heft 5, S. 672-688
Veröffentlichung:	2009- : London : Routledge ; <i>Original Publication</i>: Mahwah, N.J. : Lawrence Erlbaum Associates, c2003-, 2021
Medientyp:	academicJournal
ISSN:	1540-2010 (electronic)
DOI:	10.1080/15402002.2020.1846537
Schlagwort:	Depression complications Depression psychology Female Humans Middle Aged Severity of Illness Index Stress Disorders, Post-Traumatic complications Stress Disorders, Post-Traumatic psychology Mental Health Psychological Trauma complications Psychological Trauma psychology Sleep Sleep Initiation and Maintenance Disorders complications Sleep Initiation and Maintenance Disorders psychology Veterans psychology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S. Language: English [Behav Sleep Med] 2021 Sep-Oct; Vol. 19 (5), pp. 672-688. <i>Date of Electronic Publication: </i>2020 Nov 30. MeSH Terms: Mental Health* ; Sleep* ; Psychological Trauma / complications ; Psychological Trauma / psychology ; Sleep Initiation and Maintenance Disorders / complications ; Sleep Initiation and Maintenance Disorders / psychology ; Veterans / *psychology ; Depression / complications ; Depression / psychology ; Female ; Humans ; Middle Aged ; Severity of Illness Index ; Stress Disorders, Post-Traumatic / complications ; Stress Disorders, Post-Traumatic / psychology References: Compr Psychiatry. 2000 Nov-Dec;41(6):469-78. (PMID: 11086154) ; Psychiatry Res. 1989 May;28(2):193-213. (PMID: 2748771) ; J Trauma Stress. 2013 Jun;26(3):299-309. (PMID: 23696449) ; J Gen Intern Med. 2012 Oct;27(10):1361-7. (PMID: 22618581) ; Psychosom Med. 1981 Oct;43(5):439-51. (PMID: 7313035) ; Sleep Med. 2001 Jul;2(4):297-307. (PMID: 11438246) ; Sleep. 2012 Feb 01;35(2):287-302. (PMID: 22294820) ; J Trauma Stress. 2013 Oct;26(5):537-47. (PMID: 24151000) ; Psychol Serv. 2018 Nov;15(4):437-441. (PMID: 28287774) ; Behav Sleep Med. 2013;11(4):258-74. (PMID: 23205531) ; Behav Ther. 2010 Dec;41(4):587-98. (PMID: 21035621) ; Trauma Violence Abuse. 2018 Dec;19(5):584-597. (PMID: 30415636) ; J Adv Nurs. 2003 Apr;42(1):57-63. (PMID: 12641812) ; J Anxiety Disord. 2002;16(2):175-90. (PMID: 12194543) ; Trauma Violence Abuse. 2008 Oct;9(4):250-69. (PMID: 18936282) ; Trauma Violence Abuse. 2007 Oct;8(4):384-400. (PMID: 17846179) ; Res Nurs Health. 2011 Dec;34(6):457-67. (PMID: 21898452) ; Am J Psychiatry. 2004 Aug;161(8):1390-6. (PMID: 15285964) ; Depress Anxiety. 2010 Dec;27(12):1135-42. (PMID: 21049527) ; J Trauma Stress. 2015 Dec;28(6):489-98. (PMID: 26606250) ; Womens Health Issues. 2012 Jan-Feb;22(1):e61-6. (PMID: 21907590) ; Soc Psychiatry Psychiatr Epidemiol. 2018 Sep;53(9):943-953. (PMID: 29936598) ; Sleep. 2014 Feb 01;37(2):327-41. (PMID: 24497661) ; Sleep. 2007 Apr;30(4):519-29. (PMID: 17520797) ; Qual Life Res. 2003 May;12(3):229-38. (PMID: 12769135) ; Gen Hosp Psychiatry. 2010 Jul-Aug;32(4):345-59. (PMID: 20633738) ; Ann Intern Med. 2016 Jul 19;165(2):125-33. (PMID: 27136449) ; J Clin Psychiatry. 2005 Oct;66(10):1254-69. (PMID: 16259539) ; JAMA Intern Med. 2015 Sep;175(9):1461-72. (PMID: 26147487) ; Womens Health Issues. 2011 Jan-Feb;21(1):92-7. (PMID: 21185994) ; Womens Health Issues. 2017 May - Jun;27(3):366-373. (PMID: 28110799) ; Sleep. 2007 Feb;30(2):213-8. (PMID: 17326547) ; Sleep Med Rev. 2001 Oct;5(5):385-396. (PMID: 12531004) ; Behav Sleep Med. 2004;2(1):50-62. (PMID: 15600224) ; J Gen Intern Med. 2013 Jul;28(7):894-900. (PMID: 23435765) ; J Gen Intern Med. 2001 Sep;16(9):606-13. (PMID: 11556941) ; Psychiatr Clin North Am. 1987 Dec;10(4):541-53. (PMID: 3332317) ; Sleep Med Rev. 2013 Dec;17(6):399-409. (PMID: 23618534) ; J Trauma Stress. 2000 Oct;13(4):589-609. (PMID: 11109233) ; Psychol Assess. 2016 Nov;28(11):1379-1391. (PMID: 26653052) ; J Psychosom Res. 2018 Mar;106:1-12. (PMID: 29455893) ; Am J Prev Med. 2016 Jun;50(6):684-691. (PMID: 26699249) ; Sleep. 2009 Aug;32(8):1027-37. (PMID: 19725254) ; Mil Med. 2014 Feb;179(2):143-9. (PMID: 24491609) ; Contemp Educ Psychol. 2000 Jul;25(3):241-286. (PMID: 10873373) Grant Information: I01 HX001287 United States HX HSRD VA; I01 HX002300 United States HX HSRD VA; IK6 HX003160 United States HX HSRD VA; K24 HL143055 United States HL NHLBI NIH HHS Molecular Sequence: ClinicalTrials.gov NCT02076165 Entry Date(s): Date Created: 20201130 Date Completed: 20210924 Latest Revision: 20220716 Update Code: 20240513 PubMed Central ID: PMC9211746

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Insomnia Precipitating Events among Women Veterans: The Impact of Traumatic and Nontraumatic Events on Sleep and Mental Health Symptoms.