Estimated Prevalence of Insomnia among Women Veterans: Results of a Postal Survey |
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| Institution: | 1. Durham Veterans Affairs Medical Center, 508 Fulton Street, Durham, NC, 27705, United States;2. Duke University Medical Center, Durham, NC, United States;3. Harvard University, Cambridge, MA, United States;4. University of California, San Diego, La Jolla, CA, United States;5. National Center for PTSD, Pacific Islands Division, Honolulu, HI, United States;1. Center of Excellence for Stress and Mental Health (CESAMH) San Diego, CA USA;2. VA San Diego Healthcare System, University of California, San Diego, CA, USA;3. Department of Psychiatry, University of California, San Diego, CA USA;4. Baruch College & The Graduate Center, City University of New York, NY USA;1. VISN 2 Center of Excellence for Suicide Prevention, Canandaigua VA Medical Center, Canandaigua, NY, United States;2. Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, United States;3. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States;4. VISN 1 MIRECC, VA Connecticut Healthcare System, West Haven, CT, United States |
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| Abstract: | ObjectivesInsomnia is a significant public health concern known to particularly impact women and the veteran population; however, rates of insomnia disorder among women veterans are not known.MethodWomen veterans who had received health care at VA Greater Los Angeles Healthcare System between 2008 and 2010 and resided within 25 miles of the facility were sent a postal survey assessing sleep, demographics, and other related patient characteristics.ResultsA total of 660 women (43.1% of potential responders) returned the postal survey and provided sufficient information for insomnia diagnosis. On average, women reported 6.2 hours of sleep per night. The prevalence of insomnia, determined according to diagnostic criteria from the International Classification of Sleep Disorders-2, was 52.3%. Women with insomnia reported more severely disturbed sleep, and more pain, menopausal symptoms, stress/worries, and nightmares compared with women without insomnia. There was a quadratic relationship between age and insomnia with women in their mid-40s, most likely to have insomnia.ConclusionsThis survey study found that insomnia symptoms were endorsed by more than one-half of the women veterans in this sample of VA users, highlighting the critical need for enhanced clinical identification and intervention. Further research is needed to establish national rates of insomnia among women veterans and to improve access to evidence-based treatment of insomnia disorder. |
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