The DOI matches its Crossref record; 61 of the 61 references it cites were found in a registry or an index.
Sleep Disorders in US Military Personnel
Open accessAbstract
Background Sleep disturbances are among the most common symptoms of military personnel who return from deployment. The objective of our study was to determine the presence of sleep disorders in US military personnel referred for evaluation of sleep disturbances after deployment and examine associations between sleep disorders and service-related diagnoses of depression, mild traumatic brain injury, pain, and posttraumatic stress disorder (PTSD).Methods This was a cross-sectional study of military personnel with sleep disturbances who returned from combat within 18 months of deployment. Sleep disorders were assessed by clinical evaluation and polysomnogram with validated instruments to diagnose service-related illnesses.Results Of 110 military personnel included in our analysis, 97.3% were men (mean age, 33.6 ± 8.0 years; mean BMI, 30.0 ± 4.3 kg/m2), and 70.9% returned from combat within 12 months. Nearly one-half (47.3%) met diagnostic criteria for two or more service-related diagnoses. Sleep disorders were diagnosed in 88.2% of subjects; 11.8% had a normal sleep evaluation and served as control subjects. Overall, 62.7% met diagnostic criteria for obstructive sleep apnea (OSA) and 63.6% for insomnia. The exclusive diagnoses of insomnia and OSA were present in 25.5% and 24.5% of subjects, respectively; 38.2% had comorbid insomnia and OSA. Military personnel with comorbid insomnia and OSA were significantly more likely to meet criteria for depression (P < .01) and PTSD (P < .01) compared with control subjects and those with OSA only.Conclusions Comorbid insomnia and OSA is a frequent diagnosis in military personnel referred for evaluation of sleep disturbances after deployment. This diagnosis, which is difficult to treat, may explain the refractory nature of many service-related diagnoses.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The available literature addressing the prevalence of insomnia in patients with OSA (Table VII.I.1)588,943–956 suffers from several significant shortcomings.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [949]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The reported rates of an insomnia disorder diagnosis in patients with OSA ranged from 6.4% to 74%.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [949]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Notably, the majority of studies found rates that were clustered in the range of 29%–50%.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [949]
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“For insomnia symptoms, the prevalence varied from 7% to 68% with most estimates being in the range of 36%–58%.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [949]
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“Notably, the studies with the lowest prevalence rates tended to be the general population studies.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [949]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale
Johns, M. W. (1991) · Sleep · doi:10.1093/sleep/14.6.540 · Cited by 17,364
(2007) · Cited by 6,530
The International Classification of Sleep Disorders
Daroff, R. B. (1991) · Neurology · doi:10.1212/wnl.41.1.160 · Cited by 5,023
Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040603 · Cited by 4,778
McHorney, C. A., Ware, J. E., Rachel Lu, J. F., & Sherbourne, C. D. (1994) · Medical Care · doi:10.1097/00005650-199401000-00004 · Cited by 4,458
Mild traumatic brain injury in U.S. soldiers returning from Iraq
Hoge, C. W., McGurk, D., Thomas, J. L., Cox, A. L., Engel, C. C., & Castro, C. A. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa072972 · Cited by 2,775
Current Cigarette Smoking Among Adults — United States, 2005–2014
Jamal, A., Homa, D. M., O’Connor, E., Babb, S. D., Caraballo, R. S., Singh, T., Hu, S., & King, B. A. (2015) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6444a2 · Cited by 2,544
The International Classification of Sleep Disorders: Diagnostic and Coding Manual
(1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-115-5-413_1 · Cited by 2,416
Hoge, C. W., Auchterlonie, J. L., & Milliken, C. S. (2006) · JAMA · doi:10.1001/jama.295.9.1023 · Cited by 2,027
Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults
Schutte-Rodin, S., Broch, L., Buysse, D., Dorsey, C., & Sateia, M. (2008) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27286 · Cited by 1,943
Research works printed but not linked: 2
- Armed Forces Health Surveillance Center, 2010, Insomnia, active component, US Armed Forces, January 2000-December 2009, Medical Surveillance Monthly Report, 17, 12
- Armed Forces Health Surveillance Center, 2010, Obstructive sleep apnea, active component, US Armed Forces, January 2000-December 2009, Medical Surveillance Monthly Report, 17, 8
Cited by
Sorted by citations
Obstructive Sleep Apnea and Psychiatric Disorders: A Systematic Review
Gupta, M. A., & Simpson, F. C. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4466 · Cited by 367
International Consensus Statement on Obstructive Sleep Apnea
Chang, J. L., Goldberg, A. N., Alt, J. A., Mohammed, A., Ashbrook, L., Auckley, D., Ayappa, I., Bakhtiar, H., Barrera, J. E., Bartley, B. L., et al. (2023) · International Forum of Allergy & Rhinology · doi:10.1002/alr.23079 · Cited by 350
Richards, A. L., Kanady, J. C., & Neylan, T. C. (2019) · Neuropsychopharmacology · doi:10.1038/s41386-019-0486-5 · Cited by 217
Sleep in the Military: Promoting Healthy Sleep Among U.S. Servicemembers
Troxel, W., Shih, R. A., Pedersen, E. R., Geyer, L., Fisher, M., Griffin, B. A., Haas, A. C., Kurz, J., & Steinberg, P. S. (2015) · Rand health quarterly · doi:10.7249/rhq-05-02-19 · Cited by 195
Developing a successful treatment for co-morbid insomnia and sleep apnoea
Sweetman, A. M., Lack, L. C., Catcheside, P. G., Antic, N. A., Chai-Coetzer, C. L., Smith, S. S., Douglas, J. A., & McEvoy, R. D. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2016.04.004 · Cited by 185
Metadata
- Authors
- Mysliwiec, V., Gill, J., Lee, H., Baxter, T., Pierce, R., Barr, T. L., Krakow, B., & Roth, B. J.
- Affiliations
- Madigan Army Medical Center (US)
- National Institutes of Health (US)
- West Virginia University (US)
- Sleep and Human Health Institute (US)
- Corresponding author
- Mysliwiec, Vincent
- Venue
- Chest
- Publisher
- Elsevier BV
- Published
- 2013-08
- Volume
- 144
- Issue
- 2
- Pages
- 549-557
- ISSN
- 0012-3692 (ISSN-L)
- PMC
- PMC4694100
- OpenAlex
- W2154732472
- Semantic Scholar
- d8142b73fe6df032fd8df8f7725fa830ee9efb62
- Cited by
- 184
- References
- 61
- Citations by year
- 2026: 9 · 2025: 13 · 2024: 6 · 2023: 16 · 2022: 12 · 2021: 20 · 2020: 16 · 2019: 17 · 2018: 20 · 2017: 14 · 2016: 10 · 2015: 15 · 2014: 12 · 2013: 3
- FWCI
- 18.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- CHEST Journal (acceptedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Center for Neuroscience and Regenerative Medicine (Grant 60855)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep disorders, military personnel, combat deployment, obstructive sleep apnea, insomnia, comorbidities, depression, post-traumatic stress disorder, mild traumatic brain injury, chronic pain, polysomnography
- MeSH terms
- Adult, Brain Injuries, Cross-Sectional Studies, Depression, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Pain Measurement, Stress Disorders, Post-Traumatic, United States, Polysomnography, Sleep Apnea, Obstructive
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
