Contribution of post-trauma insomnia to depression and posttraumatic stress disorder in women service members: findings from the Millennium Cohort Study.

Autor:	Carlson GC; Department of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA., Sharifian N; Leidos, Inc., San Diego, CA, USA.; Deployment Health Research Department, Naval Health Research Center, San Diego, CA, USA., Jacobson IG; Leidos, Inc., San Diego, CA, USA.; Deployment Health Research Department, Naval Health Research Center, San Diego, CA, USA., LeardMann CA; Leidos, Inc., San Diego, CA, USA.; Deployment Health Research Department, Naval Health Research Center, San Diego, CA, USA., Rull RP; Deployment Health Research Department, Naval Health Research Center, San Diego, CA, USA., Martin JL; Geriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Jazyk:	angličtina
Zdroj:	Sleep [Sleep] 2023 Mar 09; Vol. 46 (3).
DOI:	10.1093/sleep/zsac313
Abstrakt:	Study Objectives: We examined whether women service members and veterans who reported recent combat and/or sexual trauma experiences had a greater risk of insomnia compared with women who did not report these recent experiences, and whether insomnia would be associated with a greater risk of mental health outcomes. Methods: We analyzed two waves of survey data (2011-2013, Time 1 [T1] and 2014-2016, Time 2 [T2]) from 26 443 current and former women service members from the Millennium Cohort Study. We assessed recent traumas in the past 3 years, and probable insomnia at T1 and probable post-traumatic stress disorder (PTSD) and depression at T2. A longitudinal mediation model was used to quantify separate indirect effects of recent traumas on mental health outcomes through probable insomnia. Results: Women who had experienced recent sexual assault (odds ratio [OR] = 1.68; 95% CI = 1.24-2.10), sexual harassment (OR = 1.22; 95% CI = 1.05-1.41), and combat (OR = 1.34; 95% CI = 1.20-1.49) at T1 had a greater risk of probable insomnia at T1 compared with women who had not recently experienced these events. Probable insomnia at T1, in turn, was associated with probable depression (OR = 2.66; 95% CI = 2.31-3.06) and PTSD (OR = 2.57; 95% CI = 2.27-2.90) at T2. Recent combat experience did not moderate the associations of recent sexual trauma with insomnia or mental health outcomes. Conclusions: Insomnia contributes to the risk of subsequent mental health conditions following trauma. The diagnosis and treatment of post-trauma insomnia should be prioritized to mitigate the development of posttraumatic mental health conditions. (© The Author(s) 2022. Published by Oxford University Press on behalf of Sleep Research Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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