Estimated prevalence of insomnia among women veterans: Results of a postal survey

Martin, Jennifer L.; Schweizer, C. Amanda; Hughes, Jaime M.; Fung, Constance H.; Dzierzewski, Joseph M.; Washington, Donna L.; Kramer, B. Josea; Jouldjian, Stella; Mitchell, Michael N.; Josephson, Karen R.; Alessi, Cathy A.

doi:10.1016/j.whi.2016.12.003

Cited by 45Sleep and related disordersObstructive Sleep Apnea ResearchSleep and Work-Related Fatigue

Estimated prevalence of insomnia among women veterans: Results of a postal survey

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Martin, Jennifer L., Schweizer, C. Amanda, Hughes, Jaime M., Fung, Constance H., Dzierzewski, Joseph M., Washington, Donna L., Kramer, B. Josea, Jouldjian, Stella +3 more·2017·Women's Health Issues

DOI 10.1016/j.whi.2016.12.003PMC PMC5435535

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Abstract

Objectives Insomnia 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.Method Women 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.Results A 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.Conclusions This 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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A quarter of women veterans receiving VA healthcare meet diagnostic criteria for both insomnia disorder and PTSD.
“A quarter of women veterans receiving Veterans Affairs (VA) healthcare meet diagnostic criteria for both insomnia disorder and PTSD (Hughes, Jouldjian, Washington, Alessi, & Martin, 2013; Martin et al., 2017), with poor sleep being one of the most commonly reported symptoms associated with PTSD.”
From Benefits of Cognitive Behavioral Therapy for Insomnia for Women Veterans with and without Probable Post-Traumatic Stress Disorder (2022) · cites this paper as Martin et al., 2017
The Results report that 52.6% of surveyed women veterans receiving VA care met the study’s operational definition of insomnia disorder. The paper also notes that women veterans with insomnia have higher rates of PTSD, but it does not report that a quarter met criteria for both disorders. (LLM, conf=0.86)
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Authors: Martin, J. L., Schweizer, C. A., Hughes, J. M., Fung, C. H., Dzierzewski, J. M., Washington, D. L., Kramer, B. J., Jouldjian, S., Mitchell, M. N., Josephson, K. R., & Alessi, C. A.
Affiliations: University of California, Los Angeles (US)
Health Services Research & Development (US)
Durham VA Health Care System (US)
Virginia Commonwealth University (US)
VA Greater Los Angeles Healthcare System (US)
Corresponding author: Martin, Jennifer L.
ORCID: Martin, Jennifer L.
Hughes, Jaime M.
Fung, Constance H.
Dzierzewski, Joseph M.
Washington, Donna L.
Kramer, B. Josea
Mitchell, Michael N.
Josephson, Karen R.
Alessi, Cathy A.
Venue: Women's Health Issues
Publisher: Elsevier BV
Published: 2017-05
Volume: 27
Issue: 3
Pages: 366-373
ISSN: 1049-3867 (ISSN-L)
DOI: 10.1016/j.whi.2016.12.003
PMC: PMC5435535
OpenAlex: W2576862938
Cited by: 45
References: 42
Citations by year: 2026: 1 · 2025: 1 · 2024: 6 · 2023: 9 · 2022: 2 · 2021: 6 · 2020: 13 · 2019: 3 · 2018: 4
FWCI: 7.12
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Women s Health Issues (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: National Institute on Aging (K23AG045937, K23AG049955)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Keywords: insomnia, women veterans, insomnia prevalence, sleep disorders, menopausal symptoms, pain, nightmares, stress
MeSH terms: Adult, Aged, Anxiety, Depression, Female, Health Surveys, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Sleep Wake Disorders, Socioeconomic Factors, Stress Disorders, Post-Traumatic, Veterans, Los Angeles, Prevalence

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