SLEEP Advances,
Journal Year:
2024,
Volume and Issue:
5(1)
Published: Jan. 1, 2024
Abstract
Study
Objectives
Military
veterans
often
suffer
from
chronic
pain
and
sleep
issues
at
a
greater
frequency
than
the
general
population,
leading
some
to
self-medicate
with
alcohol.
While
research
shows
connection
between
pain,
few
studies
have
examined
bidirectional
links
daily
level—or
extent
which
alcohol
use
may
moderate
these
associations.
Methods
Heavy-drinking
seeking
treatment
for
insomnia
(N
=
109,
82.5%
male,
mean
age
38.9
years)
completed
14
days
of
morning
diaries
documenting
patterns,
intensity,
consumption.
Multilevel
modeling
within-
between-person
associations
(quality,
duration,
efficiency)
next-day
as
well
same-night
sleep.
Results
Individuals
longer
better
quality,
higher
efficiency
(SE)
reported
lower
levels
compared
those
shorter
sleep,
poorer
SE
(p
values
<.001
.01).
In
addition,
on
when
individuals
experienced
quality
their
own
average,
they
following
day
contrast
hypotheses,
did
not
predict
outcomes
within-person
level,
although
significant
correlations
were
noted.
Daily
intake
affect
relationships.
Conclusions
Sleep
is
associated
experience
among
heavy-drinking
insomnia.
variations
in
significantly
impact
irrespective
consumption,
highlighting
predominantly
unidirectional
influence
pain.
These
findings
underscore
importance
optimizing
mitigate
this
population.
Current Opinion in Psychiatry,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 14, 2025
Purpose
of
review
The
prevalence
internet
addiction
among
university
students
has
been
extensively
studied
worldwide,
however,
the
findings
have
mixed.
This
meta-analysis
aimed
to
examine
global
in
and
identify
its
potential
moderators.
Recent
A
total
101
eligible
studies,
comprising
128,020
participants
across
38
countries
territories,
were
included.
pooled
was
41.84%
[95%
confidence
interval
(95%
CI):
35.89–48.02].
Significant
differences
observed
different
income
levels,
regions,
periods
COVID-19
pandemic,
cut-off
values
Internet
Addiction
Test
(IAT).
Sample
size
negatively
associated
with
prevalence,
while
depression
positively
prevalence.
Male
had
a
significantly
higher
risk
compared
female
[pooled
odd
ratio
(OR):
1.32,
95%
CI:
1.19–1.46].
Summary
found
that
high
students,
which
increased
since
pandemic.
Screening
intervention
measures
address
should
prioritize
an
including
male
those
from
lowerincome
regions
depression.
Behavioral Sleep Medicine,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 18
Published: Jan. 9, 2025
Background
Compared
to
the
general
population,
military
personnel
are
at
increased
risk
for
insomnia
and
poor
psychological
well-being.
The
present
study:
(1)
compared
categories
of
severity
between
cadets
Swiss
Armed
Forces
(SAF)
previously
published
norms
(2)
investigated
associations
well-being
related
perceived
stress,
mental
toughness,
dark
triad
traits,
organizational
citizenship
behavior
(OCB).
SLEEP,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 7, 2024
Abstract
Study
Objectives
Discerning
the
differential
contribution
of
sleep
behavior
and
physiology
to
subsequent
development
posttraumatic-stress-disorder
(PTSD)
symptoms
following
military
operational
service
among
combat
soldiers.
Methods
Longitudinal
design
with
three
measurement
time
points:
during
basic
training
week
(T1),
intensive
stressed
(T2),
(T3).
Participating
soldiers
were
all
from
same
unit,
ensuring
equivalent
schedules
stress
exposures.
During
weeks
completed
Depression
Anxiety
Stress
Scale
(DASS)
PTSD
Checklist
for
DSM-5
(PCL-5).
Sleep
(sleep
heart-rate)
(duration,
efficiency)
monitored
continuously
in
natural
settings
T1
T2
using
wearable
sensors.
Results
Repeated
measures
ANOVA
revealed
a
progressive
increase
PCL-5
scores
T3,
suggesting
an
escalation
symptom
severity
service.
Hierarchical
linear
regression
analysis
uncovered
significant
relation
between
change
DASS
at
T3.
Incorporating
participants’
heart-rate
markedly
enhanced
predictive
accuracy
model,
increased
emerging
as
predictor
elevated
above
beyond
scores.
did
not
add
model.
Conclusion
Findings
underscore
critical
role
physiology,
specifically
stressful
training,
indicating
risk
These
findings
may
contribute
prediction
prevention
efforts.
Journal of Sleep Research,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 9, 2025
Summary
Inadequate
sleep,
unmet
mental
health
or
substance
use
needs
(unmet
needs),
and
presenteeism
are
prevalent
among
military
populations.
This
study
aimed
to
cross‐sectionally
determine
the
association
between
sleep
disturbance
profiles,
needs,
in
US
active‐duty
service
members,
both
separately
combined.
Data
were
collected
from
2018
Health‐Related
Behaviours
Survey.
The
response
rate
was
9.6%.
Presenteeism
as
number
of
days
(0–30)
then
collapsed
for
analysis.
Latent
class
analysis
(LCA)
used
classify
members
into
profiles.
Odds
ratios
confidence
intervals
(CIs)
estimated
by
binary
ordinal
logistic
models.
Approximately
21%
17,166
reported
at
least
one
presentee
day
(95%
CI:
19.8%–21.8%).
Persistent
13.6%
12.7–14.4%).
Four
profiles
identified
LCA:
(1)
high
(reported
22.5%),
(2)
short
duration
(26%),
(3)
trouble
sleeping
(6.9%),
(4)
none
slight
(reference,
44.6%).
Female
sex,
being
separated/divorced/widowed,
duration,
sleeping,
disturbance,
inadequate
together
associated
with
higher
odds
levels
persistent
presenteeism.
Bachelor's
educated,
25–34‐year‐old,
Hispanic/Latinx,
Officer,
Air
Force,
Coast
Guard
lower
Despite
decreasing
trends
2015
2018,
prevalence
presents
a
significant
burden
on
work
productivity
readiness
that
behavioural
modification
may
alter.
Behavioral Sleep Medicine,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 14
Published: May 6, 2025
Operational
work
contexts
promote
sleep
and
circadian
disturbances,
especially
in
extreme
environments.
To
identify
mitigation
factors,
this
study
aimed
to
explore
submariners'
changes
relation
a
mission
association
with
different
psychological
factors.
Thirty
military
submariners
were
evaluated
real-life
conditions
on
three
consecutive
periods:
pre-mission/baseline,
submarine
mission,
post-mission/recovery.
Sleep
duration,
quality,
sleepiness
collected
continuously
via
diary
actigraphy.
Personality
traits,
coping
strategies,
locus
of
control,
fatigue,
anxiety,
depressive
symptoms
assessed
through
questionnaires.
During
the
there
was
significant
decrease
duration
quality
increase
compared
baseline,
recovering
post-mission.
Submariners
slept
median
55
minutes
less
than
before
91
after
mission.
They
also
rated
their
0.45
points
lower,
while
reporting
1.85
higher
at
beginning
shifts.
Higher
satisfaction
extraversion
trait
score
correlated
better
scores
subjective
variables
during
neuroticism
avoidant
style
had
negative
impact
sleep-related
parameters
all
periods,
mediated
by
anxiety
symptoms.
Psychological
factors
are
relevant
for
occupational
settings,
regarding
parameters,
even
highly
selected
trained
populations,
potentially
informing
intervention
opportunities.
Frontiers in Neurology,
Journal Year:
2025,
Volume and Issue:
16
Published: May 7, 2025
Sleep
is
critical
to
the
health,
wellbeing
and
performance
of
recruits
during
Army
basic
training,
however,
often
sacrificed
due
constraints
training
schedules.
In
an
effort
improve
sleep
duration
recruits,
revised
Common
Military
Syllabus
21
(CMS21)
restricted
daily
scheduled
military
from
18:30,
thus
enabling
greater
opportunity
for
earlier
bedtimes
longer
nocturnal
periods.
Our
objective
was
evaluate
effectiveness
CMS21
programme
on
measures
sleep-wake
indices
compare
against
previous
(CMS18)
as
a
control
group.
Several
actigraphy-derived
self-reported
assessed
potential
changes
in
between
groups
(CMS21
vs
CMS18)
across
12-weeks
training.
Actigraphy
measured
deduce
weekly
averages
self-report
(i.e.,
diaries)
were
captured
weeks
1,
6
11
Sleep-wake
data
are
presented
descriptively
(mean
±
SD)
series
linear-mixed
models
determined
differences
actigraphy
each
week.
Compared
CMS18,
no
significant
improvements
any
observed
CMS21.
The
average
both
remained
below
minimum
national
recommendations
young
adults
(deficit
~1
h
20
m),
with
67%
94%
CMS18
69%
97%
achieving
<7
per
night,
respectively.
Similar
proportions
reported
poor-levels
quality
(≤
60%)
CMS21,
excessive
noise
early-morning
wake
times
identified
most
common
disturbances.
contracted
feeding
magnitude
non-scheduled
late-evening
admin
key
factors
preventing
adequate
despite
restricting
18:30
results
this
study
warrant
application
improved
hygiene
practices
within
environment.
It
also
recommended
that
activity
be
considered
change
future
design
optimize
British Medical Bulletin,
Journal Year:
2025,
Volume and Issue:
154(1)
Published: April 4, 2025
Abstract
Introduction
This
narrative
review
sets
out
to
explore
the
current
literature
surrounding
mental
health
of
serving
personnel
and
veterans.
Sources
data
UK
published
in
peer-reviewed
scientific
journals
publicly
available
Ministry
Defence
reports.
Areas
agreement
Evidence
suggests
that
common
disorders
are
more
prevalent
veteran
than
general
population.
Risk
factors
include
being
female,
adverse
childhood
events,
combat
exposure,
physical
injury.
controversy
Post-traumatic
stress
disorder
rates
broadly
similar
between
population,
though
certain
groups
at
increased
risk,
such
as
veterans
who
deployed
Iraq/Afghanistan
roles.
Growing
points
Understanding
ways
maximize
positive
psychological
outcomes,
address
poor
sleep,
support
those
with
injuries
chronic
pain
key
priorities
for
research/interventions.
The
prevalence
moral
injury
military
sexual
trauma
Armed
Forces
is
currently
unknown.
timely
developing
research
A
longitudinal
study
following
recruits
including
part
Lesbian,
Gay,
Bisexual,
Transgender,
Queer/Questioning
or
other
sexualities
gender
identities
(LGBTQ+)
community,
have
a
neurodivergent
condition,
from
entry
post-service
would
enhance
our
understanding
how
impacts
wellbeing.
Journal of Vestibular Research,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 19, 2025
Background
Military
duty
may
place
Service
members
and
Veterans
at
an
increased
risk
of
experiencing
dizziness.
Individuals
with
dizziness
report
poor
sleep
quality
as
well
abnormal
duration,
which
is
associated
falling
worse
life.
The
overall
pooled
prevalence
in
was
69%,
but
it
not
known
if
self-reported
poorer
than
their
counterparts
without
Objective
purpose
this
research
study
to
evaluate
the
reports
Methods
Descriptive
statistics
were
used
explore
among
by
demographic
characteristics.
also
describe
participants’
symptoms
mean
age
participants
first
noticed
Models
(unadjusted
adjusted)
created
regressing
disorders
daytime
sleepiness
on
frequency.
Potential
confounders
chosen
a
priori
through
theoretical
framework.
status
(Service
member
vs
Veteran)
explored
interaction
term.
Odds
ratios
(ORs)
95%
confidence
intervals
(CIs)
calculated,
statistical
significance
determined
CI.
Results
Dizziness
reported
22.4%
(
n
=
171
763)
31.7%
241
761).
1.7
times
more
likely
have
disorder
Conclusions
those
Medical
providers
should
screen
for
disturbances,
obstructive
apnea,
treat
chronic
insomnia
disorder,
consider
referral
vestibular
rehabilitation
presenting